Severe Thoracic Kyphosis in the Older Patient in the Absence of Vertebral Fracture: Association of Extreme Curve with Age
Walter S. Bartynskia,
Matthew T. Hellera,
Stephen Z. Grahovaca,
William E. Rothfusa and
Marcia Kurs-Laskyb
a Department of Radiology, Division of Neuroradiology, University of Pittsburgh Medical Center, Presbyterian University Hospital, Pittsburgh, PA
b Department of Biostatistics, Graduate School of Public Health, Pittsburgh, PA
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FIG 1. Workstation measurement of thoracic spine Cobb angle.
A, Initial angles placed perpendicular to the upper vertebral endplate of T2 (black arrow) and lower vertebral endplate of T12 (white arrow) with the angle measurement function available on the Stentor workstation system.
B, Cobb angle measurement obtained by angle measurement of the intersection between perpendiculars to the vertebral endplates (black arrowhead).
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FIG 2. TKA for men and women >65 years of age.
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FIG 5. Lateral chest radiograph of a 70-year-old man with an extreme thoracic kyphotic angle (65° Cobb angle) but no vertebral body compression or angulation.
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FIG 6. Age distribution for men >65 years of age.
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FIG 7. Age distribution for women >65 years of age.
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FIG 8. Lateral chest radiograph of a 77-year-old woman with degenerative disk disease and asymmetric disk height loss (white arrows) contributing to increased thoracic kyphotic angle (56° Cobb angle).
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