Literature DB >> 29855725

K-line tilt as a novel radiographic parameter in cervical sagittal alignment.

Hyun Sik Kim1, Tae Hwan Kim2, Moon Soo Park2, Seok Woo Kim2, Ho Geun Chang2, Ji Hee Kim1, Jun Hyong Ahn1, In Bok Chang1, Joon Ho Song1, Jae Keun Oh3.   

Abstract

OBJECTIVE: To investigate the relationship between the K-line tilt and classical cervical parameters such as the C2-C7 sagittal vertical axis (SVA), cervical lordosis, and the T1 slope in cervical sagittal alignment. We assessed whether the K-line tilt can be used as an excellent cervical parameter.
METHODS: We reviewed 50 patients aged 60-89 years who visited the spine center outpatient clinic from May 2017 to September 2017 through cervical spine lateral radiography and checked the cervical spine parameters. All targeted patients were randomized without any prejudice. Radiographic measurements included the K-line tilt, C2-C7 lordosis, the C2-C7 SVA, the T1 slope, and T1 slope minus C2-C7 lordosis (T1S-CL). Pearson correlation coefficients were calculated between the K-line tilt and each cervical parameter.
RESULTS: Of the 50 patients, 33 were men. The mean age of the patients was 70.84 ± 7.52 years. The mean K-line tilt was 11.28 ± 8.31°. The K-line tilt was correlated with the C2-C7 SVA (r = 0.813, P = 0.000) and T1S-CL (r = 0.315, P = 0.026).
CONCLUSION: This study showed that the K-line tilt is also a useful parameter like the C2-C7 SVA and T1S-CL in cervical sagittal alignment. These slides can be retrieved under Electronic Supplementary Material.

Entities:  

Keywords:  Cervical lordosis; Cervical sagittal alignment; T1 slope

Mesh:

Year:  2018        PMID: 29855725     DOI: 10.1007/s00586-018-5634-9

Source DB:  PubMed          Journal:  Eur Spine J        ISSN: 0940-6719            Impact factor:   3.134


  9 in total

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2.  Factors determining cervical spine sagittal balance in asymptomatic adults: correlation with spinopelvic balance and thoracic inlet alignment.

Authors:  Sang-Hun Lee; Eun-Seok Son; Eun-Min Seo; Kyung-Soo Suk; Ki-Tack Kim
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3.  Prospective, randomized, double-blind clinical study evaluating the correlation of clinical outcomes and cervical sagittal alignment.

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Authors:  Jessica A Tang; Justin K Scheer; Justin S Smith; Vedat Deviren; Shay Bess; Robert A Hart; Virginie Lafage; Christopher I Shaffrey; Frank Schwab; Christopher P Ames
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Review 7.  Cervical spine alignment, sagittal deformity, and clinical implications: a review.

Authors:  Justin K Scheer; Jessica A Tang; Justin S Smith; Frank L Acosta; Themistocles S Protopsaltis; Benjamin Blondel; Shay Bess; Christopher I Shaffrey; Vedat Deviren; Virginie Lafage; Frank Schwab; Christopher P Ames
Journal:  J Neurosurg Spine       Date:  2013-06-14

8.  Analysis of cervical spine curvature in patients with cervical spondylosis.

Authors:  U Batzdorf; A Batzdorff
Journal:  Neurosurgery       Date:  1988-05       Impact factor: 4.654

9.  T1 Slope and Cervical Sagittal Alignment on Cervical CT Radiographs of Asymptomatic Persons.

Authors:  Ji Hoon Park; Chul Bum Cho; Jun Ho Song; Seok Woo Kim; Yoon Ha; Jae Keun Oh
Journal:  J Korean Neurosurg Soc       Date:  2013-06-30
  9 in total
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  3 in total

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