{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T04:29:28Z","timestamp":1776745768111,"version":"3.51.2"},"reference-count":20,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T00:00:00Z","timestamp":1736294400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns3:p>Background Cervical spondylosis is the common degenerative disease of the vertebrae in adults which can lead to change in sagittal alignment of cervical spine. Radiograph and Magnetic resonance imaging (MRI) are widely used imaging modalities for measuring the sagittal parameters. However sagittal parameters measured using radiograph and MRI can be influence by patient positioning and imaging technique. The study aims to compare sagittal parameters measured using MRI (Magnetic Resonance Imaging) and radiograph in cervical spondylosis patients. Methods The study was done retrospectively. 77 patients who underwent both MRI and radiograph were included in the study. The sagittal parameters such as Neck Tilt (NT), T1 slope (T1S), thoracic inlet angle (TIA), C2-C7 angle (C2-C7A) and C2-C7 sagittal vertical axis (C2-C7 SVA) were measured on sagittal MRI and lateral cervical spine radiograph. Paired t-test was used to compare cervical sagittal measurements between MRI and radiography. Results The cervical sagittal parameters such as NT, T1S, TIA and C2-7 SVA showed significant difference between MRI and radiograph (p &lt; 0.05). But C2-C7A did not show significant difference (p &gt; 0.05) Conclusion The study concludes that MRI cannot be used as an alternative to cervical spine radiograph in spondylosis patient for measuring the sagittal balance as there was significant difference between sagittal parameters except C2-C7 A.<\/ns3:p>","DOI":"10.12688\/f1000research.159504.1","type":"journal-article","created":{"date-parts":[[2025,1,8]],"date-time":"2025-01-08T05:35:08Z","timestamp":1736314508000},"page":"45","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparison of sagittal measurements of cervical spine in spondylosis patients between Magnetic Resonance Imaging and Radiograph"],"prefix":"10.12688","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2281-3055","authenticated-orcid":false,"given":"Maria","family":"Nicolet","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9792-6242","authenticated-orcid":false,"given":"Priyanka","family":"-","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3486-8740","authenticated-orcid":false,"given":"Rajagopal","family":"Kadavigere","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6548-8092","authenticated-orcid":false,"given":"Shailesh","family":"S Nayak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7933-1192","authenticated-orcid":false,"given":"Saikiran","family":"Pendem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surbhi Gupta","family":"Aggarwal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8838-8953","authenticated-orcid":false,"given":"Tancia","family":"Pires","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7447-5290","authenticated-orcid":false,"given":"Varsha","family":"R","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2560","published-online":{"date-parts":[[2025,1,8]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1177\/23094990211024454","article-title":"Sagittal balance of the cervical spine.","volume":"29","author":"J Scheer","year":"2021","journal-title":"J. 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Spine J."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"478-496","DOI":"10.14245\/ns.2040392.196","article-title":"Cervical sagittal alignment: Literature review and future directions.","volume":"17","author":"S Lee","year":"2020","journal-title":"Neurospine."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1889-1905","DOI":"10.1007\/s00586-019-06083-1","article-title":"Sagittal balance of the spine.","volume":"28","author":"J Le Huec","year":"2019","journal-title":"Eur. Spine J."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"102769","DOI":"10.1016\/j.otsr.2020.102769","article-title":"Sagittal balance of the spine.","volume":"107","author":"K Abelin-Genevois","year":"2021","journal-title":"Orthop. Traumatol. Surg. Res."},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1-9","DOI":"10.1186\/s12880-019-0342-4","article-title":"Quantifying cervical spondylosis: Reliability testing of a coherent CT-based scoring system.","volume":"19","author":"E Rydman","year":"2019","journal-title":"BMC Med. Imaging."