{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T03:24:49Z","timestamp":1789010689941,"version":"build-2803163510"},"reference-count":34,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic Science"],"published-print":{"date-parts":[[2026,3]]},"DOI":"10.1016\/j.jos.2025.07.001","type":"journal-article","created":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T20:49:12Z","timestamp":1753735752000},"page":"277-283","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Preoperative undernutrition in older people with adult spinal deformities is associated with worse postoperative sagittal vertical axis"],"prefix":"10.1016","volume":"31","author":[{"given":"Jun","family":"Ouchida","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroaki","family":"Nakashima","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sadayuki","family":"Ito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoki","family":"Segi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tokumi","family":"Kanemura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuya","family":"Ohara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taichi","family":"Tsuji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryuichi","family":"Shinjo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ippei","family":"Yamauchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukihito","family":"Ode","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiro","family":"Imagama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.jos.2025.07.001_bib1","article-title":"Complications and outcomes after spinal deformity surgery in the elderly: review of the existing literature and future directions","volume":"31","author":"Drazin","year":"2011","journal-title":"Neurosurgical Focus FOC"},{"issue":"10","key":"10.1016\/j.jos.2025.07.001_bib2","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1097\/BRS.0000000000002346","article-title":"The lumbar pelvic angle, the lumbar component of the T1 pelvic angle, correlates with HRQOL, PI-LL mismatch, and it predicts global alignment","volume":"43","author":"Protopsaltis","year":"2018","journal-title":"Spine"},{"issue":"2","key":"10.1016\/j.jos.2025.07.001_bib3","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1227\/NEU.0b013e31825d20c0","article-title":"Impact of magnitude and percentage of global sagittal plane correction on health-related quality of life at 2-years follow-up","volume":"71","author":"Blondel","year":"2012","journal-title":"Neurosurgery"},{"issue":"6","key":"10.1016\/j.jos.2025.07.001_bib4","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1097\/BRS.0000000000002435","article-title":"Under correction of sagittal deformities based on age-adjusted alignment thresholds leads to worse health-related quality of life whereas over correction provides no additional benefit","volume":"43","author":"Scheer","year":"2018","journal-title":"Spine"},{"issue":"19","key":"10.1016\/j.jos.2025.07.001_bib5","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.1097\/BRS.0b013e31829ec563","article-title":"Change in classification grade by the SRS-Schwab adult spinal deformity classification predicts impact on health-related quality of life measures: prospective analysis of operative and nonoperative treatment","volume":"38","author":"Smith","year":"2013","journal-title":"Spine"},{"issue":"3","key":"10.1016\/j.jos.2025.07.001_bib6","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1093\/gerona\/60.3.324","article-title":"Muscle mass, muscle strength, and muscle fat infiltration as predictors of incident mobility limitations in well-functioning older persons","volume":"60","author":"Visser","year":"2005","journal-title":"J Gerontol Series A: Biol Sci Med Sci"},{"issue":"8","key":"10.1016\/j.jos.2025.07.001_bib7","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.1111\/j.1532-5415.2009.02366.x","article-title":"Do muscle mass, muscle density, strength, and physical function similarly influence risk of hospitalization in older adults?","volume":"57","author":"Cawthon","year":"2009","journal-title":"J Am Geriatr Soc"},{"key":"10.1016\/j.jos.2025.07.001_bib8","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1016\/j.clnesp.2020.11.009","article-title":"The associations between nutritional status, physical function and skeletal muscle mass of geriatric patients with colorectal cancer","volume":"41","author":"Tanaka","year":"2021","journal-title":"Clin Nutr ESPEN"},{"issue":"2","key":"10.1016\/j.jos.2025.07.001_bib9","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1080\/14397595.2017.1349058","article-title":"Sarcopenia