ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2016
Relationship between cervical sagittal alignment and health-related quality of life in adolescent idiopathic scoliosis.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.
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Who cites it
42 citing papers in PubMed.
- Comparison of cervical sagittal alignment in normal subjects and adolescents and young adults with idiopathic scoliosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Postoperative thoracic kyphosis is associated with clinically significant pain improvement at 1-year follow-up in adolescent idiopathic scoliosis: a multicenter study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026Article
- Early postoperative T1 slope is associated with 2-year cervical sagittal malalignment in Lenke 1-2 AIS with thoracic lordosis.Spine deformity · 2026Article
- AI-derived versus surgeon-performed instrumentation in adolescent idiopathic scoliosis: a biomechanical simulation analysis.Spine deformity · 2026Article
- Odontoid Parameters in Adolescent Idiopathic Scoliosis Patients.Clinical spine surgery · 2026Article
- In Correction Surgery for Adolescent Idiopathic Scoliosis with Lenke Type 1 and 2 curves, Obtaining Kyphosis in the Upper Thoracic Spine Is Important for Preventing Postoperative Cervical Kyphosis.Spine surgery and related research · 2026Article
- Effect of selective and nonselective fusion on cervical sagittal alignment in Lenke 5 scoliosis.Medicine · 2025Article
- What factors predict cervical sagittal alignment restoration after correction of thoracic adolescent idiopathic scoliosis with severe thoracic hypokyphosis? A multicenter retrospective study of 57 patients.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025Article
- Article
- Machine learning analysis of cervical balance in early-onset scoliosis post-growing rod surgery: a case-control study.Scientific reports · 2025Article
- Incidence of Cervical Kyphosis and Factors Associated with Improvement in Postoperative Cervical Spinal Alignment in Idiopathic Scoliosis with Major Thoracolumbar/Lumbar and Thoracic Curves.Journal of clinical medicine · 2024Article
- Neck and shoulder pain in thoracic adolescent idiopathic scoliosis 10 years after posterior spinal fusion.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Influence of thoracolumbar kyphosis on postoperative spinal alignment in patients with Lenke type 5C adolescent idiopathic scoliosis.Spine deformity · 2024Article
- Analysis of odontoid parameters in adolescent idiopathic scoliosis patients with different curve types.Frontiers in pediatrics · 2024Article
- Comparison of Cervical Sagittal Parameters Between Radiographs and Magnetic Resonance Images in Patients With Cervical Spondylotic Myelopathy.Global spine journal · 2023Article
- Reciprocal Change of Cervical Spine after Posterior Spinal Fusion for Lenke Type 1 and 2 Adolescent Idiopathic Scoliosis.Journal of clinical medicine · 2023Article
- Cervical sagittal alignment is influenced by changes in thoracic and lumbar sagittal alignments after correction surgery in patients with lenke type 6 adolescent idiopathic scoliosis.North American Spine Society journal · 2022Article
- Sagittal alignment of the cervical spine: radiographic analysis of 111 asymptomatic adolescents, a retrospective observational study.BMC musculoskeletal disorders · 2022Observational
- Cervical Alignment of Patients with Basilar Invagination: A Radiological Study.Orthopaedic surgery · 2022Article
- Relationship between spinocranial angle and clinical outcomes after laminoplasty in patients with ossification of the posterior longitudinal ligament.Frontiers in surgery · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLittle information is available on the relationship between cervical sagittal alignment and health-related quality of life (HRQOL) in adolescent idiopathic scoliosis (AIS) patients. The aim of this study was to identify relationships between postoperative cervical sagittal alignment and HRQOL in AIS.
methodsThe study and control groups comprised 67 AIS patients (51 girls and 16 boys). All underwent anteroposterior and lateral plain radiography and completed clinical questionnaires. The radiographic parameters investigated were pre- and postoperative C2-C7 lordosis, C2-C7 sagittal vertical axis (SVA), T1 slope, T1 slope minus C2-C7 lordosis (TS-CL), thoracic kyphosis (TK), lumbar lordosis (LL), pelvic tilt (PT), sacral slope (SS), and pelvic incidence (PI). The Korean version of the SRS-22 questionnaire and the previously validated Short Form-36 (SF-36) outcome questionnaire were administered to evaluate HRQOL at last follow-up visits. Statistical analysis was performed to determine the significances of differences between preoperative and last follow-up radiological findings. In addition, correlations between radiological parameters and clinical questionnaire scores were sought.
resultsRadiological sagittal parameters were found to be significantly increased after surgical correction in terms of C2-C7 lordosis (3.5 ± 11.4), C2-C7 SVA (1.5 ± 6.0), T1 slope (3.5 ± 6.1), and TK (6.0 ± 8.1). However, no significant difference was observed for TS-CL, LL, PT, SS, and PI (P > 0.05). Correlation analysis revealed significant relationships between radiographic parameters and questionnaire scores. Multiple regression analysis was performed to identify predictors of HRQOL, and the results obtained revealed that postoperative T1 slope significantly predicted SRS, PCS, and MCS scores and that postoperative C2-C7 SVA predicted SRS scores.
conclusionsChanges in cervical sagittal parameters were significant after deformity correction in AIS patients. Correlation analysis revealed significant relationships between postoperative radiographic parameters and HRQOL. In particular, T1 slope and C2-C7 SVA were found to be significant predictors of HRQOL in AIS patient.
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