},{"key":"ref8","doi-asserted-by":"crossref","first-page":"10-15","DOI":"10.1186\/s12891-018-1951-8","article-title":"Characteristics of cervical sagittal parameters in healthy cervical spine adults and patients with cervical disc degeneration.","volume":"19","author":"R Xing","year":"2018","journal-title":"BMC Musculoskelet. Disord."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1901-1907","DOI":"10.1097\/BRS.0000000000002256","article-title":"Comparative Analysis of Three Imaging Modalities for Evaluation of Cervical Sagittal Alignment Parameters.","volume":"42","author":"H Lee","year":"2017","journal-title":"Spine (Phila Pa 1976)."},{"key":"ref10","article-title":"Comparison of sagittal measurements of cervical spine in spondylosis patients between Magnetic Resonance Imaging and Radiograph. Strobe checklist.","author":"Priyanka","year":"2024","journal-title":"figshare."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"e14393","DOI":"10.1097\/MD.0000000000014393","article-title":"Correlation of cervical and thoracic inlet sagittal parameters by MRI and radiography in patients with cervical spondylosis.","volume":"98","author":"J Cheng","year":"2019","journal-title":"Med (United States)."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1019-1024","DOI":"10.13005\/bpj\/2203","article-title":"Influence of Lumbar Spinal Canal Dimensions on Neurological Claudication Symptomatology- A Case Control Study.","volume":"14","author":"M Reddy","year":"2021","journal-title":"Biomed. Pharmacol. J."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1035","DOI":"10.12688\/f1000research.154680.2","article-title":"Role of Artificial intelligence model in prediction of low back pain using T2 weighted MRI of Lumbar spine.","volume":"13","author":"A Muhaimil","year":"2024","journal-title":"F1000Res."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1199-1203","DOI":"10.1007\/s00586-014-3491-8","article-title":"Relationship between cervical sagittal alignment and quality of life in ankylosing spondylitis.","volume":"24","author":"J Lee","year":"2015","journal-title":"Eur. Spine J."},{"key":"ref15","doi-asserted-by":"publisher","first-page":"451-455","DOI":"10.1007\/s00402-017-2639-5","article-title":"MRI to measure cervical sagittal parameters: a comparison with plain radiographs.","volume":"137","author":"R Xing","year":"2017","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"733-738","DOI":"10.1007\/s00586-011-2115-9","article-title":"The assessment of the postoperative spinal alignment: MRI adds up on accuracy.","volume":"21","author":"P Bernstein","year":"2012","journal-title":"Eur. Spine J."},{"key":"ref17","first-page":"451-454","article-title":"Analysis of cervical sagittal parameters on MRI in patients with cervical spondylotic myelopathy.","volume":"31","author":"L Zhang","year":"2017","journal-title":"Chinese J. Reparative Reconstr. Surg."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"356-359","DOI":"10.3340\/jkns.2013.53.6.356","article-title":"T1 slope and cervical sagittal alignment on cervical CT radiographs of asymptomatic persons.","volume":"53","author":"J Park","year":"2013","journal-title":"J. Korean Neurosurg. Soc."},{"key":"ref19","doi-asserted-by":"crossref","first-page":"1-9","DOI":"10.1186\/s12891-022-05301-0","article-title":"Relationship between TIA minus C0-7 angle and C2-7 SVA: analysis of 113 symptomatic patients.","volume":"23","author":"K Yang","year":"2022","journal-title":"BMC Musculoskelet. 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Hegde Medical Academy, NITTE, Deralakatte, Mangalore, Karnataka, India. Pin: 575018, Karnataka, 23 Jan 2025, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/14-45\/v1#referee-response-358481","order":0,"name":"referee-response-358481","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"10.5256\/f1000research.175237.r358489, Tarek Aly, Ahmed Aly, Tanta University, Tanta, Gharbia Governorate, 05 Feb 2025, version 1, indexed","URL":"https:\/\/f1000research.com\/articles\/14-45\/v1#referee-response-358489","order":1,"name":"referee-response-358489","label":"Referee Report","group":{"name":"article-reports","label":"Article Reports"}},{"value":"The author(s) declared that no grants were involved in supporting this work","order":2,"name":"grant-information","label":"Grant Information"},{"value":"This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}