A retrospective study to reveal the effect of surgical correction of cervical kyphosis on thoraco-lumbo-pelvic sagittal alignment
Purpose Recent studies suggest that cervical lordosis is influenced by thoracic kyphosis and that T1 slope is a key factor determining cervical sagittal alignment. However, no previous study has investigated the influence of cervical kyphosis correction on the remaining spinopelvic balance. The purp...
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| Veröffentlicht in: | European spine journal 2016-07, Vol.25 (7), p.2286-2293 |
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| creator | Lee, Dong-Ho Ha, Jung-Ki Chung, Jae-Hak Hwang, Chang Ju Lee, Choon Sung Cho, Jae Hwan |
| description | Purpose
Recent studies suggest that cervical lordosis is influenced by thoracic kyphosis and that T1 slope is a key factor determining cervical sagittal alignment. However, no previous study has investigated the influence of cervical kyphosis correction on the remaining spinopelvic balance. The purpose of this study is to assess the effect of surgical correction of cervical kyphosis on thoraco-lumbo-pelvic alignment.
Methods
Fifty-five patients who underwent ≥2 level cervical fusions for cervical radiculopathy or myelopathy were included. All patients had regional or global cervical kyphosis, which was surgically corrected into lordosis. Radiographic measurements were made using whole spine standing lateral radigraphs pre- and postoperatively to analyze various sagittal parameters. The visual analogue scale (VAS) for neck pain and the neck disability index (NDI) were calculated. The paired
t
test was used to compare pre- and post-operative radiographic measures and functional scores. Correlations between changes in cervical sagittal parameters and those of other sagittal parameters were analyzed by Pearson’s correlation method.
Results
Preoperative kyphosis (11.4° ± 8.3°) was corrected into lordosis (−9.3° ± 8.1°). The average fusion levels were 3.3 ± 1.0. With increasing C2–C7 lordosis after surgery (from −3.4° ± 10.0° to −15° ± 7.9°), C0–C2 lordosis decreased significantly (from −34.6° ± 8.2° to −27.7° ± 8.0°) (
P
|
| doi_str_mv | 10.1007/s00586-016-4392-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1808736893</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1808736893</sourcerecordid><originalsourceid>FETCH-LOGICAL-c405t-6479be974d5b4a875e4d23dd646ea29114a57a9e034c4a77caa2637606571caf3</originalsourceid><addsrcrecordid>eNqFkUtv1DAUhS1ERYeWH8AGRWLDxvT6ETteVlV5SJXY0LXlcW5mUpI42M5Is-Sf43QKQkiIlaVzv3Osew8hrxm8ZwD6KgHUjaLAFJXCcGqekQ2TglMwgj8nGzASqNLMnJOXKT0AsNqAekHOuWoYGG025Md1FTHHkGb0uT9glfLSHqscinxAN1R5jxV2XZlWoavSEne9L7IPMa6OMK2yx3h4lL8d531IfaqKnvchOh_osIzbQGccClIlt-tzLqQb-t004pQvyVnnhoSvnt4Lcv_h9uvNJ3r35ePnm-s76iXUmSqpzRaNlm29la7RNcqWi7ZVUqHjhjHpau0MgpBeOq29c1wJrUDVmnnXiQvy7pQ7x_B9wZTt2CePw-AmDEuyrIFGC9UY8X9UG1Orclhe0Ld_oQ9hiVNZ5JFiUjV8pdiJ8uXSKWJn59iPLh4tA7tWaU9V2lKlXau0pnjePCUv2xHb345f3RWAn4BURtMO4x9f_zP1JxtWqms</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1799146822</pqid></control><display><type>article</type><title>A retrospective study to reveal the effect of surgical correction of cervical kyphosis on thoraco-lumbo-pelvic sagittal alignment</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Lee, Dong-Ho ; Ha, Jung-Ki ; Chung, Jae-Hak ; Hwang, Chang Ju ; Lee, Choon Sung ; Cho, Jae Hwan</creator><creatorcontrib>Lee, Dong-Ho ; Ha, Jung-Ki ; Chung, Jae-Hak ; Hwang, Chang Ju ; Lee, Choon Sung ; Cho, Jae Hwan</creatorcontrib><description>Purpose
Recent studies suggest that cervical lordosis is influenced by thoracic kyphosis and that T1 slope is a key factor determining cervical sagittal alignment. However, no previous study has investigated the influence of cervical kyphosis correction on the remaining spinopelvic balance. The purpose of this study is to assess the effect of surgical correction of cervical kyphosis on thoraco-lumbo-pelvic alignment.
