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April 27, 2026Computers in Biology and Medicine0 citationsOpen Access

Impact of Sagittal Alignment on Spinal Loading in Musculoskeletal Models

Healthy morphological variability in sagittal alignment modulates loading patterns in musculoskeletal spine modelling

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Authors

SBSimone BorrelliVBValentina BennaGPGiovanni Putame

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Overview

Randomized trial quantifies spinal load impact of morphological variability in healthy individuals, suggesting better modeling approaches.

Key Points

  • This research aims to quantify how healthy morphological variability in sagittal alignment influences spinal loading patterns in musculoskeletal models.
  • Used SSA4MSK tool to integrate subject-specific sagittal alignment into OpenSim models.
  • Analyzed 1586 spinal models derived from 122 female subjects across various Roussouly types.
  • Compared spinal load estimations between generic and subject-specific alignment models.
  • Generic models introduce systematic bias in compression up to ±15% across different morphotypes.
  • Compression underestimated by up to 80N for flat profiles (RT1) and overestimated for hyperlordotic profiles (RT4).
  • Lumbar apex position affects shear forces by up to 0.24N per unit body weight, highlighting the sensitivity of the thoracolumbar junction.

Cite This Study

Borrelli et al. (2026) studied this question.

synapsesocial.com/papers/69eefc6dfede9185760d3824https://doi.org/10.1016/j.compbiomed.2026.111704
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comprehensive assessment of global spinal sagittal alignment and related normal spinal loads in a healthy population2024 · 7 citations
  2. 2Musculoskeletal spine modeling in large patient cohorts: how morphological individualization affects lumbar load estimation2024 · 13 citations
  3. 3Relationship of sagittal spinal alignment with low back pain and physical performance in the general population2021 · 42 citations
  4. 4Dependence of lumbar loads on spinopelvic sagittal alignment: An evaluation based on musculoskeletal modeling2019 · 67 citations