Which measurements are used to calculate the angle of maximum kyphosis?

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Measuring the angle of maximum kyphosis relies on capturing the slope at both ends of the thoracic curve. Place one inclinometer on the segment between the first and second thoracic vertebrae to assess the upper thoracic tilt, and place another on the segment between the twelfth thoracic and first lumbar vertebrae to assess the lower thoracic tilt. The kyphosis angle is obtained by adding these two readings, since the upper and lower parts tilt in opposite directions to create the overall forward-curving shape of the thoracic spine. This method specifically targets the thoracic region.

Using measurements from a cervicothoracic location would not reflect the thoracic curve properly, and subtracting the readings or using only a single inclinometer would fail to capture the full extent of the kyphotic curvature.