{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T16:49:45Z","timestamp":1777654185979,"version":"3.51.4"},"reference-count":34,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>Sagittal imbalance and loss of lumbar lordosis are the main drivers of functional disability in adult degenerative scoliosis. The main limitations of the classic posterior lumbar interbody fusion technique are increased risk of neurological injury and suboptimal correction of the segmental lordosis. Here, the authors describe the radiological results of a modified posterior lumbar interbody fusion and compare the results with a historical cohort of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Eighty-two consecutive patients underwent surgical treatment for degenerative scoliosis\/kyphosis in a single tertiary referral center for complex spinal surgery. Fifty-five patients were treated using the classic multilevel posterior lumbar interbody fusion (MPLIF) technique and 27 were treated using the modified MPLIF technique to include a release of the anterior longitudinal ligament (ALL) and the annulus. A radiographic review of both series of patients was performed by two independent observers. Functional outcomes were obtained, and patients were registered in the European Spine Tango registry.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>The mean L4\u20135 disc angle increased by 3.14\u00b0 in the classic MPLIF group and by 12.83\u00b0 in MPLIF plus ALL and annulus release group. The mean lumbar lordosis increased by 15.23\u00b0 in the first group and by 25.17\u00b0 in the second group. The L4\u2013S1 lordosis increased on average by 4.92\u00b0 in the classic MPLIF group and increased by a mean of 23.7\u00b0 in the MPLIF plus ALL release group when both L4\u20135 and L5\u2013S1 segments were addressed. There were significant improvements in the Core Outcome Measures Index and EQ-5D score in both groups (p &lt; 0.001). There were no vascular or neurological injuries observed in either group.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The authors\u2019 preliminary results suggest that more correction can be achieved at the disc level using posterior-based ALL and annulus release in conjunction with posterior lumbar interbody fusion. They demonstrate that ALL and annulus release can be performed safely using a posterior-only approach with minimal risk of vascular injury. However, the authors recommend that this approach should only be used by surgeons with considerable experience in anterior and posterior spinal surgery.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2019.1.spine18754","type":"journal-article","created":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T20:03:21Z","timestamp":1554840201000},"page":"46-52","source":"Crossref","is-referenced-by-count":10,"title":["Comparative study of multilevel posterior interbody fusion plus anterior longitudinal ligament release versus classic multilevel posterior interbody fusion in the treatment of adult spinal deformities"],"prefix":"10.3171","volume":"31","author":[{"given":"Silviu","family":"Sabou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Apostolos","family":"Lagaras","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajat","family":"Verma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irfan","family":"Siddique","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saeed","family":"Mohammad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Orthop Traumatol Surg Res","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1016\/j.otsr.2017.09.014","article-title":"Anterior lumbar sagittal alignment after anterior or lateral interbody fusion","volume":"103","author":"Afathi M","year":"2017","unstructured":"Afathi M, Zairi F, Devos P, Allaoui M, Marinho P, Chopin D, : Anterior lumbar sagittal alignment after anterior or lateral interbody fusion. Orthop Traumatol Surg Res 103:1245\u20131250, 201710.1016\/j.otsr.2017.09.014"},{"key":"b2","series-title":"Clin Spine Surg","doi-asserted-by":"publisher","first-page":"E230","DOI":"10.1097\/BSD.0000000000000549","article-title":"Radiographic and clinical outcomes of anterior and transforaminal lumbar interbody fusions: a systematic review and meta-analysis of comparative studies","volume":"31","author":"Ajiboye RM","year":"2018","unstructured":"Ajiboye RM, Alas H, Mosich GM, Sharma A, Pourtaheri S: Radiographic and clinical outcomes of anterior and transforaminal lumbar interbody fusions: a systematic review and meta-analysis of comparative studies. Clin Spine Surg 31:E230\u2013E238, 