{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:47:32Z","timestamp":1790776052672,"version":"4.1.0"},"reference-count":28,"publisher":"Japanese Society for Spine Surgery and Related Research","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Spine Surg Relat Res"],"published-print":{"date-parts":[[2025,7,27]]},"DOI":"10.22603\/ssrr.2024-0276","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T17:13:01Z","timestamp":1738861981000},"page":"416-425","source":"Crossref","is-referenced-by-count":2,"title":["Relationship between Health-Related Quality of Life and Sagittal Whole-Body Alignment, Standing Balance, and Skeletal Muscle Mass"],"prefix":"10.22603","volume":"9","author":[{"given":"Shun","family":"Hatsushikano","sequence":"first","affiliation":[{"name":"Niigata Spine Surgery Center, Kameda Daiichi Hospital"},{"name":"Department of Radiological Technology, Niigata University Graduate School of Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Niigata Spine Surgery Center, Kameda Daiichi Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Niigata Spine Surgery Center, Kameda Daiichi Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryuta","family":"Sasamoto","sequence":"additional","affiliation":[{"name":"Department of Radiological Technology, Niigata University Graduate School of Health Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"9891","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"1. Hasegawa K, Okamoto M, Hatsushikano S, et al. Normative values of spinopelvic sagittal alignment, balance, age, and health-related quality of life in a cohort of healthy adult subjects. Eur Spine J. 2016;25 (11):3675-86.","DOI":"10.1007\/s00586-016-4702-2"},{"key":"2","unstructured":"2. Dubousset J. Three-dimensional analysis of the scoliotic deformity. New York, NY: Raven Press; 1994. Pediatric spine: principles and practice; p. 479-83."},{"key":"3","doi-asserted-by":"crossref","unstructured":"3. Hasegawa K, Dubousset JF. Cone of economy with the chain of balance-historical perspective and proof of concept. Spine Surg Relat Res. 2022;6 (4):337-49.","DOI":"10.22603\/ssrr.2022-0038"},{"key":"4","doi-asserted-by":"crossref","unstructured":"4. Haddas R, Sambhariya V, Kosztowski T, et al. Cone of economy classification: evolution, concept of stability, severity level, and correlation to patient-reported outcome scores. Eur Spine J. 2021;30 (8):2271-82.","DOI":"10.1007\/s00586-020-06678-z"},{"key":"5","doi-asserted-by":"crossref","unstructured":"5. Glassman SD, Bridwell K, Dimar JR, et al. The impact of positive sagittal balance in adult spinal deformity. Spine. 2005;30 (18):2024-9.","DOI":"10.1097\/01.brs.0000179086.30449.96"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6. Schwab FJ, Blondel B, Bess S, et al. Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis. Spine. 2013;38 (13):E803-12.","DOI":"10.1097\/BRS.0b013e318292b7b9"},{"key":"7","doi-asserted-by":"crossref","unstructured":"7. Hasegawa K, Okamoto M, Hatsushikano S, et al. Compensation for standing posture by whole-body sagittal alignment in relation to health-related quality of life. Bone Joint J 2020;102-B (10):1359-67.","DOI":"10.1302\/0301-620X.102B10.BJJ-2019-1581.R2"},{"key":"8","unstructured":"8. Liang-Kung C, Jean W, Prasert A. Asian Working Group on sarcopenia: consensus update on sarcopenia diagnosis and treatment. J Am Med Dir Assoc. 2019;21:300-7."},{"key":"9","doi-asserted-by":"crossref","unstructured":"9. Hori Y, Hoshino M, Inage K, et al. ISSLS PRIZE INCLINICAL SCIENCE 2019: clinical importance of trunk muscle mass for low back pain, spinal balance, and quality of life-a multicenter cross-sectional study. Eur Spine J. 2019;28 (5):914-21.","DOI":"10.1007\/s00586-019-05904-7"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10. Hori Y, Hoshino M, Inage K, et al. Gender-specific analysis for the association between trunk muscle mass and spinal pathologies. Sci Rep. 2021;11 (1):7816.","DOI":"10.1038\/s41598-021-87334-4"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11. Tashi H, Watanabe K, Yahata M, et al. Low back pain significantly influences locomotive syndrome in older people: evaluation using the 3-stage categories. J Orthop Sci. 2023;28 (3):662-8.","DOI":"10.1016\/j.jos.2022.03.004"},{"key":"12","doi-asserted-by":"crossref","unstructured":"12. Yamamoto J, Bergstrom J, Davis A, et al. Trunk lean mass and its association with 4 different measures of thoracic kyphosis in older community dwelling persons. PLoS One. 2017;12 (4):e0174710.","DOI":"10.1371\/journal.pone.0174710"},{"key":"13","doi-asserted-by":"crossref","unstructured":"13. Menezes-Reis R, Bonugli GP, Salmon CEG, et al. Relationship of spinal alignment with muscular volume and fat infiltration of lumbar trunk muscles. PLoS One. 2018;13 (7):e0200198.","DOI":"10.1371\/journal.pone.0200198"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14. Banno T, Yamato Y, Nojima O, et al. Comparison of the postoperative changes in trunk and lower extremity muscle activities between patients with adult spinal deformity and age-matched controls using surface electromyography. Spine Deform. 