Methods
Fifty-five patients who underwent ≥2 level cervical fusions for cervical radiculopathy or myelopathy were included. All patients had regional or global cervical kyphosis, which was surgically corrected into lordosis. Radiographic measurements were made using whole spine standing lateral radigraphs pre- and postoperatively to analyze various sagittal parameters. The visual analogue scale (VAS) for neck pain and the neck disability index (NDI) were calculated. The paired
t
test was used to compare pre- and post-operative radiographic measures and functional scores. Correlations between changes in cervical sagittal parameters and those of other sagittal parameters were analyzed by Pearson’s correlation method.
Results
Preoperative kyphosis (11.4° ± 8.3°) was corrected into lordosis (−9.3° ± 8.1°). The average fusion levels were 3.3 ± 1.0. With increasing C2–C7 lordosis after surgery (from −3.4° ± 10.0° to −15° ± 7.9°), C0–C2 lordosis decreased significantly (from −34.6° ± 8.2° to −27.7° ± 8.0°) (
P
< 0.001). Thoracic kyphosis (from 24.8 ± 13.9° to 33.5 ± 11.9°) and T1 slope (from 12.8° ± 7.9° to 20.4° ± 5.2°) significantly increased after surgery (
P
< 0.001). However, other parameters did not significantly change (
P
> 0.05). Neck pain VAS and NDI scores (31.8 ± 16.2) significantly improved (
P
< 0.001). The degree of increasing C2–C7 lordosis by surgical correction was negatively correlated with changes in both thoracic kyphosis and T1 slope (
P
< 0.01).
Conclusions
Surgical correction of cervical kyphosis affects T1 slope and thoracic kyphosis, but not lumbo-pelvic alignment. These results indicate that the compensatory mechanisms to minimize positive sagittal malalignment of the head may occur mainly in the thoracic, and not in the lumbosacral spine.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-016-4392-9</identifier><identifier>PMID: 26810979</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Cervical Vertebrae - diagnostic imaging ; Cervical Vertebrae - surgery ; Female ; Humans ; Kyphosis - diagnostic imaging ; Kyphosis - surgery ; Lordosis - diagnostic imaging ; Lordosis - surgery ; Lumbar Vertebrae - diagnostic imaging ; Lumbar Vertebrae - pathology ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Neck Pain - surgery ; Neurosurgery ; Original Article ; Pain Measurement - methods ; Pelvic Bones - diagnostic imaging ; Pelvic Bones - pathology ; Postoperative Period ; Posture ; Radiculopathy - diagnostic imaging ; Radiculopathy - surgery ; Radiography ; Retrospective Studies ; Spinal Cord Diseases - diagnostic imaging ; Spinal Cord Diseases - surgery ; Spinal Fusion - methods ; Surgical Orthopedics ; Thoracic Vertebrae - diagnostic imaging ; Thoracic Vertebrae - pathology ; Thoracic Vertebrae - surgery</subject><ispartof>European spine journal, 2016-07, Vol.25 (7), p.2286-2293</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-6479be974d5b4a875e4d23dd646ea29114a57a9e034c4a77caa2637606571caf3</citedby><cites>FETCH-LOGICAL-c405t-6479be974d5b4a875e4d23dd646ea29114a57a9e034c4a77caa2637606571caf3</cites><orcidid>0000-0002-1178-9778</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-016-4392-9$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-016-4392-9$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26810979$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Dong-Ho</creatorcontrib><creatorcontrib>Ha, Jung-Ki</creatorcontrib><creatorcontrib>Chung, Jae-Hak</creatorcontrib><creatorcontrib>Hwang, Chang Ju</creatorcontrib><creatorcontrib>Lee, Choon Sung</creatorcontrib><creatorcontrib>Cho, Jae Hwan</creatorcontrib><title>A retrospective study to reveal the effect of surgical correction of cervical kyphosis on thoraco-lumbo-pelvic sagittal alignment</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
Recent studies suggest that cervical lordosis is influenced by thoracic kyphosis and that T1 slope is a key factor determining cervical sagittal alignment. However, no previous study has investigated the influence of cervical kyphosis correction on the remaining spinopelvic balance. The purpose of this study is to assess the effect of surgical correction of cervical kyphosis on thoraco-lumbo-pelvic alignment.
