{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:20:48Z","timestamp":1785410448988,"version":"3.56.0"},"reference-count":20,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T00:00:00Z","timestamp":1626048000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,12]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Pelvic deformity after resection of malignant pelvic tumors causes scoliosis. Although the central sacral vertical line (CSVL) is often used to evaluate the coronal alignment and determine the treatment strategy for scoliosis, it is not clear whether the CSVL is a suitable coronal reference axis in cases with pelvic deformity. This report proposes a new coronal reference axis for use in cases with pelvic deformity and discusses the pathologies of spinal deformity remaining after revision surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 14-year-old boy who had undergone internal hemipelvectomy and pelvic ring reconstruction 2 years prior was referred to our hospital with severe back pain. His physical and radiographic examinations revealed severe scoliosis with pelvic deformity. The authors planned a surgical strategy based on the CSVL and performed pelvic ring reconstruction using free vascularized fibula graft and spinopelvic fixation from L5 to the pelvis. After the procedure, although the patient\u2019s back pain was relieved, his scoliosis persisted. At the latest follow-up, his spinal deformity correction was acceptable with corset bracing. Therefore, the authors did not perform additional surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>The CSVL may not be appropriate for evaluating coronal alignment in cases with pelvic deformity. Accurate preoperative planning is required to correct spinal deformities with pelvic deformity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case21209","type":"journal-article","created":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T03:03:10Z","timestamp":1626058990000},"source":"Crossref","is-referenced-by-count":3,"title":["Remaining spine deformity after revision surgery for pelvic reconstruction and spinopelvic fixation: illustrative case"],"prefix":"10.3171","volume":"2","author":[{"given":"Takayuki","family":"Ito","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shunsuke","family":"Fujibayashi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bungo","family":"Otsuki","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shimei","family":"Tanida","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuichi","family":"Matsuda","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"JBJS Rev","doi-asserted-by":"publisher","first-page":"e10","DOI":"10.2106\/JBJS.RVW.17.00072","article-title":"Surgical outcomes after limb-sparing resection and reconstruction for pelvic sarcoma a systematic review","volume":"6","author":"Wilson RJ","year":"2018","unstructured":"Wilson RJ, Freeman TH Jr, Halpern JL,  Surgical outcomes after limb-sparing resection and reconstruction for pelvic sarcoma a systematic review. JBJS Rev. 2018;6(4):e10.10.2106\/JBJS.RVW.17.00072"},{"issue":"5","key":"b2","series-title":"Arch Orthop Trauma Surg","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1007\/s00402-015-2197-7","article-title":"Pelvic ring reconstruction with a double-barreled free vascularized fibula graft after resection of malignant pelvic bone tumor","volume":"135","author":"Ogura K","year":"2015","unstructured":"Ogura K, Sakuraba M, Miyamoto S,  Pelvic ring reconstruction with a double-barreled free vascularized fibula graft after resection of malignant pelvic bone tumor. Arch Orthop Trauma Surg. 2015;135(5):619\u2013625.10.1007\/s00402-015-2197-7"},{"issue":"5","key":"b3","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"1340","DOI":"10.1097\/01.prs.0000181736.85276.78","article-title":"Pelvic ring reconstruction with the double-barreled vascularized fibular free flap","volume":"116","author":"Sakuraba M","year":"2005","unstructured":"Sakuraba M, Kimata Y, Iida H,  Pelvic ring reconstruction with the double-barreled vascularized fibular free flap. Plast Reconstr Surg. 2005;116(5):1340\u20131345.10.1097\/01.prs.0000181736.85276.78"},{"issue":"6","key":"b4","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"1993","DOI":"10.1097\/PRS.0b013e3181706ff2","article-title":"Reconstruction of the pelvic ring with vascularized double-strut fibular flap following internal hemipelvectomy","volume":"121","author":"Chang DW","year":"2008","unstructured":"Chang DW, Fortin AJ, Oates SD, Lewis VO. Reconstruction of the pelvic ring with vascularized