Evidence map›Paper›PMID 40531946›Full record

ArticlePloS one2025

Digital study and correlation analysis of sagittal balance parameters in adolescents with idiopathic scoliosis: A comparative study with healthy adolescents.

Zhijie Kang, Guopeng Shi, Yunfeng Zhang, Feng Jin, Kai Zhang, Zhenhua Cao, Yong Zhu, Yangyang Xu, Yuan Fang, Lirong Sha and 5 more

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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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

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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

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Zhijie KangDepartment of Human Anatomy, School of Basic Medicine, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Guopeng ShiDepartment of Human Anatomy, School of Basic Medicine, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Yunfeng ZhangDepartment of Radiology, Second Affiliated Hospital, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Feng JinDepartment of Radiology, Affiliated Hospital, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Kai ZhangOrthopedics, Second Hospital of Ulanqab City, Ulanqab, Inner Mongolia, China.
Zhenhua CaoThird Hospital, Jinzhou Medical University, Liaoning Province, China.
Yong ZhuTumor Hospital, affiliated to Inner Mongolia Medical University, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Yangyang XuRehabilitation Medicine Department, People's Hospital of Changzhi City, Shanxi Province, China.
Yuan FangDepartment of Human Anatomy, School of Basic Medicine, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Lirong ShaDepartment of Human Anatomy, School of Basic Medicine, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Bin LiuClinical Medical College, Baotou, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Qi YangClinical Medical College, Tongliao, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Yingying JiangClinical Medical College, Bayan Nur, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Haiyan WangDepartment of Human Anatomy, School of Basic Medicine, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.
Xiaohe LiDepartment of Human Anatomy, School of Basic Medicine, Inner Mongolia Medical University, Hohhot, Inner Mongolia, China.ORCID 0009-0003-8461-1182

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to compare sagittal spinal parameters between healthy adolescents and those with adolescent idiopathic scoliosis (AIS), identify factors influencing disease progression, and provide insights for optimizing preoperative assessments.

methodsSagittal full-spine radiographs from 40 healthy adolescents and 41 AIS patients (aged 10-18 years) were analyzed using Mimics 21.0 software. Fifteen parameters, including spinopelvic angle (SPA), thoracic kyphosis (TK), lumbar lordosis (LL), and pelvic tilt (PT), were measured. Statistical analyses included logistic regression to identify predictors of AIS and sex-based subgroup comparisons.

resultsSPA was significantly higher in AIS patients compared to controls (median: 176.48° vs. 169.64°, P = 0.008) and emerged as the sole predictor of AIS (odds ratio = 1.568, 95% CI = 1.129-2.177, P = 0.007). Sex differences revealed higher spinal tilt (ST) in female AIS patients (P = 0.034), while males exhibited elevated TK (P = 0.006) and SPA (P = 0.002). Correlations among parameters highlighted strong associations between LL and pelvic incidence (PI, r = 0.682) and between SPA and pelvic tilt (PT, r=-0.537).

conclusionIncreased SPA is a critical indicator of AIS, necessitating preoperative evaluation of sagittal spinopelvic alignment. Female patients require heightened attention to spinal tilt. Future studies should expand sample sizes and integrate multi-planar analyses to refine clinical strategies.

Indexed as

Postural BalanceScoliosisSpineAdolescentCase-Control StudiesChildFemaleHumansKyphosisLordosisMaleRadiography

Identifiers

PMID40531946
PMCPMC12176115

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