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Correlation of cervical sagittal alignment parameters on full-length spine radiographs compared with dedicated cervical radiographs

Overview of attention for article published in Scoliosis and Spinal Disorders, April 2016
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Title
Correlation of cervical sagittal alignment parameters on full-length spine radiographs compared with dedicated cervical radiographs
Published in
Scoliosis and Spinal Disorders, April 2016
DOI 10.1186/s13013-016-0072-0
Pubmed ID
Authors

Leah Y. Carreon, Casey L. Smith, John R. Dimar, Steven D. Glassman

Abstract

Radiographic parameters to evaluate the cervical spine in adult deformity using 36-inch films have been proposed. While 36-inch films are used to evaluate spinal deformity, dedicated cervical films are more commonly used to evaluate cervical spine pathology. The purpose of this study is to determine correlations between sagittal measures from a dedicated cervical spine radiographs and 36-inch spine radiographs. Patients who had standing cervical and 36-inch radiographs within four weeks of each other were identified. On separate occasions, the following measures were determined: C0-C2, C0-C7, C1-C2 and C2-C7 sagittal Cobb angles; T1 slope; chin-brow-vertical angle (CBVA), C1-C7 sagittal vertical axis (SVA), C2-C7SVA, center of gravity-C7 sagittal vertical axis (COG-C7SVA). Paired t-tests and correlation analyses were done between parameters from the cervical and the 36-inch film. Radiographic measurements were collected on 40 patients (33 females and 7 males, mean age of 48.9 ± 14.5 years). All correlations were statistically significant at p < 0.001. C0-C2 Cobb had the strongest correlation (r = 0.81) and C2-C7 Cobb had the weakest (r=0.62). Among sagittal balance parameters, COG-C7SVA had the weakest correlation (r = 0.42) and C1-C7SVA (r = 0.64) and the C2-C7SVA (r = 0.65) had strong correlations. The T1 slope and the CBVA had correlation coefficients of 0.74 and 0.91, respectively. There was no statistically significant difference in measures taken from the cervical film and 36-inch film, except for the C0-C7 Cobb (p = 0.000) with a measurement difference of 7° and the T1 tilt (p = 0.000) with a measurement difference of 5°. Except for COG-C7 SVA, strong correlations between most cervical spine parameters taken from a dedicated cervical film and those taken from a 36-inch film were seen. 36-inch radiographs provide a reasonable estimation of cervical sagittal spine parameters and may obviate the need for a dedicated cervical spine radiograph.

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Geographical breakdown

Country Count As %
Unknown 40 100%

Demographic breakdown

Readers by professional status Count As %
Other 8 20%
Researcher 7 18%
Professor > Associate Professor 5 13%
Student > Doctoral Student 4 10%
Student > Ph. D. Student 4 10%
Other 4 10%
Unknown 8 20%
Readers by discipline Count As %
Medicine and Dentistry 24 60%
Neuroscience 2 5%
Nursing and Health Professions 1 3%
Agricultural and Biological Sciences 1 3%
Unknown 12 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 11 April 2016.
All research outputs
#17,796,099
of 22,860,626 outputs
Outputs from Scoliosis and Spinal Disorders
#87
of 97 outputs
Outputs of similar age
#206,616
of 301,014 outputs
Outputs of similar age from Scoliosis and Spinal Disorders
#4
of 7 outputs
Altmetric has tracked 22,860,626 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 97 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.4. This one is in the 8th percentile – i.e., 8% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 301,014 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 26th percentile – i.e., 26% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 7 others from the same source and published within six weeks on either side of this one. This one has scored higher than 3 of them.