{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:41:40Z","timestamp":1790685700781,"version":"4.1.0"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T00:00:00Z","timestamp":1668470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T00:00:00Z","timestamp":1668470400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Spine J"],"published-print":{"date-parts":[[2023,2]]},"DOI":"10.1007\/s00586-022-07445-y","type":"journal-article","created":{"date-parts":[[2022,11,15]],"date-time":"2022-11-15T20:20:49Z","timestamp":1668543649000},"page":"562-570","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["The age-specific normative values of standing whole-body sagittal alignment parameters in healthy adults: based on international multicenter data"],"prefix":"10.1007","volume":"32","author":[{"given":"Jun","family":"Ouchida","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0039-9678","authenticated-orcid":false,"given":"Hiroaki","family":"Nakashima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tokumi","family":"Kanemura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masashi","family":"Okamoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shun","family":"Hatsushikano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiro","family":"Imagama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Charles","family":"Le Huec","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Hasegawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,11,15]]},"reference":[{"key":"7445_CR1","doi-asserted-by":"publisher","first-page":"3675","DOI":"10.1007\/s00586-016-4702-2","volume":"25","author":"K Hasegawa","year":"2016","unstructured":"Hasegawa K, Okamoto M, Hatsushikano S, Shimoda H, Ono M, Watanabe K (2016) Normative values of spino-pelvic sagittal alignment, balance, age, and health-related quality of life in a cohort of healthy adult subjects. Eur Spine J 25:3675\u20133686. https:\/\/doi.org\/10.1007\/s00586-016-4702-2","journal-title":"Eur Spine J"},{"key":"7445_CR2","doi-asserted-by":"publisher","first-page":"1631","DOI":"10.2106\/JBJS.M.01459","volume":"96","author":"T Protopsaltis","year":"2014","unstructured":"Protopsaltis T, Schwab F, Bronsard N, Smith JS, Klineberg E, Mundis G, Ryan DJ, Hostin R, Hart R, Burton D (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. JBJS 96:1631\u20131640","journal-title":"JBJS"},{"key":"7445_CR3","doi-asserted-by":"publisher","first-page":"2167","DOI":"10.1007\/s00586-016-4757-0","volume":"26","author":"YC Kim","year":"2017","unstructured":"Kim YC, Lenke LG, Lee SJ, Gum JL, Wilartratsami S, Blanke KM (2017) The cranial sagittal vertical axis (CrSVA) is a better radiographic measure to predict clinical outcomes in adult spinal deformity surgery than the C7 SVA: a monocentric study. Eur Spine J 26:2167\u20132175. https:\/\/doi.org\/10.1007\/s00586-016-4757-0","journal-title":"Eur Spine J"},{"key":"7445_CR4","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1007\/s00264-014-2516-6","volume":"39","author":"JC Le Huec","year":"2015","unstructured":"Le Huec JC, Faundez A, Dominguez D, Hoffmeyer P, Aunoble S (2015) Evidence showing the relationship between sagittal balance and clinical outcomes in surgical treatment of degenerative spinal diseases: a literature review. Int Orthop 39:87\u201395. https:\/\/doi.org\/10.1007\/s00264-014-2516-6","journal-title":"Int Orthop"},{"key":"7445_CR5","doi-asserted-by":"publisher","first-page":"1359","DOI":"10.1302\/0301-620X.102B10.BJJ-2019-1581.R2","volume":"102","author":"K Hasegawa","year":"2020","unstructured":"Hasegawa K, Okamoto M, Hatsushikano S, Watanabe K, Ohashi M, Vital J-M, Dubousset J (2020) Compensation for standing posture by whole-body sagittal alignment in relation to health-related quality of life. Bone Joint J 102:1359\u20131367","journal-title":"Bone