Correlation analysis and clinical significance of changes in upper thoracic vertebra tilt and clavicle angle pre- and post-operation
The imbalance of the lateral shoulder is reflected by the clavicle angle (CA) in radiology. It remains unclear how to achieve postoperative lateral shoulder balance (LSB) after spinal deformity correction surgery. A retrospective analysis was conducted on AIS patients who underwent surgery by the sa...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1264966/full |
| _version_ | 1797300408268357632 |
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| author | Zhensong Jiang Haoyu Wang Ran Cui Xingpeng Wang Yunhui Wang Mingtong Sun Fushuai Peng Tao Li Weimin Zhang Wen Zhang |
| author_facet | Zhensong Jiang Haoyu Wang Ran Cui Xingpeng Wang Yunhui Wang Mingtong Sun Fushuai Peng Tao Li Weimin Zhang Wen Zhang |
| author_sort | Zhensong Jiang |
| collection | DOAJ |
| description | The imbalance of the lateral shoulder is reflected by the clavicle angle (CA) in radiology. It remains unclear how to achieve postoperative lateral shoulder balance (LSB) after spinal deformity correction surgery. A retrospective analysis was conducted on AIS patients who underwent surgery by the same spine surgeon at our hospital from 2016 to 2020. A total of 110 patients with spinal deformity were included in the study to verify the correlation between the T1–T5 tilt angle and CA before and after surgery, as well as the relation-ship between the change in T1–T5 tilt angle before and after surgery and the change in CA before and after surgery. By comparing the correlation coefficients, it was found that there may not be a direct relationship between the pre- and postoperative tilt angles of T1–5 and CA, but their changes were closely related to the changes in CA. The change in T1 tilt angle after orthopaedic surgery was significantly correlated with the change in CA, with a correlation coefficient of 0.976, indicating a close relationship between T1 and the clavicle. As the vertebrae moved down, the correlation gradually decreased. In summary, this study suggests that there is a close relationship between T1–T5 and the clavicle and that the change in T1 tilt angle after spinal scoliosis correction surgery is significantly correlated with CA, which decreases as the vertebra moves down. |
| first_indexed | 2024-03-07T23:06:45Z |
| format | Article |
| id | doaj.art-1c8994db4c1c4c3eae7b4dbb1ec08778 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-03-07T23:06:45Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-1c8994db4c1c4c3eae7b4dbb1ec087782024-02-22T04:45:18ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2024-02-011110.3389/fsurg.2024.12649661264966Correlation analysis and clinical significance of changes in upper thoracic vertebra tilt and clavicle angle pre- and post-operationZhensong Jiang0Haoyu Wang1Ran Cui2Xingpeng Wang3Yunhui Wang4Mingtong Sun5Fushuai Peng6Tao Li7Weimin Zhang8Wen Zhang9Department of Spine Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Spine Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaCenter for Reproductive Medicine, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaDepartment of Spine Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Spine Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Spine Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Spine Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Spine Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Spine Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaDepartment of Spine Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, ChinaThe imbalance of the lateral shoulder is reflected by the clavicle angle (CA) in radiology. It remains unclear how to achieve postoperative lateral shoulder balance (LSB) after spinal deformity correction surgery. A retrospective analysis was conducted on AIS patients who underwent surgery by the same spine surgeon at our hospital from 2016 to 2020. A total of 110 patients with spinal deformity were included in the study to verify the correlation between the T1–T5 tilt angle and CA before and after surgery, as well as the relation-ship between the change in T1–T5 tilt angle before and after surgery and the change in CA before and after surgery. By comparing the correlation coefficients, it was found that there may not be a direct relationship between the pre- and postoperative tilt angles of T1–5 and CA, but their changes were closely related to the changes in CA. The change in T1 tilt angle after orthopaedic surgery was significantly correlated with the change in CA, with a correlation coefficient of 0.976, indicating a close relationship between T1 and the clavicle. As the vertebrae moved down, the correlation gradually decreased. In summary, this study suggests that there is a close relationship between T1–T5 and the clavicle and that the change in T1 tilt angle after spinal scoliosis correction surgery is significantly correlated with CA, which decreases as the vertebra moves down.https://www.frontiersin.org/articles/10.3389/fsurg.2024.1264966/fulllateral shoulder balanceupper instrumented vertebra tiltclavicle anglescoliosiscorrection surgery |
| spellingShingle | Zhensong Jiang Haoyu Wang Ran Cui Xingpeng Wang Yunhui Wang Mingtong Sun Fushuai Peng Tao Li Weimin Zhang Wen Zhang Correlation analysis and clinical significance of changes in upper thoracic vertebra tilt and clavicle angle pre- and post-operation Frontiers in Surgery lateral shoulder balance upper instrumented vertebra tilt clavicle angle scoliosis correction surgery |
| title | Correlation analysis and clinical significance of changes in upper thoracic vertebra tilt and clavicle angle pre- and post-operation |
| title_full | Correlation analysis and clinical significance of changes in upper thoracic vertebra tilt and clavicle angle pre- and post-operation |
| title_fullStr | Correlation analysis and clinical significance of changes in upper thoracic vertebra tilt and clavicle angle pre- and post-operation |
| title_full_unstemmed | Correlation analysis and clinical significance of changes in upper thoracic vertebra tilt and clavicle angle pre- and post-operation |
| title_short | Correlation analysis and clinical significance of changes in upper thoracic vertebra tilt and clavicle angle pre- and post-operation |
| title_sort | correlation analysis and clinical significance of changes in upper thoracic vertebra tilt and clavicle angle pre and post operation |
| topic | lateral shoulder balance upper instrumented vertebra tilt clavicle angle scoliosis correction surgery |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2024.1264966/full |
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