{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T10:00:24Z","timestamp":1790589624324,"version":"4.1.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:00:00Z","timestamp":1773964800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:00:00Z","timestamp":1773964800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Beijing Hospitals Authority Clinical Medicine Development Special Funding","award":["YGLX202511"],"award-info":[{"award-number":["YGLX202511"]}]},{"name":"Beijing Natural Science Foundation","award":["L242164"],"award-info":[{"award-number":["L242164"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>A retrospective cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the impact of coronal plane imbalance in adult degenerative scoliosis (ADS) on the severity and side-specific pattern of hip osteoarthritis (OA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients older than 50\u00a0years with Cobb angle &gt;10\u00b0 who underwent preoperative EOS images were retrospectively recruited. Hip OA severity was assessed using Kellgren\u2013Lawrence (KL) grades and categorized into mild (KL &lt;3 bilaterally) or severe (\u2265 one hip with KL \u22653). Coronal parameters\u2014including Cobb angle, apical vertebral translation (AVT), pelvic obliquity (PO), and coronal balance distance\u2014along with sagittal spinopelvic parameters were measured. Associations between radiographic variables and OA severity (worse, concave, and convex sides) were evaluated using Spearman correlation and multivariate logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 189 patients, those with severe hip OA demonstrated significantly greater AVT and PO despite similar Cobb angles. AVT correlated with worse-side OA (r = 0.259,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), convex-side OA (r = 0.154,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.034), and concave-side OA (r = 0.246,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001); PO correlated with worse-side and concave-side OA. Logistic regression identified AVT as an independent risk factor for worse-side (OR 1.062) and concave-side OA (OR 1.077), whereas Cobb angle appeared protective for convex-side OA (OR 0.942). Sagittal parameters (PT, PI\u2013LL, SVA) were also elevated in severe OA patients, consistent with hip\u2013spine compensatory mechanisms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Coronal imbalance in ADS, particularly increased AVT and pelvic obliquity, is associated with the severity and asymmetry of hip OA independent of Cobb angle magnitude. AVT may serve as a radiographic marker for identifying ADS patients at higher risk of asymmetric hip degeneration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682261437748","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T19:17:03Z","timestamp":1774034223000},"page":"3452-3459","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Apical Vertebral Translation as a Coronal Risk Factor for Side-Specific Hip Osteoarthritis in Adult Degenerative Scoliosis"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2832-9639","authenticated-orcid":false,"given":"Zhongning","family":"Xu","sequence":"first","affiliation":[{"name":"Beijing Jishuitan Hospital, Capital Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaofeng","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Spine Surgery, The First Affiliated Hospital of Baotou Medical College"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Chen","sequence":"additional","affiliation":[{"name":"Beijing Jishuitan Hospital, Capital Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuquan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Beijing Jishuitan Hospital, Capital Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bin","family":"Xiao","sequence":"additional","affiliation":[{"name":"Beijing Jishuitan Hospital, Capital Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7779-4775","authenticated-orcid":false,"given":"Yanbin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Beijing Jishuitan Hospital, Capital Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,20]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1227\/01.NEU.0000325485.49323.B2"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnz253"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000001198"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.OA.18.00025"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2021.03.031"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0259049"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000004957"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-018-5509-0"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2022.0376"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-024-08536-8"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2025.01.021"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-011-1928-x"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/jor.23841"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2023.e19510"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1302\/2046-3758.52.2000552"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/1120700018803236"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000001300"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2024.104004"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-023-03600-3"}],"container-title":["Global 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