{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T02:15:53Z","timestamp":1787969753893,"version":"build-2784847793"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2021,5,22]],"date-time":"2021-05-22T00:00:00Z","timestamp":1621641600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,5,22]],"date-time":"2021-05-22T00:00:00Z","timestamp":1621641600000},"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":[[2021,7]]},"DOI":"10.1007\/s00586-021-06875-4","type":"journal-article","created":{"date-parts":[[2021,5,22]],"date-time":"2021-05-22T11:02:31Z","timestamp":1621681351000},"page":"1988-1997","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Proximal junctional kyphosis is a rebalancing spinal phenomenon due to insufficient postoperative thoracic kyphosis after adolescent idiopathic scoliosis surgery"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4192-0543","authenticated-orcid":false,"given":"Jean-Luc","family":"Cl\u00e9ment","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastien","family":"Pesenti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brice","family":"Ilharreborde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Morin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yann-Philippe","family":"Charles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henri-Fran\u00e7ois","family":"Parent","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Violas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Szadkowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Boissi\u00e8re","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Solla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,5,22]]},"reference":[{"key":"6875_CR1","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1097\/00007632-199904150-00011","volume":"24","author":"GA Lee","year":"1999","unstructured":"Lee GA, Betz RR, Huss G, GK, (1999) Proximal kyphosis after posterior spinal fusion in patients with idiopathic scoliosis. Spine 24:795\u2013799. https:\/\/doi.org\/10.1097\/00007632-199904150-00011","journal-title":"Spine"},{"key":"6875_CR2","doi-asserted-by":"publisher","first-page":"1643","DOI":"10.1097\/01.brs.0000169451.76359.49","volume":"30","author":"RC Glattes","year":"2005","unstructured":"Glattes RC, Bridwell KH, Lenke LG, Kim YJ, Rinella A II, Edwards C (2005) Proximal junctional kyphosis in adult spinal deformity following long instrumented posterior spinal fusion: incidence, outcomes, and risk factor analysis. Spine 30:1643\u20131649. https:\/\/doi.org\/10.1097\/01.brs.0000169451.76359.49","journal-title":"Spine"},{"key":"6875_CR3","doi-asserted-by":"publisher","first-page":"2045","DOI":"10.1097\/01.brs.0000179084.45839.ad","volume":"30","author":"YJ Kim","year":"2005","unstructured":"Kim YJ, Bridwell KH, Lenke LG, Kim J, Cho SK (2005) Proximal junctional kyphosis in adolescent idiopathic scoliosis following segmental posterior spinal instrumentation and fusion. Minimum 5-year follow-up. Spine 30:2045\u20132050. https:\/\/doi.org\/10.1097\/01.brs.0000179084.45839.ad","journal-title":"Spine"},{"key":"6875_CR4","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1016\/j.injury.2010.01.001","volume":"41","author":"J Wang","year":"2010","unstructured":"Wang J, Zhao Y, Shen B, Wang C, Li M (2010) Risk factor analysis of proximal junctional kyphosis after posterior fusion in patients with idiopathic scoliosis. Injury 41:415\u2013420. https:\/\/doi.org\/10.1016\/j.injury.2010.01.001","journal-title":"Injury"},{"key":"6875_CR5","doi-asserted-by":"publisher","first-page":"2376","DOI":"10.1007\/s00586-016-4534-0","volume":"25","author":"FY