Table 5.
Stratification by change in TK | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Post-OP | Change (Δ) | ||||||||||
Decrease | Stable | Increase | p | Decrease | Stable | Increase | p | Decrease | Stable | Increase | p | |
SS | 40.7 ± 12.7 | 39.6 ± 11.3 | 41.1 ± 9.5 | 0.835 | 45.9 ± 13.1 | 38.9 ± 12.1 | 41.1 ± 9.9 | 0.231 | 5.1 ± 5.2 | −0.6 ± 6.5 | 0.1 ± 6.9 | 0.054 |
PT | 12.4 ± 11.8 | 12.5 ± 7.2 | 11.8 ± 8.0 | 0.930 | 8.2 ± 12.8 | 13.3 ± 7.6 | 11.2 ± 9.0 | 0.272 | −4.2 ± 5.6 | 0.8 ± 6.5 | −0.6 ± 6.5 | 0.103 |
PI | 53.2 ± 18.2 | 52.1 ± 14.5 | 52.9 ± 12.2 | 0.964 | 54.1 ± 17.5 | 52.2 ± 13.9 | 52.4 ± 12.2 | 0.929 | 0.9 ± 1.8 | 0.1 ± 1.4 | −0.5 ± 2.2 | 0.072 |
PI-LL | −9.4 ± 14.3 | −7.6 ± 11.1 | −1.6 ± 13.2 | 0.071 | −2.6 ± 17.7 | −4.0 ± 12.5 | −5.0 ± 12.7 | 0.867 | 6.8 ± 9.5 | 3.6 ± 11.2 | −3.4 ± 9.0 | 0.002 |
LL | 62.6 ± 14.6 | 59.7 ± 12.5 | 54.5 ± 12.4 | 0.098 | 56.7 ± 16.2 | 56.2 ± 13.2 | 57.3 ± 13.5 | 0.945 | −5.9 ± 8.8 | −3.5 ± 11.2 | 2.8 ± 9.1 | 0.008 |
TK | −48.5 ± 11.8 | −43.6 ± 14.0 | −28.5 ± 16.4 | 0.000 | −30.7 ± 8.8 | −41.5 ± 13.2 | −41.0 ± 16.5 | 0.104 | 17.9 ± 7.0 | 2.0 ± 4.4 | −12.5 ± 5.3 | 0.000 |
SVA | 21.4 ± 44.6 | −1.4 ± 47.5 | −1.8 ± 45.8 | 0.342 | 34.0 ± 60.5 | −7.2 ± 37.5 | −4.0 ± 44.4 | 0.034 | 12.6 ± 73.3 | −5.8 ± 51.8 | −2.2 ± 40.1 | 0.594 |
T1SPI | −2.7 ± 5.7 | −4.6 ± 4.5 | −4.2 ± 3.7 | 0.463 | −0.6 ± 4.5 | −5.3 ± 3.4 | −4.5 ± 3.9 | 0.004 | 2.1 ± 6.1 | −0.6 ± 5.0 | −0.3 ± 3.8 | 0.253 |
TPA | 9.7 ± 7.9 | 8.0 ± 6.0 | 7.6 ± 8.4 | 0.737 | 7.6 ± 12.6 | 8.1 ± 7.2 | 6.8 ± 9.0 | 0.818 | −2.1 ± 6.9 | 0.2 ± 6.1 | −0.9 ± 6.1 | 0.572 |
T1Slope | 25.2 ± 12.5 | 23.6 ± 11.9 | 17.0 ± 11.2 | 0.029 | 19.9 ± 8.7 | 24.6 ± 11.7 | 23.3 ± 11.6 | 0.529 | −5.3 ± 8.5 | 0.9 ± 7.0 | 6.3 ± 6.2 | 0.000 |
C2-C7 | 7.8 ± 20.2 | −1.7 ± 16.2 | −4.3 ± 16.2 | 0.137 | 6.2 ± 8.7 | 2.2 ± 14.6 | 2.6 ± 16.1 | 0.799 | 0.6 ± 14.5 | 4.1 ± 12.7 | 7.7 ± 13.8 | 0.323 |
