{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T14:24:24Z","timestamp":1751466264283,"version":"3.37.3"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T00:00:00Z","timestamp":1706832000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T00:00:00Z","timestamp":1706832000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","award":["SCHM 2572\/11-1","PU 762\/1-1"],"award-info":[{"award-number":["SCHM 2572\/11-1","PU 762\/1-1"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002839","name":"Charit\u00e9 - Universit\u00e4tsmedizin Berlin","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002839","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Lumbo-sacral transitional vertebrae (LSTV) are frequent congenital variances of the spine and are associated with increased spinal degeneration. Nevertheless, there is a lack of data whether bony alterations associated with LSTV result in reduced segmental restoration of lordosis when performing ALIF. 58 patients with monosegmental stand-alone ALIF in the spinal segment between the 24th and 25th vertebra (L5\/S1)\/(L5\/L6) where included. Of these, 17 patients had LSTV and were matched to a control population by age and sex. Pelvic incidence, pelvic tilt, sagittal vertical axis, lumbar lordosis, segmental lordosis, disc height and depth were compared. LSTV-patients had a significantly reduced segmental lordosis L4\/5 (p\u2009=\u20090.028) and L5\/S1\/(L5\/L6) (p\u2009=\u20090.041) preoperatively. ALIF resulted in a significant increase in segmental lordosis L5\/S1 (p\u2009&lt;\u20090.001). Postoperatively, the preoperatively reduced segmental lordosis was no longer significantly different in segments L4\/5 (p\u2009=\u20090.349) and L5\/S1\/(L5\/6) (p\u2009=\u20090.576). ALIF is associated with a significant increase in segmental lordosis in the treated segment even in patients with LSTV. Therefore, ALIF is a sufficient intervention for restoring the segmental lordosis in these patients as well.<\/jats:p>","DOI":"10.1038\/s41598-024-53179-w","type":"journal-article","created":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T03:03:04Z","timestamp":1706842984000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Influences of lumbo-sacral transitional vertebrae for anterior lumbar interbody fusion"],"prefix":"10.1038","volume":"14","author":[{"given":"Luis","family":"Becker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim Victor","family":"Mihalache","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hendrik","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Putzier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Pumberger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friederike","family":"Sch\u00f6mig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,2,2]]},"reference":[{"issue":"9","key":"53179_CR1","doi-asserted-by":"publisher","first-page":"1183","DOI":"10.1302\/0301-620X.88B9.17211","volume":"88","author":"JF Quinlan","year":"2006","unstructured":"Quinlan, J. F., Duke, D. & Eustace, S. Bertolotti\u2019s syndrome. A cause of back pain in young people. J. Bone Jt. Surg. Br. 88(9), 1183\u20131186. https:\/\/doi.org\/10.1302\/0301-620X.88B9.17211 (2006).","journal-title":"J. Bone Jt. Surg. Br."},{"issue":"15","key":"53179_CR2","doi-asserted-by":"publisher","first-page":"1659","DOI":"10.1097\/00007632-200208010-00013","volume":"27","author":"E Erken","year":"2002","unstructured":"Erken, E., Ozer, H. T., Gulek, B. & Durgun, B. The association between cervical rib and sacralization. Spine (Phila Pa 1976) 27(15), 1659\u20131664. https:\/\/doi.org\/10.1097\/00007632-200208010-00013 (2002).","journal-title":"Spine (Phila Pa 1976)"},{"issue":"10","key":"53179_CR3","doi-asserted-by":"publisher","first-page":"1778","DOI":"10.3174\/ajnr.A2036","volume":"31","author":"GP Konin","year":"2010","unstructured":"Konin, G. P. & Walz, D. M. Lumbosacral transitional vertebrae: Classification, imaging findings, and clinical relevance. Am. J. Neuroradiol. 