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391), the LLA (rs = 0.545), the LAPL (rs = - 0.383), the LLUA (rs = 0.371) and the LLLA (rs = - 0.145) but was not linked with LL (rs = 0.118). In addition, there were relationships between the TKA and LLA (rs = 0.397), the TAPL and LAPL (rs = - 0.357), TK and LL (rs = 0.529), TK and the LLUA (rs = 0.742) and TK and the LLLA (rs = 0.148). CONCLUSION The IP was significantly related to spinal sagittal alignment in asymptomatic adults. Moreover, predictive formulae for sagittal parameters as a function of the IP were developed, which are help