201810.1097\/BSD.000000000000054928622187"},{"key":"b3","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1097\/BSD.0b013e318287bdc1","article-title":"Anterior column realignment (ACR) for focal kyphotic spinal deformity using a lateral transpsoas approach and ALL release","volume":"27","author":"Akbarnia BA","year":"2014","unstructured":"Akbarnia BA, Mundis GM Jr, Moazzaz P, Kabirian N, Bagheri R, Eastlack RK, : Anterior column realignment (ACR) for focal kyphotic spinal deformity using a lateral transpsoas approach and ALL release. J Spinal Disord Tech 27:29\u201339, 20142342930510.1097\/BSD.0b013e318287bdc1"},{"key":"b4","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"18","DOI":"10.3171\/2012.9.SPINE12659","article-title":"Urological injury as a complication of the transpsoas approach for discectomy and interbody fusion","volume":"18","author":"Anand N","year":"2013","unstructured":"Anand N, Baron EM: Urological injury as a complication of the transpsoas approach for discectomy and interbody fusion. J Neurosurg Spine 18:18\u201323, 20132312165210.3171\/2012.9.SPINE12659"},{"key":"b5","series-title":"Int J Spine Surg","doi-asserted-by":"publisher","first-page":"29","DOI":"10.14444\/3029","article-title":"Sagittal balance correction in lateral interbody fusion for degenerative scoliosis","volume":"10","author":"Blizzard DJ","year":"2016","unstructured":"Blizzard DJ, Gallizzi MA, Sheets C, Smith BT, Isaacs RE, Eure M, : Sagittal balance correction in lateral interbody fusion for degenerative scoliosis. Int J Spine Surg 10:29, 20162765220010.14444\/3029"},{"key":"b6","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2245","DOI":"10.1097\/BRS.0b013e31814b2d52","article-title":"Neurologic complications of lumbar pedicle subtraction osteotomy: a 10-year assessment","volume":"32","author":"Buchowski JM","year":"2007","unstructured":"Buchowski JM, Bridwell KH, Lenke LG, Kuhns CA, Lehman RA Jr, Kim YJ, : Neurologic complications of lumbar pedicle subtraction osteotomy: a 10-year assessment. Spine (Phila Pa 1976) 32:2245\u20132252, 200710.1097\/BRS.0b013e31814b2d52"},{"key":"b7","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1097\/BRS.0b013e3182217ab5","article-title":"Major complications in revision adult deformity surgery: risk factors and clinical outcomes with 2- to 7-year follow-up","volume":"37","author":"Cho SK","year":"2012","unstructured":"Cho SK, Bridwell KH, Lenke LG, Yi JS, Pahys JM, Zebala LP, : Major complications in revision adult deformity surgery: risk factors and clinical outcomes with 2- to 7-year follow-up. Spine (Phila Pa 1976) 37:489\u2013500, 201210.1097\/BRS.0b013e3182217ab5"},{"issue":"Suppl 6","key":"b8","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"699","DOI":"10.1007\/s00586-014-3561-y","article-title":"The role of minimally invasive lateral lumbar interbody fusion in sagittal balance correction and spinal deformity","volume":"23","author":"Costanzo G","year":"2014","unstructured":"Costanzo G, Zoccali C, Maykowski P, Walter CM, Skoch J, Baaj AA: The role of minimally invasive lateral lumbar interbody fusion in sagittal balance correction and spinal deformity. Eur Spine J 23 (Suppl 6):699\u2013704, 201410.1007\/s00586-014-3561-y25217242"},{"key":"b9","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E755","DOI":"10.1097\/BRS.0b013e31828d6ca3","article-title":"Transforaminal versus anterior lumbar interbody fusion in long deformity constructs: a matched cohort analysis","volume":"38","author":"Dorward IG","year":"2013","unstructured":"Dorward IG, Lenke LG, Bridwell KH, O\u02bcLeary PT, Stoker GE, Pahys JM, : Transforaminal versus anterior lumbar interbody fusion in long deformity constructs: a matched cohort analysis. Spine (Phila Pa 1976) 38:E755\u2013E762, 201310.1097\/BRS.0b013e31828d6ca3"},{"key":"b10","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2764","DOI":"10.1097\/BRS.0b013e31815a7644","article-title":"The impact of perioperative complications on clinical outcome in adult deformity surgery","volume":"32","author":"Glassman SD","year":"2007","unstructured":"Glassman SD, Hamill CL, Bridwell KH, Schwab FJ, Dimar JR, Lowe TG: The impact of perioperative complications on clinical outcome in adult deformity surgery. Spine (Phila Pa 1976) 32:2764\u20132770, 200710.1097\/BRS.0b013e31815a7644"},{"key":"b11","series-title":"J Spinal Disord","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1097\/00002517-199810000-00010","article-title":"Elliptical modeling of the sagittal lumbar lordosis and segmental rotation angles as a method to discriminate between normal and low back pain subjects","volume":"11","author":"Harrison DD","year":"1998","unstructured":"Harrison DD, Cailliet R, Janik TJ, Troyanovich