C2-C7 SVA | 33.7 ± 11.3 | 35.1 ± 19.1 | 29.0 ± 15.7 | 0.327 | 31.2 ± 23.0 | 35.5 ± 17.1 | 33.2 ± 15.5 | 0.733 | −1.3 ± 15.8 | 1.3 ± 15.8 | 4.0 ± 12.1 | 0.551 |
C2-T3 | 7.7 ± 22.1 | −4.5 ± 21.1 | −9.5 ± 17.4 | 0.053 | −0.6 ± 10.4 | −6.7 ± 19.2 | −3.8 ± 14.8 | 0.595 | −8.1 ± 22.5 | −1.0 ± 15.4 | 6.5 ± 11.7 | 0.019 |
C2-T3 SVA | 54.5 ± 18.8 | 59.4 ± 26.2 | 46.9 ± 22.1 | 0.105 | 52.8 ± 28.7 | 63.6 ± 28.7 | 57.3 ± 22.5 | 0.470 | −0.5 ± 20.4 | 4.7 ± 16.9 | 10.1 ± 14.6 | 0.176 |
C2-T1 – H | 17.8 ± 23.6 | 8.2 ± 18.2 | 3.4 ± 18.6 | 0.113 | 12.2 ± 8.1 | 12.7 ± 17.6 | 12.2 ± 19.4 | 0.992 | −3.8 ± 23.3 | 3.7 ± 13.6 | 10.1 ± 12.6 | 0.043 |
C2Slope | 16.3 ± 11.6 | 24.7 ± 12.8 | 21.2 ± 10.6 | 0.138 | 14.5 ± 11.0 | 22.4 ± 11.9 | 20.6 ± 10.7 | 0.217 | −3.8 ± 9.5 | −2.4 ± 10.9 | −1.1 ± 12.0 | 0.798 |
C0Slope | −1.1 ± 4.4 | 0.3 ± 6.9 | −1.3 ± 7.5 | 0.762 | −0.6 ± 7.4 | −2.8 ± 6.9 | − 2.4 ± 10.1 | 0.898 | − 2.1 ± 7.2 | −3.0 ± 7.3 | −6.7 ± 10.2 | 0.534 |
C0-C2 | 18.3 ± 12.3 | 23.2 ± 8.1 | 22.8 ± 9.1 | 0.562 | 13.0 ± 14.5 | 23.1 ± 8.8 | 21.9 ± 7.9 | 0.099 | −5.1 ± 3.3 | −1.9 ± 7.6 | − 1.9 ± 9.8 | 0.824 |
MGSlope | 5.3 ± 4.5 | 5.2 ± 6.6 | 3.2 ± 6.9 | 0.673 | 4.7 ± 7.1 | 2.8 ± 6.4 | 3.2 ± 9.9 | 0.921 | −4.3 ± 7.0 | −3.1 ± 7.6 | −7.2 ± 10.5 | 0.601 |
SS sacral slope, PT pelvic tilt, PI Pelvic incidence, LL (L1 – S1) lumbar lordosis measured from L1 to S1, PI-LL pelvic incidence minus lumbar lordosis mismatch, TK (TK 2 – TK 12) thoracic kyphosis measured from TK 2 to TK 12, SVA sagittal vertical axis, T1SPi T1 spinopelvic inclination, TPA T1 pelvic angle; cranial: MGS McGregor Slope (line). C0S C0 Slope, C2S C2 Slope, C2-C0 angle; C2-C7 angle, C2-C7 SVA (SVA sagittal vertical axis), C2-T3 angle, C2-T3 SVA (SVA sagittal vertical axis), T1 Slope, MGS McGregor Slope (line); Δ parameter change pre- to post-operatively; data expressed as mean ± standard deviation; p statistical significance, p < 0.05