ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2021
Correlation of supine MRI and standing radiographs for cervical sagittal balance in myelopathy patients: a cross-sectional study.
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, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07541586 (Position- and Measurement-Dependent Differences in Cervical Lordosis), which is not on this map. Cited by 12 papers.
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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.
Position- and Measurement-Dependent Differences in Cervical Lordosis: A Comparative Analysis of Standing Radiographs and Supine MRI
Who cites it
12 citing papers in PubMed.
- Semi-quantitative assessment of paraspinal muscle fat infiltration in single-level C5-6 cervical spondylosis using gray-level thresholding on conventional MRI: associations with disc degeneration and posture-related segmental angular change.Frontiers in medicine · 2026Article
- Controversies surrounding posterior cervical laminoplasty for cervical spondylotic myelopathy with kyphotic deformity.American journal of translational research · 2026Review
- Comparison of Radiography with Computed Tomography and Magnetic Resonance Imaging in the Measurement of Cervical Lordosis.Medicina (Kaunas, Lithuania) · 2025Article
- Unveiling and Validating a Modified Method to Assess Cervical Sagittal Alignment as an Effective Substitute for Conventional C2-7 Cobb Angle.Clinics in orthopedic surgery · 2025Article
- Accuracy of Realigned K-line for Predicting Surgical Outcomes After Laminoplasty in Patients With Degenerative Cervical Myelopathy.Global spine journal · 2024Article
- Lumbar lordosis and sacral slope do not differ in two types of postoperative lumbar disc re-herniation: a cross-sectional observational study.BMC musculoskeletal disorders · 2024Observational
- Odontoid incidence: a constant cervical anatomical feature evident in standing plain radiographs and supine magnetic resonance images.Journal of orthopaedic surgery and research · 2024Article
- Sagittal balance parameters measurement on cervical spine MR images based on superpixel segmentation.Frontiers in bioengineering and biotechnology · 2024Article
- MRI-based measurements of spondylolisthesis and kyphosis in degenerative cervical myelopathy.BMC medical imaging · 2023Article
- Assessment of the correlation between clinical and radiological outcomes in patients suffering from mild to moderate cervical spine dysfunction symptoms: a prospective study.Journal of orthopaedic surgery and research · 2022Article
- Association between pre-operative sagittal alignment and radiographic measures of decompression following cervical laminectomy: a retrospective cohort study.Journal of spine surgery (Hong Kong) · 2021Article
- Comparative review of anchored cage devices and standalone cages in multilevel anterior cervical discectomy and fusion surgeries.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCervical sagittal alignment is correlated with myelopathy severity and used by spinal surgeons for surgical planification. Magnetic resonance imaging (MRI) is the gold standard for the evaluation of cervical myelopathy but may not be for the assessment of cervical sagittal balance compared to X-rays. The objective of this study was to assess the correlation of cervical alignment between supine MRI and standing radiographs in patients with cervical spondylotic myelopathy (CSM).
methodsCobb, Jackson and Harrison methods were used to measure cervical sagittal alignment on supine MRI and standing radiographs of CSM adults. Cervical alignment was divided based on Cobb angle values on lordotic (> 4°), kyphotic (< - 4°) and rectitude (- 4° to 4°). Correlations between radiographic and MRI measurements were determined. Intra- and interobserver reliability were assessed and MRI and X-Ray-measured angles were compared.
resultsOne hundred and thirty patients with CSM were reviewed. Correlations of cervical lordosis measures between radiographs and MRI were strong using the Cobb (0.65) and Jackson (0.63) methods, and moderate using the Harrison (0.37) method. Mean cervical lordosis angle was significantly lower on supine MRI compared to standing radiographs for all methods (Cobb 11.6 Rx vs. 9.2 MRI, Jackson 14.6 vs. 11.6, Harrison 23.5 vs. 19.9). Eighteen patients (15.4%) without lordosis on supine MRI presented lordosis on standing radiographs.
conclusionA substantial proportion of patients has sagittal alignment discrepancies between supine MRI and standing radiographs. Therefore, standing radiographs of the cervical spine should always be included in surgical planning of CSM patients.
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