{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T22:47:54Z","timestamp":1775602074639,"version":"3.50.1"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T00:00:00Z","timestamp":1601942400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T00:00:00Z","timestamp":1601942400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Spine J"],"published-print":{"date-parts":[[2020,12]]},"DOI":"10.1007\/s00586-020-06616-z","type":"journal-article","created":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T22:03:03Z","timestamp":1602021783000},"page":"3018-3027","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["L5 pedicle subtraction osteotomy maintains good radiological and clinical outcomes in elderly patients with a rigid kyphosis deformity: a more than 2-year follow-up report"],"prefix":"10.1007","volume":"29","author":[{"given":"Hiroki","family":"Ushirozako","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6219-431X","authenticated-orcid":false,"given":"Tomohiko","family":"Hasegawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Yamato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Go","family":"Yoshida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuya","family":"Yasuda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomohiro","family":"Banno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideyuki","family":"Arima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shin","family":"Oe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuki","family":"Mihara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomohiro","family":"Yamada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichiro","family":"Ide","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuh","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keichi","family":"Nakai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukihiro","family":"Matsuyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,10,6]]},"reference":[{"key":"6616_CR1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-019-06255-z","author":"H Funao","year":"2020","unstructured":"Funao H, Kebaish FN, Skolasky RL, Kebaish KM (2020) Clinical results and functional outcomes after three-column osteotomy at L5 or the sacrum in adult spinal deformity. Eur Spine J. https:\/\/doi.org\/10.1007\/s00586-019-06255-z","journal-title":"Eur Spine J"},{"key":"6616_CR2","doi-asserted-by":"publisher","first-page":"644","DOI":"10.1007\/s00586-017-5403-1","volume":"27","author":"A Alzakri","year":"2018","unstructured":"Alzakri A, Boissiere L, Cawley DT, Bourghli A, Pointillart V, Gille O, Vital JM, Obeid I (2018) L5 pedicle subtraction osteotomy: indication, surgical technique and specificities. Eur Spine J 27:644\u2013651. https:\/\/doi.org\/10.1007\/s00586-017-5403-1","journal-title":"Eur Spine J"},{"key":"6616_CR3","doi-asserted-by":"publisher","first-page":"S171","DOI":"10.1097\/01.brs.0000231963.72810.38","volume":"31","author":"KH Bridwell","year":"2006","unstructured":"Bridwell KH (2006) Decision making regarding Smith-Petersen versus pedicle subtraction osteotomy versus vertebral column resection for spinal deformity. Spine 31:S171\u2013178. https:\/\/doi.org\/10.1097\/01.brs.0000231963.72810.38","journal-title":"Spine"},{"key":"6616_CR4","doi-asserted-by":"publisher","first-page":"1667","DOI":"10.1097\/BRS.0b013e3182552fd0","volume":"37","author":"KT Kim","year":"2012","unstructured":"Kim KT, Lee SH, Suk KS, Lee JH, Jeong BO (2012) Outcome of pedicle subtraction osteotomies for fixed sagittal imbalance of multiple etiologies: a retrospective review of 140 patients. Spine 37:1667\u20131675. https:\/\/doi.org\/10.1097\/BRS.0b013e3182552fd0","journal-title":"Spine"},{"key":"6616_CR5","doi-asserted-by":"publisher","first-page":"44","DOI":"10.2106\/00004623-200403001-00007","volume":"86","author":"KH Bridwell","year":"2004","unstructured":"Bridwell KH, Lewis SJ, Rinella