31(10), 1778\u20131786. https:\/\/doi.org\/10.3174\/ajnr.A2036 (2010).","journal-title":"Am. J. Neuroradiol."},{"issue":"3","key":"53179_CR4","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1093\/rheumatology\/16.3.180","volume":"16","author":"PG Tini","year":"1977","unstructured":"Tini, P. G., Wieser, C. & Zinn, W. M. The transitional vertebra of the lumbosacral spine: Its radiological classification, incidence, prevalence, and clinical significance. Rheumatol. Rehabil. 16(3), 180\u2013185. https:\/\/doi.org\/10.1093\/rheumatology\/16.3.180 (1977).","journal-title":"Rheumatol. Rehabil."},{"issue":"9","key":"53179_CR5","doi-asserted-by":"publisher","first-page":"858","DOI":"10.1016\/j.spinee.2011.08.005","volume":"11","author":"A Apazidis","year":"2011","unstructured":"Apazidis, A., Ricart, P. A., Diefenbach, C. M. & Spivak, J. M. The prevalence of transitional vertebrae in the lumbar spine. Spine J. 11(9), 858\u2013862. https:\/\/doi.org\/10.1016\/j.spinee.2011.08.005 (2011).","journal-title":"Spine J."},{"issue":"1","key":"53179_CR6","doi-asserted-by":"publisher","first-page":"17","DOI":"10.14444\/6002","volume":"13","author":"NK Mahato","year":"2019","unstructured":"Mahato, N. K., Dhason, R. & Ram, D. R. Quantifying range of motion and stress patterns at the transitional lumbosacral junction: Pilot study using a computational model for load-bearing at accessory L5\u2013S1 articulation. Int. J. Spine Surg. 13(1), 17\u201323. https:\/\/doi.org\/10.14444\/6002 (2019).","journal-title":"Int. J. Spine Surg."},{"issue":"8","key":"53179_CR7","doi-asserted-by":"publisher","first-page":"1286","DOI":"10.1016\/j.spinee.2021.02.023","volume":"21","author":"K McGrath","year":"2021","unstructured":"McGrath, K., Schmidt, E., Rabah, N., Abubakr, M. & Steinmetz, M. Clinical assessment and management of Bertolotti Syndrome: A review of the literature. Spine J. 21(8), 1286\u20131296. https:\/\/doi.org\/10.1016\/j.spinee.2021.02.023 (2021).","journal-title":"Spine J."},{"issue":"4","key":"53179_CR8","doi-asserted-by":"publisher","first-page":"314","DOI":"10.1007\/s005860000239","volume":"10","author":"MN Kumar","year":"2001","unstructured":"Kumar, M. N., Baklanov, A. & Chopin, D. Correlation between sagittal plane changes and adjacent segment degeneration following lumbar spine fusion. Eur. Spine J. 10(4), 314\u2013319. https:\/\/doi.org\/10.1007\/s005860000239 (2001).","journal-title":"Eur. Spine J."},{"issue":"5","key":"53179_CR9","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1097\/BSD.0b013e31828a8447","volume":"27","author":"RGT Watkins","year":"2014","unstructured":"Watkins, R. G. T., Hanna, R., Chang, D. & Watkins, R. G. 3rd. Sagittal alignment after lumbar interbody fusion: Comparing anterior, lateral, and transforaminal approaches. J. Spinal Disord. Tech. 27(5), 253\u2013256. https:\/\/doi.org\/10.1097\/BSD.0b013e31828a8447 (2014).","journal-title":"J. Spinal Disord. Tech."},{"issue":"11","key":"53179_CR10","doi-asserted-by":"publisher","first-page":"1999","DOI":"10.1016\/j.spinee.2018.03.014","volume":"18","author":"S Ahlquist","year":"2018","unstructured":"Ahlquist, S., Park, H. Y., Gatto, J., Shamie, A. N. & Park, D. Y. Does approach matter? A comparative radiographic analysis of spinopelvic parameters in single-level lumbar fusion. Spine J. 18(11), 1999\u20132008. https:\/\/doi.org\/10.1016\/j.spinee.2018.03.014 (2018).","journal-title":"Spine J."