ArticleNeurospine2020
Cervical Sagittal Alignment: Literature Review and Future Directions.
Article in Neurospine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
66 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Risk factors associated with distal junctional kyphosis and failure after surgical management of adult cervical deformity: a systematic 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 · 2025Pooled it
- Spinopelvic measurements of sagittal balance with deep learning: systematic review and critical evaluation.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 · 2022Pooled it
- The Longitudinal Changes of Cervical Sagittal Alignment in a Non-surgical Cohort: A 12-Year Longitudinal Study.Global spine journal · 2026Article
- Cervical sagittal alignment differences according to scapular rotational posture: A retrospective radiographic study.Medicine · 2026Article
- Sagittal alignment patterns in forward head posture: an EOS-based head-to-pelvis correlation analysis.BMC musculoskeletal disorders · 2026Article
- Bibliometric analysis of the top 50 most-cited articles on cervical deformities: a web of science database study.Spine deformity · 2026Article
- Article
- Segment-specific versus global cervical paraspinal muscle degeneration predicts sagittal balance and functional recovery after posterior surgery.BMC musculoskeletal disorders · 2026Article
- Three-Dimensional Surface Topography for the Assessment of Spinal Alignment: A Cross-Sectional Study of Biomechanical Correlates.Diagnostics (Basel, Switzerland) · 2026Article
- Preoperative cervical curvature and outcomes after uniportal posterior percutaneous endoscopic cervical foraminotomy: a single-center retrospective study.Neurosurgical review · 2026Article
- Identifying biomechanical and neurophysiological risk factors for postoperative neurologic deterioration in OPLL surgery: A study using ROC curve and path 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 · 2026Article
- A systematic review and meta-analysis of sagittal cervical spine parameters: Normative values, correlation with quality of life, and biomechanical modeling.North American Spine Society journal · 2026Review
- Hierarchical deep learning pipeline for robust cervical parameter measurement in radiographs with C7 obscuration.NPJ digital medicine · 2026Article
- A cervical lordosis curvature decline in Chinese asymptomatic populations from 2016 to 2024: a comparative analysis.BMC musculoskeletal disorders · 2026Article
- Is there a direct correlation between cervical sagittal alignment and spinopelvic sagittal alignment?: an observational study from asymptomatic Indian adults.Asian spine journal · 2026Article
- Review
- Evaluating intraoperative C2 slope as a radiographic guide for cervical deformity correction.Scientific reports · 2025Article
- Functional recovery after laminoplasty versus staged anterior-posterior fusion for multilevel cervical ossification of the posterior longitudinal ligament.Journal of orthopaedic surgery and research · 2025Article
- Comparison of Radiography with Computed Tomography and Magnetic Resonance Imaging in the Measurement of Cervical Lordosis.Medicina (Kaunas, Lithuania) · 2025Article
- 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
6 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Cervical alignment as a concept has come to the forefront for spine deformity research in the last decade. Studies on cervical sagittal alignment started from normative data, and expanded into correlation with global sagittal balance, prognosis of various conditions, outcomes of surgery, definition and classification of cervical deformity, and prediction of targets for ideal cervical reconstruction. Despite the recent robust research efforts, the definition of normal cervical sagittal alignment and cervical spine deformity continues to elude us. Further, many studies continue to view cervical alignment as a continuation of thoracolumbar deformity and do not take into account biomechanical features unique to the cervical spine that may influence cervical alignment, such as the importance of musculature connecting cranium-cervical-thoracic spine and upper extremities. In this article, we aim to summarize the relevant literature on cervical sagittal alignment, discuss key results, and list potential future direction for research using the '5W1H' framework; "WHO" are related?, "WHY" important?, "WHAT" to evaluate and "WHAT" is normal?, "HOW" to evaluate?, "WHEN" to apply sagittal balance?, and "WHERE" to go in the future?
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What OpenQuestion holds
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.