Characteristics of the positional and morphological parameters of sagittal spine alignment in a cohort of 623 healthy individuals aged >50 years in China
机构:[1]Department of Orthopaedics, Xuanwu Hospital, Capital Medical University, Beijing, China.首都医科大学宣武医院[2]National Clinical Research Center for Geriatric Diseases, Beijing, China.
A retrospective radiologic study.To investigate the spinopelvic positional and morphological parameters of the sagittal spinal alignment in a healthy population from the community.The existing parameters for spinal alignment based on the Cobb angle are the primary reference values for evaluating spinal alignment and pelvic morphology. However, they do not fully capture the comprehensive characteristics of sagittal spine alignment. More attention should be given to identifying the specific characteristics of sagittal spinal alignment by focusing on the positions of the kyphotic and lordotic apices.Among 1,250 volunteers, 623 consecutive normal community volunteers aged >50 years were recruited and underwent standing postural X-ray. A customized computer application analyzed the sagittal morphological and positional parameters, examining their normal distributions and correlations.The correlation between the adjacent morphological and positional parameters was strong between the distal cervical and proximal lumbar spine. In the vertical direction, a significant association was found between the location of the thoracic kyphosis (TK) to lumbar lordosis (LL) transition point (TL point) and both the upper apex of TK (T-apex) (r=0.52) and lower apex of LL (L-apex) (r=0.64). In the horizontal direction, a moderate correlation was found between the thoracic apex offset to the femoral axis (TF) and the lumbar apex offset to the femoral axis (LF) (R2=0.314), whereas LF demonstrated a strong correlation with adjacent overhang (R2=0.685). Close correlations were observed among the morphological and positional parameters. The sacral slope exhibited significant correlations with two parameters related to the lumbar region: L-apex (r=-0.60) and LF (r=0.51).This study found strong correlations between spinopelvic morphology and position, which is crucial for understanding sagittal alignment. Adjacent positional parameters showed significant compliance within the sagittal spine plane from the distal cervical to proximal lumbar regions, suggesting the necessity for additional research on its clinical relevance in spinal disease surgery.
基金:
This study was supported by Beijing Natural Science
Foundation (7244356), National Natural Science Foundation of China (No.12402376), R&D Program of
Beijing Municipal Education Commission (22JG0059),
and the key Science and Technology Project of Beijing
Municipal Education Commission (KZ20231002537)
语种:
外文
PubmedID:
中科院(CAS)分区:
出版当年[2025]版:
大类|3 区医学
小类|4 区骨科
最新[2025]版:
大类|3 区医学
小类|4 区骨科
第一作者:
第一作者机构:[1]Department of Orthopaedics, Xuanwu Hospital, Capital Medical University, Beijing, China.[2]National Clinical Research Center for Geriatric Diseases, Beijing, China.
通讯作者:
通讯机构:[1]Department of Orthopaedics, Xuanwu Hospital, Capital Medical University, Beijing, China.[2]National Clinical Research Center for Geriatric Diseases, Beijing, China.
推荐引用方式(GB/T 7714):
Wang Wei,Wang Zheng,Wang Dongfan,et al.Characteristics of the positional and morphological parameters of sagittal spine alignment in a cohort of 623 healthy individuals aged >50 years in China[J].Asian Spine Journal.2025,doi:10.31616/asj.2024.0466.
APA:
Wang Wei,Wang Zheng,Wang Dongfan,Liu Chengxin,Zhu Weiguo...&Lu Shibao.(2025).Characteristics of the positional and morphological parameters of sagittal spine alignment in a cohort of 623 healthy individuals aged >50 years in China.Asian Spine Journal,,
MLA:
Wang Wei,et al."Characteristics of the positional and morphological parameters of sagittal spine alignment in a cohort of 623 healthy individuals aged >50 years in China".Asian Spine Journal .(2025)