},{"issue":"4","key":"53179_CR11","doi-asserted-by":"publisher","first-page":"891","DOI":"10.1007\/s00264-018-4222-2","volume":"43","author":"F Vazifehdan","year":"2019","unstructured":"Vazifehdan, F., Karantzoulis, V. G. & Igoumenou, V. G. Sagittal alignment assessment after short-segment lumbar fusion for degenerative disc disease. Int. Orthop. 43(4), 891\u2013898. https:\/\/doi.org\/10.1007\/s00264-018-4222-2 (2019).","journal-title":"Int. Orthop."},{"issue":"8","key":"53179_CR12","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1016\/j.otsr.2017.09.014","volume":"103","author":"M Afathi","year":"2017","unstructured":"Afathi, M. et al. Anterior lumbar sagittal alignment after anterior or lateral interbody fusion. Orthop. Traumatol. Surg. Res. 103(8), 1245\u20131250. https:\/\/doi.org\/10.1016\/j.otsr.2017.09.014 (2017).","journal-title":"Orthop. Traumatol. Surg. Res."},{"issue":"8","key":"53179_CR13","doi-asserted-by":"publisher","first-page":"1697","DOI":"10.1007\/s00256-021-03722-x","volume":"50","author":"L Becker","year":"2021","unstructured":"Becker, L. et al. Musculature adaption in patients with lumbosacral transitional vertebrae: A matched-pair analysis of 46 patients. Skeletal Radiol. 50(8), 1697\u20131704. https:\/\/doi.org\/10.1007\/s00256-021-03722-x (2021).","journal-title":"Skeletal Radiol."},{"issue":"1 Pt 1","key":"53179_CR14","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1148\/radiology.166.1.3336678","volume":"166","author":"MT Modic","year":"1988","unstructured":"Modic, M. T., Steinberg, P. M., Ross, J. S., Masaryk, T. J. & Carter, J. R. Degenerative disk disease: Assessment of changes in vertebral body marrow with MR imaging. Radiology 166(1 Pt 1), 193\u2013199. https:\/\/doi.org\/10.1148\/radiology.166.1.3336678 (1988).","journal-title":"Radiology"},{"issue":"17","key":"53179_CR15","doi-asserted-by":"publisher","first-page":"1873","DOI":"10.1097\/00007632-200109010-00011","volume":"26","author":"CW Pfirrmann","year":"2001","unstructured":"Pfirrmann, C. W., Metzdorf, A., Zanetti, M., Hodler, J. & Boos, N. Magnetic resonance classification of lumbar intervertebral disc degeneration. Spine (Phila Pa 1976) 26(17), 1873\u20131878. https:\/\/doi.org\/10.1097\/00007632-200109010-00011 (2001).","journal-title":"Spine (Phila Pa 1976)"},{"issue":"5","key":"53179_CR16","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1097\/00007632-198407000-00014","volume":"9","author":"AE Castellvi","year":"1984","unstructured":"Castellvi, A. E., Goldstein, L. A. & Chan, D. P. Lumbosacral transitional vertebrae and their relationship with lumbar extradural defects. Spine (Phila Pa 1976) 9(5), 493\u2013495. https:\/\/doi.org\/10.1097\/00007632-198407000-00014 (1984).","journal-title":"Spine (Phila Pa 1976)"},{"issue":"6","key":"53179_CR17","doi-asserted-by":"publisher","first-page":"1251","DOI":"10.1007\/s00586-014-3454-0","volume":"24","author":"DA Rothenfluh","year":"2015","unstructured":"Rothenfluh, D. A., Mueller, D. A., Rothenfluh, E. & Min, K. Pelvic incidence-lumbar lordosis mismatch predisposes to adjacent segment disease after lumbar spinal fusion. Eur. Spine J. 24(6), 1251\u20131258. https:\/\/doi.org\/10.1007\/s00586-014-3454-0 (2015).","journal-title":"Eur. Spine J."},{"issue":"13","key":"53179_CR18","doi-asserted-by":"publisher","first-page":"1617","DOI":"10.1097\/00007632-200007010-00004","volume":"25","author":"S Umehara","year":"2000","unstructured":"Umehara, S. et al. The biomechanical effect of postoperative hypolordosis in instrumented lumbar fusion on instrumented and adjacent spinal segments. Spine (Phila Pa 1976) 25(13), 1617\u20131624. https:\/\/doi.org\/10.1097\/00007632-200007010-00004 (2000).","journal-title":"Spine (Phila Pa 1976)"},{"issue":"4","key":"53179_CR19","doi-asserted-by":"publisher","first-page":"379","DOI":"10.3171\/SPI-07\/10\/379","volume":"7","author":"PC Hsieh","year":"2007","unstructured":"Hsieh, P. C. et al. 