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Research ArticleCervical Spine

Influence of Preoperative T1-Slope and Cervical Sagittal Vertical Axis on Postoperative Cervical Sagittal Alignment Following Posterior Cervical Laminoplasty

Ninad Bhat, Shane Burch, Bobby Tay, Sigurd H. Berven, Vedat Deviren and Alekos A. Theologis
International Journal of Spine Surgery April 2023, 17 (2) 276-280; DOI: https://doi.org/10.14444/8415
Ninad Bhat
1 Department of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA, USA
BS
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Shane Burch
1 Department of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA, USA
MD
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Bobby Tay
1 Department of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA, USA
MD
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Sigurd H. Berven
1 Department of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA, USA
MD
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Vedat Deviren
1 Department of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA, USA
MD
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Alekos A. Theologis
1 Department of Orthopaedic Surgery, University of California - San Francisco (UCSF), San Francisco, CA, USA
MD
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    Figure

    Representative cervical alignment radiographic parameters. SVA, sagittal vertical axis.

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    Table

    Patient subgroups based on cervical SVA and T1S.

    VariablesAll Patients
    (n = 214)
    SVA <4 cm,
    T1 <20°
    (n = 28)
    SVA ≥4 cm
    T1 ≥20°
    (n = 47)
    SVA <4 cm
    T1 ≥20°
    (n = 139)
    P
    Age, y, mean ± SD (min-max)63.5 ± 11.9
    (20–86)
    58.5 ± 14.9
    (20–79)
    64.8 ± 10.8
    (40–84)
    64.1 ± 11.5
    (30–86)
    >0.05
    Gender
     Men134123884>0.05
     Women8016955
    Follow-up, y, mean ± SD (min-max)1.6 ± 1.3
    (0.3–10.8)
    1.76 ± 1.5
    (0.3–6.7)
    1.7 ± 1.2
    (0.4–5.4)
    1.6 ± 1.3
    (0.3–0.8)
    >0.05
    SVA
     Preoperative31.4 ± 13.920.2 ± 9.451.1 ± 9.027.0 ± 8.6<0.01
     6-wk PO39.4 ± 16.027.4 ± 11.057.1 ± 17.336.4 ± 11.4<0.01
     Last PO37.6 ± 15.526.1 ± 10.955.1 ± 16.434.0 ± 12.8<0.01
     P <0.010.010.26<0.01
    C2-C7 lordosis
     Preoperative16.4 ± 11.57.9 ± 5.216.2 ± 11.118.2 ± 11.9<0.01
     6-wk PO12.1 ± 9.611.6 ± 11.313.8 ± 9.611.7 ± 9.2>0.05
     Last PO14.5 ± 10.710.4 ± 7.914.4 ± 10.015.3 ± 11.3>0.05
     P <0.010.120.12<0.01
    T1S
     Preoperative31.2 ± 11.314.4 ± 5.339.4 ± 9.631.8 ± 9.0<0.01
     6-wk PO28.1 ± 11.716.5 ± 7.934.7 ± 10.428.7 ± 10.8<0.01
     Last PO30.3 ± 10.817.5 ± 7.137.1 ± 10.030.6 ± 9.3<0.01
     P 0.190.230.110.08
    T1-(C2-C7 lordosis)
     Preoperative14.8 ± 10.36.5 ± 7.722.2 ± 8.113.7 ± 9.6<0.01
     6-wk PO16.0 ± 12.54.7 ± 13.320.9 ± 11.617.0 ± 11.0<0.01
     Last PO15.9 ± 12.47.1 ± 9.122.7 ± 11.615.9 ± 12.4<0.01
     P 0.570.110.750.14
    • PO, postoperative; SVA, sagittal vertical axis; T1S, T1 slope.

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Influence of Preoperative T1-Slope and Cervical Sagittal Vertical Axis on Postoperative Cervical Sagittal Alignment Following Posterior Cervical Laminoplasty
Ninad Bhat, Shane Burch, Bobby Tay, Sigurd H. Berven, Vedat Deviren, Alekos A. Theologis
International Journal of Spine Surgery Apr 2023, 17 (2) 276-280; DOI: 10.14444/8415

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Influence of Preoperative T1-Slope and Cervical Sagittal Vertical Axis on Postoperative Cervical Sagittal Alignment Following Posterior Cervical Laminoplasty
Ninad Bhat, Shane Burch, Bobby Tay, Sigurd H. Berven, Vedat Deviren, Alekos A. Theologis
International Journal of Spine Surgery Apr 2023, 17 (2) 276-280; DOI: 10.14444/8415
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Keywords

  • cervical laminoplasty
  • sagittal alignment
  • cervical lordosis
  • T1 slope
  • SVA

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