{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:34:19Z","timestamp":1790735659191,"version":"4.1.0"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"the Fourth Cycle Chronic Disease Joint Tackling Plan of Shanghai Songjiang District Municipal Health Commission"},{"name":"the Natural Science Foundation of Shanghai","award":["No.22ZR1450500"],"award-info":[{"award-number":["No.22ZR1450500"]}]},{"name":"Excellence Program of Shanghai Municipal Health Commission","award":["20234Z0020"],"award-info":[{"award-number":["20234Z0020"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["No.81772856"],"award-info":[{"award-number":["No.81772856"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Spine J"],"published-print":{"date-parts":[[2025,5]]},"DOI":"10.1007\/s00586-025-08760-w","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T04:46:44Z","timestamp":1741927604000},"page":"1750-1760","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Would Roussouly classification affect the diagnostic efficiency of vertebral bone quality score for assessing osteopenia or osteoporosis in lumbar degenerative disease?"],"prefix":"10.1007","volume":"34","author":[{"given":"Tong","family":"Su","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tong","family":"Meng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kangcheng","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dianwen","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weibo","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huabin","family":"Yin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"key":"8760_CR1","doi-asserted-by":"publisher","unstructured":"(1993) Consensus development conference: diagnosis, prophylaxis, and treatment of osteoporosis. Am J Med 94:646\u2013650. https:\/\/doi.org\/10.1016\/0002-9343(93)90218-e","DOI":"10.1016\/0002-9343(93)90218-e"},{"key":"8760_CR2","doi-asserted-by":"publisher","first-page":"1291","DOI":"10.1007\/s00590-021-03103-z","volume":"32","author":"T Amorim-Barbosa","year":"2022","unstructured":"Amorim-Barbosa T, Pereira C, Catelas D, Rodrigues C, Costa P, Rodrigues-Pinto R, Neves P (2022) Risk factors for cage subsidence and clinical outcomes after transforaminal and posterior lumbar interbody fusion. Eur J Orthop Surg Traumatology: Orthopedie Traumatologie 32:1291\u20131299. https:\/\/doi.org\/10.1007\/s00590-021-03103-z","journal-title":"Eur J Orthop Surg Traumatology: Orthopedie Traumatologie"},{"key":"8760_CR3","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1177\/2192568218818164","volume":"10","author":"E Rometsch","year":"2020","unstructured":"Rometsch E, Spruit M, Zigler JE, Menon VK, Ouellet JA, Mazel C, H\u00e4rtl R, Espinoza K, Kandziora F (2020) Screw-Related complications after instrumentation of the osteoporotic spine: A systematic literature review with Meta-Analysis. Global Spine J 10:69\u201388. https:\/\/doi.org\/10.1177\/2192568218818164","journal-title":"Global Spine J"},{"key":"8760_CR4","doi-asserted-by":"publisher","first-page":"e247","DOI":"10.1016\/j.wneu.2020.05.020","volume":"140","author":"J Ehresman","year":"2020","unstructured":"Ehresman J, Ahmed AK, Lubelski D, Schilling A, Pennington Z, Cottrill E, McCracken J, Khan M, Witham T, Sciubba DM (2020) Vertebral bone quality score and postoperative lumbar lordosis associated with need for reoperation after lumbar fusion. World Neurosurg 140:e247\u2013e252. https:\/\/doi.org\/10.1016\/j.wneu.2020.05.020","journal-title":"World Neurosurg"},{"key":"8760_CR5","doi-asserted-by":"publisher","first-page":"968","DOI":"10.1093\/rheumatology\/ket007","volume":"52","author":"CL