{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:19:53Z","timestamp":1787170793722,"version":"build-2736575974"},"reference-count":20,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T00:00:00Z","timestamp":1752451200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the clinical value of a surgical effect prediction model for patients with lumbar spinal canal stenosis and degenerative scoliosis (LSS-DS). The model is based on the spine-pelvis compensation state measured by a three-dimensional gait system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A total of 215 patients with LSS-DS who underwent surgery from January 2022 to December 2024 were enrolled. They were randomly divided into a training set (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009151) and a validation set (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200964) at a 7:3 ratio. Spine and pelvis parameters were measured using a three-dimensional gait system. Multivariate logistic regression analysis was used to screen independent predictors of surgical effect, and a nomogram model was constructed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the training cohort, 35 cases (23.18%) had suboptimal surgical outcomes, while the validation cohort showed 15 cases (23.44%) with unsatisfactory results (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.872, \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.006). Multivariate analysis identified the Cobb angle of scoliosis, preoperative sagittal vertical axis, pelvic incidence-lumbar lordosis difference (PI-LL), pace, step size, affected lower extremity support time proportion, and preoperative VAS score as independent risk factors (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). The nomogram model had a C-index of 0.852 and 0.849 in the training and validation sets, respectively. The AUC values were 0.860 (95% CI: 0.768\u20130.953) and 0.856 (95% CI: 0.712\u20130.980), with sensitivities\/specificities of 0.759\/0.896 and 0.572\/0.500.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The nomogram model based on spine-pelvis compensation can effectively predict surgical outcomes in LSS-DS patients. It provides a basis for individualized treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2025.1619360","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T05:26:51Z","timestamp":1752470811000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Predictive modeling of surgical outcomes in lumbar stenosis and degenerative scoliosis using 3D gait-based spine-pelvic compensation analysis"],"prefix":"10.3389","volume":"12","author":[{"given":"Chao","family":"Zhou","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Yin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanguo","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Cong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,7,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1438","DOI":"10.3390\/jpm13101438","article-title":"The difference in paraspinal muscle parameters and the correlation with health-related quality of life among healthy individuals, patients with degenerative lumbar scoliosis and lumbar spinal stenosis","volume":"13","author":"Liu","year":"2023","journal-title":"J Pers Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"5871","DOI":"10.3390\/jcm11195871","article-title":"Can proximal junctional kyphosis after surgery for adult spinal deformity be predicted by preoperative dynamic sagittal alignment change with 3D gait analysis? 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