Liu","year":"2016","unstructured":"Liu FY, Wang T, Yang SD, Wang H, Yang DL, Ding WY (2016) Incidence and risk factors for proximal junctional kyphosis: a meta-analysis. Eur Spine J 25:2376\u20132383. https:\/\/doi.org\/10.1007\/s00586-016-4534-0","journal-title":"Eur Spine J"},{"key":"6875_CR6","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1016\/j.jspd.2016.10.003","volume":"5","author":"SB Lonner","year":"2017","unstructured":"Lonner SB, Ren Y, Newton PO, Shah SA, Samdani AF, AF, Shufflebarger HL, Asghar J Paul Sponseller P, Betz RR, Yaszay B. (2017) Risk factors of proximal junctional kyphosis in adolescent Idiopathic scoliosis-the pelvis and other considerations. Spine Deform 5:181\u2013188. https:\/\/doi.org\/10.1016\/j.jspd.2016.10.003","journal-title":"Spine Deform"},{"key":"6875_CR7","doi-asserted-by":"publisher","first-page":"2241","DOI":"10.1007\/s00586-018-5640-y","volume":"27","author":"E Ferrero","year":"2018","unstructured":"Ferrero E, Bocahut N, Lefevre Y, Roussouly P, Pesenti S, Lakhal W, al, (2018) Proximal junctional kyphosis in thoracic adolescent idiopathic scoliosis: risk factors and compensatory mechanisms in a multicenter national cohort. Eur Spine J 27:2241\u20132250. https:\/\/doi.org\/10.1007\/s00586-018-5640-y","journal-title":"Eur Spine J"},{"issue":"Suppl 1","key":"6875_CR8","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1007\/s00586-020-06320-y","volume":"29","author":"M Cerpa","year":"2020","unstructured":"Cerpa M, Sardar Z, Lenke L (2020) Revision surgery in proximal junctional kyphosis. Eur Spine J 29(Suppl 1):78\u201385. https:\/\/doi.org\/10.1007\/s00586-020-06320-y","journal-title":"Eur Spine J"},{"issue":"4","key":"6875_CR9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2106\/JBJS.RVW.18.00059","volume":"7","author":"PA Mika","year":"2019","unstructured":"Mika PA, Mesfin A, Rubery PT, Molinari R, Kebaish K, Menga EN (2019) Proximal junctional kyphosis. A pediatric and adult spinal deformity surgery dilemma. JBJS Rev 7(4):1\u201311. https:\/\/doi.org\/10.2106\/JBJS.RVW.18.00059","journal-title":"JBJS Rev"},{"issue":"15","key":"6875_CR10","doi-asserted-by":"publisher","first-page":"1675","DOI":"10.1097\/BRS.0b013e31817b5bea","volume":"33","author":"SM Hollenbeck","year":"2008","unstructured":"Hollenbeck SM, Glattes RC, Asher MA, Lai SM, Burton DC (2008) The prevalence of increased proximal junctional flexion following posterior instrumentation and arthrodesis for adolescent idiopathic scoliosis. Spine 33(15):1675\u20131681. https:\/\/doi.org\/10.1097\/BRS.0b013e31817b5bea","journal-title":"Spine"},{"issue":"Suppl 1","key":"6875_CR11","doi-asserted-by":"publisher","first-page":"S48","DOI":"10.1007\/s00586-018-5472-9","volume":"27","author":"B Ilharreborde","year":"2018","unstructured":"Ilharreborde B (2018) Sagittal balance and idiopathic scoliosis: does final sagittal alignment influence outcomes, degeneration rate or failure rate? Eur Spine J 27(Suppl 1):S48\u2013S58. https:\/\/doi.org\/10.1007\/s00586-018-5472-9","journal-title":"Eur Spine J"},{"key":"6875_CR12","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1016\/j.jspd.2018.06.014","volume":"7","author":"A Alzakri","year":"2019","unstructured":"Alzakri A, Vergari C, den Abbeele V, Gille O, Skalli W, Obeid I (2019) Global sagittal alignment and proximal junctional kyphosis in adolescent idiopathic scoliosis. Spine Deform 7:236\u2013244. https:\/\/doi.org\/10.1016\/j.jspd.2018.06.014","journal-title":"Spine Deform"},{"key":"6875_CR13","doi-asserted-by":"publisher","first-page":"796","DOI":"10.1097\/00004694-200011000-00019","volume":"20","author":"EH