{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:33:44Z","timestamp":1787758424706,"version":"build-2784847793"},"reference-count":17,"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":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although there are studies that adequately document the linear correlation between pelvic incidence (PI), sacral slope, lumbar lordosis, and thoracic kyphosis, few have analyzed the pelvic-spine correlation including the cervical spine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This is a cross-sectional study, wherein the cervical spine was evaluated using radiography and computed tomography (CT) scans, the lumbosacral spine and the pelvis was evaluated using radiography, in adult patients without spinal pathology. Using the Surgimap tool, cervical and spinopelvic parameters were calculated by several investigators. To evaluate the correlation between cervical and spinopelvic parameters, Spearman's coefficient was calculated. To evaluate the concordance correlation of the measured parameters of cervical sagittal alignment on tomography and conventional radiography, Lin's coefficient was calculated and Bland\u2013Altman plots were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 51 healthy adults were included in a follow-up from January 2019 to December 2020. Cervical sagittal alignment and sagittal spinopelvic alignment were assessed using radiography, and a correlation was observed between T1 slope (T1S) and lumbar mismatch (coefficient of 0.28,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.047). Then, cervical sagittal alignment was evaluated using CT and sagittal spinopelvic alignment using radiography, and no correlation was observed between PI and thoracic inlet angle or cervical mismatch with lumbar mismatch.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In asymptomatic patients, in whom cervical sagittal alignment and spinal-pelvic alignment were evaluated, only a positive correlation was found between lumbar mismatch and T1S, which lacks clinical significance. No concordance was identified between lumbar mismatch and cervical mismatch. Therefore, it is inferred that there is an independence between the sagittal spine-pelvic alignment with respect to the sagittal cervical alignment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcvjs.jcvjs_73_22","type":"journal-article","created":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T05:18:30Z","timestamp":1663046310000},"page":"339-343","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Correlation between the cervical sagittal alignment and spine - pelvic sagittal alignment in asymptomatic adults"],"prefix":"10.4103","volume":"13","author":[{"given":"Juan Esteban","family":"Mu\u00f1oz Montoya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s Flepe","family":"Vargas Rosales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana Paola","family":"Duarte Mora","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johan David","family":"Serrato Perdomo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Vargas Rosales","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerardo","family":"Ardila Duarte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik Edgardo","family":"Mu\u00f1oz Rodr\u00edguez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-15-20240904","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1177\/2192568217699405","article-title":"Beyond pelvic incidence-lumbar lordosis Mismatch: The importance of assessing the entire spine to achieve global sagittal alignment","volume":"7","author":"Merrill","year":"2017","journal-title":"Glob Spine J"},{"key":"R2-15-20240904","doi-asserted-by":"crossref","first-page":"31","DOI":"10.3171\/2018.5.SPINE171232","article-title":"Cervical mismatch: The normative value of T1 slope minus cervical lordosis and its ability to predict ideal cervical lordosis","volume":"30","author":"Staub","year":"2018","journal-title":"J Neurosurg Spine"},{"key":"R3-15-20240904","doi-asserted-by":"crossref","first-page":"E41","DOI":"10.1097\/BSD.0b013e3182396301","article-title":"The influence of thoracic inlet alignment on the craniocervical sagittal balance in asymptomatic adults","volume":"25","author":"Lee","year":"2012","journal-title":"J Spinal Disord Tech"},{"key":"R4-15-20240904","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1097\/BRS.0000000000000877","article-title":"Postural consequences of cervical sagittal imbalance: A novel laboratory model","volume":"40","author":"Patwardhan","year":"2015","journal-title":"Spine (Phila Pa 1976"},{"key":"R5-15-20240904","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1007\/s00586-018-5462-y","article-title":"Which parameters are relevant in sagittal balance analysis of the cervical spine? A literature review","volume":"27","author":"Ling","year":"2018","journal-title":"Eur Spine J"},{"key":"R6-15-20240904","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1007\/s00586-017-5367-1","article-title":"Cervical sagittal balance: A biomechanical perspective can help clinical practice","volume":"27","author":"Patwardhan","year":"2018","journal-title":"Eur Spine J"},{"key":"R7-15-20240904","doi-asserted-by":"crossref","first-page":"190S","DOI":"10.1016\/j.spinee.2004.07.007","article-title":"Adjacent segment degeneration and adjacent segment disease: The consequences of spinal fusion?","volume":"4","author":"Hilibrand","year":"2004","journal-title":"Spine J"},{"key":"R8-15-20240904","doi-asserted-by":"crossref","first-page":"2025","DOI":"10.12659\/MSM.907073","article-title":"Thoracic inlet parameters for degenerative cervical spondylolisthesis imaging measurement","volume":"24","author":"Wang","year":"2018","journal-title":"Med Sci Monit"},{"key":"R9-15-20240904","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1007\/s00586-016-4653-7","article-title":"Cervical sagittal deformity develop after PJK thoracolumbar deformity correction: Radiographic analysis utilizing a novel global sagittal angular parameter, the CTPA","volume":"26","author":"Protopsaltis","year":"2017","journal-title":"Eur Spine J"},{"key":"R10-15-20240904","doi-asserted-by":"crossref","first-page":"2224","DOI":"10.1097\/BRS.0b013e3181ee6bd4","article-title":"Adult spinal deformity-postoperative standing imbalance: How much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery","volume":"35","author":"Schwab","year":"2010","journal-title":"Spine (Phila Pa 1976"},{"key":"R11-15-20240904","doi-asserted-by":"crossref","first-page":"E599","DOI":"10.1097\/BRS.0b013e3181aad219","article-title":"Pelvic tilt and truncal inclination: Two key radiographic parameters in the setting of adults with spinal deformity","volume":"34","author":"Lafage","year":"2009","journal-title":"Spine (Phila Pa 1976"},{"key":"R12-15-20240904","doi-asserted-by":"crossref","first-page":"E1001","DOI":"10.1097\/BRS.0000000000000432","article-title":"Prevalence and type of cervical deformity among 470 adults with thoracolumbar deformity","volume":"39","author":"Smith","year":"2014","journal-title":"Spine (Phila Pa 1976"},{"key":"R13-15-20240904","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1016\/j.spinee.2013.06.059","article-title":"Factors determining cervical spine sagittal balance in asymptomatic adults: Correlation with spinopelvic balance and thoracic inlet alignment","volume":"15","author":"Lee","year":"2015","journal-title":"Spine J"},{"key":"R14-15-20240904","doi-asserted-by":"crossref","first-page":"1795","DOI":"10.1097\/BRS.0000000000001698","article-title":"Predicting cervical alignment required to maintain horizontal gaze based on global spinal alignment","volume":"41","author":"Diebo","year":"2016","journal-title":"Spine (Phila Pa 1976"},{"key":"R15-15-20240904","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.1007\/s00586-014-3454-0","article-title":"Pelvic incidence-lumbar lordosis mismatch predisposes to adjacent segment disease after lumbar spinal fusion","volume":"24","author":"Rothenfluh","year":"2015","journal-title":"Eur Spine J"},{"key":"R16-15-20240904","first-page":"199","article-title":"Proximal junctional kyphosis in adult reconstructive spine surgery results from incomplete restoration of the lumbar lordosis relative to the magnitude of the thoracic kyphosis","volume":"31","author":"Mendoza-Lattes","year":"2011","journal-title":"Iowa Orthop J"},{"key":"R17-15-20240904","first-page":"3630","article-title":"Invariance of head-pelvis aligment and compensatory mechanism for asymptomatic adults older than 49 years","volume":"25","author":"Amabile","year":"2016","journal-title":"Eur Spine J"}],"container-title":["Journal of Craniovertebral Junction and Spine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.jcvjs_73_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:12:52Z","timestamp":1787757172000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jcvjs.jcvjs_73_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jcvjs.jcvjs_73_22","relation":{},"ISSN":["0974-8237"],"issn-type":[{"value":"0974-8237","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7]]}}}