ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2017
The change of cervical spine alignment along with aging in asymptomatic population: a preliminary analysis.
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, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Sagittal balance of the cervical spine: a systematic review and meta-analysis.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 · 2021Pooled it
- Which parameters are relevant in sagittal balance analysis of the cervical spine? A literature review.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 · 2018Pooled it
- The Longitudinal Changes of Cervical Sagittal Alignment in a Non-surgical Cohort: A 12-Year Longitudinal Study.Global spine journal · 2026Article
- The effect of cervical parameters on interlaminar epidural steroid injection treatment outcomes in patients with cervical disc herniation.Turkish journal of physical medicine and rehabilitation · 2025Article
- Cervical Sagittal Alignment and Balance Associated With Aging Chinese Adults: A Radiographic Analysis.Global spine journal · 2024Article
- Scapular dyskinesis and loss of cervical lordosis in myofascial pain syndrome and its effects on pain and posture disorders.Turkish journal of physical medicine and rehabilitation · 2023Article
- Age-related changes in cervical sagittal alignment: based on 625 Chinese asymptomatic subjects.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 · 2023Article
- Comparison of three methods for measuring C0-1 angles and C0-2 angles.BMC musculoskeletal disorders · 2023Article
- Ageing and degeneration analysis using ageing-related dynamic attention on lateral cephalometric radiographs.NPJ digital medicine · 2022Article
- The Difference of Sagittal Correction of Adult Subaxial Cervical Spine Surgery According to Age: A Retrospective Study.Orthopaedic surgery · 2022Article
- Variation of cervical sagittal alignment parameters according to gender, pelvic incidence and age.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 · 2022Article
- Relationship between TIA minus C0-7 angle and C2-7 SVA: analysis of 113 symptomatic patients.BMC musculoskeletal disorders · 2022Article
- Biomechanical influence of T1 tilt alteration on adjacent segments after anterior cervical fusion.Frontiers in bioengineering and biotechnology · 2022Article
- Magnetic Resonance Imaging of the Cervical Spine: Frequency of Abnormal Findings with Relation to Age.Medicines (Basel, Switzerland) · 2021Article
- Commentary on "Impact of Nonlordotic Sagittal Alignment on Short-term Outcomes of Cervical Disc Replacement".Neurospine · 2021Article
- Establishing a method for quantifying spinal curvature during videofluoroscopic swallow studies: Applying the modified Cobb angle to healthy young and older adults.OBM geriatrics · 2020Article
- Article
- Posterior Occipitocervical Fusion for Unstable Upper Cervical Trauma in Old and Elderly Population, Although Decreases Upper Cervical Rotation, Does Not Significantly Increase Neck Disability Index.Advances in orthopedics · 2020Article
- Cervical kyphosis in asymptomatic populations: incidence, risk factors, and its relationship with health-related quality of life.Journal of orthopaedic surgery and research · 2019Article
- Ossified Posterior Longitudinal Ligament Existing at an Intervertebral Level Limits Compensatory Mechanism of Cervical Lordosis after Muscle-Preserving Selective Laminectomy.Spine surgery and related research · 2019Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
STUDY
designA cross-sectional study.
objectiveTo investigate the correlation of cervical spine alignment changes with aging in asymptomatic population.
backgroundPrevious studies demonstrated the influence of lumbar and thoracic spine on cervical spine alignment, but few has reported the cervical spine alignment change along with aging in asymptomatic population.
methodsAsymptomatic population were divided into four groups according to different ages (Group A: ≤20 years; Group B: 21-40 years; Group C: 41-60 years; Group D: ≥61 years). Each group was composed of 30 subjects. The following parameters were measured: C0-1 Cobb angle, C1-2 Cobb angle, C2-7 Cobb angle, C1-7 sagittal vertical axis (C1-7 SVA), C2-7 SVA, central of gravity to C7 sagittal vertical axis (CG-C7 SVA), Thoracic Inlet Angle (TIA), Neck Tilt (NT), cervical tilt, cranial tilt, T1 slope (TS), TS-CL, and ANOVA statistical method was used to analyze the differences among four groups, and then, linear regression analysis was performed to analyze correlation of the cervical spine alignment with the aging.
resultsC1-7 SVA, C2-7 SVA, CG-C7 SVA, TIA, NT, TS, and cranial tilt were found statistically different among four groups (P < 0.01). From Group A to Group D, the mean C1-7 SVA were 30.7, 26.0, 21.8, and 36.9 mm, the mean C2-7 SVA were 18.7, 14.7, 11.9, and 24.7 mm, and the mean CG-C7 SVA were 19.6, 16.6, 9.4, and 26.7 mm. The mean TIA were 62.4°, 65.0°, 71.8°, and 76.9°, the mean NT were 39.4°, 43.8°, 46.3°, and 48.2°, the mean TS were 23.0°, 21.1°, 25.5°, and 28.7°, and the mean cranial tilt were 5.7°, 4.8°, 3.0°, and 9.5°. Further linear regression indicated that TIA (r = 0.472; P < 0.0001), NT (r = 0.337; P = 0.0006), and TS (r = 0.299; P = 0.0025) were positively correlated with aging.
conclusionA gradual increase of TIA, NT, and TS, accompanied with an increased CL, is found along with aging in asymptomatic population, among which TIA, NT, and TS are significantly correlated with physiological nature of aging.
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