ArticleJournal of personalized medicine2023
Thoracolumbar/Lumbar Degenerative Kyphosis-The Importance of Thoracolumbar Junction in Sagittal Alignment and Balance.
Article in Journal of personalized medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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9 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- Efficacy and safety of platelet-rich plasma and hyaluronic acid combination therapy for knee osteoarthritis: a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Sagittal spinal alignment and segmental mobility in collegiate baseball players with low back pain: A cross-sectional study.BMC musculoskeletal disorders · 2026Article
- Article
- Clinical outcomes associated with adding pelvic correction manipulation to adjacent needling for lumbar disc herniation: a prospective comparative cohort study.Frontiers in medicine · 2026Article
- Thoracic and pelvic compensation during lumbar degeneration: a retrospective study of 625 asymptomatic adults.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 · 2025Article
- 3D-Printed Laminae for Kyphosis in Ankylosing Spondylitis During Pedicle Subtraction Osteotomy.Orthopaedic surgery · 2025Article
- The Impact of the Thoracolumbar Junction Distraction Technique on Reducing Proximal Junctional Kyphosis: A Comparative Pre- and Post-Implementation Study in Adult Spinal Deformity Surgery.Medicina (Kaunas, Lithuania) · 2025Article
- Evaluation of corneal asymmetry and higher-order aberrations after small incision lenticule extraction for moderate and high myopia.International ophthalmology · 2025Article
- A novel classification on degenerative thoracolumbar kyphosis based on sagittal spino-pelvic alignment: should the thoracolumbar segments be intervened?Journal of orthopaedic surgery and research · 2025Article
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Authors and funding
6 authors at 3 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo conduct a more comprehensive study of sagittal alignment in patients with thoracolumbar/lumbar (TL/L) degenerative kyphosis.
methodsA total of 133 consecutive patients from September 2016 to March 2019 with degenerative spinal kyphosis were enrolled. These patients were divided into different types according to sagittal alignment, including thoracolumbar junctional kyphosis (TLJK). Then, we divided the patients with TLJK into two groups: the Sagittal Balance group (C7-SVA < 50 mm) and the Sagittal Imbalance group (C7-SVA ≥ 50 mm). The sagittal parameters of each type or group were compared and correlation analysis was conducted.
resultsThoracolumbar/lumbar degenerative kyphosis consists of four types: Type I, lumbar kyphosis; Type II, degenerative flat back; Type III, thoracolumbar junctional kyphosis; and Type IV, global kyphosis. According to different sagittal alignments, Type III can further be divided into three subtypes: IIIA, with smooth kyphosis of thoracic and upper lumbar; IIIB, like a clasp knife, with a flat thoracic and lumbar angle; and IIIC, with bigger thoracic kyphosis and lumbar lordosis. The thoracolumbar kyphosis angle (°) of the three subtypes were -23.61 ± 5.37, -25.40 ± 7.71, and -40.01 ± 8.40, respectively. Lumbar lordosis was correlated with thoracic kyphosis (IIIA, r = -0.600,
conclusionsThe common characteristics of thoracolumbar junctional kyphosis were found to be a bigger thoracolumbar junctional angle and vertex of kyphosis located in the thoracolumbar junction (T10-L2). Despite TLJK, a change in the thoracic angle was still important to maintain sagittal balance. The thoracolumbar junction plays an important role in sagittal alignment and balance.
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