ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018
Coronal plane trunk asymmetry is associated with whole-body sagittal alignment in healthy young adolescents before pubertal peak growth.
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, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of the association between isolated musculoskeletal hypermobility and adolescent idiopathic scoliosis.Archives of orthopaedic and trauma surgery · 2023Pooled it
- Kyphosis, lordosis and height velocity. What is the effect of rate of growth on the development of the sagittal parameters of the spine in normal children?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
- Natural history study of scoliosis in patients with 22q11.2 deletion syndrome, starting before disease onset.Spine deformity · 2026Article
- Comprehensive Associations Between Spinal-Pelvic Alignment and Muscle Shortening in Healthy Young Men: An Analysis of Individual and Interactive Effects in the Sagittal Plane Using SHapley Additive exPlanation.Journal of functional morphology and kinesiology · 2025Article
- Correlation between abnormal posture, screen time, physical activity, and suspected scoliosis: a cross-sectional study.Journal of orthopaedic surgery and research · 2025Article
- Research on spinal characteristics and exercise intervention in 6-18 year old adolescents based on computer vision recognition.Frontiers in public health · 2025Article
- The relationship between minor coronal asymmetry of the spine and measures of spinal sagittal shape in adolescents without visible scoliosis.Scientific reports · 2023Article
- The odontoid-CSVL distance in a global population of asymptomatic volunteers: normative values and implications for spinal coronal alignment.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 · 2021Article
- Comparison of Spinal Curvatures in the Sagittal Plane, as Well as Body Height and Mass in Polish Children and Adolescents Examined in the Late 1950s and in the Early 2000s.Medical science monitor : international medical journal of experimental and clinical research · 2018Article
- Trunk and craniofacial asymmetry are not associated in the general population: a cross-sectional study of 1029 adolescents.European journal of medical research · 2017Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate coronal plane trunk asymmetry (TA) and its association with sagittal postural alignment in healthy subjects before pubertal peak growth.
methodsIn this cross-sectional baseline study, 1190 healthy pre-peak growth velocity subjects were included. Coronal plane TA was evaluated using back surface topography. Whole-body sagittal alignment (previously validated and objectively classified as neutral, sway-back or leaning-forward) and sagittal spinopelvic profile (trunk lean, lumbar lordosis, thoracic kyphosis, sacral inclination and length of the posteriorly inclined thoracolumbar segment) were determined, as were height, proportion of trunk to body length, body mass index, generalized joint laxity, and handedness.
resultsLogistic regression analysis yielded overall sagittal posture class to be independently associated with coronal plane TA: having a leaning-forward posture associated with a nearly three times higher odds of coronal TA (p < 0.001) compared to neutrals. A sway-back was 2.2 times more likely to show TA (p = 0.016) than a neutral, yet only in boys. Significant associations with coronal TA were also found for trunk lean, thoracic kyphosis and body mass index. These correlations, however, were gender and posture class specific. The spinal region where asymmetry is seen, varies according to the whole-body sagittal alignment type: primary thoracic curves were the most frequent in leaning-forwards, whereas primary curves in the lumbar or declive thoracolumbar segment were the most common in sway-backs.
conclusionsIn immature spines without known scoliosis, coronal plane TA is associated with whole-body sagittal alignment. It is more often seen in non-neutral than neutral sagittal posture types. Whether adolescent idiopathic scoliosis is related with postural characteristics before pubertal growth peak, should be addressed in future prospective studies.
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