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Research ArticleOther Special Categories

Relationship of Cervical Sagittal Vertical Alignment After Sagittal Balance Correction in Adult Spinal Deformity: A Retrospective Radiographic Study

SAKTHIVEL RAJAN MANOHARAN, DEEPAK JOSHI, MATT OWEN, STEVE M THEISS and DONALD DEINLEIN
International Journal of Spine Surgery April 2018, 12 (2) 269-275; DOI: https://doi.org/10.14444/5033
SAKTHIVEL RAJAN MANOHARAN
University of Alabama Medical Center, Birmingham, Alabama
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DEEPAK JOSHI
University of Alabama Medical Center, Birmingham, Alabama
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MATT OWEN
University of Alabama Medical Center, Birmingham, Alabama
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STEVE M THEISS
University of Alabama Medical Center, Birmingham, Alabama
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DONALD DEINLEIN
University of Alabama Medical Center, Birmingham, Alabama
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    Figure 1

    Occipito-cervical lordosis: angle between line 1 and 4. C1 to C7 cervical lordosis: angle between line 2 and 4. C2 to C7 cervical lordosis: angle between line 3 and 4.

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    Figure 2

    Measurement of center of gravity of head (COG), C2, and C7 sagittal vertical axis (SVA).

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    Figure 3

    (a and b) Measurement of regional center of gravity of head (COG)-C7 sagittal vertical axis (SVA) and C2-C7 SVA.

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    Figure 4

    (a and b) Example of group 1 patient. Preoperative unbalanced spine is balanced postoperative until last follow-up with less than 5 cm.

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    Figure 5

    (a and b) Example of group 2 patient. Preoperative unbalanced spine is balanced postoperative until last follow-up with greater than 5 cm.

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International Journal of Spine Surgery
Vol. 12, Issue 2
1 Apr 2018
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Relationship of Cervical Sagittal Vertical Alignment After Sagittal Balance Correction in Adult Spinal Deformity: A Retrospective Radiographic Study
SAKTHIVEL RAJAN MANOHARAN, DEEPAK JOSHI, MATT OWEN, STEVE M THEISS, DONALD DEINLEIN
International Journal of Spine Surgery Apr 2018, 12 (2) 269-275; DOI: 10.14444/5033

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Relationship of Cervical Sagittal Vertical Alignment After Sagittal Balance Correction in Adult Spinal Deformity: A Retrospective Radiographic Study
SAKTHIVEL RAJAN MANOHARAN, DEEPAK JOSHI, MATT OWEN, STEVE M THEISS, DONALD DEINLEIN
International Journal of Spine Surgery Apr 2018, 12 (2) 269-275; DOI: 10.14444/5033
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Keywords

  • cervical spinal parameters
  • cervical sagittal balance
  • adult spine deformity
  • sagittal vertical alignment
  • center of gravity

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