Methods
Fifty-five patients who underwent ≥2 level cervical fusions for cervical radiculopathy or myelopathy were included. All patients had regional or global cervical kyphosis, which was surgically corrected into lordosis. Radiographic measurements were made using whole spine standing lateral radigraphs pre- and postoperatively to analyze various sagittal parameters. The visual analogue scale (VAS) for neck pain and the neck disability index (NDI) were calculated. The paired
t
test was used to compare pre- and post-operative radiographic measures and functional scores. Correlations between changes in cervical sagittal parameters and those of other sagittal parameters were analyzed by Pearson’s correlation method.
Results
Preoperative kyphosis (11.4° ± 8.3°) was corrected into lordosis (−9.3° ± 8.1°). The average fusion levels were 3.3 ± 1.0. With increasing C2–C7 lordosis after surgery (from −3.4° ± 10.0° to −15° ± 7.9°), C0–C2 lordosis decreased significantly (from −34.6° ± 8.2° to −27.7° ± 8.0°) (
P
< 0.001). Thoracic kyphosis (from 24.8 ± 13.9° to 33.5 ± 11.9°) and T1 slope (from 12.8° ± 7.9° to 20.4° ± 5.2°) significantly increased after surgery (
P
< 0.001). However, other parameters did not significantly change (
P
> 0.05). Neck pain VAS and NDI scores (31.8 ± 16.2) significantly improved (
P
< 0.001). The degree of increasing C2–C7 lordosis by surgical correction was negatively correlated with changes in both thoracic kyphosis and T1 slope (
P
< 0.01).
Conclusions
Surgical correction of cervical kyphosis affects T1 slope and thoracic kyphosis, but not lumbo-pelvic alignment. These results indicate that the compensatory mechanisms to minimize positive sagittal malalignment of the head may occur mainly in the thoracic, and not in the lumbosacral spine.</description><subject>Adult</subject><subject>Aged</subject><subject>Cervical Vertebrae - diagnostic imaging</subject><subject>Cervical Vertebrae - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Kyphosis - diagnostic imaging</subject><subject>Kyphosis - surgery</subject><subject>Lordosis - diagnostic imaging</subject><subject>Lordosis - surgery</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Lumbar Vertebrae - pathology</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Neck Pain - surgery</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Pain Measurement - methods</subject><subject>Pelvic Bones - diagnostic imaging</subject><subject>Pelvic Bones - pathology</subject><subject>Postoperative Period</subject><subject>Posture</subject><subject>Radiculopathy - diagnostic imaging</subject><subject>Radiculopathy - surgery</subject><subject>Radiography</subject><subject>Retrospective Studies</subject><subject>Spinal Cord Diseases - diagnostic imaging</subject><subject>Spinal Cord Diseases - surgery</subject><subject>Spinal Fusion - methods</subject><subject>Surgical Orthopedics</subject><subject>Thoracic Vertebrae - diagnostic imaging</subject><subject>Thoracic Vertebrae - pathology</subject><subject>Thoracic Vertebrae - surgery</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkUtv1DAUhS1ERYeWH8AGRWLDxvT6ETteVlV5SJXY0LXlcW5mUpI42M5Is-Sf43QKQkiIlaVzv3Osew8hrxm8ZwD6KgHUjaLAFJXCcGqekQ2TglMwgj8nGzASqNLMnJOXKT0AsNqAekHOuWoYGG025Md1FTHHkGb0uT9glfLSHqscinxAN1R5jxV2XZlWoavSEne9L7IPMa6OMK2yx3h4lL8d531IfaqKnvchOh_osIzbQGccClIlt-tzLqQb-t004pQvyVnnhoSvnt4Lcv_h9uvNJ3r35ePnm-s76iXUmSqpzRaNlm29la7RNcqWi7ZVUqHjhjHpau0MgpBeOq29c1wJrUDVmnnXiQvy7pQ7x_B9wZTt2CePw-AmDEuyrIFGC9UY8X9UG1Orclhe0Ld_oQ9hiVNZ5JFiUjV8pdiJ8uXSKWJn59iPLh4tA7tWaU9V2lKlXau0pnjePCUv2xHb345f3RWAn4BURtMO4x9f_zP1JxtWqms</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Lee, Dong-Ho</creator><creator>Ha, Jung-Ki</creator><creator>Chung, Jae-Hak</creator><creator>Hwang, Chang Ju</creator><creator>Lee, Choon Sung</creator><creator>Cho, Jae Hwan</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1178-9778</orcidid></search><sort><creationdate>20160701</creationdate><title>A retrospective study to reveal the effect of surgical correction of cervical kyphosis on thoraco-lumbo-pelvic sagittal alignment</title><author>Lee, Dong-Ho ; Ha, Jung-Ki ; Chung, Jae-Hak ; Hwang, Chang Ju ; Lee, Choon Sung ; Cho, Jae Hwan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-6479be974d5b4a875e4d23dd646ea29114a57a9e034c4a77caa2637606571caf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cervical Vertebrae - diagnostic imaging</topic><topic>Cervical Vertebrae - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Kyphosis - diagnostic imaging</topic><topic>Kyphosis - surgery</topic><topic>Lordosis - diagnostic imaging</topic><topic>Lordosis - surgery</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Lumbar Vertebrae - pathology</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Neck Pain - surgery</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Pain Measurement - methods</topic><topic>Pelvic Bones - diagnostic imaging</topic><topic>Pelvic Bones - pathology</topic><topic>Postoperative Period</topic><topic>Posture</topic><topic>Radiculopathy - diagnostic imaging</topic><topic>Radiculopathy - surgery</topic><topic>Radiography</topic><topic>Retrospective Studies</topic><topic>Spinal Cord Diseases - diagnostic imaging</topic><topic>Spinal Cord Diseases - surgery</topic><topic>Spinal Fusion - methods</topic><topic>Surgical Orthopedics</topic><topic>Thoracic Vertebrae - diagnostic imaging</topic><topic>Thoracic Vertebrae - pathology</topic><topic>Thoracic Vertebrae - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Dong-Ho</creatorcontrib><creatorcontrib>Ha, Jung-Ki</creatorcontrib><creatorcontrib>Chung, Jae-Hak</creatorcontrib><creatorcontrib>Hwang, Chang Ju</creatorcontrib><creatorcontrib>Lee, Choon Sung</creatorcontrib><creatorcontrib>Cho, Jae Hwan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Dong-Ho</au><au>Ha, Jung-Ki</au><au>Chung, Jae-Hak</au><au>Hwang, Chang Ju</au><au>Lee, Choon Sung</au><au>Cho, Jae Hwan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A retrospective study to reveal the effect of surgical correction of cervical kyphosis on thoraco-lumbo-pelvic sagittal alignment</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2016-07-01</date><risdate>2016</risdate><volume>25</volume><issue>7</issue><spage>2286</spage><epage>2293</epage><pages>2286-2293</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
Recent studies suggest that cervical lordosis is influenced by thoracic kyphosis and that T1 slope is a key factor determining cervical sagittal alignment. However, no previous study has investigated the influence of cervical kyphosis correction on the remaining spinopelvic balance. The purpose of this study is to assess the effect of surgical correction of cervical kyphosis on thoraco-lumbo-pelvic alignment.
