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Research ArticleBiomechanics

The Impact of Adult Thoracolumbar Spinal Deformities on Standing to Sitting Regional and Segmental Reciprocal Alignment

KATHERINE E. PIERCE, SAMANTHA R. HORN, DEEPTEE JAIN, FRANK A. SEGRETO, COLE BORTZ, DENNIS VASQUEZ-MONTES, PETER L. ZHOU, JOHN MOON, LEAH STEINMETZ, CHRISTOPHER G. VARLOTTA, NICHOLAS J. FRANGELLA, NICHOLAS STEKAS, DAVID H. GE, AARON HOCKLEY, BASSEL G. DIEBO, SHALEEN VIRA, HADDY ALAS, AVERY E. BROWN, RENAUD LAFAGE, VIRGINIE LAFAGE, FRANK J. SCHWAB, HEIKO KOLLER, AARON J. BUCKLAND, MICHAEL C. GERLING and PETER G. PASSIAS
International Journal of Spine Surgery August 2019, 13 (4) 308-316; DOI: https://doi.org/10.14444/6042
KATHERINE E. PIERCE
1Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, New York Spine Institute, New York, New York
BS
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SAMANTHA R. HORN
1Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, New York Spine Institute, New York, New York
BA
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DEEPTEE JAIN
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
MD
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FRANK A. SEGRETO
1Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, New York Spine Institute, New York, New York
BS
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COLE BORTZ
1Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, New York Spine Institute, New York, New York
BA
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DENNIS VASQUEZ-MONTES
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
MS
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PETER L. ZHOU
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
BS
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JOHN MOON
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
BS
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LEAH STEINMETZ
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
BA
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CHRISTOPHER G. VARLOTTA
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
BS
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NICHOLAS J. FRANGELLA
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
BS
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NICHOLAS STEKAS
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
BS
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DAVID H. GE
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
BA
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AARON HOCKLEY
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
MD, FRCS(C)
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BASSEL G. DIEBO
3Department of Orthopaedic Surgery, SUNY Downstate Medical Center, Brooklyn, New York
MD
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SHALEEN VIRA
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
MD
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HADDY ALAS
1Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, New York Spine Institute, New York, New York
BS
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AVERY E. BROWN
1Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, New York Spine Institute, New York, New York
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RENAUD LAFAGE
4Department of Orthopaedics, Hospital for Special Surgery, New York, New York
MS
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VIRGINIE LAFAGE
4Department of Orthopaedics, Hospital for Special Surgery, New York, New York
PHD
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FRANK J. SCHWAB
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
MD
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HEIKO KOLLER
5Schön Kliniken Nürnberg Fürth—Center for Spinal and Scoliosis Therapy, Fürth, Germany
MD
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AARON J. BUCKLAND
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
MBBS, FRACS
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MICHAEL C. GERLING
2Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, New York
MD
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PETER G. PASSIAS
1Division of Spinal Surgery/Departments of Orthopaedic and Neurosurgery, NYU Medical Center, New York Spine Institute, New York, New York
MD
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    Figure 1

    Standing and sitting lateral radiographs of a 60-year-old male characterized as an ASD patient by the SRS-Schwab modifier classification with a pelvic tilt (PT) grade of +, and pelvic incidence minus lumbar lordosis (PI-LL) and sagittal vertical axis (SVA) grades of ++ at baseline. The patient had positional alignment changes from standing to sitting of 14.888 for PT and 3.438 for PI-LL, and an SVA difference of −47.53 mm.

  • Figure 2
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    Figure 2

    Standing and sitting lateral radiographs of a 50-year-old male (20.1 kg/m2) characterized as a nondeformity patient by the SRS-Schwab modifier classification with pelvic tilt (PT), pelvic incidence minus lumbar lordosis (PI-LL), and sagittal vertical axis (SVA) grade of 0, or nonpathologic at baseline. He had positional alignment changes of 52.76° for PT, 62.43° for PI-LL, and an SVA difference of 38.74 mm.

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International Journal of Spine Surgery
Vol. 13, Issue 4
1 Aug 2019
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The Impact of Adult Thoracolumbar Spinal Deformities on Standing to Sitting Regional and Segmental Reciprocal Alignment
KATHERINE E. PIERCE, SAMANTHA R. HORN, DEEPTEE JAIN, FRANK A. SEGRETO, COLE BORTZ, DENNIS VASQUEZ-MONTES, PETER L. ZHOU, JOHN MOON, LEAH STEINMETZ, CHRISTOPHER G. VARLOTTA, NICHOLAS J. FRANGELLA, NICHOLAS STEKAS, DAVID H. GE, AARON HOCKLEY, BASSEL G. DIEBO, SHALEEN VIRA, HADDY ALAS, AVERY E. BROWN, RENAUD LAFAGE, VIRGINIE LAFAGE, FRANK J. SCHWAB, HEIKO KOLLER, AARON J. BUCKLAND, MICHAEL C. GERLING, PETER G. PASSIAS
International Journal of Spine Surgery Aug 2019, 13 (4) 308-316; DOI: 10.14444/6042

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The Impact of Adult Thoracolumbar Spinal Deformities on Standing to Sitting Regional and Segmental Reciprocal Alignment
KATHERINE E. PIERCE, SAMANTHA R. HORN, DEEPTEE JAIN, FRANK A. SEGRETO, COLE BORTZ, DENNIS VASQUEZ-MONTES, PETER L. ZHOU, JOHN MOON, LEAH STEINMETZ, CHRISTOPHER G. VARLOTTA, NICHOLAS J. FRANGELLA, NICHOLAS STEKAS, DAVID H. GE, AARON HOCKLEY, BASSEL G. DIEBO, SHALEEN VIRA, HADDY ALAS, AVERY E. BROWN, RENAUD LAFAGE, VIRGINIE LAFAGE, FRANK J. SCHWAB, HEIKO KOLLER, AARON J. BUCKLAND, MICHAEL C. GERLING, PETER G. PASSIAS
International Journal of Spine Surgery Aug 2019, 13 (4) 308-316; DOI: 10.14444/6042
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Keywords

  • sitting
  • standing
  • ASD
  • adult spinal deformity
  • alignment
  • cervical
  • thoracic
  • segmental changes

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