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Changes in intervertebral sagittal alignment of the cervical spine from supine to upright.


ABSTRACT: Cervical sagittal alignment is a critical component of successful surgical outcomes. Unrecognized differences in intervertebral alignment between supine and upright positions may affect clinical outcomes; however, these differences have not been quantified. Sixty-four patients scheduled to undergo one or two-level cervical arthrodesis for symptomatic pathology from C4-C5 to C6-C7, and forty-seven controls were recruited. Upright sagittal alignment was obtained through biplane radiographic imaging and measured using a validated process with accuracy better than 1° in rotation. Supine alignment was obtained from computed tomography scans. Coordinate systems used to measure supine and upright alignment were identical. Distances between adjacent bony endplates were measured to calculate disc h

SUBMITTER: Oyekan AA 

PROVIDER: S-EPMC10250559 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature