Evidence map›Paper›PMID 38764090›Full record

Observational studyEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2024

Normal spinopelvic parameters and correlation analysis in 217 asymptomatic children.

Hao Qi, ZengHui Zhao, XianDa Gao, Chenchen Wang, Zuzhuo Zhang, Dan Su, Feiyu Zu, Rui Xue, Zhiyong Hou, Wei Chen and 1 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study 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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. 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 · 2026
    Article
  3. Article
  4. Normal spino-pelvic alignment in healthy adolescents: defining the PI-SS relationship and laying the foundations for pre-operative sagittal planning.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 · 2026
    Article
  5. Standing whole-spine radiographic sagittal alignment response to backpack load in schoolchildren.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 · 2026
    Article
  6. Article
  7. Article
  8. Changes in pelvic measurements and lumbar lordosis with age in children and adolescents.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 · 2025
    Article
  9. Normative values of the sagittal lumbopelvic alignment in children during the first decade of life : A retrospective observational study from a German paediatric orthopaedic hospital.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 · 2025
    Observational
  10. Sagittal spinopelvic parameters in adolescent idiopathic scoliosis: divergence between Lenke type 5, 6, and healthy adolescents.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 · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Hao QiDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
ZengHui ZhaoDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
XianDa GaoDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Chenchen WangDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Zuzhuo ZhangDepartment of Radiology, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Dan SuDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Feiyu ZuDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Rui XueDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Zhiyong HouKey Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051, China.
Wei ChenKey Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051, China.
Di ZhangDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China. 38300320@hebmu.edu.cn.

Funding

Major Research Plan 82072454
6 · The paper itself

Abstract

backgroundUnderstanding spinal sagittal balance is crucial for assessing and treating spinal deformities in pediatric populations.

objectiveThe aim of the present observational study is to examine the parameters of sagittal alignment of the regional spine and spinopelvic region in asymptomatic pediatric populations and the characteristics of these parameters with age and sex.

methodsWe enrolled 217 participants, consisting of 112 males (51.6%) and 105 females (48.4%), aged between 4 and 15 years, with an average age of 12.19 years. Pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis, thoracic kyphosis, T1 slope, C7 slope, cervical sagittal vertical axis, and C2-7 Cobb angle were measured. Three spine surgeons conducted radiographic measurements utilizing the PACS software. The measurement reliability was assessed through ICCs.

resultsOur results show significant age-related changes in pelvic tilt and cervical sagittal vertical axis, with notable gender differences in pelvic tilt, lumbar lordosis, and thoracic kyphosis. Girls have larger PT, boys have larger cSVA. PI, PT, and cSVA also differ among different age groups. Correlation analysis shows that a series of relationships that align with adult population patterns between pelvic incidence, pelvic tilt, sacral slope, lumbar lordosis, and thoracic kyphosis.

conclusionSignificant variations in PT and cSVA across diverse age cohorts highlights notable disparities in the distribution of PT and cSVA values within the pediatric population. Gender-based differences in PT, LL, and TK and correlation in spinopelvic parameter could enhances our understanding of compensatory mechanisms.

Indexed as

SpineAdolescentChildChild, PreschoolFemaleHumansKyphosisLordosisMalePelvic BonesPelvisRadiographyAdolescentCervical alignmentPediatric spinePelvic tiltSagittal alignment

Identifiers

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Registered trials

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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.