{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:32:40Z","timestamp":1787841160772,"version":"build-2784847793"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The odontoid process is an important anatomical structure providing a balance of mobility and stability at the craniocervical junction, with structural and biomechanical associations, and morphology that can be quantified with various measurements. The odontoid tilt angle is a measurement that must be accurately performed and can guide further investigations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Retrospective analysis of 100 cervical spinal magnetic resonance imaging was performed on patients investigated for neck pain, with a known history of scoliosis, and compared with 50 control patients. Posterior odontoid tilt and Cobb angles were measured by a musculoskeletal radiology fellow and a fellowship-trained musculoskeletal radiologist with more than 10 years of experience, with descriptive statistics then performed on the measurements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      One hundred and thirty-two patients met the inclusion criteria, across both the scoliosis and control groups. 9 (18%) patients from the control group demonstrated posterior odontoid tilt, compared with 35 (43%) of patients in the scoliosis group. A range of scoliosis curve morphologies were demonstrated: 62 thoracolumbar, 10 thoracic, 9 lumbar, and 1 cervicothoracic, with average Cobb angles of 24.3\u00b0, 26.9\u00b0, 23.4, and 54\u00b0, respectively. There was good interobserver agreement for both measurements and a statistically significant difference in the posterior odontoid tilt measurements between groups (99% confidence interval,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0064).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>We recommend opportunistically assessing for the posterior odontoid tilt (Leaning odontoid tower of BRUMES (Botchu; Raja Rasul; Uldin; Morgan;Elias; Sonal, Shashank, Shirodkar). In cases with a posterior tilt angle &gt;5\u00b0, we recommend whole spine imaging to assess for scoliosis in the thoracolumbar spine.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcvjs.jcvjs_89_25","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T12:01:45Z","timestamp":1758196905000},"page":"278-283","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of posterior odontoid tilt: Think scoliosis"],"prefix":"10.4103","volume":"16","author":[{"given":"Neel","family":"Raja","sequence":"first","affiliation":[{"name":"Department of Radiology, University Hospitals of Leicester, Leicester, UK"},{"name":"Departemnt of Musculoskeletal Radiology, Royal Orthopedic Hospital, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elias","family":"Petrou","sequence":"additional","affiliation":[{"name":"Departemnt of Musculoskeletal Radiology, Royal Orthopedic Hospital, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonal","family":"Saran","sequence":"additional","affiliation":[{"name":"Department of Radiology, AIIMS, Rishikesh, Uttarakhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasaam","family":"Uldin","sequence":"additional","affiliation":[{"name":"Departemnt of Musculoskeletal Radiology, Royal Orthopedic Hospital, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan","family":"Jones","sequence":"additional","affiliation":[{"name":"Spinal Surgery, Royal Orthopedic Hospital, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fahid","family":"Rasul","sequence":"additional","affiliation":[{"name":"Department of Spinal Surgery, University Hospitals of Coventry and Warwickshire, Coventry, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kapil","family":"Shirodkar","sequence":"additional","affiliation":[{"name":"Departemnt of Musculoskeletal Radiology, Royal Orthopedic Hospital, Birmingham, UK"},{"name":"Department of Radiology, Royal Lancaster Infirmary, Lancaster, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashank","family":"Chapala","sequence":"additional","affiliation":[{"name":"Department of Radiology, AIG Hospital, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Botchu","sequence":"additional","affiliation":[{"name":"Departemnt of Musculoskeletal Radiology, Royal Orthopedic Hospital, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"key":"R1-20250926","doi-asserted-by":"crossref","first-page":"38","DOI":"10.4103\/2156-7514.159565","article-title":"The dens:Normal development, developmental variants and anomalies, and traumatic injuries","volume":"5","author":"O'Brien","year":"2015","journal-title":"J Clin Imaging Sci"},{"key":"R2-20250926","first-page":"43","article-title":"Inclination of the odontoid process in the pediatric Chiari I malformation","volume":"98","author":"Tubbs","year":"2003","journal-title":"J Neurosurg"},{"key":"R3-20250926","doi-asserted-by":"crossref","first-page":"172","DOI":"10.3171\/2013.10.SPINE13405","article-title":"Estimation of odontoid process posterior inclination, odontoid height, and pB-C2 line in the adult population","volume":"20","author":"Khaleel","year":"2014","journal-title":"J Neurosurg Spine"},{"key":"R4-20250926","doi-asserted-by":"crossref","first-page":"463","DOI":"10.14245\/ns.2244220.110","article-title":"Odontoid incidence:A novel cervical parameter influencing cervical alignment from top to bottom","volume":"19","author":"Lee","year":"2022","journal-title":"Neurospine"},{"key":"R5-20250926","doi-asserted-by":"crossref","first-page":"1424313","DOI":"10.3389\/fped.2024.1424313","article-title":"Analysis of odontoid parameters in adolescent idiopathic scoliosis patients with different curve types","volume":"12","author":"Li","year":"2024","journal-title":"Front Pediatr"},{"key":"R6-20250926","doi-asserted-by":"crossref","first-page":"834","DOI":"10.1056\/NEJMcp1209063","article-title":"Clinical practice. 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