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Coronal plane trunk asymmetry is associated with whole-body sagittal alignment in healthy young adolescents before pubertal peak growth

Overview of attention for article published in European Spine Journal, June 2017
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Title
Coronal plane trunk asymmetry is associated with whole-body sagittal alignment in healthy young adolescents before pubertal peak growth
Published in
European Spine Journal, June 2017
DOI 10.1007/s00586-017-5156-x
Pubmed ID
Authors

Mieke Dolphens, Andry Vleeming, René Castelein, Guy Vanderstraeten, Tom Schlösser, Frank Plasschaert, Lieven Danneels

Abstract

To investigate coronal plane trunk asymmetry (TA) and its association with sagittal postural alignment in healthy subjects before pubertal peak growth. In this cross-sectional baseline study, 1190 healthy pre-peak growth velocity subjects were included. Coronal plane TA was evaluated using back surface topography. Whole-body sagittal alignment (previously validated and objectively classified as neutral, sway-back or leaning-forward) and sagittal spinopelvic profile (trunk lean, lumbar lordosis, thoracic kyphosis, sacral inclination and length of the posteriorly inclined thoracolumbar segment) were determined, as were height, proportion of trunk to body length, body mass index, generalized joint laxity, and handedness. Logistic regression analysis yielded overall sagittal posture class to be independently associated with coronal plane TA: having a leaning-forward posture associated with a nearly three times higher odds of coronal TA (p < 0.001) compared to neutrals. A sway-back was 2.2 times more likely to show TA (p = 0.016) than a neutral, yet only in boys. Significant associations with coronal TA were also found for trunk lean, thoracic kyphosis and body mass index. These correlations, however, were gender and posture class specific. The spinal region where asymmetry is seen, varies according to the whole-body sagittal alignment type: primary thoracic curves were the most frequent in leaning-forwards, whereas primary curves in the lumbar or declive thoracolumbar segment were the most common in sway-backs. In immature spines without known scoliosis, coronal plane TA is associated with whole-body sagittal alignment. It is more often seen in non-neutral than neutral sagittal posture types. Whether adolescent idiopathic scoliosis is related with postural characteristics before pubertal growth peak, should be addressed in future prospective studies.

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Mendeley readers

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Geographical breakdown

Country Count As %
United Kingdom 1 2%
Unknown 47 98%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 6 13%
Student > Doctoral Student 5 10%
Student > Ph. D. Student 5 10%
Researcher 5 10%
Other 3 6%
Other 8 17%
Unknown 16 33%
Readers by discipline Count As %
Medicine and Dentistry 14 29%
Nursing and Health Professions 5 10%
Engineering 3 6%
Sports and Recreations 3 6%
Biochemistry, Genetics and Molecular Biology 2 4%
Other 4 8%
Unknown 17 35%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 13 November 2017.
All research outputs
#19,085,235
of 23,650,645 outputs
Outputs from European Spine Journal
#2,540
of 4,836 outputs
Outputs of similar age
#243,675
of 318,454 outputs
Outputs of similar age from European Spine Journal
#53
of 61 outputs
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