{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:04:43Z","timestamp":1786997083974,"version":"build-2736575974"},"reference-count":29,"publisher":"Elsevier BV","issue":"11","license":[{"start":{"date-parts":[[2017,11,1]],"date-time":"2017-11-01T00:00:00Z","timestamp":1509494400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","thespinejournalonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Spine Journal"],"published-print":{"date-parts":[[2017,11]]},"DOI":"10.1016\/j.spinee.2017.05.021","type":"journal-article","created":{"date-parts":[[2017,5,17]],"date-time":"2017-05-17T13:17:35Z","timestamp":1495027055000},"page":"1601-1610","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["Radiological lumbar stenosis severity predicts worsening sagittal malalignment on full-body standing stereoradiographs"],"prefix":"10.1016","volume":"17","author":[{"given":"Aaron J.","family":"Buckland","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Subaraman","family":"Ramchandran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louis","family":"Day","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shay","family":"Bess","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Themistocles","family":"Protopsaltis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter G.","family":"Passias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bassel G.","family":"Diebo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renaud","family":"Lafage","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginie","family":"Lafage","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akhila","family":"Sure","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J.","family":"Errico","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.spinee.2017.05.021_bib0010","doi-asserted-by":"crossref","first-page":"331","DOI":"10.3340\/jkns.2014.55.6.331","article-title":"Comparison of sagittal spinopelvic alignment between lumbar degenerative spondylolisthesis and degenerative spinal stenosis","volume":"55","author":"Lim","year":"2014","journal-title":"J Korean Neurosurg Soc"},{"key":"10.1016\/j.spinee.2017.05.021_bib0015","doi-asserted-by":"crossref","first-page":"E344","DOI":"10.1097\/BRS.0b013e3181c91121","article-title":"Total sagittal spinal alignment in patients with lumbar canal stenosis accompanied by intermittent claudication","volume":"35","author":"Suzuki","year":"2010","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.05.021_bib0020","doi-asserted-by":"crossref","first-page":"2452","DOI":"10.1097\/00007632-199710150-00025","article-title":"Management of flatback and related kyphotic decompensation syndromes","volume":"22","author":"Farcy","year":"1997","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.05.021_bib0025","doi-asserted-by":"crossref","first-page":"569","DOI":"10.2106\/00004623-198870040-00014","article-title":"Treatment of symptomatic flatback after spinal fusion","volume":"70","author":"Lagrone","year":"1988","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.spinee.2017.05.021_bib0030","doi-asserted-by":"crossref","first-page":"E8","DOI":"10.3171\/foc.2003.15.3.8","article-title":"Management of iatrogenic flat-back syndrome","volume":"15","author":"Wiggins","year":"2003","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.spinee.2017.05.021_bib0035","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1016\/j.nec.2007.01.007","article-title":"Flatback syndrome","volume":"18","author":"Lu","year":"2007","journal-title":"Neurosurg Clin N Am"},{"issue":"Suppl. 6","key":"10.1016\/j.spinee.2017.05.021_bib0040","doi-asserted-by":"crossref","first-page":"S834","DOI":"10.1007\/s00586-013-3030-z","article-title":"Compensatory mechanisms contributing to keep the sagittal balance of the spine","volume":"22","author":"Barrey","year":"2013","journal-title":"Eur Spine J"},{"issue":"Suppl. 5","key":"10.1016\/j.spinee.2017.05.021_bib0045","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1007\/s00586-011-1930-3","article-title":"Sagittal balance disorders in severe degenerative spine. Can we identify the compensatory mechanisms?","volume":"20","author":"Barrey","year":"2011","journal-title":"Eur Spine J"},{"issue":"Suppl. 5","key":"10.1016\/j.spinee.2017.05.021_bib0050","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1007\/s00586-011-1936-x","article-title":"Global analysis of sagittal spinal alignment in major deformities: correlation between lack of lumbar lordosis and flexion of the knee","volume":"20","author":"Obeid","year":"2011","journal-title":"Eur Spine J"},{"issue":"Suppl. 5","key":"10.1016\/j.spinee.2017.05.021_bib0055","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1007\/s00586-011-1939-7","article-title":"Equilibrium of the human body and the gravity line: the basics","volume":"20","author":"Le Huec","year":"2011","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2017.05.021_bib0060","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1016\/j.spinee.2016.03.047","article-title":"When is compensation for lumbar spinal stenosis a clinical sagittal plane deformity?","volume":"16","author":"Buckland","year":"2016","journal-title":"Spine J"},{"key":"10.1016\/j.spinee.2017.05.021_bib0065","first-page":"287","article-title":"[A new 2D and 3D imaging approach to musculoskeletal physiology and pathology with low-dose radiation and the standing position: the EOS system]","volume":"189","author":"Dubousset","year":"2005","journal-title":"Bull Acad Natl Med"},{"key":"10.1016\/j.spinee.2017.05.021_bib0070","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/j.medengphy.2009.01.003","article-title":"3D reconstruction of the spine from biplanar X-rays using parametric models based on transversal and longitudinal inferences","volume":"31","author":"Humbert","year":"2009","journal-title":"Med Eng Phys"},{"key":"10.1016\/j.spinee.2017.05.021_bib0075","doi-asserted-by":"crossref","first-page":"E1306","DOI":"10.1097\/BRS.0b013e3182293548","article-title":"Angle