double-strut fibular flap following internal hemipelvectomy. Plast Reconstr Surg. 2008;121(6):1993\u20132000.10.1097\/PRS.0b013e3181706ff2"},{"issue":"7","key":"b5","series-title":"J Bone Joint Surg Br","doi-asserted-by":"publisher","first-page":"999","DOI":"10.1302\/0301-620X.92B7.23497","article-title":"The non-vascularised fibular graft: a simple and successful method of reconstruction of the pelvic ring after internal hemipelvectomy","volume":"92","author":"Akiyama T","year":"2010","unstructured":"Akiyama T, Clark JC, Miki Y, Choong PF. The non-vascularised fibular graft: a simple and successful method of reconstruction of the pelvic ring after internal hemipelvectomy. J Bone Joint Surg Br. 2010;92(7):999\u20131005.10.1302\/0301-620X.92B7.23497"},{"issue":"4","key":"b6","series-title":"Orthop Traumatol Surg Res","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1016\/j.otsr.2009.04.008","article-title":"Surgical management of pelvic primary bone tumors involving the sacroiliac joint","volume":"95","author":"Sabourin M","year":"2009","unstructured":"Sabourin M, Biau D, Babinet A,  Surgical management of pelvic primary bone tumors involving the sacroiliac joint. Orthop Traumatol Surg Res. 2009;95(4):284\u2013292.10.1016\/j.otsr.2009.04.008"},{"issue":"2","key":"b7","series-title":"Bone Joint J","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1302\/0301-620X.99B2.BJJ-2016-0654.R1","article-title":"Reconstruction with 3D-printed pelvic endoprostheses after resection of a pelvic tumour","volume":"99-B","author":"Liang H","year":"2017","unstructured":"Liang H, Ji T, Zhang Y,  Reconstruction with 3D-printed pelvic endoprostheses after resection of a pelvic tumour. Bone Joint J. 2017;99-B(2):267\u2013275.10.1302\/0301-620X.99B2.BJJ-2016-0654.R1"},{"issue":"23","key":"b8","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E1328","DOI":"10.1097\/BRS.0b013e3181e39183","article-title":"Scoliosis after extended hemipelvectomy","volume":"35","author":"Papanastassiou I","year":"2010","unstructured":"Papanastassiou I, Boland PJ, Boachie-Adjei O,  Scoliosis after extended hemipelvectomy. Spine (Phila Pa 1976). 2010;35(23):E1328\u2013E1333.10.1097\/BRS.0b013e3181e39183"},{"issue":"402","key":"b9","series-title":"Clin Orthop Relat Res","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1097\/00003086-200209000-00022","article-title":"Reconstruction of the pelvis after tumor resection in children and adolescents","author":"Schwameis E","year":"2002","unstructured":"Schwameis E, Dominkus M, Krepler P,  Reconstruction of the pelvis after tumor resection in children and adolescents. Clin Orthop Relat Res. 2002;(402):220\u2013235.10.1097\/00003086-200209000-00022"},{"issue":"3","key":"b10","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"331","DOI":"10.2106\/00004623-199274030-00003","article-title":"The use of hemipelvic allografts or autoclaved grafts for reconstruction after wide resections of malignant tumors of the pelvis","volume":"74","author":"Harrington KD","year":"1992","unstructured":"Harrington KD. The use of hemipelvic allografts or autoclaved grafts for reconstruction after wide resections of malignant tumors of the pelvis. J Bone Joint Surg Am. 1992;74(3):331\u2013341.10.2106\/00004623-199274030-00003"},{"issue":"4","key":"b1","series-title":"JBJS Rev","doi-asserted-by":"publisher","first-page":"e10","DOI":"10.2106\/JBJS.RVW.17.00072","article-title":"Surgical outcomes after limb-sparing resection and reconstruction for pelvic sarcoma a systematic review","volume":"6","author":"Wilson RJ","year":"2018","unstructured":"Wilson RJ, Freeman TH Jr, Halpern JL,  Surgical outcomes after limb-sparing resection and reconstruction for pelvic sarcoma a systematic review. JBJS Rev. 2018;6(4):e10.10.2106\/JBJS.RVW.17.00072"},{"issue":"5","key":"b2","series-title":"Arch Orthop Trauma Surg","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1007\/s00402-015-2197-7","article-title":"Pelvic ring reconstruction with a double-barreled free vascularized fibula graft after resection of malignant pelvic bone tumor","volume":"135","author":"Ogura K","year":"2015","unstructured":"Ogura K, Sakuraba M, Miyamoto S,  Pelvic ring reconstruction with a double-barreled free vascularized fibula graft after resection of malignant pelvic bone tumor. Arch Orthop Trauma Surg. 2015;135(5):619\u2013625.10.1007\/s00402-015-2197-7"},{"issue":"5","key":"b3","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"1340","DOI":"10.1097\/01.prs.0000181736.85276.78","article-title":"Pelvic ring reconstruction with the double-barreled