{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T15:57:32Z","timestamp":1765727852755,"version":"3.37.3"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2018,1,12]],"date-time":"2018-01-12T00:00:00Z","timestamp":1515715200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Spine J"],"published-print":{"date-parts":[[2018,3]]},"DOI":"10.1007\/s00586-017-5460-5","type":"journal-article","created":{"date-parts":[[2018,1,12]],"date-time":"2018-01-12T01:20:32Z","timestamp":1515720032000},"page":"670-677","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Xipho-pubic angle (XPA) correlates with patient\u2019s reported outcomes in a population of adult spinal deformity: results from a multi-center cohort study"],"prefix":"10.1007","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8639-8480","authenticated-orcid":false,"given":"Francesco","family":"Langella","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Hugo","family":"Villafa\u00f1e","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Virginie","family":"Lafage","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin S.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Shaffrey","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Han Jo","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas","family":"Burton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Hostin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shay","family":"Bess","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Ames","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory","family":"Mundis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Klineberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Schwab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renault","family":"Lafage","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Berjano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2018,1,12]]},"reference":[{"key":"5460_CR1","first-page":"479","volume":"1994","author":"J Dubousset","year":"1994","unstructured":"Dubousset J (1994) Three-dimensional analysis of the scoliotic deformity. Pediatr Spine 1994:479\u2013496","journal-title":"Pediatr Spine"},{"key":"5460_CR2","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1097\/BRS.0000000000001202","volume":"41","author":"S Bess","year":"2016","unstructured":"Bess S, Line B, Fu KM et al (2016) The health impact of symptomatic adult spinal deformity: comparison of deformity types to United States population norms and chronic diseases. Spine (Phila Pa 1976) 41:224\u2013233. \n                    https:\/\/doi.org\/10.1097\/brs.0000000000001202","journal-title":"Spine (Phila Pa 1976)"},{"key":"5460_CR3","doi-asserted-by":"publisher","first-page":"1082","DOI":"10.1097\/01.brs.0000160842.43482.cd","volume":"30","author":"F Schwab","year":"2005","unstructured":"Schwab F, Dubey A, Gamez L et al (2005) Adult scoliosis: prevalence, SF-36, and nutritional parameters in an elderly volunteer population. Spine (Phila Pa 1976) 30:1082\u20131085. \n                    https:\/\/doi.org\/10.1097\/01.brs.0000160842.43482.cd","journal-title":"Spine (Phila Pa 1976)"},{"key":"5460_CR4","doi-asserted-by":"publisher","first-page":"1077","DOI":"10.1097\/BRS.0b013e31823e15e2","volume":"37","author":"F Schwab","year":"2012","unstructured":"Schwab F, Ungar B, Blondel B et al (2012) Scoliosis Research Society-Schwab adult spinal deformity classification: a validation study. Spine (Phila Pa 1976) 37:1077\u20131082. \n                    https:\/\/doi.org\/10.1097\/brs.0b013e31823e15e2","journal-title":"Spine (Phila Pa 1976)"},{"key":"5460_CR5","doi-asserted-by":"publisher","first-page":"E599","DOI":"10.1097\/BRS.0b013e3181aad219","volume":"34","author":"V Lafage","year":"2009","unstructured":"Lafage V, Schwab F, Patel A et al (2009) Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity. Spine (Phila Pa 1976) 