and physical function are associated with inflammation and arteriosclerosis in community-dwelling people: the Yakumo study","volume":"28","author":"Hida","year":"2018","journal-title":"Mod Rheumatol"},{"issue":"3","key":"10.1016\/j.jos.2025.07.001_bib10","first-page":"177","article-title":"Clinical definition of sarcopenia","volume":"11","author":"Santilli","year":"2014","journal-title":"Clin Cases Miner Bone Metab"},{"issue":"6","key":"10.1016\/j.jos.2025.07.001_bib11","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.jamda.2010.04.014","article-title":"Nutritional recommendations for the management of sarcopenia","volume":"11","author":"Morley","year":"2010","journal-title":"J Am Med Dir Assoc"},{"issue":"1","key":"10.1016\/j.jos.2025.07.001_bib12","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1475-2891-4-28","article-title":"Age as a determinant of nutritional status: a cross sectional study","volume":"4","author":"Forster","year":"2005","journal-title":"Nutr J"},{"issue":"12","key":"10.1016\/j.jos.2025.07.001_bib13","doi-asserted-by":"crossref","first-page":"877","DOI":"10.1038\/sj.ejcn.1600658","article-title":"Evaluating the DETERMINE your nutritional health checklist and the mini nutritional assessment as tools to identify nutritional problems in elderly Europeans","volume":"52","author":"De Groot","year":"1998","journal-title":"Eur J Clin Nutr"},{"issue":"17","key":"10.1016\/j.jos.2025.07.001_bib14","doi-asserted-by":"crossref","first-page":"E1001","DOI":"10.1097\/BRS.0000000000000432","article-title":"Prevalence and type of cervical deformity among 470 adults with thoracolumbar deformity","volume":"39","author":"Smith","year":"2014","journal-title":"Spine"},{"issue":"13","key":"10.1016\/j.jos.2025.07.001_bib15","doi-asserted-by":"crossref","first-page":"E803","DOI":"10.1097\/BRS.0b013e318292b7b9","article-title":"Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis","volume":"38","author":"Schwab","year":"2013","journal-title":"Spine"},{"issue":"1","key":"10.1016\/j.jos.2025.07.001_bib16","first-page":"38","article-title":"CONUT: a tool for controlling nutritional status. First validation in a hospital population","volume":"20","author":"De Ul\u00edbarri","year":"2005","journal-title":"Nutr Hosp"},{"issue":"6","key":"10.1016\/j.jos.2025.07.001_bib17","doi-asserted-by":"crossref","first-page":"885","DOI":"10.21873\/invivo.11009","article-title":"Prognostic impact of a nutritional index including muscle volume in stage 4 colorectal cancer","volume":"30","author":"Nagata","year":"2016","journal-title":"In Vivo"},{"issue":"1","key":"10.1016\/j.jos.2025.07.001_bib18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1741-7015-5-2","article-title":"Are MRI-defined fat infiltrations in the multifidus muscles associated with low back pain?","volume":"5","author":"Kjaer","year":"2007","journal-title":"BMC Med"},{"issue":"2","key":"10.1016\/j.jos.2025.07.001_bib19","first-page":"219","article-title":"Association between a prognostic nutritional index less than 50 and the risk of medical complications after adult spinal deformity surgery","volume":"33","author":"Oe","year":"2020","journal-title":"J Neurosurg: Spine SPI"},{"key":"10.1016\/j.jos.2025.07.001_bib20","doi-asserted-by":"crossref","first-page":"1765","DOI":"10.1007\/s00586-020-06622-1","article-title":"Does preoperative prognostic nutrition index predict surgical site infection after spine surgery?","volume":"30","author":"Ushirozako","year":"2021","journal-title":"Eur Spine J"},{"issue":"7","key":"10.1016\/j.jos.2025.07.001_bib21","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1097\/BRS.0000000000002872","article-title":"Preoperative age and prognostic nutritional index are useful factors for evaluating postoperative delirium among patients with adult spinal deformity","volume":"44","author":"Oe","year":"2019","journal-title":"Spine"},{"issue":"2","key":"10.1016\/j.jos.2025.07.001_bib22","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1007\/s10120-017-0744-3","article-title":"Controlling Nutritional Status (CONUT) score is a prognostic marker for gastric cancer patients after curative resection","volume":"21","author":"Kuroda","year":"2018","journal-title":"Gastric Cancer"},{"issue":"11","key":"10.1016\/j.jos.2025.07.001_bib23","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0187765","article-title":"MRI-defined paraspinal muscle morphology in Japanese population: the Wakayama Spine Study","volume":"12","author":"Sasaki","year":"2017","journal-title":"PLoS