vascularized fibular free flap","volume":"116","author":"Sakuraba M","year":"2005","unstructured":"Sakuraba M, Kimata Y, Iida H,  Pelvic ring reconstruction with the double-barreled vascularized fibular free flap. Plast Reconstr Surg. 2005;116(5):1340\u20131345.10.1097\/01.prs.0000181736.85276.78"},{"issue":"6","key":"b4","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"1993","DOI":"10.1097\/PRS.0b013e3181706ff2","article-title":"Reconstruction of the pelvic ring with vascularized double-strut fibular flap following internal hemipelvectomy","volume":"121","author":"Chang DW","year":"2008","unstructured":"Chang DW, Fortin AJ, Oates SD, Lewis VO. Reconstruction of the pelvic ring with vascularized double-strut fibular flap following internal hemipelvectomy. Plast Reconstr Surg. 2008;121(6):1993\u20132000.10.1097\/PRS.0b013e3181706ff2"},{"issue":"7","key":"b5","series-title":"J Bone Joint Surg Br","doi-asserted-by":"publisher","first-page":"999","DOI":"10.1302\/0301-620X.92B7.23497","article-title":"The non-vascularised fibular graft: a simple and successful method of reconstruction of the pelvic ring after internal hemipelvectomy","volume":"92","author":"Akiyama T","year":"2010","unstructured":"Akiyama T, Clark JC, Miki Y, Choong PF. The non-vascularised fibular graft: a simple and successful method of reconstruction of the pelvic ring after internal hemipelvectomy. J Bone Joint Surg Br. 2010;92(7):999\u20131005.10.1302\/0301-620X.92B7.23497"},{"issue":"4","key":"b6","series-title":"Orthop Traumatol Surg Res","doi-asserted-by":"publisher","first-page":"284","DOI":"10.1016\/j.otsr.2009.04.008","article-title":"Surgical management of pelvic primary bone tumors involving the sacroiliac joint","volume":"95","author":"Sabourin M","year":"2009","unstructured":"Sabourin M, Biau D, Babinet A,  Surgical management of pelvic primary bone tumors involving the sacroiliac joint. Orthop Traumatol Surg Res. 2009;95(4):284\u2013292.10.1016\/j.otsr.2009.04.008"},{"issue":"2","key":"b7","series-title":"Bone Joint J","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1302\/0301-620X.99B2.BJJ-2016-0654.R1","article-title":"Reconstruction with 3D-printed pelvic endoprostheses after resection of a pelvic tumour","volume":"99-B","author":"Liang H","year":"2017","unstructured":"Liang H, Ji T, Zhang Y,  Reconstruction with 3D-printed pelvic endoprostheses after resection of a pelvic tumour. Bone Joint J. 2017;99-B(2):267\u2013275.10.1302\/0301-620X.99B2.BJJ-2016-0654.R1"},{"issue":"23","key":"b8","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E1328","DOI":"10.1097\/BRS.0b013e3181e39183","article-title":"Scoliosis after extended hemipelvectomy","volume":"35","author":"Papanastassiou I","year":"2010","unstructured":"Papanastassiou I, Boland PJ, Boachie-Adjei O,  Scoliosis after extended hemipelvectomy. Spine (Phila Pa 1976). 2010;35(23):E1328\u2013E1333.10.1097\/BRS.0b013e3181e39183"},{"issue":"402","key":"b9","series-title":"Clin Orthop Relat Res","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1097\/00003086-200209000-00022","article-title":"Reconstruction of the pelvis after tumor resection in children and adolescents","author":"Schwameis E","year":"2002","unstructured":"Schwameis E, Dominkus M, Krepler P,  Reconstruction of the pelvis after tumor resection in children and adolescents. Clin Orthop Relat Res. 2002;(402):220\u2013235.10.1097\/00003086-200209000-00022"},{"issue":"3","key":"b10","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"331","DOI":"10.2106\/00004623-199274030-00003","article-title":"The use of hemipelvic allografts or autoclaved grafts for reconstruction after wide resections of malignant tumors of the pelvis","volume":"74","author":"Harrington KD","year":"1992","unstructured":"Harrington KD. The use of hemipelvic allografts or autoclaved grafts for reconstruction after wide resections of malignant tumors of the pelvis. J Bone Joint Surg Am. 1992;74(3):331\u2013341.10.2106\/00004623-199274030-00003"}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/2\/2\/article-CASE21209.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/2\/2\/article-CASE21209.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/2\/2\/article-CASE21209.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T14:52:52Z","timestamp":1770303172000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/2\/2\/article-CASE21209.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,12]]},"references-count":20,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/case21209","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,12]]}}}