SJ, Harrison DE, Holland B: Elliptical modeling of the sagittal lumbar lordosis and segmental rotation angles as a method to discriminate between normal and low back pain subjects. J Spinal Disord 11:430\u2013439, 199810.1097\/00002517-199810000-000109811104"},{"key":"b12","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"726","DOI":"10.1097\/BRS.0b013e31827c2415","article-title":"Three-column osteotomies in the treatment of spinal deformity in adult patients 60 years old and older: outcome and complications","volume":"38","author":"Hassanzadeh H","year":"2013","unstructured":"Hassanzadeh H, Jain A, El Dafrawy MH, Ain MC, Mesfin A, Skolasky RL, : Three-column osteotomies in the treatment of spinal deformity in adult patients 60 years old and older: outcome and complications. Spine (Phila Pa 1976) 38:726\u2013731, 201310.1097\/BRS.0b013e31827c2415"},{"key":"b13","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2189","DOI":"10.1097\/BRS.0b013e31814b8371","article-title":"Results of lumbar pedicle subtraction osteotomies for fixed sagittal imbalance: a minimum 5-year follow-up study","volume":"32","author":"Kim YJ","year":"2007","unstructured":"Kim YJ, Bridwell KH, Lenke LG, Cheh G, Baldus C: Results of lumbar pedicle subtraction osteotomies for fixed sagittal imbalance: a minimum 5-year follow-up study. Spine (Phila Pa 1976) 32:2189\u20132197, 200710.1097\/BRS.0b013e31814b8371"},{"key":"b14","series-title":"Spine","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1097\/BRS.0b013e31827ab803","article-title":"Re: Mueller B, Carreon LY, Glassman SD. Comparison of the EuroQol-5D with the Oswestry disability index, back and leg pain scores in patients with degenerative lumbar spine pathology","volume":"38","author":"Kovacs FM","year":"2013","unstructured":"Kovacs FM, Royuela A, Zamora J, Abraira V: Re: Mueller B, Carreon LY, Glassman SD. Comparison of the EuroQol-5D with the Oswestry disability index, back and leg pain scores in patients with degenerative lumbar spine pathology. Spine 2013;38:757\u201361. Spine (Phila Pa 1976) 38:1523, 201310.1097\/BRS.0b013e31827ab803"},{"key":"b15","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"2638","DOI":"10.1007\/s00586-015-4292-4","article-title":"The Core Outcome Measures Index (COMI) is a responsive instrument for assessing the outcome of treatment for adult spinal deformity","volume":"25","author":"Mannion AF","year":"2016","unstructured":"Mannion AF, Vila-Casademunt A, Domingo-S\u00e0bat M, Wunderlin S, Pellis\u00e9 F, Bago J, : The Core Outcome Measures Index (COMI) is a responsive instrument for assessing the outcome of treatment for adult spinal deformity. Eur Spine J 25:2638\u20132648, 20162651937410.1007\/s00586-015-4292-4"},{"key":"b16","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"150","DOI":"10.3171\/2016.7.SPINE16172","article-title":"Posterior corrective surgery with a multilevel transforaminal lumbar interbody fusion and a rod rotation maneuver for patients with degenerative lumbar kyphoscoliosis","volume":"26","author":"Matsumura A","year":"2017","unstructured":"Matsumura A, Namikawa T, Kato M, Ozaki T, Hori Y, Hidaka N, : Posterior corrective surgery with a multilevel transforaminal lumbar interbody fusion and a rod rotation maneuver for patients with degenerative lumbar kyphoscoliosis. J Neurosurg Spine 26:150\u2013157, 201710.3171\/2016.7.SPINE16172"},{"key":"b17","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"304","DOI":"10.3171\/spi.2006.4.4.304","article-title":"Surgical complications of posterior lumbar interbody fusion with total facetectomy in 251 patients","volume":"4","author":"Okuda S","year":"2006","unstructured":"Okuda S, Miyauchi A, Oda T, Haku T, Yamamoto T, Iwasaki M: Surgical complications of posterior lumbar interbody fusion with total facetectomy in 251 patients. J Neurosurg Spine 4:304\u2013309, 200610.3171\/spi.2006.4.4.30416619677"},{"issue":"Suppl","key":"b18","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"S66","DOI":"10.1016\/j.spinee.2016.01.158","article-title":"Reduction of high-grade spondylolisthesis through a posterior approach and restoration of the pelvic parameters","volume":"16","author":"Panikkar S","year":"2016","unstructured":"Panikkar S, Sabou S, Siddique I, Verma R, Mohammad S: Reduction of high-grade spondylolisthesis through a posterior approach and restoration of the pelvic parameters. Spine J 16 (Suppl):S66, 201610.1016\/j.spinee.2016.01.158"},{"key":"b19","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1853","DOI":"10.1097\/BRS.0b013e3182a43f0b","article-title":"Adult degenerative scoliosis treated with XLIF: clinical and radiographical results