Gregson","year":"2013","unstructured":"Gregson CL, Hardcastle SA, Cooper C, Tobias JH (2013) Friend or foe: high bone mineral density on routine bone density scanning, a review of causes and management. Rheumatology (Oxford) 52:968\u2013985. https:\/\/doi.org\/10.1093\/rheumatology\/ket007","journal-title":"Rheumatology (Oxford)"},{"key":"8760_CR6","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1007\/s11657-018-0544-3","volume":"13","author":"KB Anderson","year":"2018","unstructured":"Anderson KB, Holloway-Kew KL, Mohebbi M, Kotowicz MA, Hans D, Pasco JA (2018) Is trabecular bone score less affected by degenerative-changes at the spine than lumbar spine BMD? Archives Osteoporos 13:127. https:\/\/doi.org\/10.1007\/s11657-018-0544-3","journal-title":"Archives Osteoporos"},{"key":"8760_CR7","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1097\/brs.0000000000004509","volume":"48","author":"AYE Kim","year":"2023","unstructured":"Kim AYE, Lyons K, Sarmiento M, Lafage V, Iyer S (2023) MRI-Based score for assessment of bone mineral density in operative spine patients. Spine 48:107\u2013112. https:\/\/doi.org\/10.1097\/brs.0000000000004509","journal-title":"Spine"},{"key":"8760_CR8","doi-asserted-by":"publisher","first-page":"E4","DOI":"10.3171\/2020.5.Focus20277","volume":"49","author":"JD St Jeor","year":"2020","unstructured":"St Jeor JD, Jackson TJ, Xiong AE, Kadri A, Freedman BA, Sebastian AS, Currier BL, Nassr A, Fogelson JL, Kennel KA, Anderson PA, Elder BD (2020) Osteoporosis in spine surgery patients: what is the best way to diagnose osteoporosis in this population? NeuroSurg Focus 49:E4. https:\/\/doi.org\/10.3171\/2020.5.Focus20277","journal-title":"NeuroSurg Focus"},{"key":"8760_CR9","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1148\/radiol.2633201203","volume":"263","author":"TM Link","year":"2012","unstructured":"Link TM (2012) Osteoporosis imaging: state of the Art and advanced imaging. Radiology 263:3\u201317. https:\/\/doi.org\/10.1148\/radiol.2633201203","journal-title":"Radiology"},{"key":"8760_CR10","doi-asserted-by":"publisher","first-page":"436","DOI":"10.3171\/2022.11.Spine22875","volume":"38","author":"N Deshpande","year":"2023","unstructured":"Deshpande N, Hadi MS, Lillard JC, Passias PG, Linzey JR, Saadeh YS, LaBagnara M, Park P (2023) Alternatives to DEXA for the assessment of bone density: a systematic review of the literature and future recommendations. J Neurosurg Spine 38:436\u2013445. https:\/\/doi.org\/10.3171\/2022.11.Spine22875","journal-title":"J Neurosurg Spine"},{"key":"8760_CR11","doi-asserted-by":"publisher","first-page":"499","DOI":"10.3171\/2019.9.Spine19954","volume":"32","author":"J Ehresman","year":"2019","unstructured":"Ehresman J, Schilling A, Pennington Z, Gui C, Chen X, Lubelski D, Ahmed AK, Cottrill E, Khan M, Redmond KJ, Sciubba DM (2019) A novel MRI-based score assessing trabecular bone quality to predict vertebral compression fractures in patients with spinal metastasis. J Neurosurg Spine 32:499\u2013506. https:\/\/doi.org\/10.3171\/2019.9.Spine19954","journal-title":"J Neurosurg Spine"},{"key":"8760_CR12","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.spinee.2020.05.540","volume":"21","author":"J Ehresman","year":"2021","unstructured":"Ehresman J, Schilling A, Yang X, Pennington Z, Ahmed AK, Cottrill E, Lubelski D, Khan M, Moseley KF, Sciubba DM (2021) Vertebral bone quality score predicts fragility fractures independently of bone mineral density. Spine