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. J. Neurosurg. Spine 7(4), 379\u2013386. https:\/\/doi.org\/10.3171\/SPI-07\/10\/379 (2007).","journal-title":"J. Neurosurg. Spine"},{"issue":"2","key":"53179_CR20","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1097\/BSD.0b013e318169bff5","volume":"22","author":"JS Kim","year":"2009","unstructured":"Kim, J. S. et al. Mini-transforaminal lumbar interbody fusion versus anterior lumbar interbody fusion augmented by percutaneous pedicle screw fixation: A comparison of surgical outcomes in adult low-grade isthmic spondylolisthesis. J. Spinal Disord. Tech. 22(2), 114\u2013121. https:\/\/doi.org\/10.1097\/BSD.0b013e318169bff5 (2009).","journal-title":"J. Spinal Disord. Tech."},{"key":"53179_CR21","doi-asserted-by":"publisher","first-page":"23","DOI":"10.3390\/jcm10235533","volume":"10","author":"KK Tung","year":"2021","unstructured":"Tung, K. K. et al. The morphological changes in adjacent segments amongst patients receiving anterior and oblique lumbar interbody fusion: A retrospective study. J. Clin. Med. 10, 23. https:\/\/doi.org\/10.3390\/jcm10235533 (2021).","journal-title":"J. Clin. Med."},{"issue":"8","key":"53179_CR22","doi-asserted-by":"publisher","first-page":"945","DOI":"10.1016\/j.otsr.2013.09.003","volume":"99","author":"L Boissiere","year":"2013","unstructured":"Boissiere, L., Perrin, G., Rigal, J., Michel, F. & Barrey, C. Lumbar-sacral fusion by a combined approach using interbody PEEK cage and posterior pedicle-screw fixation: Clinical and radiological results from a prospective study. Orthop. Traumatol. Surg. Res. 99(8), 945\u2013951. https:\/\/doi.org\/10.1016\/j.otsr.2013.09.003 (2013).","journal-title":"Orthop. Traumatol. Surg. Res."},{"issue":"4","key":"53179_CR23","doi-asserted-by":"publisher","first-page":"838","DOI":"10.1007\/s00586-014-3642-y","volume":"24","author":"CJ Siepe","year":"2015","unstructured":"Siepe, C. J. et al. Anterior stand-alone fusion revisited: A prospective clinical, X-ray and CT investigation. Eur. Spine J. 24(4), 838\u2013851. https:\/\/doi.org\/10.1007\/s00586-014-3642-y (2015).","journal-title":"Eur. Spine J."},{"issue":"Suppl 6","key":"53179_CR24","doi-asserted-by":"publisher","first-page":"S834","DOI":"10.1007\/s00586-013-3030-z","volume":"22","author":"C Barrey","year":"2013","unstructured":"Barrey, C., Roussouly, P., Le Huec, J. C., D\u2019Acunzi, G. & Perrin, G. Compensatory mechanisms contributing to keep the sagittal balance of the spine. Eur. Spine J. 22(Suppl 6), S834\u2013S841. https:\/\/doi.org\/10.1007\/s00586-013-3030-z (2013).","journal-title":"Eur. Spine J."},{"issue":"11","key":"53179_CR25","doi-asserted-by":"publisher","first-page":"808","DOI":"10.1097\/BRS.0000000000004333","volume":"47","author":"HMT Lightsey","year":"2022","unstructured":"Lightsey, H. M. T. et al. ALIF versus TLIF for L5\u2013S1 isthmic spondylolisthesis: ALIF demonstrates superior segmental and regional radiographic outcomes and clinical improvements across more patient-reported outcome measures domains. Spine (Phila Pa 1976) 47(11), 808\u2013816. https:\/\/doi.org\/10.1097\/BRS.0000000000004333 (2022).","journal-title":"Spine (Phila Pa 1976)"},{"issue":"25","key":"53179_CR26","doi-asserted-by":"publisher","first-page":"2224","DOI":"10.1097\/BRS.0b013e3181ee6bd4","volume":"35","author":"F Schwab","year":"2010","unstructured":"Schwab, F., Patel, A., Ungar, B., Farcy, J. P. & Lafage, V. Adult spinal deformity-postoperative standing imbalance: How