Joint J"},{"key":"7445_CR6","doi-asserted-by":"publisher","first-page":"849","DOI":"10.1007\/s00586-012-2591-6","volume":"22","author":"A Harroud","year":"2013","unstructured":"Harroud A, Labelle H, Joncas J, Mac-Thiong JM (2013) Global sagittal alignment and health-related quality of life in lumbosacral spondylolisthesis. Eur Spine J 22:849\u2013856. https:\/\/doi.org\/10.1007\/s00586-012-2591-6","journal-title":"Eur Spine J"},{"key":"7445_CR7","doi-asserted-by":"publisher","first-page":"1828","DOI":"10.1097\/BRS.0b013e3181a13c08","volume":"34","author":"F Schwab","year":"2009","unstructured":"Schwab F, Lafage V, Patel A, Farcy J-P (2009) Sagittal plane considerations and the pelvis in the adult patient. Spine 34:1828\u20131833","journal-title":"Spine"},{"key":"7445_CR8","doi-asserted-by":"publisher","first-page":"2442","DOI":"10.1007\/s00586-016-4616-z","volume":"25","author":"M Takemoto","year":"2016","unstructured":"Takemoto M, Boissiere L, Novoa F, Vital JM, Pellise F, Perez-Grueso FJ, Kleinstuck F, Acaroglu ER, Alanay A, Obeid I, Obeid I (2016) Sagittal malalignment has a significant association with postoperative leg pain in adult spinal deformity patients. Eur Spine J 25:2442\u20132451. https:\/\/doi.org\/10.1007\/s00586-016-4616-z","journal-title":"Eur Spine J"},{"key":"7445_CR9","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1007\/s00586-016-4830-8","volume":"27","author":"C Amabile","year":"2018","unstructured":"Amabile C, Le Huec JC, Skalli W (2018) Invariance of head-pelvis alignment and compensatory mechanisms for asymptomatic adults older than 49 years. Eur Spine J 27:458\u2013466. https:\/\/doi.org\/10.1007\/s00586-016-4830-8","journal-title":"Eur Spine J"},{"key":"7445_CR10","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1111\/joa.12586","volume":"230","author":"K Hasegawa","year":"2017","unstructured":"Hasegawa K, Okamoto M, Hatsushikano S, Shimoda H, Ono M, Homma T, Watanabe K (2017) Standing sagittal alignment of the whole axial skeleton with reference to the gravity line in humans. J Anat 230:619\u2013630. https:\/\/doi.org\/10.1111\/joa.12586","journal-title":"J Anat"},{"key":"7445_CR11","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1007\/s00586-011-1936-x","volume":"20","author":"I Obeid","year":"2011","unstructured":"Obeid I, Hauger O, Aunoble S, Bourghli A, Pellet N, Vital J-M (2011) Global analysis of sagittal spinal alignment in major deformities: correlation between lack of lumbar lordosis and flexion of the knee. Eur Spine J 20:681","journal-title":"Eur Spine J"},{"key":"7445_CR12","doi-asserted-by":"publisher","first-page":"653","DOI":"10.1097\/BRS.0000000000001863","volume":"42","author":"CM Jalai","year":"2017","unstructured":"Jalai CM, Cruz DL, Diebo BG, Poorman G, Lafage R, Bess S, Ramchandran S, Day LM, Vira S, Liabaud B, Henry JK, Schwab FJ, Lafage V, Passias PG (2017) Full-body analysis of age-adjusted alignment in adult spinal deformity patients and lower-limb compensation. Spine 42:653\u2013661. https:\/\/doi.org\/10.1097\/BRS.0000000000001863","journal-title":"Spine"},{"key":"7445_CR13","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1007\/s00586-016-4807-7","volume":"27","author":"Y Yukawa","year":"2018","unstructured":"Yukawa Y, Kato F, Suda K, Yamagata M, Ueta T, Yoshida M (2018) Normative data for parameters of sagittal spinal alignment in healthy subjects: an analysis of gender specific differences and changes with aging in 626 asymptomatic individuals. Eur Spine J 27:426\u2013432. https:\/\/doi.org\/10.1007\/s00586-016-4807-7","journal-title":"Eur Spine J"},{"issue":"Suppl 5","key":"7445_CR14","doi-asserted-by":"publisher","first-page":"626","DOI":"10.1007\/s00586-011-1930-3","volume":"20","author":"C Barrey","year":"2011","unstructured":"Barrey C, Roussouly P, Perrin