Boseker","year":"2000","unstructured":"Boseker EH, Moe JH, Winter RB, Koop SE (2000) Determination of \u201cNormal\u201d thoracic kyphosis: a roentgenographic study of 121 \u201cNormal\u201d children. J Pediatr Orthop 20:796\u2013798. https:\/\/doi.org\/10.1097\/00004694-200011000-00019","journal-title":"J Pediatr Orthop"},{"key":"6875_CR14","doi-asserted-by":"publisher","first-page":"1661","DOI":"10.2106\/JBJS.16.01594","volume":"99","author":"C Yilgor","year":"2017","unstructured":"Yilgor C, Sogunmez N, Boissi\u00e8re L et al (2017) Global Alignment and Proportion (GAP) Score: development and validation of a new method of analyzing spinopelvic alignment to predict mechanical complications after adult spinal deformity surgery. J Bone Joint Surg 99:1661\u20131672. https:\/\/doi.org\/10.2106\/JBJS.16.01594","journal-title":"J Bone Joint Surg"},{"key":"6875_CR15","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-018-1992-z","author":"S Liu","year":"2018","unstructured":"Liu S, Zhang Y, Bao H, Yan P, Zhu Z, Liu Z, Qian B, Qiu Y (2018) Could pelvic parameters determine optimal postoperative thoracic kyphosis in Lenke type 1 AIS patients? Musculoskelet Disord. https:\/\/doi.org\/10.1186\/s12891-018-1992-z","journal-title":"Musculoskelet Disord"},{"key":"6875_CR16","doi-asserted-by":"publisher","first-page":"3066","DOI":"10.1007\/s00586-019-06093-z","volume":"28","author":"DA Rothenfluh","year":"2019","unstructured":"Rothenfluh DA, Stratton A, Nnadi C, Beresford-Cleary N (2019) A critical thoracic kyphosis is required to prevent sagittal plan deterioration in selective thoracic fusions in Lenke I and II AIS. Eur Spine J 28:3066\u20133075. https:\/\/doi.org\/10.1007\/s00586-019-06093-z","journal-title":"Eur Spine J"},{"key":"6875_CR17","doi-asserted-by":"publisher","first-page":"2281","DOI":"10.1007\/s00586-020-06373-z","volume":"29","author":"JL Clement","year":"2020","unstructured":"Clement JL, Solla F, Amorese V, Oborocianu Rosello O, Rampal V (2020) Lumbopelvic parameters can be used to predict thoracic kyphosis in adolescent. Eur Spine J 29:2281\u20132286. https:\/\/doi.org\/10.1007\/s00586-020-06373-z","journal-title":"Eur Spine J"},{"key":"6875_CR18","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1097\/01.BRS.0000107233.99835.A4","volume":"29","author":"JP Steib","year":"2004","unstructured":"Steib JP, Dumas R, Mitton D, Skalli W (2004) Surgical correction of scoliosis by in situ contouring: a detorsion analysis. Spine 29:193\u2013199. https:\/\/doi.org\/10.1097\/01.BRS.0000107233.99835.A4","journal-title":"Spine"},{"issue":"14","key":"6875_CR19","doi-asserted-by":"publisher","first-page":"1579","DOI":"10.1097\/BRS.0b013e31817886be","volume":"33","author":"JL Clement","year":"2008","unstructured":"Clement JL, Chau E, Kimkpe C, Vallade MJ (2008) Restoration of thoracic kyphosis by posterior instrumentation in adolescent idiopathic scoliosis: comparative radiographic analysis of two methods of reduction. Spine 33(14):1579\u20131587. https:\/\/doi.org\/10.1097\/BRS.0b013e31817886be","journal-title":"Spine"},{"key":"6875_CR20","doi-asserted-by":"publisher","first-page":"2382","DOI":"10.1007\/s00586-013-2776-7","volume":"22","author":"B Ilharreborde","year":"2013","unstructured":"Ilharreborde B, Sebag G, Skalli W, Mazda K (2013) Adolescent idiopathic scoliosis treated with posteromedial translation: radiologic evaluation with a 3D low-dose system. Eur Spine J 22:2382\u20132391. https:\/\/doi.org\/10.1007\/s00586-013-2776-7","journal-title":"Eur Spine