much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery. Spine (Phila Pa 1976) 35(25), 2224\u20132231. https:\/\/doi.org\/10.1097\/BRS.0b013e3181ee6bd4 (2010).","journal-title":"Spine (Phila Pa 1976)"},{"issue":"1","key":"53179_CR27","doi-asserted-by":"publisher","first-page":"88","DOI":"10.31616\/asj.2019.0041","volume":"14","author":"S Marouby","year":"2020","unstructured":"Marouby, S. et al. Prospective evaluation of spino-pelvic parameters with clinical correlation in patients operated with an anterior lumbar interbody fusion. Asian Spine J. 14(1), 88\u201396. https:\/\/doi.org\/10.31616\/asj.2019.0041 (2020).","journal-title":"Asian Spine J."},{"issue":"6","key":"53179_CR28","doi-asserted-by":"publisher","first-page":"E6","DOI":"10.3171\/2017.8.FOCUS17423","volume":"43","author":"P Hosseini","year":"2017","unstructured":"Hosseini, P. et al. Preliminary results of anterior lumbar interbody fusion, anterior column realignment for the treatment of sagittal malalignment. Neurosurg. Focus 43(6), E6. https:\/\/doi.org\/10.3171\/2017.8.FOCUS17423 (2017).","journal-title":"Neurosurg. Focus"},{"issue":"3","key":"53179_CR29","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1093\/ons\/opz141","volume":"18","author":"MB Janjua","year":"2020","unstructured":"Janjua, M. B. et al. Surgical treatment of flat back syndrome with anterior hyperlordotic cages. Oper. Neurosurg. (Hagerstown) 18(3), 261\u2013270. https:\/\/doi.org\/10.1093\/ons\/opz141 (2020).","journal-title":"Oper. Neurosurg. (Hagerstown)"},{"issue":"1","key":"53179_CR30","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1007\/s00586-020-06598-y","volume":"30","author":"M Formica","year":"2021","unstructured":"Formica, M. et al. ALIF in the correction of spinal sagittal misalignment. A systematic review of literature. Eur. Spine J. 30(1), 50\u201362. https:\/\/doi.org\/10.1007\/s00586-020-06598-y (2021).","journal-title":"Eur. Spine J."},{"key":"53179_CR31","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/diagnostics11010059","volume":"11","author":"H Haffer","year":"2021","unstructured":"Haffer, H. et al. Changes of fixed anatomical spinopelvic parameter in patients with lumbosacral transitional vertebrae: A matched pair analysis. Diagnostics (Basel) 11, 1. https:\/\/doi.org\/10.3390\/diagnostics11010059 (2021).","journal-title":"Diagnostics (Basel)"},{"issue":"22","key":"53179_CR32","doi-asserted-by":"publisher","first-page":"1176","DOI":"10.1097\/BRS.0000000000001117","volume":"40","author":"IC Benlidayi","year":"2015","unstructured":"Benlidayi, I. C., Coskun, N. C. & Basaran, S. Does lumbosacral transitional vertebra have any influence on sacral tilt?. Spine (Phila Pa 1976) 40(22), 1176\u20131179. https:\/\/doi.org\/10.1097\/BRS.0000000000001117 (2015).","journal-title":"Spine (Phila Pa 1976)"},{"issue":"11","key":"53179_CR33","doi-asserted-by":"publisher","first-page":"3583","DOI":"10.1007\/s00586-015-4284-4","volume":"25","author":"K Yokoyama","year":"2016","unstructured":"Yokoyama, K. et al. Spinopelvic alignment and sagittal balance of asymptomatic adults with 6 lumbar vertebrae. Eur. Spine J. 25(11), 3583\u20133588. https:\/\/doi.org\/10.1007\/s00586-015-4284-4 (2016).","journal-title":"Eur. Spine J."},{"issue":"11","key":"53179_CR34","doi-asserted-by":"publisher","first-page":"3694","DOI":"10.1007\/s00586-016-4794-8","volume":"25","author":"R Price","year":"2016","unstructured":"Price, R., Okamoto, M., Le Huec, J. C. & Hasegawa, K. Normative spino-pelvic parameters in patients with the lumbarization of S1 compared to a normal asymptomatic population. Eur. Spine J. 25(11), 3694\u20133698. https:\/\/doi.org\/10.1007\/s00586-016-4794-8 (2016).","journal-title":"Eur. Spine J."