ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
Comparison of compensatory behaviors of the thoracic spine and pelvis between asymptomatic individuals and adult spinal deformity patients with sagittal imbalance when lumbar lordosis changes: a propensity score-matched retrospective analysis.
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, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- 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
- Advancements in sagittal alignment parameters and management of adult spine deformities.Journal of spine surgery (Hong Kong) · 2026Review
- Answer to the Letter to the Editor of Q. Chen, et al. concerning"A novel score system for imminent new vertebral fracture risk after vertebral augmentation: the predictive value of lumbar intervertebral disc degeneration" by L. Chen, et al. (Eur Spine J [2025]: doi: 10.1007/s00586-025-09422-7).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
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10 authors.
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Abstract
purposeTo compare compensatory behaviors of the thoracic spine and pelvis between asymptomatic individuals and adult spinal deformity (ASD) patients with sagittal imbalance when lumbar lordosis changes.
methodsThe data of 625 asymptomatic adult volunteers and 219 ASD patients were retrospectively reviewed. Radiographic parameters, including the pelvic incidence (PI), cervical lordosis (CL), T1 slope, thoracic kyphosis (TK), lumbar lordosis (LL), pelvic tilt (PT), sacral slope (SS), sagittal vertical axis (SVA), thoracolumbar/lumbar (TL/L) curve, and lumbosacral curve, were measured via lateral whole-spine radiographs. The Oswestry Disability Index (ODI) and lumbar visual analogue scale (VAS) of each ASD were recorded.
resultsPropensity score analysis was conducted on the age, sex and PI of the patients to match the two groups. The number of patients analyzed in each group was 196. Compared with the asymptomatic population, the ASD population had a larger PT, smaller SS, smaller LL, smaller TK, larger CL, larger SVA, larger PI-LL, larger PT/PI, and smaller TK/PI (all p < 0.001). In both the asymptomatic population and the ASD population, PI-LL was significantly correlated with PT and PT/PI (all p < 0.001). In the poor compensation subgroup of ASD patients, the SVA was greater (p < 0.001), the TL/L curve was greater (p = 0.016), the lumbar VAS was greater (p = 0.005), and the ODI was greater (p < 0.001) than those in the good compensation subgroup.
conclusionsAsymptomatic individuals and ASDs with sagittal imbalance have similar thoracic and pelvic compensative behaviors. During the reduction of LL in asymptomatic individuals and patients with ASD, thoracic and pelvic compensation can lead to a decrease in TK/PI and an increase in PT/PI. Good thoracic and pelvic compensation can alleviate the clinical symptoms of ASD.
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