Evidence map›Paper›PMID 40011699›Full record

ArticleScientific reports2025

Investigation of spinopelvic sagittal alignment and its correlations in asymptomatic pediatric populations.

Hao Qi, ZengHui Zhao, Feiyu Zu, Chenchen Wang, Chenxi Wang, Zuzhuo Zhang, Jianhua Ren, Rui Xue, Zhaoxuan Wang, Zhiyong Hou and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Sagittal alignment outcomes following two-row vertebral body tethering versus posterior spinal fusion in adolescent idiopathic scoliosis: a multicenter two-year study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  2. Normative values of the sagittal lumbopelvic alignment in children during the first decade of life : A retrospective observational study from a German paediatric orthopaedic hospital.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Observational
  3. Changes in pelvic measurements and lumbar lordosis with age in children and adolescents.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Hao QiDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
ZengHui ZhaoDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Feiyu ZuDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Chenchen WangDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Chenxi WangDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Zuzhuo ZhangDepartment of Radiology, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Jianhua RenDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Rui XueDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Zhaoxuan WangDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China.
Zhiyong HouKey Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051, China.
Wei ChenKey Laboratory of Biomechanics of Hebei Province, Shijiazhuang, 050051, China.
Di ZhangDepartment of Spine Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, 050051, China. 38300320@hebmu.edu.cn.

Funding

National Natural Science Foundation of China 82072454
6 · The paper itself

Abstract

The sagittal alignment of the cervical spine and its relationship with spinopelvic parameters plays a crucial role in maintaining overall postural balance. This study aims to provide normative values for these parameters in asymptomatic pediatric subjects, aiding in the enhancement of treatment and evaluation strategies for spinal deformities and disorders. Conducted at the Third Hospital of Hebei Medical University, this retrospective study included 307 asymptomatic pediatric volunteers aged 4-18 years, screened for scoliosis from January 2021 to July 2023. Participants underwent whole-length EOS examinations following a standard protocol. Radiographic measurements of cervical and spinopelvic parameters were taken, and statistical analyses were performed using SPSS software to assess variations by age and gender. Normative values for cervical sagittal and spinopelvic parameters were established, demonstrating significant differences based on age and sex. Key findings include a strong correlation between the C2-7 Cobb angle and T1 and C7 slopes, with an observed increase in cSVA particularly pronounced in boys. Age and gender significantly influenced the normative values of these parameters, suggesting the importance of considering these factors in pediatric spinal assessments. This study establishes crucial normative values for cervical and spinopelvic parameters in a large pediatric cohort, highlighting the influence of age and sex on spinal sagittal alignment. The findings underscore the necessity of tailoring spinal assessment approaches in pediatric populations to improve the clinical evaluation and management of spinal health, providing a foundational benchmark for future research in pediatric spinal deformities and disorders.

Indexed as

Cervical VertebraeScoliosisSpineAdolescentChildChild, PreschoolFemaleHumansMaleRadiographyRetrospective StudiesCervical spine alignmentPediatric spinal healthSagittal balanceScoliosis screeningSpinopelvic parameters

Identifiers

PMID40011699
PMCPMC11865502

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.