One"},{"issue":"3","key":"10.1016\/j.jos.2025.07.001_bib24","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1097\/01.gme.0000222331.23478.ec","article-title":"Fat mass rather than muscle strength is the major determinant of physical function and disability in postmenopausal women younger than 75 years of age","volume":"13","author":"Lebrun","year":"2006","journal-title":"Menopause"},{"key":"10.1016\/j.jos.2025.07.001_bib25","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1016\/j.arr.2015.12.004","article-title":"Skeletal muscle regeneration and impact of aging and nutrition","volume":"26","author":"Domingues-Faria","year":"2016","journal-title":"Ageing Res Rev"},{"key":"10.1016\/j.jos.2025.07.001_bib26","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1590\/S1413-35552010000300002","article-title":"Influences of the extensor portion of the gluteus maximus muscle on pelvic tilt before and after the performance of a fatigue protocol","volume":"14","author":"Alvim","year":"2010","journal-title":"Braz J Phys Ther"},{"issue":"1","key":"10.1016\/j.jos.2025.07.001_bib27","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2318-14-37","article-title":"Gluteal muscle composition differentiates fallers from non-fallers in community dwelling older adults","volume":"14","author":"Inacio","year":"2014","journal-title":"BMC Geriatr"},{"issue":"1","key":"10.1016\/j.jos.2025.07.001_bib28","doi-asserted-by":"crossref","first-page":"30","DOI":"10.14245\/ns.2449174.587","article-title":"Impact of paraspinal muscle degeneration on surgical outcomes and radiographical sagittal alignment in adult spinal deformity: a multicenter study","volume":"22","author":"Ouchida","year":"2025","journal-title":"Neurospine"},{"issue":"6","key":"10.1016\/j.jos.2025.07.001_bib29","doi-asserted-by":"crossref","first-page":"1507","DOI":"10.1007\/s40520-021-01880-5","article-title":"Malnutrition, assessed by the Global Leadership Initiative on Malnutrition (GLIM) criteria but not by the mini nutritional assessment (MNA), predicts the incidence of sarcopenia over a 5-year period in the SarcoPhAge cohort","volume":"33","author":"Lengel\u00e9","year":"2021","journal-title":"Aging Clin Exp Res"},{"issue":"1","key":"10.1016\/j.jos.2025.07.001_bib30","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1186\/s13018-024-04771-3","article-title":"Do nutritional assessment tools (PNI, CONUT, GNRI) predict adverse events after spinal surgeries? A systematic review and meta-analysis","volume":"19","author":"Huang","year":"2024","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.jos.2025.07.001_bib31","series-title":"Prospective randomization of parenteral hyperalimentation for long fusions with spinal deformity: its effect on complications and recovery from postoperative malnutrition","author":"Lapp","year":"2001"},{"issue":"4","key":"10.1016\/j.jos.2025.07.001_bib32","doi-asserted-by":"crossref","first-page":"504","DOI":"10.31616\/asj.2020.0180","article-title":"Role of biochemical nutritional parameters as predictors of postoperative morbidity in major spine surgeries","volume":"15","author":"Sugumar","year":"2021","journal-title":"Asian Spine J"},{"key":"10.1016\/j.jos.2025.07.001_bib33","first-page":"1097","article-title":"Focused perioperative nutritional supplementation reduces wound complications in patients undergoing spinal fusion surgery","volume":"10","author":"Como","year":"2024","journal-title":"Spine"},{"key":"10.1016\/j.jos.2025.07.001_bib34","series-title":"Perioperative nutritional supplementation decreases wound healing complications following elective lumbar spine surgery: a randomized controlled trial","author":"Saleh","year":"2023"}],"container-title":["Journal of Orthopaedic Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0949265825002015?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0949265825002015?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T12:50:24Z","timestamp":1772628624000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0949265825002015"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":34,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S0949265825002015"],"URL":"https:\/\/doi.org\/10.1016\/j.jos.2025.07.001","relation":{},"ISSN":["0949-2658"],"issn-type":[{"value":"0949-2658","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Preoperative undernutrition in older people with adult spinal deformities is associated with worse postoperative sagittal vertical axis","name":"articletitle","label":"Article Title"},{"value":"Journal of Orthopaedic Science","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jos.2025.07.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}