G, Le Huec JC (2011) Sagittal balance disorders in severe degenerative spine: can we identify the compensatory mechanisms? Eur Spine J 20(Suppl 5):626\u2013633. https:\/\/doi.org\/10.1007\/s00586-011-1930-3","journal-title":"Eur Spine J"},{"key":"7445_CR15","doi-asserted-by":"publisher","first-page":"713","DOI":"10.1007\/s00590-016-1833-4","volume":"26","author":"JY Lazennec","year":"2016","unstructured":"Lazennec JY, Folinais D, Bendaya S, Rousseau MA, Pour AE (2016) The global alignment in patients with lumbar spinal stenosis: our experience using the EOS full-body images. Eur J Orthop Surg Traumatol Orthop Traumatol 26:713\u2013724. https:\/\/doi.org\/10.1007\/s00590-016-1833-4","journal-title":"Eur J Orthop Surg Traumatol Orthop Traumatol"},{"key":"7445_CR16","doi-asserted-by":"publisher","first-page":"3630","DOI":"10.1007\/s00586-016-4485-5","volume":"25","author":"JC Le Huec","year":"2016","unstructured":"Le Huec JC, Hasegawa K (2016) Normative values for the spine shape parameters using 3D standing analysis from a database of 268 asymptomatic Caucasian and Japanese subjects. Eur Spine J 25:3630\u20133637. https:\/\/doi.org\/10.1007\/s00586-016-4485-5","journal-title":"Eur Spine J"},{"key":"7445_CR17","doi-asserted-by":"publisher","first-page":"1826","DOI":"10.1097\/BRS.0000000000001642","volume":"41","author":"S Iyer","year":"2016","unstructured":"Iyer S, Lenke LG, Nemani VM, Albert TJ, Sides BA, Metz LN, Cunningham ME, Kim HJ (2016) Variations in sagittal alignment parameters based on age: a prospective study of asymptomatic volunteers using full-body radiographs. Spine 41:1826\u20131836","journal-title":"Spine"},{"key":"7445_CR18","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\u20132953","journal-title":"Spine"},{"key":"7445_CR19","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1007\/BF02368136","volume":"20","author":"G Duval-Beaupere","year":"1992","unstructured":"Duval-Beaupere G, Schmidt C, Cosson P (1992) A Barycentremetric study of the sagittal shape of spine and pelvis: the conditions required for an economic standing position. Ann Biomed Eng 20:451\u2013462","journal-title":"Ann Biomed Eng"},{"key":"7445_CR20","doi-asserted-by":"publisher","first-page":"912","DOI":"10.1002\/ar.23577","volume":"300","author":"C Tardieu","year":"2017","unstructured":"Tardieu C, Hasegawa K, Haeusler M (2017) How did the pelvis and vertebral column become a functional unit during the transition from occasional to permanent bipedalism? Anatom Record 300:912\u2013931. https:\/\/doi.org\/10.1002\/ar.23577","journal-title":"Anatom Record"},{"issue":"Suppl 5","key":"7445_CR21","doi-asserted-by":"publisher","first-page":"558","DOI":"10.1007\/s00586-011-1939-7","volume":"20","author":"JC Le Huec","year":"2011","unstructured":"Le Huec JC, Saddiki R, Franke J, Rigal J, Aunoble S (2011) Equilibrium of the human body and the gravity line: the basics. Eur Spine J 20(Suppl 5):558\u2013563. https:\/\/doi.org\/10.1007\/s00586-011-1939-7","journal-title":"Eur Spine J"},{"key":"7445_CR22","doi-asserted-by":"publisher","first-page":"682","DOI":"10.1097\/01.brs.0000155425.04536.f7","volume":"30","author":"SD Glassman","year":"2005","unstructured":"Glassman SD, Berven S, Bridwell K, Horton W, Dimar JR (2005) Correlation of radiographic parameters and clinical symptoms in adult scoliosis. Spine 30:682\u2013688","journal-title":"Spine"},{"key":"7445_CR23","doi-asserted-by":"publisher","first-page":"1391","DOI":"10.1097\/BRS.0b013e3182518a15","volume":"37","author":"DA Glaser","year":"2012","unstructured":"Glaser DA, Doan J, Newton PO (2012) Comparison of 3-dimensional spinal reconstruction accuracy: biplanar radiographs with EOS versus computed tomography. Spine 