34:E599\u2013E606. \n                    https:\/\/doi.org\/10.1097\/brs.0b013e3181aad219","journal-title":"Spine (Phila Pa 1976)"},{"key":"5460_CR6","doi-asserted-by":"publisher","first-page":"S616","DOI":"10.1007\/s00586-014-3558-6","volume":"23","author":"D Garbossa","year":"2014","unstructured":"Garbossa D, Pejrona M, Damilano M et al (2014) Pelvic parameters and global spine balance for spine degenerative disease: The importance of containing for the well being of content. Eur Spine J 23:S616\u2013S627. \n                    https:\/\/doi.org\/10.1007\/s00586-014-3558-6","journal-title":"Eur Spine J"},{"key":"5460_CR7","doi-asserted-by":"publisher","first-page":"1177","DOI":"10.1007\/s00586-014-3227-9","volume":"23","author":"C Lamartina","year":"2014","unstructured":"Lamartina C, Berjano P (2014) Classification of sagittal imbalance based on spinal alignment and compensatory mechanisms. Eur Spine J 23:1177\u20131189. \n                    https:\/\/doi.org\/10.1007\/s00586-014-3227-9","journal-title":"Eur Spine J"},{"issue":"Suppl 3","key":"5460_CR8","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1007\/s00586-015-3929-7","volume":"24","author":"P Berjano","year":"2015","unstructured":"Berjano P, Langella F, Damilano M et al (2015) Fusion rate following extreme lateral lumbar interbody fusion. Eur Spine J 24(Suppl 3):369\u2013371. \n                    https:\/\/doi.org\/10.1007\/s00586-015-3929-7","journal-title":"Eur Spine J"},{"key":"5460_CR9","doi-asserted-by":"publisher","first-page":"612","DOI":"10.1097\/00007632-200203150-00010","volume":"27","author":"KT Kim","year":"2002","unstructured":"Kim KT, Suk KS, Cho YJ et al (2002) Clinical outcome results of pedicle subtraction osteotomy in ankylosing spondylitis with kyphotic deformity. Spine (Phila Pa 1976) 27:612\u2013618. \n                    https:\/\/doi.org\/10.1097\/00007632-200203150-00010","journal-title":"Spine (Phila Pa 1976)"},{"issue":"Suppl 1","key":"5460_CR10","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s00586-014-3653-8","volume":"24","author":"BG Diebo","year":"2015","unstructured":"Diebo BG, Henry J, Lafage V, Berjano P (2015) Sagittal deformities of the spine: factors influencing the outcomes and complications. Eur Spine J 24(Suppl 1):3\u201315. \n                    https:\/\/doi.org\/10.1007\/s00586-014-3653-8","journal-title":"Eur Spine J"},{"key":"5460_CR11","doi-asserted-by":"publisher","first-page":"1988","DOI":"10.1016\/j.spinee.2015.04.030","volume":"15","author":"C Liu","year":"2015","unstructured":"Liu C, Zheng G, Zhang Y et al (2015) The radiologic, clinical results and digestive function improvement in patients with ankylosing spondylitis kyphosis after pedicle subtraction osteotomy. Spine J 15:1988\u20131993. \n                    https:\/\/doi.org\/10.1016\/j.spinee.2015.04.030","journal-title":"Spine J"},{"key":"5460_CR12","unstructured":"Langella F, Villafa\u00f1e JH, Ismael M et al (2015) Reliability of the xipho-pubic angle in patients with sagittal imbalance of the spine. J Neurosurg Sci (Epub ahead of print)"},{"key":"5460_CR13","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1302\/0301-620X.79B1.1269","volume":"79","author":"M Grevitt","year":"1997","unstructured":"Grevitt M, Khazim R, Webb J et al (1997) The short form-36 health survey questionnaire in spine surgery. J Bone Joint Surg Br 79:48\u201352. \n                    https:\/\/doi.org\/10.1302\/0301-620X.79B1.1269","journal-title":"J Bone Joint Surg Br"},{"key":"5460_CR14","doi-asserted-by":"publisher","first-page":"2940","DOI":"10.1097\/00007632-200011150-00017","volume":"25","author":"JC Fairbank","year":"2000","unstructured":"Fairbank JC, Pynsent PB (2000) The Oswestry Disability Index. Spine (Phila Pa 1976) 25:2940\u20132952. \n                    https:\/\/doi.org\/10.1097\/00007632-200011150-00017\n                    \n                   (discussion 2952)","journal-title":"Spine (Phila Pa 1976)"},{"key":"5460_CR15","doi-asserted-by":"publisher","first-page":"2220","DOI":"10.1097\/BRS.0b013e31814cf120","volume":"32","author":"KH Bridwell","year":"2007","unstructured":"Bridwell KH, Berven S, Glassman SD et al (2007) Is the SRS-22 instrument responsive to change in adult scoliosis patients having primary spinal deformity surgery? Spine (Phila Pa 1976) 32:2220\u20132225. \n                    https:\/\/doi.org\/10.1097\/brs.0b013e31814cf120","journal-title":"Spine (Phila Pa 1976)"},{"key":"5460_CR16","unstructured":"Rillardon L, Levassor N, Guigui P et al (2003) Validation of a tool to measure pelvic and spinal parameters of sagittal balance. Rev Chir orthop{\u00e9}dique r{\u00e9}paratrice l\u2019appareil Mot 89:218\u2013227"},{"key":"5460_CR17","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1007\/s00586-003-0593-0","volume":"12","author":"M Benoist","year":"2003","unstructured":"Benoist M (2003) Natural history of the aging spine. Eur Spine J 12:86\u201390. \n                    https:\/\/doi.org\/10.1007\/s00586-003-0593-0","journal-title":"Eur Spine J"},{"key":"5460_CR18","doi-asserted-by":"publisher","first-page":"2024","DOI":"10.1097\/01.brs.0000179086.30449.96","volume":"30","author":"SD Glassman","year":"2005","unstructured":"Glassman SD, Bridwell K, Dimar JR et al (2005) The impact of positive sagittal balance in adult spinal deformity. Spine (Phila Pa 1976) 30:2024\u20132029. \n                    https:\/\/doi.org\/10.1097\/01.brs.0000179086.30449.96","journal-title":"Spine (Phila Pa 1976)"},{"key":"5460_CR19","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1097\/BRS.0000000000001171","volume":"41","author":"R Lafage","year":"2016","unstructured":"Lafage R, Schwab F, Challier V et al (2016) Defining Spino-Pelvic Alignment Thresholds. Spine (Phila Pa 1976) 41:62\u201368. \n                    https:\/\/doi.org\/10.1097\/brs.0000000000001171","journal-title":"Spine (Phila Pa 1976)"},{"issue":"Suppl 6","key":"5460_CR20","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1007\/s00586-014-3556-8","volume":"23","author":"P Berjano","year":"2014","unstructured":"Berjano P, Langella F, Ismael M-F et al (2014) Successful correction of sagittal imbalance can be calculated on the basis of pelvic incidence and age. Eur Spine J 23(Suppl 6):587\u2013596. \n                    https:\/\/doi.org\/10.1007\/s00586-014-3556-8","journal-title":"Eur Spine J"},{"key":"5460_CR21","doi-asserted-by":"publisher","first-page":"1631","DOI":"10.2106\/JBJS.M.01459","volume":"96","author":"TS Protopsaltis","year":"2014","unstructured":"Protopsaltis TS, Schwab FJ, Bronsard N et al (2014) The t1 pelvic angle, a novel radiographic measure of global sagittal deformity, accounts for both spinal inclination and pelvic tilt and correlates with health-related quality of life. J Bone Joint Surg Am 96:1631\u20131640. \n                    https:\/\/doi.org\/10.2106\/JBJS.M.01459","journal-title":"J Bone Joint Surg Am"},{"key":"5460_CR22","doi-asserted-by":"publisher","first-page":"1663","DOI":"10.1097\/BRS.0b013e31829ec563","volume":"38","author":"JS Smith","year":"2013","unstructured":"Smith JS, Klineberg E, Schwab F et al (2013) Change in classification grade by the SRS-Schwab adult spinal deformity classification predicts impact on health-related quality of life measures. Spine (Phila Pa 1976) 38:1663\u20131671. \n                    https:\/\/doi.org\/10.1097\/brs.0b013e31829ec563","journal-title":"Spine (Phila Pa 1976)"},{"key":"5460_CR23","doi-asserted-by":"publisher","first-page":"E1244","DOI":"10.1097\/BRS.0000000000001112","volume":"40","author":"ML Ji","year":"2015","unstructured":"Ji ML, Qian BP, Qiu Y et al (2015) Change in abdominal morphology after surgical correction of thoracolumbar kyphosis secondary to ankylosing spondylitis: a