2022;10 (1):141-9.","DOI":"10.1007\/s43390-021-00396-2"},{"key":"15","doi-asserted-by":"crossref","unstructured":"15. Hasegawa K, Okamoto M, Hatsushikano S, et al. Standing sagittal alignment of the whole axial skeleton with reference to the gravity line in humans. J Anat. 2017;230 (5):619-30.","DOI":"10.1111\/joa.12586"},{"key":"16","doi-asserted-by":"crossref","unstructured":"16. Hasegawa K, Hatsushikano S, Watanabe K, et al. Scoliosis research society-22r score is affected by standing whole body sagittal alignment, age, and sex, but not by standing balance or skeletal muscle mass in healthy volunteers. Eur Spine J. 2022;31 (11):3000-12.","DOI":"10.1007\/s00586-022-07360-2"},{"key":"17","doi-asserted-by":"crossref","unstructured":"17. Hasegawa K, Hatsushikano S, Le Huec JC, et al. Pelvic thickness, sex, ethnicity, and age affect pelvic incidence in healthy volunteers from the Multiethnic Alignment Normative Study (MEANS) database. Eur Spine J. 2022;31 (6):1421-30.","DOI":"10.1007\/s00586-022-07134-w"},{"key":"18","doi-asserted-by":"crossref","unstructured":"18. Dubousset J, Charpak G, Dorion I, et al. Nouvelle imagerie Ost\u00e9o-Articulaire basse dose en position debout. e-M\u00e9moires de l&apos;Acad\u00e9mie Nationale de Chirurgie. 2005;4:22-7.","DOI":"10.1016\/S0001-4079(19)33584-8"},{"key":"19","doi-asserted-by":"crossref","unstructured":"19. Protopsaltis T, Schwab F, Bronsard N, et al. The T1 pelvic angle, a novel radiographic measure of global sagittal deformity, accounts for both spinal inclination and pelvic tilt and correlates with health-related quality of life. J Bone Joint Surg. 2014;96 (19):1631-40.","DOI":"10.2106\/JBJS.M.01459"},{"key":"20","doi-asserted-by":"crossref","unstructured":"20. Kim J-W, Kwon Y, Ho Y, et al. Age-gender differences in the postural sway during squat and stand-up movement. Biomed Mater Eng. 2014;24 (6):2707-13.","DOI":"10.3233\/BME-141088"},{"key":"21","unstructured":"21. Kinney T, Liddle S, Bain C. A comparison of static and dynamic standing balance in older men versus women. Physiother Can. 1997;49 (3):207-13."},{"key":"22","doi-asserted-by":"crossref","unstructured":"22. Bosy-Westphal A, Jensen B, Braun W, et al. Quantification of whole-body and segmental skeletal muscle mass using phase-sensitive 8-electrode medical bioelectrical impedance devices. Eur J Clin Nutr. 2017;71 (9):1061-7.","DOI":"10.1038\/ejcn.2017.27"},{"key":"23","doi-asserted-by":"crossref","unstructured":"23. Bosy-Westphal A, Schautz B, Later W, et al. What makes a BIA equation unique? Validity of eight-electrode multifrequency BIA to estimate body composition in a healthy adult population. Eur J Clin Nutr. 2013;67 (suppl 1):S14-21.","DOI":"10.1038\/ejcn.2012.160"},{"key":"24","doi-asserted-by":"crossref","unstructured":"24. Asher M, Lai SM, Burton D, et al. The reliability and concurrent validity of the scoliosis research society-22 patient questionnaire for idiopathic scoliosis. Spine. 2003;28 (1):63-69.","DOI":"10.1097\/00007632-200301010-00015"},{"key":"25","doi-asserted-by":"crossref","unstructured":"25. Hashimoto H, Sase T, Arai Y, et al. Validation of a Japanese version of the scoliosis research society-22 patient questionnaire among idiopathic scoliosis patients in Japan. Spine. 2007;32 (4):E141-6.","DOI":"10.1097\/01.brs.0000255220.47077.33"},{"key":"26","doi-asserted-by":"crossref","unstructured":"26. Amabile C, Le Huec JC, Skalli W. Invariance of head-pelvis alignment and compensatory mechanisms for asymptomatic adults older than 49 years. Eur Spine J. 2018;27 (2):458-66.","DOI":"10.1007\/s00586-016-4830-8"},{"key":"27","doi-asserted-by":"crossref","unstructured":"27. Bao H, Lafage R, Liabaud B, et al. Three types of sagittal alignment regarding compensation in asymptomatic adults: the contribution of the spine and lower limbs. Eur Spine J. 2018;27 (2):397-405.","DOI":"10.1007\/s00586-017-5159-7"},{"key":"28","doi-asserted-by":"crossref","unstructured":"28. Duval-Beaup\u00e8re G, Legaye J. Composante sagittale de la statique rachidienne. Rev Rhum. 2004;71 (2):105-19.","DOI":"10.1016\/j.rhum.2003.09.018"}],"container-title":["Spine Surgery and Related Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/ssrr\/9\/4\/9_2024-0276\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,2]],"date-time":"2025-08-02T03:30:49Z","timestamp":1754105449000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/ssrr\/9\/4\/9_2024-0276\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,27]]},"references-count":28,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.22603\/ssrr.2024-0276","relation":{},"ISSN":["2432-261X"],"issn-type":[{"value":"2432-261X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,27]]},"article-number":"2024-0276"}}