Observational studyBMC musculoskeletal disorders2022
Sagittal alignment of the cervical spine: radiographic analysis of 111 asymptomatic adolescents, a retrospective observational study.
Observational study in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Association between the anterior tilt slope and spinal sagittal parameters in asymptomatic adults from Southern China.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
- Differential Impact of C2-7 Sagittal Vertical Axis on Postoperative Axial Symptoms in Laminoplasty vs Laminectomy With Fusion: A Propensity Score-Trimmed Retrospective Cohort Study.Medical science monitor : international medical journal of experimental and clinical research · 2026Article
- Static sagittal cervical alignment, pain, and jaw functional limitation across temporomandibular disorder subtypes: a cross-sectional study.BMC oral health · 2026Article
- Sagittal cervical and spinopelvic alignment in non-deformed adults: the role of T1 slope and C2-C7 Cobb angle.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
- Sagittal alignment patterns in forward head posture: an EOS-based head-to-pelvis correlation analysis.BMC musculoskeletal disorders · 2026Article
- A cervical lordosis curvature decline in Chinese asymptomatic populations from 2016 to 2024: a comparative analysis.BMC musculoskeletal disorders · 2026Article
- A deep learning model for radiological measurement of adolescent idiopathic scoliosis using biplanar radiographs.Journal of orthopaedic surgery and research · 2025Article
- Effect of core stabilization exercises on cervical sagittal balance parameters in patients with forward head posture: a randomized controlled trial in Egypt.Asian spine journal · 2025Article
- Influence of subaxial cervical spine surgery on the sagittal alignment of the cervical and global spine. A prospective observational study.Brain & spine · 2025Article
- The standard posture is a myth: a scoping review.Journal of rehabilitation medicine · 2024Article
- Prediction of Back Disability Using Clinical, Functional, and Biomechanical Variables in Adults with Chronic Nonspecific Low Back Pain.Journal of clinical medicine · 2024Article
- Comparative Analysis of Postoperative Sagittal Balance in Expansive Open-Door Laminoplasty versus Laminectomy with Fusion for Multilevel Ossification of Posterior Longitudinal Ligament: A Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2024Article
- Article
- Comparison of Cervical Sagittal Parameters among Patients with Neck Pain and Patients with Cervical Spondylotic Radiculopathy and Cervical Spondylotic Myelopathy.Orthopaedic surgery · 2024Article
- Radiographic outcomes and subsidence rate in hyperlordotic versus standard lordotic interbody spacers in patients undergoing anterior cervical discectomy and fusion.Journal of craniovertebral junction & spineArticle
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Authors and funding
10 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo describe the cervical spine morphology and explore its relationship to global sagittal alignment parameters in the asymptomatic adolescent population.
methodsA total of 111 adolescent subjects were included. Sagittal alignment parameters, including C7 Slope, C2-C7 Cobb, C2-7 plumb line (PL), C2-S1 Sagittal Vertical Axis (SVA), C7-S1 SVA, T5-12 Cobb, T10-L2 Cobb, L1-S1 Cobb, pelvic incidence (PI), pelvic tilt (PT) and sacral slope (SS), were obtained from lateral radiographs.
resultsForty-four males and sixty-seven females with a mean age of 16.12 ± 2.40 years were included in this study. The mean values of C7 Slope, C2-7 Cobb and C2-7PL were 20.45 ± 8.88°, -7.72 ± 12.10°, and 13.53 ± 11.63 mm, respectively. C2-7 Cobb, C7 Slope showed significant differences between the male and female groups. Correlation analysis showed that C7 slope was significantly correlated with C2-7 Cobb (r = -0.544, P < 0.001), C2-S1 SVA (r = 0.335, P < 0.001), and C7-S1 SVA (r = 0.310, P = 0.001), but not lumbosacral parameters(L5-S1 Cobb, PI, PT, SS). Using a modified method of Toyama to describe the cervical spine morphology, there were 37 cases (33.3%) in the Lordotic group, and C7 slope, C2-7 Cobb and C2-7PL showed significant differences between groups. According to C2-C7 Cobb, there were 80 Lordotic cases (72.1%). C7 slope and C2-7PL were significantly different between the two groups.
conclusionThe cervical spine morphology of asymptomatic adolescents varies widely, from lordotic to kyphotic. Combining different classification methods provides a better understanding of the morphology of the cervical spine. C7 slope is an important predictor of global sagittal balance and C2-7PL is a key parameter for restoring cervical lordosis, which should be considered pre-operatively and for conservative treatment. Cervical regional sagittal alignment parameters are not correlated with lumbosacral parameters, and C2-7 Cobb, C7 Slope showed significant differences between males and females.
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