computed tomographic study. Spine (Phila Pa 1976) 40:E1244\u2013E1249. \n                    https:\/\/doi.org\/10.1097\/brs.0000000000001112","journal-title":"Spine (Phila Pa 1976)"},{"key":"5460_CR24","doi-asserted-by":"publisher","first-page":"E1361","DOI":"10.1097\/BRS.0b013e3182a3d046","volume":"38","author":"M Ji","year":"2013","unstructured":"Ji M, Qian B, Qiu Y et al (2013) Change of aortic length after closing-opening wedge osteotomy for patients with ankylosing spondylitis with thoracolumbar kyphosis. Spine (Phila Pa 1976) 38:E1361\u2013E1367. \n                    https:\/\/doi.org\/10.1097\/brs.0b013e3182a3d046","journal-title":"Spine (Phila Pa 1976)"},{"key":"5460_CR25","doi-asserted-by":"publisher","first-page":"E1035","DOI":"10.1097\/BRS.0000000000001004","volume":"40","author":"R Krishnakumar","year":"2015","unstructured":"Krishnakumar R, Lenke LG (2015) \u201cSternum-Into-Abdomen\u201d deformity with abdominal compression following osteoporotic vertebral compression fractures managed By 2-level vertebral column resection and reconstruction. Spine (Phila Pa 1976) 40:E1035\u2013E1039. \n                    https:\/\/doi.org\/10.1097\/brs.0000000000001004","journal-title":"Spine (Phila Pa 1976)"},{"key":"5460_CR26","doi-asserted-by":"publisher","first-page":"1203","DOI":"10.1097\/BRS.0000000000000382","volume":"39","author":"DJ Ryan","year":"2014","unstructured":"Ryan DJ, Protopsaltis TS, Ames CP et al (2014) T1 pelvic angle (TPA) effectively evaluates sagittal deformity and assesses radiographical surgical outcomes longitudinally. Spine (Phila Pa 1976) 39:1203\u20131210. \n                    https:\/\/doi.org\/10.1097\/brs.0000000000000382","journal-title":"Spine (Phila Pa 1976)"},{"key":"5460_CR27","doi-asserted-by":"publisher","first-page":"1096","DOI":"10.1097\/BRS.0b013e3181f8c931","volume":"36","author":"CE Johnston","year":"2011","unstructured":"Johnston CE, Richards BS, Sucato DJ et al (2011) Correlation of preoperative deformity magnitude and pulmonary function tests in adolescent idiopathic scoliosis. Spine (Phila Pa 1976) 36:1096\u20131102. \n                    https:\/\/doi.org\/10.1097\/brs.0b013e3181f8c931","journal-title":"Spine (Phila Pa 1976)"},{"key":"5460_CR28","doi-asserted-by":"publisher","first-page":"290-e1","DOI":"10.1016\/j.forsciint.2011.11.034","volume":"219","author":"R Bongiovanni","year":"2012","unstructured":"Bongiovanni R, Spradley MK (2012) Estimating sex of the human skeleton based on metrics of the sternum. Forensic Sci Int 219:290-e1. \n                    https:\/\/doi.org\/10.1016\/j.forsciint.2011.11.034","journal-title":"Forensic Sci Int"}],"container-title":["European Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00586-017-5460-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-017-5460-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-017-5460-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,1,11]],"date-time":"2019-01-11T20:05:51Z","timestamp":1547237151000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00586-017-5460-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,12]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018,3]]}},"alternative-id":["5460"],"URL":"https:\/\/doi.org\/10.1007\/s00586-017-5460-5","relation":{},"ISSN":["0940-6719","1432-0932"],"issn-type":[{"type":"print","value":"0940-6719"},{"type":"electronic","value":"1432-0932"}],"subject":[],"published":{"date-parts":[[2018,1,12]]},"assertion":[{"value":"11 September 2017","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 November 2017","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 December 2017","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 January 2018","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"On behalf of all authors, the corresponding author states that there is no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}