A, Lenke LG, Baldus C, Blanke K (2004) Pedicle subtraction osteotomy for the treatment of fixed sagittal imbalance. Surg Tech J Bone Joint Surg Am 86:44\u201350. https:\/\/doi.org\/10.2106\/00004623-200403001-00007","journal-title":"Surg Tech J Bone Joint Surg Am"},{"key":"6616_CR6","doi-asserted-by":"publisher","first-page":"1959","DOI":"10.2106\/JBJS.N.00187","volume":"96","author":"HJ Kim","year":"2014","unstructured":"Kim HJ, Yi JM, Cho HG, Chang BS, Lee CK, Kim JH, Yeom JS (2014) Comparative study of the treatment outcomes of osteoporotic compression fractures without neurologic injury using a rigid brace, a soft brace, and no brace: a prospective randomized controlled non-inferiority trial. J Bone Joint Surg Am 96:1959\u20131966. https:\/\/doi.org\/10.2106\/JBJS.N.00187","journal-title":"J Bone Joint Surg Am"},{"key":"6616_CR7","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-020-06300-2","author":"T Hasegawa","year":"2020","unstructured":"Hasegawa T, Ushirozako H, Yamato Y, Togawa D, Yoshida G, Kobayashi S, Yasuda T, Banno T, Arima H, Oe S, Yamada T, Ide K, Watanabe Y, Matsuyama Y (2020) Impact of adult spinal deformity corrective surgery in patients with the symptoms of gastroesophageal reflux disease: a 5-year follow-up report. Eur Spine J. https:\/\/doi.org\/10.1007\/s00586-020-06300-2","journal-title":"Eur Spine J"},{"key":"6616_CR8","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 25:2940\u20132952. https:\/\/doi.org\/10.1097\/00007632-200011150-00017(discussion 2952)","journal-title":"Spine"},{"key":"6616_CR9","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1097\/01.brs.0000153393.82368.6b","volume":"30","author":"KH Bridwell","year":"2005","unstructured":"Bridwell KH, Cats-Baril W, Harrast J, Berven S, Glassman S, Farcy JP, Horton WC, Lenke LG, Baldus C, Radake T (2005) The validity of the SRS-22 instrument in an adult spinal deformity population compared with the Oswestry and SF-12: a study of response distribution, concurrent validity, internal consistency, and reliability. Spine 30:455\u2013461. https:\/\/doi.org\/10.1097\/01.brs.0000153393.82368.6b","journal-title":"Spine"},{"key":"6616_CR10","doi-asserted-by":"publisher","first-page":"E1024","DOI":"10.1097\/BRS.0000000000002047","volume":"42","author":"T Banno","year":"2017","unstructured":"Banno T, Hasegawa T, Yamato Y, Kobayashi S, Togawa D, Oe S, Mihara Y, Matsuyama Y (2017) Prevalence and risk factors of iliac screw loosening after adult spinal deformity surgery. Spine 42:E1024\u2013E1030. https:\/\/doi.org\/10.1097\/BRS.0000000000002047","journal-title":"Spine"},{"issue":"Suppl 1","key":"6616_CR11","doi-asserted-by":"publisher","first-page":"S11","DOI":"10.1007\/s00590-014-1471-7","volume":"24","author":"B Diebo","year":"2014","unstructured":"Diebo B, Liu S, Lafage V, Schwab F (2014) Osteotomies in the treatment of spinal deformities: indications, classification, and surgical planning. Eur J Orthop Surg Traumatol 24(Suppl 1):S11\u201320. https:\/\/doi.org\/10.1007\/s00590-014-1471-7","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"6616_CR12","doi-asserted-by":"publisher","first-page":"132","DOI":"10.1016\/j.jspd.2018.05.015","volume":"7","author":"G Yoshida","year":"2019","unstructured":"Yoshida G, Ushirozako H, Kobayashi S, Hasegawa T, Yamato Y, Banno T, Oe S, Arima H, Mihara Y, Yasuda T, Togawa D, Matsuyama Y (2019) Intraoperative neuromonitoring during adult spinal deformity surgery: alert-positive cases for various surgical procedures. Spine Deform 7:132\u2013140. https:\/\/doi.org\/10.1016\/j.jspd.2018.05.015","journal-title":"Spine Deform"},{"key":"6616_CR13","doi-asserted-by":"publisher","first-page":"639","DOI":"10.31616\/asj.2018.12.4.639","volume":"12","author":"H Ushirozako","year":"2018","unstructured":"Ushirozako H, Yoshida G, Kobayashi S, Hasegawa T, Yamato Y, Yasuda T, Banno T, Arima H, Oe S, Mihara Y, Togawa