{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T18:09:47Z","timestamp":1780510187675,"version":"3.54.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Sci Rep"],"DOI":"10.1038\/s41598-025-93319-4","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T17:41:11Z","timestamp":1743529271000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Influence of decompression surgery on sagittal balance parameters in patients with lumbar spinal stenosis"],"prefix":"10.1038","volume":"15","author":[{"given":"Pedro Santos","family":"Silva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joana Sofia Neves","family":"Leoc\u00e1dio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Vaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,1]]},"reference":[{"key":"93319_CR1","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1001\/jama.2010.338","volume":"303","author":"RA Deyo","year":"2010","unstructured":"Deyo, R. A. et al. Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults. JAMA 303, 1259\u20131265 (2010).","journal-title":"JAMA"},{"key":"93319_CR2","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1007\/s00586-011-1930-3","volume":"20","author":"C Barrey","year":"2011","unstructured":"Barrey, C., Roussouly, P., Perrin, G. & Le Huec, J. C. Sagittal balance disorders in severe degenerative spine. Can we identify the compensatory mechanisms? Eur. Spine J. 20, 626\u2013633 (2011).","journal-title":"Eur. Spine J."},{"key":"93319_CR3","doi-asserted-by":"crossref","first-page":"S42","DOI":"10.1227\/01.neu.0000462077.50830.1a","volume":"76","author":"VA Mehta","year":"2015","unstructured":"Mehta, V. A., Amin, A., Omeis, I. & Gokaslan, Z. L. Gottfried, O. N. Implications of spinopelvic alignment for the spine surgeon. Neurosurgery 76, S42\u2013S56 (2015).","journal-title":"Neurosurgery"},{"key":"93319_CR4","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1097\/BRS.0000000000000928","volume":"40","author":"SH Bayerl","year":"2015","unstructured":"Bayerl, S. H. et al. The sagittal balance does not influence the 1 year clinical outcome of patients with lumbar spinal stenosis without obvious instability after microsurgical decompression. Spine (Phila Pa. 1976). 40, 1014\u20131021 (2015).","journal-title":"Spine (Phila Pa. 1976)"},{"key":"93319_CR5","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-020-06639-6","author":"MA Costa","year":"2020","unstructured":"Costa, M. A., Silva, P. S., Vaz, R. & Pereira, P. Correlation between clinical outcomes and spinopelvic parameters in patients with lumbar stenosis undergoing decompression surgery. Eur. Spine J. https:\/\/doi.org\/10.1007\/s00586-020-06639-6 (2020).","journal-title":"Eur. Spine J."},{"key":"93319_CR6","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.berh.2009.11.001","volume":"24","author":"S Genevay","year":"2010","unstructured":"Genevay, S. & Atlas, S. J. Lumbar spinal stenosis. Best Pract. Res. Clin. Rheumatol. 24, 253\u2013265 (2010).","journal-title":"Best Pract. Res. Clin. Rheumatol."},{"key":"93319_CR7","doi-asserted-by":"crossref","first-page":"451","DOI":"10.3171\/2015.1.SPINE14642","volume":"23","author":"T Hikata","year":"2015","unstructured":"Hikata, T. et al. Impact of sagittal spinopelvic alignment on clinical outcomes after decompression surgery for lumbar spinal canal stenosis without coronal imbalance. J. Neurosurg. Spine. 23, 451\u2013458 (2015).","journal-title":"J. Neurosurg. Spine"},{"key":"93319_CR8","doi-asserted-by":"crossref","first-page":"1889","DOI":"10.1007\/s00586-019-06083-1","volume":"28","author":"JC Le Huec","year":"2019","unstructured":"Le Huec, J. C., Thompson, W., Mohsinaly, Y., Barrey, C. & Faundez, A. Sagittal balance of the spine. Eur. Spine J. 28, 1889\u20131905 (2019).","journal-title":"Eur. Spine J."},{"key":"93319_CR9","doi-asserted-by":"crossref","first-page":"1661","DOI":"10.2106\/JBJS.16.01594","volume":"99","author":"C Yilgor","year":"2017","unstructured":"Yilgor, C. et al. Global alignment and proportion (GAP) score: development and validation of a new method of analyzing spinopelvic alignment to predict mechanical complications after adult spinal deformity surgery. J. Bone Joint Surg. 99, 1661\u20131672 (2017).","journal-title":"J. Bone Joint Surg."},{"key":"93319_CR10","unstructured":"Husson, F., Josse, J. & Pag\u00e8s, J. Principal component methods\u2014hierarchical clustering\u2014partitional clustering: why would we need to choose for vsualizing data? (2010)."