{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T21:30:37Z","timestamp":1785447037956,"version":"3.56.0"},"reference-count":27,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2022,10,14]],"date-time":"2022-10-14T00:00:00Z","timestamp":1665705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Breast cancer survivors may experience spinal deformity following breast cancer surgery. This study investigated the long-term effects of breast cancer surgery on whole-spine alignment. This retrospective study included 200 patients who underwent breast cancer surgery and \u22652 anteroposterior standing whole-spine X-rays. The curvature of the spine was measured using the Cobb angle; changes in Cobb angle between X-rays were compared among three groups according to breast cancer surgery type. The mean interval between initial and follow-up X-ray was 28.46 \u00b1 13.39 months. The change in Cobb angle was 0.40 \u00b1 1.65 degrees and the absolute value of that change was 1.25 \u00b1 1.15 degrees in all patients with breast cancer. There were no significant differences in angular change among groups according to breast cancer surgery type. Most patients showed minimal changes in spinal alignment after breast cancer surgery. Our findings indicate that breast cancer surgery does not negatively affect spinal alignment.<\/jats:p>","DOI":"10.1371\/journal.pone.0276173","type":"journal-article","created":{"date-parts":[[2022,10,14]],"date-time":"2022-10-14T18:18:59Z","timestamp":1665771539000},"page":"e0276173","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["The effect of breast cancer surgery on spine alignment: Whole-spine radiograph analysis"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5195-4320","authenticated-orcid":true,"given":"Kyung Eun","family":"Nam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inah","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7773-6329","authenticated-orcid":true,"given":"Hae-Yeon","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8844-4807","authenticated-orcid":true,"given":"Jong In","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2022,10,14]]},"reference":[{"key":"pone.0276173.ref001","doi-asserted-by":"crossref","first-page":"123","DOI":"10.4048\/jbc.2021.24.e22","article-title":"Breast Cancer Statistics in Korea, 2018","volume":"24","author":"SY Kang","year":"2021","journal-title":"J Breast Cancer"},{"key":"pone.0276173.ref002","unstructured":"National Cancer Information Center [cited 9 August 2022]. 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