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Record W4413552212 · doi:10.5435/jaaos-d-25-00019

Current Concepts of Sagittal Alignment in Adult Cervical Deformity

2025· article· en· W4413552212 on OpenAlexaff
Zeeshan M. Sardar, Justin L. Reyes, Josephine R. Coury, K. Daniel Riew

Bibliographic record

VenueJournal of the American Academy of Orthopaedic Surgeons · 2025
Typearticle
Languageen
FieldMedicine
TopicScoliosis diagnosis and treatment
Canadian institutionsObject Research Systems (Canada)
Fundersnot available
KeywordsMedicineDeformitySagittal planeSpinal deformityCervical spineCervical vertebraeOrthodonticsSurgeryAnatomy

Abstract

fetched live from OpenAlex

Spinopelvic sagittal alignment has been shown to play an important role in pediatric and adult thoracolumbar spinal deformity. However, less is understood about the importance of sagittal alignment in the cervical spine and patients with adult cervical deformity. The purpose of this review article is to provide a comprehensive overview of contemporary principles pertaining to adult cervical deformity. Upper cervical parameters, regional cervical parameters, cervical shape classifications, and cervical deformity classifications will be reviewed based on the current literature.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.004
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.004
Threshold uncertainty score0.011

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.004
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0040.003
Science and technology studies0.0010.003
Scholarly communication0.0020.003
Open science0.0020.001
Research integrity0.0010.003
Insufficient payload (model declined to judge)0.0030.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.021
GPT teacher head0.345
Teacher spread0.324 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes1
Has abstractyes

Explore more

Same venueJournal of the American Academy of Orthopaedic SurgeonsSame topicScoliosis diagnosis and treatmentFrench-language works237,207