Methods
Fifty-five patients who underwent ≥2 level cervical fusions for cervical radiculopathy or myelopathy were included. All patients had regional or global cervical kyphosis, which was surgically corrected into lordosis. Radiographic measurements were made using whole spine standing lateral radigraphs pre- and postoperatively to analyze various sagittal parameters. The visual analogue scale (VAS) for neck pain and the neck disability index (NDI) were calculated. The paired
t
test was used to compare pre- and post-operative radiographic measures and functional scores. Correlations between changes in cervical sagittal parameters and those of other sagittal parameters were analyzed by Pearson’s correlation method.
Results
Preoperative kyphosis (11.4° ± 8.3°) was corrected into lordosis (−9.3° ± 8.1°). The average fusion levels were 3.3 ± 1.0. With increasing C2–C7 lordosis after surgery (from −3.4° ± 10.0° to −15° ± 7.9°), C0–C2 lordosis decreased significantly (from −34.6° ± 8.2° to −27.7° ± 8.0°) (
P
< 0.001). Thoracic kyphosis (from 24.8 ± 13.9° to 33.5 ± 11.9°) and T1 slope (from 12.8° ± 7.9° to 20.4° ± 5.2°) significantly increased after surgery (
P
< 0.001). However, other parameters did not significantly change (
P
> 0.05). Neck pain VAS and NDI scores (31.8 ± 16.2) significantly improved (
P
< 0.001). The degree of increasing C2–C7 lordosis by surgical correction was negatively correlated with changes in both thoracic kyphosis and T1 slope (
P
< 0.01).
Conclusions
Surgical correction of cervical kyphosis affects T1 slope and thoracic kyphosis, but not lumbo-pelvic alignment. These results indicate that the compensatory mechanisms to minimize positive sagittal malalignment of the head may occur mainly in the thoracic, and not in the lumbosacral spine.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>26810979</pmid><doi>10.1007/s00586-016-4392-9</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-1178-9778</orcidid></addata></record> |
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| ispartof | European spine journal, 2016-07, Vol.25 (7), p.2286-2293 |
| issn | 0940-6719 1432-0932 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1808736893 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Cervical Vertebrae - diagnostic imaging Cervical Vertebrae - surgery Female Humans Kyphosis - diagnostic imaging Kyphosis - surgery Lordosis - diagnostic imaging Lordosis - surgery Lumbar Vertebrae - diagnostic imaging Lumbar Vertebrae - pathology Magnetic Resonance Imaging Male Medicine Medicine & Public Health Middle Aged Neck Pain - surgery Neurosurgery Original Article Pain Measurement - methods Pelvic Bones - diagnostic imaging Pelvic Bones - pathology Postoperative Period Posture Radiculopathy - diagnostic imaging Radiculopathy - surgery Radiography Retrospective Studies Spinal Cord Diseases - diagnostic imaging Spinal Cord Diseases - surgery Spinal Fusion - methods Surgical Orthopedics Thoracic Vertebrae - diagnostic imaging Thoracic Vertebrae - pathology Thoracic Vertebrae - surgery |
| title | A retrospective study to reveal the effect of surgical correction of cervical kyphosis on thoraco-lumbo-pelvic sagittal alignment |
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