of a prospective multicenter study with 24-month follow-up","volume":"38","author":"Phillips FM","year":"2013","unstructured":"Phillips FM, Isaacs RE, Rodgers WB, Khajavi K, Tohmeh AG, Deviren V, : Adult degenerative scoliosis treated with XLIF: clinical and radiographical results of a prospective multicenter study with 24-month follow-up. Spine (Phila Pa 1976) 38:1853\u20131861, 201310.1097\/BRS.0b013e3182a43f0b"},{"issue":"1 Suppl","key":"b20","series-title":"J Neurosurg","first-page":"60","article-title":"Visceral and vascular complications resulting from anterior lumbar interbody fusion","volume":"91","author":"Rajaraman V","year":"1999","unstructured":"Rajaraman V, Vingan R, Roth P, Heary RF, Conklin L, Jacobs GB: Visceral and vascular complications resulting from anterior lumbar interbody fusion. J Neurosurg 91 (1 Suppl):60\u201364, 199910419370"},{"key":"b21","series-title":"Eur Spine J","article-title":"European Spine Study Group (ESSG): Factors associated with having an indication for surgery in adult spinal deformity: an international European multicentre study","author":"Richner-Wunderlin S","unstructured":"Richner-Wunderlin S, Mannion AF, Vila-Casademunt A, Pellise F, Serra-Burriel M, Seifert B, : European Spine Study Group (ESSG): Factors associated with having an indication for surgery in adult spinal deformity: an international European multicentre study. Eur Spine J [epub ahead of print], 2018"},{"issue":"Suppl 1","key":"b22","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"S86","DOI":"10.1007\/s00586-014-3211-4","article-title":"Access-related complications in anterior lumbar surgery in patients over 60 years of age","volume":"23","author":"Rothenfluh DA","year":"2014","unstructured":"Rothenfluh DA, Koenig M, Stokes OM, Behrbalk E, Boszczyk BM: Access-related complications in anterior lumbar surgery in patients over 60 years of age. Eur Spine J 23 (Suppl 1):S86\u2013S92, 201410.1007\/s00586-014-3211-424531989"},{"key":"b23","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"1824","DOI":"10.1007\/s00586-010-1476-9","article-title":"Sagittal plane deformity: an overview of interpretation and management","volume":"19","author":"Roussouly P","year":"2010","unstructured":"Roussouly P, Nnadi C: Sagittal plane deformity: an overview of interpretation and management. Eur Spine J 19:1824\u20131836, 20102056785810.1007\/s00586-010-1476-9"},{"issue":"Suppl","key":"b24","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"S4","DOI":"10.1016\/j.spinee.2016.12.012","article-title":"Circumferential annular and anterior longitudinal ligament release from a posterior approach in the treatment of adult degenerative scoliosis","volume":"17","author":"Sabou S","year":"2017","unstructured":"Sabou S, Panikkar S, Siddique I, Verma R, Mohammad S: Circumferential annular and anterior longitudinal ligament release from a posterior approach in the treatment of adult degenerative scoliosis. Spine J 17 (Suppl):S4, 201710.1016\/j.spinee.2016.12.012"},{"key":"b25","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"2520","DOI":"10.1007\/s00586-015-4338-7","article-title":"Correction of sagittal plane deformity and predictive factors for a favourable radiological outcome following multilevel posterior lumbar interbody fusion for mild degenerative scoliosis","volume":"25","author":"Sabou S","year":"2016","unstructured":"Sabou S, Tseng TH, Stephenson J, Siddique I, Verma R, Mohammad S: Correction of sagittal plane deformity and predictive factors for a favourable radiological outcome following multilevel posterior lumbar interbody fusion for mild degenerative scoliosis. Eur Spine J 25:2520\u20132526, 201610.1007\/s00586-015-4338-726626083"},{"key":"b26","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2224","DOI":"10.1097\/BRS.0b013e3181ee6bd4","article-title":"Adult spinal deformity-postoperative standing imbalance: how much can you tolerate? An overview of key parameters in assessing alignment and planning corrective surgery","volume":"35","author":"Schwab F","year":"2010","unstructured":"Schwab F, Patel A, Ungar B, Farcy JP, Lafage V: Adult spinal deformity-postoperative 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, 201010.1097\/BRS.0b013e3181ee6bd4"},{"key":"b27","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E803","DOI":"10.1097\/BRS.0b013e318292b7b9","article-title":"Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis","volume":"38","author":"Schwab FJ","year":"2013","unstructured":"Schwab FJ, Blondel B, Bess S, Hostin R, Shaffrey CI, Smith JS, : Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity: a prospective multicenter analysis. Spine (Phila Pa 