},{"issue":"1","key":"53179_CR35","doi-asserted-by":"publisher","first-page":"294","DOI":"10.14245\/ns.1938102.051","volume":"17","author":"NK Mahato","year":"2020","unstructured":"Mahato, N. K. Re-examining the spectrum of lumbosacral transitional dysmorphisms: Quantifying joint asymmetries and evaluating the anatomy of screw fixation corridors. Neurospine 17(1), 294\u2013303. https:\/\/doi.org\/10.14245\/ns.1938102.051 (2020).","journal-title":"Neurospine"},{"issue":"1","key":"53179_CR36","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1016\/j.mehy.2013.02.026","volume":"81","author":"NK Mahato","year":"2013","unstructured":"Mahato, N. K. Redefining lumbosacral transitional vertebrae (LSTV) classification: Integrating the full spectrum of morphological alterations in a biomechanical continuum. Med. Hypotheses 81(1), 76\u201381. https:\/\/doi.org\/10.1016\/j.mehy.2013.02.026 (2013).","journal-title":"Med. Hypotheses"},{"issue":"5","key":"53179_CR37","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1302\/0301-620X.87B5.15727","volume":"87","author":"T Aihara","year":"2005","unstructured":"Aihara, T. et al. Intervertebral disc degeneration associated with lumbosacral transitional vertebrae: A clinical and anatomical study. J. Bone Jt. Surg. Br. 87(5), 687\u2013691. https:\/\/doi.org\/10.1302\/0301-620X.87B5.15727 (2005).","journal-title":"J. Bone Jt. Surg. Br."},{"issue":"2","key":"53179_CR38","doi-asserted-by":"publisher","first-page":"137","DOI":"10.3171\/2016.6.SPINE1691","volume":"26","author":"DT Josiah","year":"2017","unstructured":"Josiah, D. T., Boo, S., Tarabishy, A. & Bhatia, S. Anatomical differences in patients with lumbosacral transitional vertebrae and implications for minimally invasive spine surgery. J. Neurosurg. Spine 26(2), 137\u2013143. https:\/\/doi.org\/10.3171\/2016.6.SPINE1691 (2017).","journal-title":"J. Neurosurg. Spine"},{"issue":"1","key":"53179_CR39","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/j.mehy.2012.10.013","volume":"80","author":"NK Mahato","year":"2013","unstructured":"Mahato, N. K. Complexity of neutral zones, lumbar stability and subsystem adaptations: Probable alterations in lumbosacral transitional vertebrae (LSTV) subtypes. Med. Hypotheses 80(1), 61\u201364. https:\/\/doi.org\/10.1016\/j.mehy.2012.10.013 (2013).","journal-title":"Med. Hypotheses"},{"issue":"6","key":"53179_CR40","doi-asserted-by":"publisher","first-page":"442","DOI":"10.1016\/s1529-9430(01)00126-7","volume":"1","author":"BK Weiner","year":"2001","unstructured":"Weiner, B. K., Walker, M. & Fraser, R. D. Vascular anatomy anterior to lumbosacral transitional vertebrae and implications for anterior lumbar interbody fusion. Spine J. 1(6), 442\u2013444. https:\/\/doi.org\/10.1016\/s1529-9430(01)00126-7 (2001).","journal-title":"Spine J."}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-53179-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-53179-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-53179-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T03:10:59Z","timestamp":1706843459000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-024-53179-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,2]]},"references-count":40,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["53179"],"URL":"https:\/\/doi.org\/10.1038\/s41598-024-53179-w","relation":{},"ISSN":["2045-2322"],"issn-type":[{"type":"electronic","value":"2045-2322"}],"subject":[],"published":{"date-parts":[[2024,2,2]]},"assertion":[{"value":"26 August 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 January 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 February 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"2746"}}