37:1391\u20131397. https:\/\/doi.org\/10.1097\/BRS.0b013e3182518a15","journal-title":"Spine"},{"key":"7445_CR24","doi-asserted-by":"publisher","first-page":"3666","DOI":"10.1007\/s00586-016-4552-y","volume":"25","author":"C Amabile","year":"2016","unstructured":"Amabile C, Pillet H, Lafage V, Barrey C, Vital JM, Skalli W (2016) A new quasi-invariant parameter characterizing the postural alignment of young asymptomatic adults. Eur Spine J 25:3666\u20133674. https:\/\/doi.org\/10.1007\/s00586-016-4552-y","journal-title":"Eur Spine J"},{"key":"7445_CR25","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1007\/s00586-014-3632-0","volume":"24","author":"J Le Huec","year":"2015","unstructured":"Le Huec J, Demezon H, Aunoble S (2015) Sagittal parameters of global cervical balance using EOS imaging: normative values from a prospective cohort of asymptomatic volunteers. Eur Spine J 24:63\u201371","journal-title":"Eur Spine J"},{"key":"7445_CR26","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000002253","author":"G Yoshida","year":"2017","unstructured":"Yoshida G, Alzakri A, Pointillart V, Boissiere L, Obeid I, Matsuyama Y, Vital JM, Gille O (2017) Global spinal alignment in patients with cervical spondylotic myelopathy. Spine. https:\/\/doi.org\/10.1097\/BRS.0000000000002253","journal-title":"Spine"},{"key":"7445_CR27","doi-asserted-by":"publisher","first-page":"260","DOI":"10.2106\/jbjs.D.02043","volume":"87","author":"R Vialle","year":"2005","unstructured":"Vialle R, Levassor N, Rillardon L, Templier A, Skalli W, Guigui P (2005) Radiographic analysis of the sagittal alignment and balance of the spine in asymptomatic subjects. JBJS 87:260\u2013267. https:\/\/doi.org\/10.2106\/jbjs.D.02043","journal-title":"JBJS"},{"key":"7445_CR28","doi-asserted-by":"publisher","first-page":"1239","DOI":"10.2214\/ajr.153.6.1239","volume":"153","author":"DM Garagiola","year":"1989","unstructured":"Garagiola DM, Tarver RD, Gibson L, Rogers RE, Wass JL (1989) Anatomic changes in the pelvis after uncomplicated vaginal delivery: a CT study on 14 women. Am J Roentgenol 153:1239\u20131241","journal-title":"Am J Roentgenol"},{"key":"7445_CR29","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"},{"key":"7445_CR30","doi-asserted-by":"publisher","first-page":"436","DOI":"10.3171\/2015.5.SPINE14989","volume":"24","author":"E Ferrero","year":"2016","unstructured":"Ferrero E, Liabaud B, Challier V, Lafage R, Diebo BG, Vira S, Liu S, Vital JM, Ilharreborde B, Protopsaltis TS, Errico TJ, Schwab FJ, Lafage V (2016) Role of pelvic translation and lower-extremity compensation to maintain gravity line position in spinal deformity. J Neurosurg Spine 24:436\u2013446. https:\/\/doi.org\/10.3171\/2015.5.SPINE14989","journal-title":"J Neurosurg Spine"}],"container-title":["European Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-022-07445-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00586-022-07445-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-022-07445-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,14]],"date-time":"2023-02-14T08:12:11Z","timestamp":1676362331000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00586-022-07445-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,15]]},"references-count":30,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["7445"],"URL":"https:\/\/doi.org\/10.1007\/s00586-022-07445-y","relation":{},"ISSN":["0940-6719","1432-0932"],"issn-type":[{"value":"0940-6719","type":"print"},{"value":"1432-0932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,15]]},"assertion":[{"value":"10 August 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 October 2022","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 October 2022","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 November 2022","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The author's declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}