Journal: Official J North Am Spine Soc 21:20\u201327. https:\/\/doi.org\/10.1016\/j.spinee.2020.05.540","journal-title":"Spine Journal: Official J North Am Spine Soc"},{"key":"8760_CR13","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1227\/neu.0000000000002269","volume":"92","author":"MAR Soliman","year":"2023","unstructured":"Soliman MAR, Aguirre AO, Kuo CC, Ruggiero N, Khan A, Ghannam MM, Rho K, Jowdy PK, Mullin JP, Pollina J (2023) A novel cervical vertebral bone quality score independently predicts cage subsidence after anterior cervical diskectomy and fusion. Neurosurgery 92:779\u2013786. https:\/\/doi.org\/10.1227\/neu.0000000000002269","journal-title":"Neurosurgery"},{"key":"8760_CR14","doi-asserted-by":"publisher","first-page":"e421","DOI":"10.1016\/j.wneu.2024.02.041","volume":"185","author":"W Zheng","year":"2024","unstructured":"Zheng W, Han W, Jin S, Zhu M, Huang Z, Qin T, Shi M, Gao B, Ye W (2024) Application of a magnetic resonance Imaging-Based lumbar vertebral bone quality scoring system in patients with degenerative lumbar scoliosis. World Neurosurg 185:e421\u2013e430. https:\/\/doi.org\/10.1016\/j.wneu.2024.02.041","journal-title":"World Neurosurg"},{"key":"8760_CR15","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1007\/s00586-023-08034-3","volume":"33","author":"Y Gao","year":"2024","unstructured":"Gao Y, Ye W, Ge X, Wang H, Xiong J, Zhu Y, Wang Z, Wang J, Tang P, Liu W, Cai W (2024) Assessing the utility of MRI-based vertebral bone quality (VBQ) for predicting lumbar pedicle screw loosening. Eur Spine J 33:289\u2013297. https:\/\/doi.org\/10.1007\/s00586-023-08034-3","journal-title":"Eur Spine J"},{"key":"8760_CR16","doi-asserted-by":"publisher","first-page":"2588","DOI":"10.1007\/s00586-023-07744-y","volume":"32","author":"W Li","year":"2023","unstructured":"Li W, Zhu H, Liu J, Tian H, Li J, Wang L (2023) Characteristics of MRI\u2013based vertebral bone quality scores in elderly patients with vertebral fragility fractures. Eur Spine J 32:2588\u20132593. https:\/\/doi.org\/10.1007\/s00586-023-07744-y","journal-title":"Eur Spine J"},{"key":"8760_CR17","doi-asserted-by":"publisher","DOI":"10.1227\/neu.0000000000002901","author":"J Cai","year":"2024","unstructured":"Cai J, Han W, Yang T, Ye H, Jiang Y, Liu Z, Liu Q (2024) MRI-Based vertebral bone quality score can predict the imminent new vertebral fracture after vertebral augmentation. Neurosurgery. https:\/\/doi.org\/10.1227\/neu.0000000000002901","journal-title":"Neurosurgery"},{"key":"8760_CR18","doi-asserted-by":"publisher","first-page":"1866","DOI":"10.1016\/j.spinee.2022.06.003","volume":"22","author":"S Aynaszyan","year":"2022","unstructured":"Aynaszyan S, Devia LG, Udoeyo IF, Badve SA, DelSole EM (2022) Patient physiology influences the MRI-based vertebral bone quality score. Spine Journal: Official J North Am Spine Soc 22:1866\u20131874. https:\/\/doi.org\/10.1016\/j.spinee.2022.06.003","journal-title":"Spine Journal: Official J North Am Spine Soc"},{"key":"8760_CR19","doi-asserted-by":"publisher","first-page":"1636","DOI":"10.1007\/s00586-023-07570-2","volume":"32","author":"L Oezel","year":"2023","unstructured":"Oezel L, Okano I, Jones C, Salzmann SN, Shue J, Adl Amini D, Moser M, Chiapparelli E, Sama AA, Carrino JA, Cammisa FP, Girardi FP, Hughes AP (2023) MRI-based vertebral bone quality score compared to quantitative computed tomography bone mineral density in patients undergoing cervical spinal surgery. Eur Spine J 32:1636\u20131643. https:\/\/doi.org\/10.1007\/s00586-023-07570-2","journal-title":"Eur