1976) 38:E803\u2013E812, 201310.1097\/BRS.0b013e318292b7b9"},{"issue":"3","key":"b28","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E1","DOI":"10.3171\/2010.1.FOCUS09271","article-title":"Adult degenerative scoliosis: evaluation and management","volume":"28","author":"Silva FE","year":"2010","unstructured":"Silva FE, Lenke LG: Adult degenerative scoliosis: evaluation and management. Neurosurg Focus 28(3):E1, 201010.3171\/2010.1.FOCUS0927120192655"},{"key":"b29","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"1663","DOI":"10.1097\/BRS.0b013e31829ec563","article-title":"Change in classification grade by the SRS-Schwab Adult Spinal Deformity Classification predicts impact on health-related quality of life measures: prospective analysis of operative and nonoperative treatment","volume":"38","author":"Smith JS","year":"2013","unstructured":"Smith JS, Klineberg E, Schwab F, Shaffrey CI, Moal B, Ames CP, : Change in classification grade by the SRS-Schwab Adult Spinal Deformity Classification predicts impact on health-related quality of life measures: prospective analysis of operative and nonoperative treatment. Spine (Phila Pa 1976) 38:1663\u20131671, 201310.1097\/BRS.0b013e31829ec563"},{"key":"b30","series-title":"Spine Deform","doi-asserted-by":"publisher","first-page":"502","DOI":"10.1016\/j.jspd.2015.02.006","article-title":"Transforaminal anterior release for the treatment of fixed sagittal imbalance and segmental kyphosis, minimum 2-year follow-up study","volume":"3","author":"Sweet FA","year":"2015","unstructured":"Sweet FA, Sweet A: Transforaminal anterior release for the treatment of fixed sagittal imbalance and segmental kyphosis, minimum 2-year follow-up study. Spine Deform 3:502\u2013511, 20152792753810.1016\/j.jspd.2015.02.006"},{"issue":"3","key":"b31","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E7","DOI":"10.3171\/2010.1.FOCUS09263","article-title":"Complications and radiographic correction in adult scoliosis following combined transpsoas extreme lateral interbody fusion and posterior pedicle screw instrumentation","volume":"28","author":"Tormenti MJ","year":"2010","unstructured":"Tormenti MJ, Maserati MB, Bonfield CM, Okonkwo DO, Kanter AS: Complications and radiographic correction in adult scoliosis following combined transpsoas extreme lateral interbody fusion and posterior pedicle screw instrumentation. Neurosurg Focus 28(3):E7, 20102019266710.3171\/2010.1.FOCUS09263"},{"issue":"16 Suppl","key":"b32","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"S33","DOI":"10.1097\/01.brs.0000174559.13749.83","article-title":"Current treatment strategies for the painful lumbar motion segment: posterolateral fusion versus interbody fusion","volume":"30","author":"Wang JC","year":"2005","unstructured":"Wang JC, Mummaneni PV, Haid RW: Current treatment strategies for the painful lumbar motion segment: posterolateral fusion versus interbody fusion. Spine (Phila Pa 1976) 30 (16 Suppl):S33\u2013S43, 200510.1097\/01.brs.0000174559.13749.83"},{"key":"b33","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1097\/BSD.0b013e31828a8447","article-title":"Sagittal alignment after lumbar interbody fusion: comparing anterior, lateral, and transforaminal approaches","volume":"27","author":"Watkins RG IV","year":"2014","unstructured":"Watkins RG IV, Hanna R, Chang D, Watkins RG III: Sagittal alignment after lumbar interbody fusion: comparing anterior, lateral, and transforaminal approaches. J Spinal Disord Tech 27:253\u2013256, 201410.1097\/BSD.0b013e31828a844723511641"},{"key":"b34","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"9","DOI":"10.3171\/spi.2006.5.1.9","article-title":"Clinical and radiographic outcomes of thoracic and lumbar pedicle subtraction osteotomy for fixed sagittal imbalance","volume":"5","author":"Yang BP","year":"2006","unstructured":"Yang BP, Ondra SL, Chen LA, Jung HS, Koski TR, Salehi SA: Clinical and radiographic outcomes of thoracic and lumbar pedicle subtraction osteotomy for fixed sagittal imbalance. J Neurosurg Spine 5:9\u201317, 200610.3171\/spi.2006.5.1.916850951"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/31\/1\/article-p46.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/31\/1\/article-p46.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/31\/1\/article-p46.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T22:44:16Z","timestamp":1681598656000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/31\/1\/article-p46.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":34,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2019.1.spine18754","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2019,7]]}}}