J"},{"key":"6875_CR21","doi-asserted-by":"publisher","first-page":"E209","DOI":"10.1097\/BSD.0000000000000621","volume":"31","author":"J Allia","year":"2018","unstructured":"Allia J, Cl\u00e9ment JL, Rampal V, Leloutre B, Rosello O, Solla F (2018) Influence of derotation connectors on 3D surgical correction of adolescent idiopathic scoliosis. Clin Spine Surg 31:E209\u2013E215. https:\/\/doi.org\/10.1097\/BSD.0000000000000621","journal-title":"Clin Spine Surg"},{"key":"6875_CR22","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1097\/BSD.0000000000000695","volume":"31","author":"F Solla","year":"2018","unstructured":"Solla F, Tran A, Bertoncelli D, Musoff C, Bertoncelli CM (2018) Why a P-value is not enough. Clin Spine Surg 31:385\u2013388. https:\/\/doi.org\/10.1097\/BSD.0000000000000695","journal-title":"Clin Spine Surg"},{"key":"6875_CR23","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1007\/s00586-018-5740-8","volume":"28","author":"JL Clement","year":"2019","unstructured":"Clement JL, Pelletier Y, Solla F, Rampal V (2019) Surgical increase of thoracic kyphosis increases unfused lumbar lordosis in selective fusion for thoracic adolescent idiopathic scoliosis. Eur Spine J 28:581\u2013583. https:\/\/doi.org\/10.1007\/s00586-018-5740-8","journal-title":"Eur Spine J"},{"key":"6875_CR24","doi-asserted-by":"publisher","first-page":"1705","DOI":"10.1097\/BRS.0000000000003165","volume":"44","author":"T Shimizu","year":"2019","unstructured":"Shimizu T, Cerpa M, Lehman RA, Sielatycki JA, Pongmanee S, Lenke LG (2019) Reciprocal change in sagittal profiles after adolescent idiopathic scoliosis surgery with segmental pedicle screw construct. A full-body x-ray analysis. Spine 44:1705\u20132171. https:\/\/doi.org\/10.1097\/BRS.0000000000003165","journal-title":"Spine"},{"key":"6875_CR25","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1302\/1863-2548.14.200155","volume":"14","author":"DA Burton","year":"2020","unstructured":"Burton DA, Karkenny AJ, Schulz JF, Hanstein R, Gomez JA (2020) Sagittal spinopelvic changes after posterior spinal fusion in adolescent idiopathic scoliosis. J Child Orthop 14:544\u2013553. https:\/\/doi.org\/10.1302\/1863-2548.14.200155","journal-title":"J Child Orthop"}],"container-title":["European Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-021-06875-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00586-021-06875-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-021-06875-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,23]],"date-time":"2021-07-23T10:06:00Z","timestamp":1627034760000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00586-021-06875-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,22]]},"references-count":25,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,7]]}},"alternative-id":["6875"],"URL":"https:\/\/doi.org\/10.1007\/s00586-021-06875-4","relation":{},"ISSN":["0940-6719","1432-0932"],"issn-type":[{"value":"0940-6719","type":"print"},{"value":"1432-0932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,22]]},"assertion":[{"value":"24 January 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 May 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 May 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declaration"}},{"value":"All procedures were in accordance with the ethical standards of the authors\u2019 Institutional Review Board (CPP: Committee for the Protection of Persons; n\u00b02017728v0) and with the 1964 Helsinki declaration and its later amendments. The authors declare that they have no competing interests related to this work.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}