Spine J"},{"key":"8760_CR20","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1002\/jmri.25647","volume":"46","author":"G Chang","year":"2017","unstructured":"Chang G, Boone S, Martel D, Rajapakse CS, Hallyburton RS, Valko M, Honig S, Regatte RR (2017) MRI assessment of bone structure and microarchitecture. J Magn Reson Imaging: JMRI 46:323\u2013337. https:\/\/doi.org\/10.1002\/jmri.25647","journal-title":"J Magn Reson Imaging: JMRI"},{"key":"8760_CR21","doi-asserted-by":"publisher","unstructured":"Soydan Z, Bayramoglu E, Altas O (2023) The impact of spinopelvic alignment on the facet joint degeneration. Global spine journal:21925682231162813. https:\/\/doi.org\/10.1177\/21925682231162813","DOI":"10.1177\/21925682231162813"},{"key":"8760_CR22","doi-asserted-by":"publisher","first-page":"101388","DOI":"10.1016\/j.neuchi.2022.101388","volume":"69","author":"Z Soydan","year":"2023","unstructured":"Soydan Z, Bayramoglu E, Sen C (2023) Elucidation of effect of spinopelvic parameters in degenerative disc disease. Neurochirurgie 69:101388. https:\/\/doi.org\/10.1016\/j.neuchi.2022.101388","journal-title":"Neurochirurgie"},{"key":"8760_CR23","doi-asserted-by":"publisher","first-page":"1053","DOI":"10.1007\/s00586-013-2672-1","volume":"22","author":"JS Lee","year":"2013","unstructured":"Lee JS, Lee HS, Shin JK, Goh TS, Son SM (2013) Prediction of sagittal balance in patients with osteoporosis using spinopelvic parameters. European spine journal: official publication of the European spine society, the European spinal deformity society, and the European section of the cervical. Spine Res Soc 22:1053\u20131058. https:\/\/doi.org\/10.1007\/s00586-013-2672-1","journal-title":"Spine Res Soc"},{"key":"8760_CR24","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":"8760_CR25","doi-asserted-by":"publisher","first-page":"556","DOI":"10.1016\/j.spinee.2019.10.018","volume":"20","author":"J Ehresman","year":"2020","unstructured":"Ehresman J, Pennington Z, Schilling A, Lubelski D, Ahmed AK, Cottrill E, Khan M, Sciubba DM (2020) Novel MRI-based score for assessment of bone density in operative spine patients. Spine Journal: Official J North Am Spine Soc 20:556\u2013562. https:\/\/doi.org\/10.1016\/j.spinee.2019.10.018","journal-title":"Spine Journal: Official J North Am Spine Soc"},{"key":"8760_CR26","doi-asserted-by":"publisher","first-page":"1553","DOI":"10.1007\/s00586-023-07643-2","volume":"32","author":"W Huang","year":"2023","unstructured":"Huang W, Gong Z, Wang H, Zheng C, Chen Y, Xia X, Ma X, Jiang J (2023) Use of MRI-based vertebral bone quality score (VBQ) of S1 body in bone mineral density assessment for patients with lumbar degenerative diseases. Eur Spine J 32:1553\u20131560. https:\/\/doi.org\/10.1007\/s00586-023-07643-2","journal-title":"Eur Spine J"},{"key":"8760_CR27","doi-asserted-by":"publisher","first-page":"1301","DOI":"10.1016\/j.spinee.2022.03.006","volume":"22","author":"SN Salzmann","year":"2022","unstructured":"Salzmann SN, Okano I, Jones C, Zhu J, Lu S, Onyekwere I, Balaji V, Reisener MJ, Chiapparelli E, Shue J, Carrino JA, Girardi FP, Cammisa FP, Sama AA, Hughes AP (2022) Preoperative MRI-based vertebral bone quality (VBQ) score assessment in patients undergoing lumbar spinal fusion. Spine Journal: Official J North Am Spine Soc 22:1301\u20131308. https:\/\/doi.org\/10.1016\/j.spinee.2022.03.006","journal-title":"Spine Journal: Official J North Am Spine Soc"},{"key":"8760_CR28","doi-asserted-by":"publisher","first-page":"101711","DOI":"10.1016\/j.bonr.2023.101711","volume":"19","author":"A