ArticleJournal of orthopaedic surgery and research2020
Cervical sagittal parameters were closely related to Neck Disability Index score after anterior cervical decompression and fusion.
Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Association of paraspinal fat infiltration with postoperative clinical outcomes in older cervical spondylotic myelopathy patients undergoing anterior cervical discectomy and fusion.BMC geriatrics · 2026Article
- A different perspective on cervical X-ray parameters in nTOS: could it play a role in pathophysiology?Journal of orthopaedic surgery and research · 2026Article
- Review
- The effect of cervical spine flexion-extension motion on odontoid parameters.Journal of orthopaedic surgery and research · 2025Article
- Early radiographic outcomes after anterior cervical discectomy and fusion with anatomic versus lordotic cages.North American Spine Society journal · 2024Article
- Comparison of Cervical Sagittal Parameters among Patients with Neck Pain and Patients with Cervical Spondylotic Radiculopathy and Cervical Spondylotic Myelopathy.Orthopaedic surgery · 2024Article
- Validity and reliability of a novel iPhone method to rapidly measure cervical sagittal parameters.Scientific reports · 2022Article
- The Pre-Operative Duration of Symptoms: The Most Important Predictor of Post-Operative Efficacy in Patients with Degenerative Cervical Myelopathy.Brain sciences · 2022Article
- "Reverse roussouly": cervicothoracic curvature ratios define characteristic shapes in adult cervical 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 · 2022Article
- Analysis between preoperative cervical radiographic parameters represented by the K-line tilt and the short-term prognosis of laminoplasty for posterior longitudinal ligament ossification: A retrospective study.Frontiers in surgery · 2022Article
- Clinical and radiological outcomes after three- and four-level anterior cervical discectomy and fusion: A single-center case series of 113 patients with a minimum 2-year follow-up.Journal of craniovertebral junction & spineArticle
- Parameter algorithm-driven optimization of surgical approaches: An investigation based on T1 slope minus C2-7 cervical lordosis in patients with cervical degenerative diseases.Journal of craniovertebral junction & spineArticle
- Impact of surgeries on normal match of T1 slope and cervical lordosis in cervical spondylotic myelopathy.Journal of craniovertebral junction & spineArticle
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4 authors.
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Abstract
backgroundACDF treatment of CSM is currently recognized as a surgical method with reliable efficacy. However, the cervical radiographic findings in a certain group of patients showed that the symptoms were not completely relieved. This study will investigate the relationship between cervical parameters and prognoses after ACDF surgery.
methodsThis study collected cases of CSM treated with ACDF in Zhongda Hospital from May 2014 to June 2018. The investigators recorded gender, age, cervical sagittal parameters, fusion segment, BMI, symptom duration, and NDI score. To compare the changes of parameters after surgery and explore the correlation between each factor and NDI score.
resultsGenerally, cervical lordosis increased and TS-CL decreased after surgery and during follow-up. Postoperative T1S, SVA and SCA decreased significantly compared to preoperative. T1S was positively correlated with CL (r = 0.245), SVA (r = 0.184), and negatively correlated with SCA (r = - 0.314) and NT (r = - 0.222). The last follow-up NDI score was positively correlated with T1S (r = 0.689), SVA (r = 0.155), TS-CL (r = 0.496), and age (r = 0.194), while negatively correlated with SCA (r = - 0.142). A linear regression model was established with the following formula: NDI = 0.809 × (T1S) - 0.152 × (CL) + 1.962 × (Sex) + 0.110 × (Age). T1S (B = 0.205, P < 0.001), CL (B = - 0.094, P = 0.041), and NT (B = 0.142, P = 0.023) were independent risk factors that affected whether the last follow-up NDI score was greater than preoperative.
conclusionsIn ACDF treatment of CSM, there exists a close correlation between cervical sagittal parameters and NDI scores. T1S, CL, sex, and age were linearly dependent on NDI scores. The increase of T1S, NT, and the decrease of CL were risk factors that affected follow-up NDI score greater than preoperative. Reducing T1S is beneficial to clinical recovery.
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