The TIA is formed where the T1 vertical line of the upper endplate (from the center of the T-1 upper endplate) meets with the line formed between the upper end of the manubrium and the center of the T-1 upper endplate. Several published papers confirmed that T1 slope and the other cervical parameters are highly correlated with cervical sagittal balance 1) 2)
Schematic drawing of the measured angles of the cervicothoracic spine segments. a: Neck tilt; b: T1 slope; c: Thoracic inlet angle; d: C2 C7 angle.