A recent study in the European Spine Journal investigates how thoracic vertebrae and pelvic geometry affect kyphosis and postural balance. The research was led by Zekiye Karaca Bozdag, a Visiting Scholar from Turkey, under the supervision of Abduelmenem Alashkham, along with an international team of collaborators. Using CT scans of 120 adults, the study measured vertebral volumes, spinous process angles and pelvic parameters like pelvic incidence, sacral slope, and pelvic tilt. Findings show that kyphosis is linked not just to spinal curvature but also to pelvic asymmetry. Simple measurements such as femoral head height differences >5.1 mm and iliac spine height differences >3.8 mm reliably predict kyphotic risk. Older adults (≥60 years) exhibited greater spinal and pelvic changes, emphasising early detection. The study underscores the importance of evaluating both spine and pelvis to guide personalised treatment and improve postural outcomes.The article can be accessed via https://pubmed.ncbi.nlm.nih.gov/41369753/ Publication date 03 Mar, 2026
