{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:21:39Z","timestamp":1787775699936,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>A healthy lower back is essential for optimal spinal function and overall wellness. Magnetic resonance imaging (MRI) has become the gold standard in assessing lumbar spine disease. This article aims to evaluate the precision and efficacy of the lumbar offset distance (LOD) as a novel MRI parameter designed to determine the lumbar spine alignment. normally measured as we compared it to a new parameter based on length.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Supine sagittal magnetic resonance images of 101 patients who underwent lumbar spine MRI scans were analyzed. We focused on L1\u2013L5 lumbar lordosis angle (LLA) and LOD to assess lumbar spine alignment. Diagnostic cutoff values for LOD measurements were determined, and their diagnostic accuracies were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The normal LLA in our dataset was 23\u00b0\u201345\u00b0, and the normal LOD was 5\u201315 mm. Using linear regression, the range of 6\u201314 mm correlates to the LLA range of 20\u00b0\u201345\u00b0, which would define the standard lumbar offset as normal between 6 and 14 mm. Hence, lumbar hypolordosis was defined as &lt;6 mm, and lumbar hyperlordosis was defined as more than 14 mm. Our study showed a good correlation between the LOD and LLA and is particularly useful in identifying cases of normal lumbar lordosis, hypolordosis, and hyperlordosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Linear measurements show good diagnostic accuracy of LOD in evaluating lumbar spinal alignment, including normal alignment, hypolordosis, and hyperlordosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcvjs.jcvjs_40_24","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T12:08:52Z","timestamp":1726142932000},"page":"280-283","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Lumbar offset distance: A simplified metric for evaluation of the lumbar spine alignment"],"prefix":"10.4103","volume":"15","author":[{"given":"Kapil","family":"Shirodkar","sequence":"first","affiliation":[{"name":"Department of Musculoskeletal Radiology, The Royal Orthopaedic Hospital, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sai Niharika","family":"Gavvala","sequence":"additional","affiliation":[{"name":"Department of Musculoskeletal Radiology, The Royal Orthopaedic Hospital, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sisith","family":"Ariyaratne","sequence":"additional","affiliation":[{"name":"Department of Musculoskeletal Radiology, The Royal Orthopaedic Hospital, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Jenko","sequence":"additional","affiliation":[{"name":"Department of Musculoskeletal Radiology, The Royal Orthopaedic Hospital, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Nischal","sequence":"additional","affiliation":[{"name":"Department of Radiology, Holy Family Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthikeyan P.","family":"Iyengar","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Southport and Ormskirk Hospital, Southport, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jwalant","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, The Royal Orthopaedic Hospital, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Botchu","sequence":"additional","affiliation":[{"name":"Department of Musculoskeletal Radiology, The Royal Orthopaedic Hospital, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,9,12]]},"reference":[{"key":"R1-20240914","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.spinee.2013.07.464","article-title":"Lumbar lordosis","volume":"14","author":"Been","year":"2014","journal-title":"Spine J"},{"key":"R2-20240914","first-page":"329","article-title":"Lumbar lordosis: Normal adults","volume":"91","author":"Lin","year":"1992","journal-title":"J Formos Med Assoc"},{"key":"R3-20240914","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1302\/0301-620X.96B6.33075","article-title":"Back pain in children and adolescents","volume":"96-B","author":"Altaf","year":"2014","journal-title":"Bone Joint J"},{"key":"R4-20240914","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1097\/MOP.0b013e32834255c2","article-title":"Spondylolysis in the adolescent athlete","volume":"23","author":"Kim","year":"2011","journal-title":"Curr Opin Pediatr"},{"key":"R5-20240914","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1007\/s00256-010-0942-0","article-title":"Lumbar spondylolysis: A review","volume":"40","author":"Leone","year":"2011","journal-title":"Skeletal Radiol"},{"issue":"Suppl 5","key":"R6-20240914","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1007\/s00586-011-1928-x","article-title":"Biomechanical analysis of the spino-pelvic organization and adaptation in pathology","volume":"20","author":"Roussouly","year":"2011","journal-title":"Eur Spine J"},{"key":"R7-20240914","doi-asserted-by":"crossref","first-page":"3675","DOI":"10.1007\/s00586-016-4702-2","article-title":"Normative values of spino-pelvic sagittal alignment, balance, age, and health-related quality of life in a cohort of healthy adult subjects","volume":"25","author":"Hasegawa","year":"2016","journal-title":"Eur Spine J"},{"issue":"Suppl 5","key":"R8-20240914","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1007\/s00586-011-1934-z","article-title":"Correlation of clinical outcome and spinopelvic sagittal alignment after surgical treatment of low-grade isthmic spondylolisthesis","volume":"20","author":"Bourghli","year":"2011","journal-title":"Eur Spine J"},{"issue":"Suppl 1","key":"R9-20240914","doi-asserted-by":"crossref","first-page":"S3","DOI":"10.1007\/s00586-014-3653-8","article-title":"Sagittal deformities of the spine: Factors influencing the outcomes and complications","volume":"24","author":"Diebo","year":"2015","journal-title":"Eur Spine J"},{"key":"R10-20240914","doi-asserted-by":"crossref","first-page":"2179","DOI":"10.1038\/s41598-021-82015-8","article-title":"Relationship of back muscle and knee extensors with the compensatory mechanism of sagittal alignment in a community-dwelling elderly population","volume":"11","author":"Takahashi","year":"2021","journal-title":"Sci Rep"},{"key":"R11-20240914","doi-asserted-by":"crossref","first-page":"347","DOI":"10.3109\/07853898909149219","article-title":"Biomechanics of the lumbar spine","volume":"21","author":"Pope","year":"1989","journal-title":"Ann Med"},{"key":"R12-20240914","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1097\/BSD.0b013e3182aab266","article-title":"Hyperlordosis is associated with facet joint pathology at the lower lumbar spine","volume":"30","author":"Jentzsch","year":"2017","journal-title":"Clin Spine Surg"},{"key":"R13-20240914","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1097\/00024720-200202000-00004","article-title":"The association of sagittal spinal and pelvic parameters in asymptomatic persons and patients with isthmic spondylolisthesis","volume":"15","author":"Rajnics","year":"2002","journal-title":"J Spinal Disord Tech"},{"key":"R14-20240914","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.jmpt.2006.11.009","article-title":"Reproduction of the lumbar lordosis: A comparison of standing radiographs versus supine magnetic resonance imaging obtained with straightened lower extremities","volume":"30","author":"Andreasen","year":"2007","journal-title":"J Manipulative Physiol Ther"},{"key":"R15-20240914","doi-asserted-by":"crossref","first-page":"E136","DOI":"10.1097\/01.brs.0000255202.94153.ca","article-title":"Postural changes of the dural sac in the lumbar spines of asymptomatic individuals using positional stand-up magnetic resonance imaging","volume":"32","author":"Hirasawa","year":"2007","journal-title":"Spine (Phila Pa 1976)"},{"key":"R16-20240914","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1097\/BRS.0b013e31815e395f","article-title":"The effect of body position and axial load on spinal canal morphology: An MRI study of central spinal stenosis","volume":"33","author":"Madsen","year":"2008","journal-title":"Spine (Phila Pa 1976)"}],"container-title":["Journal of Craniovertebral Junction and Spine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.jcvjs_40_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:39:31Z","timestamp":1787773171000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.jcvjs_40_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/jcvjs.jcvjs_40_24","relation":{},"ISSN":["0974-8237","0976-9285"],"issn-type":[{"value":"0974-8237","type":"print"},{"value":"0976-9285","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"2024-03-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-01","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}