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However, the correlation between cervical kyphosis and sagittal balance in AIS patients has yet to be thoroughly investigated. This study aimed to clarify the correlation between cervical alignment and spinal balance in patients with adolescent idiopathic scoliosis (AIS). Here, we hypothesized that cervical kyphosis patients can be classified into groups by the apex of thoracic kyphosis. Methods This study included 92 AIS patients (84 females, 8 males; mean age, 15.1 years). Patients were divided into the cervical lordosis (CL), cervical sigmoid (CS), or cervical kyphosis (CK) groups and further classified according to the apex of thoracic kyphosis into High (above T3), Middle (T4–T9), and Low (below T10) groups. Results There were 17 (18.5 %), 22 (23.9 %), and 53 (57.6 %) patients with CL, CS, and CK, respectively. In the CK group, 13 had CK-High, 35 had CK-Middle, and 5 had CK-Low. The C7 sagittal vertical axis (C7SVA) measurements were most backward in CK-High and most forward in CK-Low. The T5-12 kyphosis (TK) measurement was significantly lower in CK-High. Conclusions Most AIS patients had kyphotic cervical alignment. Patients with CK can be classified as having CK-High, CK-Middle, or CK-Low according to the apex of thoracic kyphosis. CK-High is due to thoracic hypokyphosis with a backward balanced C7SVA. CK-Middle is well-balanced cervical kyphosis. 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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Analysis of cervical kyphosis and spinal balance in young idiopathic scoliosis patients classified by the apex of thoracic kyphosis

http://hdl.handle.net/2237/25339
http://hdl.handle.net/2237/25339
25b6f839-b95f-4b76-b38d-ad6ddad0a853
名前 / ファイル ライセンス アクション
ESJO-D-16-00122_R2_re_v2.pdf ESJO-D-16-00122_R2_re_v2.pdf ファイル公開:2017/10/01 (584.5 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2017-01-12
タイトル
タイトル Analysis of cervical kyphosis and spinal balance in young idiopathic scoliosis patients classified by the apex of thoracic kyphosis
言語 en
著者 Ito, Kenyu

× Ito, Kenyu

WEKO 68627

en Ito, Kenyu

Search repository
Imagama, Shiro

× Imagama, Shiro

WEKO 68628

en Imagama, Shiro

Search repository
Ito, Zenya

× Ito, Zenya

WEKO 68629

en Ito, Zenya

Search repository
Ando, Kei

× Ando, Kei

WEKO 68630

en Ando, Kei

Search repository
Kobayashi, Kazuyoshi

× Kobayashi, Kazuyoshi

WEKO 68631

en Kobayashi, Kazuyoshi

Search repository
Hida, Tetsuro

× Hida, Tetsuro

WEKO 68632

en Hida, Tetsuro

Search repository
Tsushima, Mikito

× Tsushima, Mikito

WEKO 68633

en Tsushima, Mikito

Search repository
Ishikawa, Yoshimoto

× Ishikawa, Yoshimoto

WEKO 68634

en Ishikawa, Yoshimoto

Search repository
Matsumoto, Akiyuki

× Matsumoto, Akiyuki

WEKO 68635

en Matsumoto, Akiyuki

Search repository
Nishida, Yoshihiro

× Nishida, Yoshihiro

WEKO 68636

en Nishida, Yoshihiro

Search repository
Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 68637

en Ishiguro, Naoki

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報 The final publication is available at Springer via http://doi.org/10.1007/s00586-016-4699-6
キーワード
主題Scheme Other
主題 Scoliosis
キーワード
主題Scheme Other
主題 Cervical
キーワード
主題Scheme Other
主題 Sagittal
キーワード
主題Scheme Other
主題 Kyphosis
キーワード
主題Scheme Other
主題 Classification
抄録
内容記述 Purpose Sagittal balance has recently been the focus of studies aimed at understanding the correction force required for both coronal and sagittal malalignment. However, the correlation between cervical kyphosis and sagittal balance in AIS patients has yet to be thoroughly investigated. This study aimed to clarify the correlation between cervical alignment and spinal balance in patients with adolescent idiopathic scoliosis (AIS). Here, we hypothesized that cervical kyphosis patients can be classified into groups by the apex of thoracic kyphosis. Methods This study included 92 AIS patients (84 females, 8 males; mean age, 15.1 years). Patients were divided into the cervical lordosis (CL), cervical sigmoid (CS), or cervical kyphosis (CK) groups and further classified according to the apex of thoracic kyphosis into High (above T3), Middle (T4–T9), and Low (below T10) groups. Results There were 17 (18.5 %), 22 (23.9 %), and 53 (57.6 %) patients with CL, CS, and CK, respectively. In the CK group, 13 had CK-High, 35 had CK-Middle, and 5 had CK-Low. The C7 sagittal vertical axis (C7SVA) measurements were most backward in CK-High and most forward in CK-Low. The T5-12 kyphosis (TK) measurement was significantly lower in CK-High. Conclusions Most AIS patients had kyphotic cervical alignment. Patients with CK can be classified as having CK-High, CK-Middle, or CK-Low according to the apex of thoracic kyphosis. CK-High is due to thoracic hypokyphosis with a backward balanced C7SVA. CK-Middle is well-balanced cervical kyphosis. CK-Low has forward-bent global kyphosis of the cervicothoracic spine that positioned the C7SVA forward.
言語 en
内容記述タイプ Abstract
出版者
言語 en
出版者 Springer
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1007/s00586-016-4699-6
ISSN
収録物識別子タイプ PISSN
収録物識別子 0940-6719
書誌情報 en : European Spine Journal

巻 25, 号 10, p. 3220-3225, 発行日 2016-10
著者版フラグ
値 author
URI
識別子 http://doi.org/10.1007/s00586-016-4699-6
識別子タイプ DOI
URI
識別子 http://hdl.handle.net/2237/25339
識別子タイプ HDL
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