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Knee Extension Is Related to the Posteriorly Deviated Gravity Line to the Pelvis in Young Adults: Radiographic Analysis Using Low-Dose Biplanar X-ray

Park JY, Cho BW, Kwon HM, Park KK, Lee WS

Purpose: We sought to compare the radiographic parameters concerning the sagittal alignment of the standing whole-body skeletons between the knee extension group and control group using the low-dose biplanar X-ray...
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Factors Affecting Incomplete L5/S Posterior Lumbar Interbody Fusion, Including Spinopelvic Sagittal Parameters

Kato S, Terada N, Niwa O, Yamada M

Study Design: Retrospective observational study. Purpose: In this study we identify risk factors, including patient demographics, sagittal parameters, and clinical examinations, affecting incomplete L5/S posterior lumbar interbody fusion (PLIF). Overview of Literature:...
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Odontoid Incidence: A Novel Cervical Parameter Influencing Cervical Alignment From Top to Bottom

Lee JK, Hyun SJ, Kim KJ

Objective: By using angulation of the axis itself, this study aims to define and analyze odontoid incidence (OI) and odontoid tilt (OT) as novel cervical alignment parameters and investigate their...
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Relationship between Sagittal Alignment and Anterior Bony Resorption of Cervical Vertebral Body in Patients with Ankylosing Spondylitis

Kim KT, Ha KY, Kim YC, Lee KH, Kim SI, Kim YH, Kim SM

Study Design: This is a retrospective comparative cohort study. Purpose: To investigate the prevalence of anterior resorption of the cervical spine in ankylosing spondylitis (AS) and its relationship with sagittal alignment. Overview...
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Compensatory Pelvic Retro-Rotation Associated with a Decreased Quality of Life in Patients with Normal Sagittal Balance

Shimokawa T, Miyamoto K, Hioki A, Masuda T, Fushimi K, Ogawa H, Ohnishi K, Akiyama H

Study Design: Cross-sectional observational study. Purpose: To examine whether pelvic rotation as a compensatory mechanism for sagittal imbalance is related to quality of life (QOL). Overview of Literature: Poor sagittal alignment is...
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Vertebral Body Sliding Osteotomy for Cervical Myelopathy With Rigid Kyphosis

Lee DH, Park S, Lee WS, Byun CW, Seok SY, Cho JH, Hwang CJ, Lee CS, Lee HR

Cervical spondylotic myelopathy is surgically demanding when associated with rigid kyphosis. Posterior surgery cannot restore cervical lordosis, and adequate decompression is not possible with rigid kyphosis. Vertebral body sliding osteotomy...
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Surgical Impact on Global Sagittal Alignment and Health-Related Quality of Life Following Cervical Kyphosis Correction Surgery: Systematic Review

Kim CW, Hyun SJ, Kim KJ

When spinal imbalance occurs, the human body reacts through various compensatory mechanisms to maintain the head over the pelvis and to retain a horizontal gaze. These compensations occur through mobile...
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Relationship between Knee Osteoarthritis and Spinopelvic Sagittal Alignment in Volunteers over 50 Years of Age

Yasuda T, Togawa D, Hasegawa T, Yamato Y, Kobayashi S, Yoshida G, Banno T, Arima H, Oe S, Hoshino H, Koyama H, Hanada M, Imada T, Matsuyama Y

Study Design: Large cohort study of volunteers. Purpose: The purpose of this study was to investigate the relationship between the severity of knee osteoarthritis, assessed using the Kellgren-Lawrence (KL) grading scale,...
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Relationships and Usefulness of Cervical Lateral Radiographs Compared with Whole-Spine Lateral Radiographs for Evaluating Cervical Sagittal Alignment

Choi BW, Park KG

Study Design: Retrospective analysis. Objectives: This study was conducted to identify the correlations and usefulness of lateral cervical radiographs compared with wholespine sagittal lateral radiographs for evaluating cervical sagittal alignment. Summary of...
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Spinal Sagittal Alignment, Hospital Anxiety and Depression Scale Scores, and Patient-Reported Outcome among People with Sporting Activity

Oe S, Yamato Y, Hasegawa T, Yoshida G, Kobayashi S, Yasuda T, Banno T, Arima H, Mihara Y, Ushirozako H, Yamada T, Ide K, Watanabe Y, Niwa H, Matsuyama Y

Study Design: Retrospective cohort study. Purpose: This study aimed to investigate how participation in sporting activity affects patient-reported outcome (PRO), including Neck Disability Index (NDI), in males and females. Overview of Literature:...
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Changes in Sagittal Alignment Following Short-Level Lumbar Interbody Fusion: Comparison between Posterior and Lateral Lumbar Interbody Fusions

