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Peer-Reviewed Publication
Spine Surg Relat Res2026;10(2):220-227.March 27, 2026Journal Article

A Predictive Formula for Sagittal Vertical Axis in Japanese Women Using Spinopelvic-Hip Mismatch.

Kohei Takahashi1, Ryo Fujita1, Ko Hashimoto1, Yu Mori1, Kenichiro Yahata1, Kazuyoshi Baba1, Takahiro Onoki1, Keisuke Ishikawa1, Junya Kusakabe1, Michiyoshi Sato2, Takeshi Nakamura3, Ryo Sugawara4, Kyoichi Handa5, Haruo Kanno5, Hiroshi Ozawa4, Yasuhisa Tanaka3, Toshimi Aizawa1
1Department of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai, Japan.
2Department of Orthopaedic Surgery, Ishinomaki Loyal Hospital, Miyagi, Japan.
3Department of Orthopaedic Surgery, Tohoku Central Hospital, Yamagata, Japan.
4Department of Orthopaedic Surgery, JCHO Sendai Hospital, Sendai, Japan.
5Department of Orthopaedic Surgery, Tohoku Medical and Pharmaceutical University School of Medicine, Sendai, Japan.

Abstract

INTRODUCTION: To develop a novel and simplified predictive formula for sagittal vertical axis (SVA) in women by incorporating spinopelvic-hip mismatch, aiming to improve accuracy while considering hip joint alignment. METHODS: A total of 257 female patients who underwent whole-spine radiography including the proximal femur were retrospectively analyzed. Patients were categorized into three cohort…

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