{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T01:59:01Z","timestamp":1773021541742,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:00:00Z","timestamp":1769040000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100005046","name":"Natural Science Foundation of Heilongjiang Province","doi-asserted-by":"publisher","award":["PL2024H093"],"award-info":[{"award-number":["PL2024H093"]}],"id":[{"id":"10.13039\/501100005046","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Insufficient correction of segmental lordosis is an important risk factor for adjacent segment disease (ASD). This study aimed to investigate the relationship between segmental lordosis\u2013related parameters and ASD following lumbar facet joint fusion (FJF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on 29 patients who underwent revision surgery for ASD after posterior lumbar fusion at our institution between February 2014 and February 2024. A matched control group of 29 non\u2010ASD patients was selected based on age at initial surgery, sex, fusion level, and follow\u2010up duration. Preoperative, postoperative, and final follow\u2010up lumbar radiographs were analyzed. Parameters assessed included lumbar lordosis (LL), segmental lordosis (SL), sacral slope (SS), and relative disc height of adjacent segments. General baseline characteristics, sagittal parameters before and after the initial surgery, and correction values of sagittal alignment were compared between the two groups. Parameters showing significant differences were further analyzed using binary logistic regression, and receiver operating characteristic (ROC) curves were used to determine predictive thresholds of independent risk factors for ASD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were no significant differences in baseline characteristics between the two groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). After the primary fusion surgery, LL and SS were significantly lower in the ASD group compared with the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Regarding sagittal correction, the relative change in SL (r\u25b3SL) was significantly smaller in the ASD group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), confirming insufficient local curvature reconstruction. Logistic regression identified r\u25b3SL as an independent risk factor for ASD (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004, OR\u2009=\u20090.976, 95% CI: 0.960\u20130.992). ROC curve analysis revealed an area under the curve (AUC) of 0.712 (95% CI: 0.580\u20130.844), with an optimal predictive threshold of 2.6% for r\u25b3SL.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Insufficient correction of segmental lordosis is a key risk factor for ASD following lumbar facet joint fusion, and prioritizing the restoration of local sagittal alignment during surgery may effectively reduce the incidence of postoperative ASD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70250","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T08:11:39Z","timestamp":1769069499000},"page":"433-442","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Analysis of Risk Factors for Adjacent Segment Disease After Lumbar Facet Joint Fusion"],"prefix":"10.1111","volume":"18","author":[{"given":"Haibiao","family":"Qin","sequence":"first","affiliation":[{"name":"The Second Affiliated Hospital of Harbin Medical University  Harbin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinglong","family":"Yan","sequence":"additional","affiliation":[{"name":"The Second Affiliated Hospital of Harbin Medical University  Harbin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guangxi","family":"Wang","sequence":"additional","affiliation":[{"name":"The Second Affiliated Hospital of Harbin Medical University  Harbin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hui","family":"Chi","sequence":"additional","affiliation":[{"name":"The Second Affiliated Hospital of Harbin Medical University  Harbin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu","family":"Zhang","sequence":"additional","affiliation":[{"name":"The Second Affiliated Hospital of Harbin Medical University  Harbin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pengyu","family":"Kong","sequence":"additional","affiliation":[{"name":"The Second Affiliated Hospital of Harbin Medical University  Harbin China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunyang","family":"Xi","sequence":"additional","affiliation":[{"name":"The Second Affiliated Hospital of Harbin Medical University  Harbin China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,22]]},"reference":[{"issue":"12","key":"e_1_2_12_2_1","first-page":"1102","article-title":"Comparative Analysis of the Efficacy of Three Lumbar Fixation and Fusion Procedures in the Treatment of Adjacent Segment Disease After Lumbar Surgery","volume":"32","author":"Ma Z. J.","year":"2022","journal-title":"Chinese Journal of Spine and Spinal Cord"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2010.09.026"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181d323c6"},{"issue":"4","key":"e_1_2_12_5_1","first-page":"337","article-title":"Risk Factors for Adjacent Segment Disease After Posterior L4\/5 Fusion Surgery","volume":"33","author":"Gong Z. Y.","year":"2023","journal-title":"Chinese Journal of Spine and Spinal Cord"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200007010-00004"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-019-2886-4"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.02.073"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e3181f91697"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000917"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.3171\/2019.4.SPINE181463"},{"issue":"2","key":"e_1_2_12_12_1","doi-asserted-by":"crossref","DOI":"10.1177\/2309499019842378","article-title":"Adjacent Segment Disease After Posterior Lumbar Instrumentation Surgery for Degenerative Disease: Incidence and Risk Factors","volume":"27","author":"Bagheri S. R.","year":"2019","journal-title":"Journal of Orthopaedic Surgery (Hong Kong)"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-020-03463-3"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000004400"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-03388-8"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-03383-z"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-020-02032-7"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.70250","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/os.70250","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.70250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T01:23:07Z","timestamp":1773019387000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.70250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,22]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/os.70250"],"URL":"https:\/\/doi.org\/10.1111\/os.70250","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"value":"1757-7853","type":"print"},{"value":"1757-7861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,22]]},"assertion":[{"value":"2025-09-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-22","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}