D, Matsuyama Y (2018) Transcranial motor evoked potential monitoring for the detection of nerve root injury during adult spinal deformity surgery. Asian Spine J 12:639\u2013647. https:\/\/doi.org\/10.31616\/asj.2018.12.4.639","journal-title":"Asian Spine J"},{"key":"6616_CR14","doi-asserted-by":"publisher","first-page":"1339","DOI":"10.1007\/s00586-013-2711-y","volume":"22","author":"L Boissiere","year":"2013","unstructured":"Boissiere L, Bourghli A, Vital JM, Gille O, Obeid I (2013) The lumbar lordosis index: a new ratio to detect spinal malalignment with a therapeutic impact for sagittal balance correction decisions in adult scoliosis surgery. Eur Spine J 22:1339\u20131345. https:\/\/doi.org\/10.1007\/s00586-013-2711-y","journal-title":"Eur Spine J"},{"key":"6616_CR15","doi-asserted-by":"publisher","first-page":"346","DOI":"10.1097\/01.brs.0000152379.54463.65","volume":"30","author":"P Roussouly","year":"2005","unstructured":"Roussouly P, Gollogly S, Berthonnaud E, Dimnet J (2005) Classification of the normal variation in the sagittal alignment of the human lumbar spine and pelvis in the standing position. Spine 30:346\u2013353. https:\/\/doi.org\/10.1097\/01.brs.0000152379.54463.65","journal-title":"Spine"},{"issue":"Suppl 1","key":"6616_CR16","doi-asserted-by":"publisher","first-page":"S83","DOI":"10.1007\/s00586-014-3660-9","volume":"24","author":"I Obeid","year":"2015","unstructured":"Obeid I, Boissiere L, Vital JM, Bourghli A (2015) Osteotomy of the spine for multifocal deformities. Eur Spine J 24(Suppl 1):S83\u201392. https:\/\/doi.org\/10.1007\/s00586-014-3660-9","journal-title":"Eur Spine J"},{"issue":"Suppl 1","key":"6616_CR17","doi-asserted-by":"publisher","first-page":"S21","DOI":"10.1007\/s00590-014-1470-8","volume":"24","author":"C Barrey","year":"2014","unstructured":"Barrey C, Perrin G, Michel F, Vital JM, Obeid I (2014) Pedicle subtraction osteotomy in the lumbar spine: indications, technical aspects, results and complications. Eur J Orthop Surg Traumatol 24(Suppl 1):S21\u201330. https:\/\/doi.org\/10.1007\/s00590-014-1470-8","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"6616_CR18","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1097\/BRS.0000000000002411","volume":"43","author":"G Yoshida","year":"2018","unstructured":"Yoshida G, Hasegawa T, Yamato Y, Kobayashi S, Oe S, Banno T, Mihara Y, Arima H, Ushirozako H, Yasuda T, Togawa D, Matsuyama Y (2018) Predicting perioperative complications in adult spinal deformity surgery using a simple sliding scale. Spine 43:562\u2013570. https:\/\/doi.org\/10.1097\/BRS.0000000000002411","journal-title":"Spine"},{"key":"6616_CR19","doi-asserted-by":"publisher","first-page":"59","DOI":"10.3171\/2017.9.SPINE17525","volume":"29","author":"Y Yamato","year":"2018","unstructured":"Yamato Y, Hasegawa T, Kobayashi S, Yasuda T, Togawa D, Yoshida G, Banno T, Oe S, Mihara Y, Matsuyama Y (2018) Treatment strategy for rod fractures following corrective fusion surgery in adult spinal deformity depends on symptoms and local alignment change. J Neurosurg Spine 29:59\u201367. https:\/\/doi.org\/10.3171\/2017.9.SPINE17525","journal-title":"J Neurosurg Spine"},{"key":"6616_CR20","doi-asserted-by":"publisher","DOI":"10.1007\/s43390-020-00071-y","author":"Y Yamato","year":"2020","unstructured":"Yamato Y, Hasegawa T, Togawa D, Yoshida G, Banno T, Arima H, Oe S, Mihara Y, Ushirozako H, Yasuda T, Matsuyama Y (2020) Long additional rod constructs can reduce the incidence of rod fractures following 3-column osteotomy with pelvic fixation in short term. Spine Deform. https:\/\/doi.org\/10.1007\/s43390-020-00071-y","journal-title":"Spine Deform"},{"key":"6616_CR21","doi-asserted-by":"publisher","first-page":"E1469","DOI":"10.1097\/BRS.0b013e3182a51d43","volume":"38","author":"K Maruo","year":"2013","unstructured":"Maruo K, Ha Y, Inoue S, Samuel S, Okada E, Hu SS, Deviren V, Burch S, William