},{"key":"93319_CR11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/s41598-021-86703-3","volume":"11","author":"A Maugeri","year":"2021","unstructured":"Maugeri, A., Barchitta, M., Basile, G. & Agodi, A. Applying a hierarchical clustering on principal components approach to identify different patterns of the SARS-CoV-2 epidemic across Italian regions. Sci. Rep. 11, 1\u201310 (2021).","journal-title":"Sci. Rep."},{"key":"93319_CR12","doi-asserted-by":"crossref","first-page":"2024","DOI":"10.1097\/01.brs.0000179086.30449.96","volume":"30","author":"SD Glassman","year":"2005","unstructured":"Glassman, S. D. et al. The impact of positive sagittal balance in adult spinal deformity. Spine (Phila Pa. 1976). 30, 2024\u20132029 (2005).","journal-title":"Spine (Phila Pa. 1976)"},{"key":"93319_CR13","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1097\/BRS.0b013e31823e15e2","volume":"37","author":"F Schwab","year":"2012","unstructured":"Schwab, F. et al. Scoliosis research Society\u2014Schwab adult spinal deformity classification: A validation study. Spine (Phila Pa. 1976). 37, 1077\u20131082 (2012).","journal-title":"Spine (Phila Pa. 1976)"},{"key":"93319_CR14","doi-asserted-by":"crossref","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\u2014Postoperative standing imbalance: how much can you tolerate?? An overview of key parameters in assessing alignment and planning corrective surgery. Spine (Phila Pa. 1976). 35, 2224\u20132231 (2010).","journal-title":"Spine (Phila Pa. 1976)"},{"key":"93319_CR15","doi-asserted-by":"crossref","first-page":"1459","DOI":"10.1007\/s00586-006-0294-6","volume":"16","author":"C Barrey","year":"2007","unstructured":"Barrey, C., Jund, J., Noseda, O. & Roussouly, P. Sagittal balance of the pelvis-spine complex and lumbar degenerative diseases. A comparative study about 85 cases. Eur. Spine J. 16, 1459\u20131467 (2007).","journal-title":"Eur. Spine J."},{"key":"93319_CR16","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1016\/j.jos.2019.05.021","volume":"25","author":"Y Ogura","year":"2020","unstructured":"Ogura, Y., Kobayashi, Y., Shinozaki, Y. & Ogawa, J. Spontaneous correction of sagittal spinopelvic malalignment after decompression surgery without corrective fusion procedure for lumbar spinal stenosis and its impact on clinical outcomes: A systematic review. J. Orthop. Sci. 25, 379\u2013383 (2020).","journal-title":"J. Orthop. Sci."},{"key":"93319_CR17","doi-asserted-by":"crossref","first-page":"2413","DOI":"10.1007\/s00586-021-06827-y","volume":"30","author":"J Hatakka","year":"2021","unstructured":"Hatakka, J., Pernaa, K., Rantakokko, J., Laaksonen, I. & Saltychev, M. Effect of lumbar laminectomy on spinal sagittal alignment: a systematic review. Eur. Spine J. 30, 2413\u20132426 (2021).","journal-title":"Eur. Spine J."},{"key":"93319_CR18","doi-asserted-by":"crossref","first-page":"S109","DOI":"10.1016\/j.spinee.2020.05.632","volume":"20","author":"JB Bouknaitir","year":"2020","unstructured":"Bouknaitir, J. B., Carreon, L. Y., Brorson, S. & Andersen, M. 221. Change in sagittal alignment after decompression alone in patients with lumbar spinal stenosis: a prospective cohort study. Spine J. 20, S109\u2013S110 (2020).","journal-title":"Spine J."},{"key":"93319_CR19","doi-asserted-by":"publisher","unstructured":"Salimi, H. et al. The effect of minimally invasive lumbar decompression surgery on sagittal spinopelvic alignment in patients with lumbar spinal stenosis: a 5-year follow-up study. J. Neurosurg. Spine. 1\u20138 https:\/\/doi.org\/10.3171\/2020.11.Spine201552 (2021).","DOI":"10.3171\/2020.11.Spine201552"}],"container-title":["Scientific Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-93319-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-93319-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-93319-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T04:59:03Z","timestamp":1743656343000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41598-025-93319-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,1]]},"references-count":19,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["93319"],"URL":"https:\/\/doi.org\/10.1038\/s41598-025-93319-4","relation":{},"ISSN":["2045-2322"],"issn-type":[{"value":"2045-2322","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,1]]},"assertion":[{"value":"12 September 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 April 2025","order":3,"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"}}],"article-number":"11113"}}