Rethinking sagittal alignment: the value of evaluating spinal shape in conjunction with T4–L1 pelvic angle measurement to prevent proximal junctional failure

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journal：Journal of Neurosurgery: Spine

Authors：Renaud Lafage; Fares Ani; Themistocles Protopsaltis; Max Kohn; Shay Bess; Alan H. Daniels; Bassel G. Diebo; Robert K. Eastlack; Munish C. Gupta; Richard Hostin; Khaled M. Kebaish; Eric O. Klineberg; Gregory M. Mundis; David O. Okonkwo; Peter G. Passias; Christopher P. Ames; Frank Schwab; Christopher I. Shaffrey; Justin S. Smith; Virginie Lafage; _ _

Published date：2026-10-9

DOI：10.3171/2026.4.spine251528

PDF link：https://thejns.org/view/journals ... 6.4.SPINE251528.xml

Article link：https://doi.org/10.3171/2026.4.spine251528

Article Source：Journal of Neurosurgery Publishing Group (JNSPG)。

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