Nakashima , Kanemura T, Satake K, Ishikawa Y, Ouchida J, Segi N, Yamaguchi , Imagama S

STUDY DESIGN: Retrospective case-control study. PURPOSE: We aimed to compare radiologic outcomes between posterior (PLIF) and lateral lumbar interbody fusion (LLIF) in short-level spinal fusion surgeries. OVERVIEW OF LITERATURE: Although LLIF enables...
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Factors Affecting Postoperative Sagittal Alignment after Lateral Lumbar Interbody Fusion in Adult Spinal Deformity: Posterior Osteotomy, Anterior Longitudinal Ligament Rupture, and Endplate Injury

Nakashima , Kanemura T, Satake K, Ishikawa Y, Ouchida J, Segi N, Yamaguchi , Imagama S

STUDY DESIGN: Prospective cohort study. PURPOSE: To identify factors that affect sagittal alignment correction in lateral lumbar interbody fusion (LIF) surgery for adult spinal deformity (ASD) and to investigate the degree...
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Local Sagittal Alignment of the Lumbar Spine and Range of Motion in 627 Asymptomatic Subjects: Age-Related Changes and Sex-Based Differences

Yukawa Y, Matsumoto , Kollor H, Minamide A, Hashizume , Yamada H, Kato F

STUDY DESIGN: Prospective cohort imaging study. PURPOSE: This study aimed to evaluate lumbar sagittal alignment and range of motion (ROM) using radiographs in a large asymptomatic cohort and identify sex-based differences...
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Influence of Atlantoaxial Fusion on Sagittal Alignment of the Occipitocervical and Subaxial spines in Os Odontoideum with Atlantoaxial Instability

Choi BW, Park JB, Kang JW, Kim DG, Chang H

STUDY DESIGN: Retrospective case analysis. PURPOSE: We hypothesized that larger the C1–C2 fusion angle, greater the severity of the sagittal malalignment of C0–C1 and C2–C7. OVERVIEW OF LITERATURE: In our experience, instances...
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Comparative Radiographic Outcomes of Lateral and Posterior Lumbar Interbody Fusion in the Treatment of Degenerative Lumbar Kyphosis

Nakashima , Kanemura T, Satake K, Ishikawa Y, Ouchida J, Segi N, Yamaguchi , Imagama S

STUDY DESIGN: Retrospective case–control study. PURPOSE: To compare surgical invasiveness and radiological outcomes between posterior lumbar interbody fusion (PLIF) and lateral lumbar interbody fusion (LLIF) for degenerative lumbar kyphosis. OVERVIEW OF LITERATURE:...
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Surgical Decision for Elderly Spine Deformity Patient

Kim YC, Juh HS, Lee K

Globally, the elderly population is increasing rapidly, which means that the number of deformity correction operations for elderly spine deformity patient has increased. On the other hand, for aged patients...
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Bone Mineral Density and Osteoporotic Vertebral Fractures in Traditional, Unassisted, Free-Diving Women (Haenyeos)

Seo JY, Ha KY, Kim YH, Kim SC, Yoon EJ, Park HY

BACKGROUND: Water pressure and muscle contraction may influence bone mineral density (BMD) in a positive way. However, divers experience weightlessness, which has a negative effect on BMD. The present study...
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Change of Pain, Lumbar Sagittal Alignment and Multifidus after Sling Exercise Therapy for Patients with Chronic Low Back Pain

Park SJ, Moon JH, Shin YA

PURPOSE: This study examined the effects of sling exercise therapy on vertebral alignment, VAS, muscle activity, and multifidus of patients with chronic low back pain. METHODS: Simple random sampling was used...
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Normal Age-Adjusted Sagittal Spinal Alignment Is Achieved with Surgical Correction in Adolescent Idiopathic Scoliosis

Ramchandran S, Foster N, Sure A, Errico TJ, Buckland A

STUDY DESIGN: Retrospective analysis. PURPOSE: Our hypothesis is that the surgical correction of adolescent idiopathic scoliosis (AIS) maintains normal sagittal alignment as compared to age-matched normative adolescent population. OVERVIEW OF LITERATURE: Sagittal...
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Influence of Gonarthrosis on Sagittal Spinal Alignment

Kang KB, Kim YB, Ko YR, Cheong JY

STUDY DESIGN: Research using radiographic findings. OBJECTIVES: To compare spinopelvic parameters in detail between normal subjects and those who had bilateral gonarthrosis with or without spondylosis. SUMMARY OF LITERATURE REVIEW: The relationship...
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