Evidence map›Paper›PMID 31664567›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2020

Age-based normal sagittal alignment in Chinese asymptomatic adults: establishment of the relationships between pelvic incidence and other parameters.

Siyu Zhou, Fei Xu, Wei Wang, Da Zou, Zhuoran Sun, Weishi Li

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

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, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04688437 (Correlation Among Standing-sitting Sagittal Spinal Alignment, Paravertebral Muscle and Postoperative Clinical Outcomes in Patients With Adult Degenerative Scoliosis), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT04688437 unknown statusnot on this mapstarted 2021, after this paper: background citation

Correlation Among Standing-sitting Sagittal Spinal Alignment, Paravertebral Muscle and Postoperative Clinical Outcomes in Patients With Adult Degenerative Scoliosis

TypeobservationalSponsorPeking University Third HospitalRan2021 to 2024Enrolled200ConditionsDegenerative ScoliosisArmsstandard standing-sitting posteroanterior and lateral whole spine X-ray and lumbar MRI examination
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. 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 · 2021
    Pooled it
  2. Development and validation of a deep learning-powered system for multi-version global alignment and proportion score to predict mechanical complications after adult degenerative scoliosis surgery.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 · 2026
    Article
  3. Article
  4. The effect of pelvic incidence on age-related changes in spinopelvic sagittal alignment in older individuals: a longitudinal study for 10 years.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 · 2026
    Article
  5. Improving the accuracy of current sagittal alignment evaluation system centered around pelvic incidence: a new machine-learning based classification.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 · 2026
    Article
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  13. Relationships between lumbar lordosis correction and the change in global tilt (GT) in adult spinal deformity.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 · 2024
    Article
  14. Racial differences in whole-body sagittal alignment between Asians and Caucasians based on international multicenter data.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 · 2023
    Article
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  20. Characteristics of the sagittal spinal balance in the asymptomatic elderly Chinese population.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 · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Siyu ZhouOrthopaedic Department, Peking University Third Hospital, No. 49 North Garden Road, Haidian District, Beijing, 100191, China.
Fei XuOrthopaedic Department, Peking University Third Hospital, No. 49 North Garden Road, Haidian District, Beijing, 100191, China.
Wei WangOrthopaedic Department, Peking University Third Hospital, No. 49 North Garden Road, Haidian District, Beijing, 100191, China.
Da ZouOrthopaedic Department, Peking University Third Hospital, No. 49 North Garden Road, Haidian District, Beijing, 100191, China.
Zhuoran SunOrthopaedic Department, Peking University Third Hospital, No. 49 North Garden Road, Haidian District, Beijing, 100191, China.
Weishi LiOrthopaedic Department, Peking University Third Hospital, No. 49 North Garden Road, Haidian District, Beijing, 100191, China. puh3liweishi@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the age-based normal values of sagittal parameters and establish the relationships between them in Chinese population.

methodTwo hundred eighteen asymptomatic adult volunteers were included in this cross-sectional study. The whole spine standing radiograph was taken from them, and the parameters including sagittal vertical axis (SVA), T1 pelvic angle (TPA), global tilt (GT), spino-sacral angle, lumbar lordosis (LL), thoracic kyphosis (TK), T1 slope (T1S), cervical lordosis (CL), C2-C7SVA, pelvic tilt (PT), sacral slop (SS) and pelvic incidence (PI) were measured. The gender differences in sagittal alignment were compared. Pearson correlation was calculated, and a linear regression analysis was used to establish the relation between PI and other parameters.

resultsThe average values of PI, LL, TPA and GT were 46.2°, 48.2°, 7.8° and 10.6°, respectively, in this cohort. SVA, GT, TPA, TK, T1S, CL and PT significantly increased with age (p < 0.05). The females presented smaller T1S, C2-C7SVA and larger PI, PT than the males. The relationships between PI and TPA, GT, SS, LL could be presented as TPA = 0.411 * PI - 11.2 (R

conclusionThe normal values of sagittal parameters were presented and changed with age in Chinese asymptomatic population. The gender differences existed in sagittal parameters. The relationships between PI and other parameters were established which could be used for further research. These slides can be retrieved under Electronic Supplementary Material.

Indexed as

SpineAdultAsian PeopleChinaCross-Sectional StudiesFemaleHumansMalePostureRadiographyAdult deformityNormal valuesPelvic incidenceSagittal alignmentT1 pelvic angle

Identifiers

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.