{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T18:09:30Z","timestamp":1780510170236,"version":"3.54.1"},"reference-count":32,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2023,7,1]],"date-time":"2023-07-01T00:00:00Z","timestamp":1688169600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2023,7]]},"DOI":"10.1016\/j.wneu.2023.04.002","type":"journal-article","created":{"date-parts":[[2023,4,6]],"date-time":"2023-04-06T02:28:41Z","timestamp":1680748121000},"page":"e653-e661","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Risk Factors for the Aggravation of Sagittal Balance After L5\u2013S1 Posterior Lumbar Interbody Fusion"],"prefix":"10.1016","volume":"175","author":[{"given":"Hyung Rae","family":"Lee","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1178-9778","authenticated-orcid":false,"given":"Jae Hwan","family":"Cho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong-Ho","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang Yun","family":"Seok","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chang Ju","family":"Hwang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Choon Sung","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2023.04.002_bib1","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\u00a0Neurosurg Spine"},{"issue":"3 Suppl","key":"10.1016\/j.wneu.2023.04.002_bib2","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1227\/01.NEU.0000320386.08993.BE","article-title":"Iatrogenic spinal deformity","volume":"63","author":"Jagannathan","year":"2008","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2023.04.002_bib3","doi-asserted-by":"crossref","first-page":"387","DOI":"10.3171\/SPI-07\/10\/387","article-title":"Changes in sagittal alignment after restoration of lower lumbar lordosis in patients with degenerative flat back syndrome","volume":"7","author":"Jang","year":"2007","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2023.04.002_bib4","doi-asserted-by":"crossref","first-page":"3081","DOI":"10.1097\/BRS.0b013e31815cde71","article-title":"Surgical treatment of failed back surgery syndrome due to sagittal imbalance","volume":"32","author":"Jang","year":"2007","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2023.04.002_bib5","doi-asserted-by":"crossref","first-page":"776","DOI":"10.31616\/asj.2022.0376","article-title":"Adult spinal deformity: a comprehensive review of current advances and future directions","volume":"16","author":"Kim","year":"2022","journal-title":"Asian spine j"},{"key":"10.1016\/j.wneu.2023.04.002_bib6","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1097\/BSD.0000000000000179","article-title":"A\u00a0change in lumbar sagittal alignment after single-level anterior lumbar interbody fusion for lumbar degenerative spondylolisthesis with normal sagittal balance","volume":"30","author":"Kim","year":"2017","journal-title":"Clin spine surg"},{"key":"10.1016\/j.wneu.2023.04.002_bib7","doi-asserted-by":"crossref","first-page":"1794","DOI":"10.1016\/j.spinee.2017.05.029","article-title":"Effect of one- or two-level posterior lumbar interbody fusion on global sagittal balance","volume":"17","author":"Cho","year":"2017","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2023.04.002_bib8","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1097\/BSD.0b013e3181b38537","article-title":"A\u00a0short report comparing outcomes between L4\/L5 and L5\/S1 single-level discectomy surgery","volume":"23","author":"Okoro","year":"2010","journal-title":"J\u00a0Spinal Disord Tech"},{"issue":"5","key":"10.1016\/j.wneu.2023.04.002_bib9","doi-asserted-by":"crossref","first-page":"764","DOI":"10.31616\/asj.2022.0374","article-title":"Diagnostic Technology for Spine Pathology","volume":"16","author":"Kim","year":"2022","journal-title":"Asian spine j"},{"issue":"Suppl 5","key":"10.1016\/j.wneu.2023.04.002_bib10","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1007\/s00586-011-1927-y","article-title":"Standardized way for imaging of the sagittal spinal balance","volume":"20","author":"Morvan","year":"2011","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2023.04.002_bib11","doi-asserted-by":"crossref","first-page":"1938","DOI":"10.1097\/01.brs.0000137069.88904.03","article-title":"Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature","volume":"29","author":"Park","year":"2004","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2023.04.002_bib12","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.31616\/asj.2022.0435","article-title":"Lumbar interbody fusion and osteobiologics for lumbar fusion","volume":"16","author":"Kim","year":"2022","journal-title":"Asian spine j"},{"key":"10.1016\/j.wneu.2023.04.002_bib13","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1016\/j.aott.2018.03.001","article-title":"Effect of PLIF and TLIF on sagittal spinopelvic balance of patients with degenerative spondylolisthesis","volume":"52","author":"Uysal","year":"2018","journal-title":"Acta Orthop Traumatol Turcica"},{"key":"10.1016\/j.wneu.2023.04.002_bib14","doi-asserted-by":"crossref","first-page":"E16","DOI":"10.1097\/BSD.0000000000000061","article-title":"The correlation between restoration of lumbar lordosis and surgical outcome in the treatment of low-grade lumbar degenerative spondylolisthesis with spinal fusion","volume":"29","author":"Hsu","year":"2016","journal-title":"Clin spine surg"},{"key":"10.1016\/j.wneu.2023.04.002_bib15","doi-asserted-by":"crossref","first-page":"379","DOI":"10.3171\/SPI-07\/10\/379","article-title":"Anterior lumbar interbody fusion in comparison with transforaminal lumbar interbody fusion: implications for the restoration of foraminal height, local disc angle, lumbar lordosis, and sagittal balance","volume":"7","author":"Hsieh","year":"2007","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2023.04.002_bib16","doi-asserted-by":"crossref","first-page":"789","DOI":"10.31616\/asj.2022.0366","article-title":"Lumbar spinal stenosis: review Update 