Related Experiment Video
Updated: May 2, 2026
Clinical Efficacy of Ultrasound-Assisted Scoliosis-Specific Exercise in Mild-Grade Adolescent Idiopathic Scoliosis
Published on: December 2, 2025
Sagittal spinopelvic alignment in adolescents associated with Scheuermann's kyphosis: a comparison with normal
Long Jiang1, Yong Qiu, Leilei Xu
1Department of Spine Surgery, The Affiliated Drum Tower Clinical Medical College of Nanjing Medical University, Nanjing, China.
Purpose:
Spinopelvic alignment is increasingly considered as a main factor in the energy-efficient posture of the individual in normal and pathological status. However, the spinopelvic characteristics in Scheuermann's kyphosis (SK) are poorly defined in the literature. The purpose of this study was to determine whether differences of the spinopelvic parameters exist between adolescents with SK and age-matched normal controls.
Methods:
In this study, 55 patients with SK and 60 healthy age-matched adolescents were recruited consecutively. Sagittal spinal and pelvic parameters were measured from the standing lateral radiograph, including global kyphosis, thoracic kyphosis (TK), cervical lordosis (CL), lumbar lordosis (LL), pelvic incidence (PI), sacrum slope (SS), pelvic tilt (PT) and sagittal vertical axis (SVA). According to the location of the kyphosis, patients were subdivided into Scheuermann's thoracic kyphosis (STK) group and Scheuermann's thoracolumbar kyphosis (STLK) group. The radiographic comparison and correlation analysis were further performed.
Results:
SK patients had significantly lower PI and PT than normal controls (32.0° vs. 45.0°, P < 0.001 for PI; 0.2° vs. 11.9°, P < 0.001 for PT). The rate of a negative PT was 41.8 % (22/55) in SK patients, which was remarkably higher than in normal controls (10.0 %, 6/60). The CL, TK and LL were significantly increased in STK group when compared with STLK and control groups. A significant correlation was noticed between TK and CL and also between TK and LL in STK group. Both TK and LL were decreased in STLK patients, and a significant correlation was found between them (r = -0.687, P < 0.001). A significantly strong correlation was also observed between LL and SS in STLK patients (r = -0.641; P < 0.001).
Conclusion:
Adolescents with SK have a significantly lower PI when compared with age-matched normal controls. Patients with different curve patterns (STK vs. STLK) could have distinct compensatory mechanisms to maintain the sagittal balance.
More Related Videos
07:12Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis
Published on: February 10, 2026
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Related Concept Videos
01:16Vertebral Column: Regions and Curvature
Regions of the Vertebral Column
In an adult, the spine is subdivided into five regions: the cervical, the thoracic, the lumbar, the sacral, and the coccygeal region. The spine initially develops as a series of 33 vertebrae; after 20 years of age, the nine bones in the sacral region, five sacral, and four coccygeal bones fuse to form...
01:09Changes in the Appendicular Skeleton with Age
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
01:16Eccentric Axial Loading in a Plane of Symmetry
01:12General Case of Eccentric Axial Loading
Consider a member subjected to equal and opposite forces that are applied along a line that does not coincide with the member's neutral axis. In unsymmetrical...
01:09Overview of the Axial Skeleton
The axial skeleton of the...
01:20Normal Strain under Axial Loading