Chen","year":"2023","unstructured":"Chen A, Feng S, Lai L, Yan C (2023) A meta-analysis of the value of MRI-based VBQ scores for evaluating osteoporosis. Bone Rep 19:101711. https:\/\/doi.org\/10.1016\/j.bonr.2023.101711","journal-title":"Bone Rep"},{"key":"8760_CR29","doi-asserted-by":"publisher","first-page":"3906","DOI":"10.1007\/s00586-023-07912-0","volume":"32","author":"E \u00d6zmen","year":"2023","unstructured":"\u00d6zmen E, Bi\u00e7er O, Meri\u00e7 E, Circi E, Bar\u0131\u015f A, Y\u00fcksel S (2023) Vertebral bone quality score for opportunistic osteoporosis screening: a correlation and optimal threshold analysis. European spine journal: official publication of the European spine society, the European spinal deformity society, and the European section of the cervical. Spine Res Soc 32:3906\u20133911. https:\/\/doi.org\/10.1007\/s00586-023-07912-0","journal-title":"Spine Res Soc"},{"key":"8760_CR30","doi-asserted-by":"publisher","unstructured":"Pu M, Zhong W, Heng H, Yu J, Wu H, Jin Y, Zhang P, Shen Y (2023) Vertebral bone quality score provides preoperative bone density assessment for patients undergoing lumbar spine surgery: a retrospective study. J Neurosurg Spine 1\u201310. https:\/\/doi.org\/10.3171\/2023.1.Spine221187","DOI":"10.3171\/2023.1.Spine221187"},{"key":"8760_CR31","doi-asserted-by":"publisher","first-page":"1081","DOI":"10.1002\/ar.a.10119","volume":"275","author":"HM Frost","year":"2003","unstructured":"Frost HM (2003) Bone\u2019s mechanostat: a 2003 update. The anatomical record part A, discoveries in molecular, cellular. Evolutionary Biology 275:1081\u20131101. https:\/\/doi.org\/10.1002\/ar.a.10119","journal-title":"Evolutionary Biology"},{"key":"8760_CR32","doi-asserted-by":"publisher","unstructured":"Frost HM (2004) A 2003 update of bone physiology and Wolff\u2019s law for clinicians. Angle Orthod 74:3\u201315. https:\/\/doi.org\/10.1043\/0003-3219(2004)074%3C0003:Auobpa%3E2.0.Co;2","DOI":"10.1043\/0003-3219(2004)074%3C0003:Auobpa%3E2.0.Co;2"},{"key":"8760_CR33","doi-asserted-by":"publisher","first-page":"2002","DOI":"10.1007\/s00586-017-5111-x","volume":"27","author":"F Laouissat","year":"2018","unstructured":"Laouissat F, Sebaaly A, Gehrchen M, Roussouly P (2018) Classification of normal sagittal spine alignment: refounding the Roussouly classification. Eur Spine J 27:2002\u20132011. https:\/\/doi.org\/10.1007\/s00586-017-5111-x","journal-title":"Eur Spine J"}],"container-title":["European Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-025-08760-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00586-025-08760-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-025-08760-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T04:54:52Z","timestamp":1748235292000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00586-025-08760-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,14]]},"references-count":33,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["8760"],"URL":"https:\/\/doi.org\/10.1007\/s00586-025-08760-w","relation":{},"ISSN":["0940-6719","1432-0932"],"issn-type":[{"value":"0940-6719","type":"print"},{"value":"1432-0932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,14]]},"assertion":[{"value":"17 December 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 February 2025","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 February 2025","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 March 2025","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 authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}