S, Ames CP, Mummaneni PV, Chou D, Berven SH (2013) Predictive factors for proximal junctional kyphosis in long fusions to the sacrum in adult spinal deformity. Spine 38:E1469\u20131476. https:\/\/doi.org\/10.1097\/BRS.0b013e3182a51d43","journal-title":"Spine"},{"key":"6616_CR22","doi-asserted-by":"publisher","DOI":"10.3171\/2018.9.SPINE18239","author":"JH Nguyen","year":"2019","unstructured":"Nguyen JH, Buell TJ, Wang TR, Mullin JP, Mazur MD, Garces J, Taylor DG, Yen CP, Shaffrey CI, Smith JS (2019) Low rates of complications after spinopelvic fixation with iliac screws in 260 adult patients with a minimum 2-year follow-up. J Neurosurg Spine. https:\/\/doi.org\/10.3171\/2018.9.SPINE18239","journal-title":"J Neurosurg Spine"},{"key":"6616_CR23","doi-asserted-by":"publisher","first-page":"E607","DOI":"10.1097\/BRS.0000000000000266","volume":"39","author":"M Yagi","year":"2014","unstructured":"Yagi M, Rahm M, Gaines R, Maziad A, Ross T, Kim HJ, Kebaish K, Boachie-Adjei O, Complex Spine Study G (2014) Characterization and surgical outcomes of proximal junctional failure in surgically treated patients with adult spinal deformity. Spine 39:E607\u2013614. https:\/\/doi.org\/10.1097\/BRS.0000000000000266","journal-title":"Spine"},{"key":"6616_CR24","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1016\/j.jspd.2018.12.007","volume":"7","author":"S Oe","year":"2019","unstructured":"Oe S, Togawa D, Hasegawa T, Yamato Y, Yoshida G, Kobayashi S, Yasuda T, Banno T, Arima H, Mihara Y, Ushirozako H, Matsuyama Y (2019) The risk of proximal junctional kyphosis decreases in patients with optimal thoracic kyphosis. Spine Deform 7:759\u2013770. https:\/\/doi.org\/10.1016\/j.jspd.2018.12.007","journal-title":"Spine Deform"},{"key":"6616_CR25","doi-asserted-by":"publisher","first-page":"1889","DOI":"10.1007\/s00586-019-06083-1","volume":"28","author":"JC Le Huec","year":"2019","unstructured":"Le Huec JC, Thompson W, Mohsinaly Y, Barrey C, Faundez A (2019) Sagittal balance of the spine. Eur Spine J 28:1889\u20131905. https:\/\/doi.org\/10.1007\/s00586-019-06083-1","journal-title":"Eur Spine J"}],"container-title":["European Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-020-06616-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00586-020-06616-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-020-06616-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,6]],"date-time":"2021-10-06T05:43:17Z","timestamp":1633498997000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00586-020-06616-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,6]]},"references-count":25,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["6616"],"URL":"https:\/\/doi.org\/10.1007\/s00586-020-06616-z","relation":{},"ISSN":["0940-6719","1432-0932"],"issn-type":[{"value":"0940-6719","type":"print"},{"value":"1432-0932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,6]]},"assertion":[{"value":"27 April 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 August 2020","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 September 2020","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 October 2020","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":"Dr. Yamato and Dr. Oe work for a donation-funded laboratory called the \u201cDivision of Geriatric Musculoskeletal Health\u201d. Donations to this laboratory were received from Medtronic Sofamor Danek, Inc., Japan Medical Dynamic Marketing, Inc., and Meitoku Medical Institution Jyuzen Memorial Hospital. The other authors declare no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"Patients signed informed consent regarding publishing their data and photographs.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The study protocol was approved by the Institutional Review Board of Hamamatsu University School of Medicine (No. 14-306). The study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}