ArticleNeurospine2020
Surgical Impact on Global Sagittal Alignment and Health-Related Quality of Life Following Cervical Kyphosis Correction Surgery: Systematic Review.
Article in Neurospine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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.
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Who cites it
26 citing papers in PubMed, 37 citations in OpenAlex.
- 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
- C2 Slope as an Independent Predictor of Cervical Lordosis Loss Following Laminoplasty.Orthopaedic surgery · 2026Article
- Surgical correction of a rigid sagittal and coronal plane cervical-thoracic deformity.Surgical neurology international · 2026Article
- Prognostic Factors in Craniocervical Realignment for Craniovertebral Junction Kyphosis With Negative Cervical Imbalance: A Comprehensive StudyNeurospine · 2025Article
- Plain Radiography: A Unique Component of Spinal Assessment and Predictive Health.Healthcare (Basel, Switzerland) · 2024Review
- Early radiographic outcomes after anterior cervical discectomy and fusion with anatomic versus lordotic cages.North American Spine Society journal · 2024Article
- Optimizing Surgical Strategy for Cervical Spinal Deformity: Global Alignment and Surgical Targets.Neurospine · 2023Article
- Novel Nerve-Sparing In Situ Assembly of an Expandable Titanium Cage to Maximize Endplate Coverage After Posterior Corpectomy for Comminuted Lumbar Burst Fractures.Operative neurosurgery (Hagerstown, Md.) · 2023Article
- Preoperative Skull Traction, Anterior Debridement, Bone Grafting, and Internal Fixation for Cervical Tuberculosis with Severe Kyphosis.Orthopaedic surgery · 2023Article
- Commentary on "Selection of Optimal Lower Instrumented Vertebra for Adolescent Idiopathic Scoliosis Surgery".Neurospine · 2023Article
- Examining Clinical Opinion and Experience Regarding Utilization of Plain Radiography of the Spine: Evidence from Surveying the Chiropractic Profession.Journal of clinical medicine · 2023Article
- Cervical kinematic change after posterior full-endoscopic cervical foraminotomy for disc herniation or foraminal stenosis.PloS one · 2023Article
- Sagittal sequence and clinical efficacy of cervical disc replacement and hybrid surgery in the treatment of cervical spondylotic myelopathy: a retrospective study.Frontiers in surgery · 2023Article
- Reciprocal Changes in the Whole-Body Following Realignment Surgery in Adult Spinal Deformity.Asian spine journal · 2022Article
- Surgical Strategies and Perioperative Considerations for Cervical Deformity With Cerebral Palsy: A Comprehensive Review of the Literature.Neurospine · 2022Article
- A cost-utility analysis between decompression only and fusion surgery for elderly patients with lumbar spinal stenosis and sagittal imbalance.Scientific reports · 2022Article
- Article
- Odontoid Incidence: A Novel Cervical Parameter Influencing Cervical Alignment From Top to Bottom.Neurospine · 2022Article
- Pediatric Spine Trauma.Journal of Korean Neurosurgical Society · 2022Article
- Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
When spinal imbalance occurs, the human body reacts through various compensatory mechanisms to maintain the head over the pelvis and to retain a horizontal gaze. These compensations occur through mobile spine segments as well as pelvic tilt and lower extremities. The purpose of this review was to understand the surgical impact on global sagittal alignment and health-related quality of life (HRQoL) following cervical kyphosis correction surgery. The cervical kyphosis correction surgery induces reciprocal changes in craniocervical and thoracolumbar alignment. Successful cervical deformity correction needs to focus not only on restoring proper cervical lordosis, but also on achieving global balance of the cervical spine with other parts of the spine. The goal of the surgery is to achieve occiputtrunk (OT) concordance (the center of gravity-C7 sagittal vertical axis < 30 mm) and cervical sagittal balance. Once OT-concordance is achieved, subsequent thoracolumbar alignment changes occur as needed to harmonize global spinal alignment. Reciprocal changes after surgery exhibit different patterns depending on whether patients have compensation ability in their thoracolumbar spine or not. C2-7 sagittal vertical axis and sagittal morphotype of the cervical kyphosis are correlated with HRQoL. Changes in cervical lordosis minus T1 slope correlate to HRQoL improvements.
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