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
-
Comparative Study Clinical Trial
Does whole-spine lateral radiograph with clavicle positioning reflect the correct cervical sagittal alignment?
To evaluate the differences of cervical alignment between standing cervical lateral radiograph and whole-spine lateral radiograph with clavicle position. ⋯ Clavicle position during whole-spine radiograph caused a substantial decrease in the T1-slope; head position posteriorly translated followed by the cervical sagittal alignment became more hypo-lordotic, with slight downward gazing in comparison with the cervical radiograph.
-
This is a review of some 50 papers published in the European Spine Journal in the year 2014. They are selected on the basis that the author felt they were significant contributions to the spinal literature in that year. A brief precis is provided of each paper, and each is accompanied by a short discussion explaining its importance and relevance.
-
Comparative Study
Impact on health related quality of life of adult spinal deformity (ASD) compared with other chronic conditions.
Medical and health policy providers should be aware of the impact of adult spinal deformity (ASD) on health-related quality of life (HRQL). The purpose of this study was to compare the relative burden of four chronic conditions with that of ASD. ⋯ The global burden of ASD was huge compared with other self-reported chronic conditions in the general population of eight industrialized countries. The impact of ASD on HRQL warrants the same research and health policy attention as other important chronic diseases.
-
The goal of this study was to characterize the spino-pelvic realignment and the maintenance of that realignment by the upper-most instrumented vertebra (UIV) for adult deformity spinal (ASD) patients treated with lumbar pedicle subtraction osteotomy (PSO). ⋯ Patients undergoing a single-level PSO for ASD who have fixation extending to the UT region (T1-T6) are more likely to maintain sagittal spino-pelvic alignment, lower overall revision rates and revision rate for proximal junctional kyphosis than those with fixation terminating in the TL region (T9-L1).
-
To define reference parameters for analyzing sagittal balance of the cervical spine in asymptomatic volunteers. ⋯ The C7 slope has a predictive value of the shape of the cervical spine in the sagittal plane. One-third of the asymptomatic population had cervical kyphosis. Our results could be used to study sagittal balance before and after arthrodesis, or cervical prosthesis.