Upper and lower cervical alignment parameters measured on supine magnetic resonance imaging with the occipital slope as a key marker of cervical alignment

Objectives: Cervical spine alignment is evaluated by measuring the cervical angles or parameters on standing plain radiography. In this study, we aimed to evaluate mainly the upper cervical alignment and the correlation between upper and lower cervical sagittal parameters measured on supine magnetic...

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Main Authors: Hamza Karabag, Ahmet Celal Iplikcioglu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Journal of Craniovertebral Junction and Spine
Subjects:
Online Access:http://www.jcvjs.com/article.asp?issn=0974-8237;year=2024;volume=15;issue=1;spage=61;epage=65;aulast=Karabag
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author Hamza Karabag
Ahmet Celal Iplikcioglu
author_facet Hamza Karabag
Ahmet Celal Iplikcioglu
author_sort Hamza Karabag
collection DOAJ
description Objectives: Cervical spine alignment is evaluated by measuring the cervical angles or parameters on standing plain radiography. In this study, we aimed to evaluate mainly the upper cervical alignment and the correlation between upper and lower cervical sagittal parameters measured on supine magnetic resonance imaging (MRI). Materials and Methods: Cervical MRIs of 210 outpatients were reviewed to measure the upper and lower cervical sagittal parameters. Their mean values were compared with normative values measured on standing X-ray from the literature. Correlations between the parameters were analyzed using the Pearson's correlation coefficient. Results: The C0 slope was correlated with all other parameters, except for the C2–7 sagittal vertical axis. The strongest correlations (r > 0.500) were between the CL and C2 slope, between the CO2 and C0 slope, and between the C2 slope and C0 slope. Conclusion: On supine MRI, the C0 slope is a key marker of cervical spinal alignment. A strong correlation was observed between the C2 slope and C0 slope; therefore, the relationship between upper and lower cervical alignment could be assessed using slopes on MRI.
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spelling doaj.art-7092c2d8305f47f696c8718bfe4580572024-04-04T14:33:06ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372024-01-01151616510.4103/jcvjs.jcvjs_185_23Upper and lower cervical alignment parameters measured on supine magnetic resonance imaging with the occipital slope as a key marker of cervical alignmentHamza KarabagAhmet Celal IplikciogluObjectives: Cervical spine alignment is evaluated by measuring the cervical angles or parameters on standing plain radiography. In this study, we aimed to evaluate mainly the upper cervical alignment and the correlation between upper and lower cervical sagittal parameters measured on supine magnetic resonance imaging (MRI). Materials and Methods: Cervical MRIs of 210 outpatients were reviewed to measure the upper and lower cervical sagittal parameters. Their mean values were compared with normative values measured on standing X-ray from the literature. Correlations between the parameters were analyzed using the Pearson's correlation coefficient. Results: The C0 slope was correlated with all other parameters, except for the C2–7 sagittal vertical axis. The strongest correlations (r > 0.500) were between the CL and C2 slope, between the CO2 and C0 slope, and between the C2 slope and C0 slope. Conclusion: On supine MRI, the C0 slope is a key marker of cervical spinal alignment. A strong correlation was observed between the C2 slope and C0 slope; therefore, the relationship between upper and lower cervical alignment could be assessed using slopes on MRI.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2024;volume=15;issue=1;spage=61;epage=65;aulast=Karabagcervical lordosiscervical sagittal parameterscervical spinemagnetic resonance imagingsupine position
spellingShingle Hamza Karabag
Ahmet Celal Iplikcioglu
Upper and lower cervical alignment parameters measured on supine magnetic resonance imaging with the occipital slope as a key marker of cervical alignment
Journal of Craniovertebral Junction and Spine
cervical lordosis
cervical sagittal parameters
cervical spine
magnetic resonance imaging
supine position
title Upper and lower cervical alignment parameters measured on supine magnetic resonance imaging with the occipital slope as a key marker of cervical alignment
title_full Upper and lower cervical alignment parameters measured on supine magnetic resonance imaging with the occipital slope as a key marker of cervical alignment
title_fullStr Upper and lower cervical alignment parameters measured on supine magnetic resonance imaging with the occipital slope as a key marker of cervical alignment
title_full_unstemmed Upper and lower cervical alignment parameters measured on supine magnetic resonance imaging with the occipital slope as a key marker of cervical alignment
title_short Upper and lower cervical alignment parameters measured on supine magnetic resonance imaging with the occipital slope as a key marker of cervical alignment
title_sort upper and lower cervical alignment parameters measured on supine magnetic resonance imaging with the occipital slope as a key marker of cervical alignment
topic cervical lordosis
cervical sagittal parameters
cervical spine
magnetic resonance imaging
supine position
url http://www.jcvjs.com/article.asp?issn=0974-8237;year=2024;volume=15;issue=1;spage=61;epage=65;aulast=Karabag
work_keys_str_mv AT hamzakarabag upperandlowercervicalalignmentparametersmeasuredonsupinemagneticresonanceimagingwiththeoccipitalslopeasakeymarkerofcervicalalignment
AT ahmetcelaliplikcioglu upperandlowercervicalalignmentparametersmeasuredonsupinemagneticresonanceimagingwiththeoccipitalslopeasakeymarkerofcervicalalignment