2022","volume":"16","author":"Kwon","year":"2022","journal-title":"Asian spine j"},{"key":"10.1016\/j.wneu.2023.04.002_bib17","doi-asserted-by":"crossref","first-page":"723","DOI":"10.3340\/jkns.2018.0215","article-title":"Usefulness of oblique lateral interbody fusion at L5-S1 level compared to transforaminal lumbar interbody fusion","volume":"63","author":"Mun","year":"2020","journal-title":"J\u00a0Korean Neurosurg Soc"},{"key":"10.1016\/j.wneu.2023.04.002_bib18","article-title":"Comparison of clinical outcomes and spino-pelvic sagittal balance in degenerative lumbar spondylolisthesis: minimally invasive oblique lumbar interbody fusion (OLIF) versus transforaminal lumbar interbody fusion (TLIF)","volume":"100","author":"Li","year":"2021","journal-title":"Medicine (Baltim)"},{"key":"10.1016\/j.wneu.2023.04.002_bib19","article-title":"Using lordotic cages at the L5-S1 level Does not Guarantee the improvement of sagittal alignment in patients who underwent posterior lumbar interbody fusion","author":"Cho","year":"2023","journal-title":"Asian Spine J"},{"key":"10.1016\/j.wneu.2023.04.002_bib20","first-page":"1","article-title":"Effect of segmental lordosis on the clinical outcomes of 2-level posterior lumbar interbody fusion for 2-level degenerative lumbar spondylolisthesis","author":"Takahashi","year":"2019","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2023.04.002_bib21","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s00264-014-2516-6","article-title":"Evidence showing the relationship between sagittal balance and clinical outcomes in surgical treatment of degenerative spinal diseases: a literature review","volume":"39","author":"Le Huec","year":"2015","journal-title":"Int Orthop"},{"key":"10.1016\/j.wneu.2023.04.002_bib22","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1097\/BRS.0b013e3181d51e84","article-title":"Effect of sagittal spinal balance, levels of posterior instrumentation, and length of follow-up on low back pain in patients undergoing posterior decompression and instrumented fusion for degenerative lumbar spine disease: a multifactorial analysis","volume":"35","author":"Korovessis","year":"2010","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2023.04.002_bib23","doi-asserted-by":"crossref","first-page":"345","DOI":"10.3171\/2016.1.SPINE15264","article-title":"Biomechanical demands on posterior fusion instrumentation during lordosis restoration procedures","volume":"25","author":"Kuo","year":"2016","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2023.04.002_bib24","first-page":"183","article-title":"Sagittal spinal balance after lumbar spinal fusion: the impact of anterior column support results from a randomized clinical trial with an eight- to thirteen-year radiographic follow-up","volume":"36","author":"Videbaek","year":"2011","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2023.04.002_bib25","doi-asserted-by":"crossref","first-page":"2024","DOI":"10.1097\/01.brs.0000179086.30449.96","article-title":"The impact of positive sagittal balance in adult spinal deformity","volume":"30","author":"Glassman","year":"2005","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2023.04.002_bib26","doi-asserted-by":"crossref","first-page":"1828","DOI":"10.1097\/BRS.0b013e3181a13c08","article-title":"Sagittal plane considerations and the pelvis in the adult patient","volume":"34","author":"Schwab","year":"2009","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2023.04.002_bib27","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.wneu.2013.07.082","article-title":"The effect of surgical level on self-reported clinical outcomes after minimally invasive transforaminal lumbar interbody fusion: L4-L5 versus L5-S1","volume":"81","author":"Lawton","year":"2014","journal-title":"World Neurosurg"},{"issue":"6 Suppl","key":"10.1016\/j.wneu.2023.04.002_bib28","doi-asserted-by":"crossref","first-page":"S27","DOI":"10.1097\/01.brs.0000155560.92580.90","article-title":"The importance of spino-pelvic balance in L5-s1 developmental spondylolisthesis: a review of pertinent radiologic measurements","volume":"30","author":"Labelle","year":"2005","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2023.04.002_bib29","doi-asserted-by":"crossref","first-page":"E17","DOI":"10.3171\/2020.6.FOCUS20393","article-title":"Does interbody cage lordosis impact actual segmental lordosis achieved in minimally invasive lumbar spine fusion?","volume":"49","author":"Lovecchio","year":"2020","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2023.04.002_bib30","doi-asserted-by":"crossref","first-page":"e606","DOI":"10.1016\/j.wneu.2019.02.100","article-title":"How does cage lordosis Influence postoperative segmental lordosis in lumbar interbody fusion","volume":"126","author":"Gambhir","year":"2019","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2023.04.002_bib31","doi-asserted-by":"crossref","first-page":"682","DOI":"10.1097\/01.brs.0000155425.04536.f7","article-title":"Correlation of radiographic parameters and clinical symptoms in adult scoliosis","volume":"30","author":"Glassman","year":"2005","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2023.04.002_bib32","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 (Phila Pa 1976)"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S187887502300476X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S187887502300476X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T09:22:05Z","timestamp":1761816125000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S187887502300476X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":32,"alternative-id":["S187887502300476X"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2023.04.002","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Risk Factors for the Aggravation of Sagittal Balance After L5\u2013S1 Posterior Lumbar Interbody Fusion","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2023.04.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}