measurement reproducibility using EOS three-dimensional reconstructions in adolescent idiopathic scoliosis treated by posterior instrumentation","volume":"36","author":"Ilharreborde","year":"2011","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.05.021_bib0080","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1007\/s00586-012-2469-7","article-title":"A systematic review of the clinical effectiveness of EOS 2D\/3D X-ray imaging system","volume":"22","author":"Wade","year":"2013","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2017.05.021_bib0085","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta16140","article-title":"EOS 2D\/3D X-ray imaging system: a systematic review and economic evaluation","volume":"16","author":"McKenna","year":"2012","journal-title":"Health Technol Assess"},{"key":"10.1016\/j.spinee.2017.05.021_bib0090","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1097\/01.brs.0000153698.94091.f8","article-title":"Is there an optimal patient stance for obtaining a lateral 36\u201d radiograph? A critical comparison of three techniques","volume":"30","author":"Horton","year":"2005","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.05.021_bib0095","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.nec.2012.12.007","article-title":"Use of surgimap spine in sagittal plane analysis, osteotomy planning, and correction calculation","volume":"24","author":"Akbar","year":"2013","journal-title":"Neurosurg Clin N Am"},{"key":"10.1016\/j.spinee.2017.05.021_bib0100","doi-asserted-by":"crossref","first-page":"1631","DOI":"10.2106\/JBJS.M.01459","article-title":"TheT1 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","volume":"96","author":"Protopsaltis","year":"2014","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.spinee.2017.05.021_bib0105","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1007\/s00256-011-1102-x","article-title":"A new grading system of lumbar central canal stenosis on MRI: an easy and reliable method","volume":"40","author":"Guen","year":"2011","journal-title":"Skeletal Radiol"},{"key":"10.1016\/j.spinee.2017.05.021_bib0110","doi-asserted-by":"crossref","first-page":"1095","DOI":"10.2214\/AJR.09.2772","article-title":"A practical MRI grading system for lumbar foraminal stenosis","volume":"194","author":"Lee","year":"2010","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.spinee.2017.05.021_bib0115","doi-asserted-by":"crossref","first-page":"E599","DOI":"10.1097\/BRS.0b013e3181aad219","article-title":"Pelvic tilt and truncal inclination: two key radiographic parameters in the setting of adults with spinal deformity","volume":"34","author":"Lafage","year":"2009","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.05.021_bib0120","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"},{"key":"10.1016\/j.spinee.2017.05.021_bib0125","doi-asserted-by":"crossref","first-page":"E279","DOI":"10.1097\/BRS.0000000000000745","article-title":"Change in sagittal profiles after decompressive laminectomy in patients with lumbar spinal canal stenosis","volume":"40","author":"Jeon","year":"2015","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.05.021_bib0130","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1097\/BRS.0000000000000708","article-title":"Radiological improvements in global sagittal alignment after lumbar decompression without fusion","volume":"40","author":"Fujii","year":"2015","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.05.021_bib0135","doi-asserted-by":"crossref","first-page":"451","DOI":"10.3171\/2015.1.SPINE14642","article-title":"Impact of sagittal spinopelvic alignment on clinical outcomes after decompression surgery for lumbar spinal canal stenosis without coronal imbalance","volume":"23","author":"Hikata","year":"2015","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.spinee.2017.05.021_bib0140","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s005860050008","article-title":"Sagittal alignment in lumbosacral fusion: relations between radiological parameters and pain","volume":"9","author":"Lazennec","year":"2000","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2017.05.021_bib0145","doi-asserted-by":"crossref","first-page":"E78","DOI":"10.1097\/BRS.0000000000001166","article-title":"Is there an association between radiological severity of lumbar spinal stenosis and disability, pain, or surgical outcome? A multicenter observational study","volume":"41","author":"Weber","year":"2016","journal-title":"Spine"},{"key":"10.1016\/j.spinee.2017.05.021_bib0150","doi-asserted-by":"crossref","first-page":"S120","DOI":"10.1016\/j.spinee.2014.08.299","article-title":"Does one size fit all? Defining spinopelvic alignment thresholds based on age","volume":"14","author":"Schwab","year":"2014","journal-title":"Spine J"}],"container-title":["The Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943017302139?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943017302139?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,9,1]],"date-time":"2018-09-01T15:22:00Z","timestamp":1535815320000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1529943017302139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11]]},"references-count":29,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2017,11]]}},"alternative-id":["S1529943017302139"],"URL":"https:\/\/doi.org\/10.1016\/j.spinee.2017.05.021","relation":{},"ISSN":["1529-9430"],"issn-type":[{"value":"1529-9430","type":"print"}],"subject":[],"published":{"date-parts":[[2017,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Radiological lumbar stenosis severity predicts worsening sagittal malalignment on full-body standing stereoradiographs","name":"articletitle","label":"Article Title"},{"value":"The Spine Journal","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.spinee.2017.05.021","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}