The Obeid-coronal malalignment classification is reliable and helps guiding decision-making and surgical management of adult spinal deformities: letter to the editor of BMC Musculoskeletal Disorders

Author:

Bourghli AnouarORCID,Boissière Louis,Obeid Ibrahim

Abstract

AbstractA recently published article by Zhang et al. in BMC Musculoskeletal Disorders reported that the classification of coronal deformity based on preoperative global coronal malalignment for adult spinal deformity is questionable. The aim of the paper was to specifically discredit the Obeid-Coronal Malalignment (O-CM) classification. In this correspondence, we thought it judicious to clarify misunderstood concepts by the authors. We highlight several limitations of their study, and explain the deep interest of the classification from our perspective in order to avoid misleading the readers. Overarching, we aim to help the colleagues through a constructive rather than destructive approach to better understand the foundations of a coronal malalignment classification.

Publisher

Springer Science and Business Media LLC

Subject

Orthopedics and Sports Medicine,Rheumatology

Reference11 articles.

1. Zhang J, Yu Y, Gao S, Hai Y, Wu B, Su X, Wang Z. The classification of coronal deformity based on preoperative global coronal malalignment for adult spinal deformity is questionable. BMC Musculoskelet Disord. 2022;23:300. https://doi.org/10.1186/s12891-022-05246-4.

2. Obeid I, Berjano P, Lamartina C, Chopin D, Boissiere L, Bourghli A. Classification of coronal imbalance in adult scoliosis and spine deformity: a treatment-oriented guideline. Eur Spine J. 2019;28:94–113. https://doi.org/10.1007/s00586-018-5826-3.

3. Sun W, Zhou J, Qin X, Xu L, Yuan X, Li Y, Qiu Y, Zhu Z. Grayscale inversion radiographic view provided improved intra- and inter-observer reliabilities in measuring spinopelvic parameters in asymptomatic adult population. BMC Musculoskelet Disord. 2016;17:411. https://doi.org/10.1186/s12891-016-1269-3.

4. Ohlendorf D, Kruger D, Christian W, Ackermann H, Keil F, Oremek G, Maurer-Grubinger C, Groneberg DA. Standard reference values of the upper body posture in healthy male adults aged between 51 and 60 years in Germany. Sci Rep. 2022;12:6961. https://doi.org/10.1038/s41598-022-10917-2.

5. Hayashi K, Boissiere L, Cawley DT, Larrieu D, Kieser D, Berjano P, Lamartina C, Gupta M, Silvestre C, Protopsaltis T, Bourghli A, Pellise F, Annis P, Papadopoulos EC, Kreichati G, Pizones J, Nakamura H, Ames CP, Obeid I. A new classification for coronal malalignment in adult spinal deformity: a validation and the role of lateral bending radiographs. Eur Spine J. 2020;29:2287–94. https://doi.org/10.1007/s00586-020-06513-5.

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