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BACKGROUND there aren't any studies up to now examining the effect of spinal malalignment on results of total knee arthroplasty (TKA). Knee flexion is a well-described reduced extremity compensatory apparatus for keeping sagittal stability with increasing spinal deformity. The objective of this study was to determine whether a subset of customers with poor range of flexibility (ROM) after TKA have actually unrecognized vertebral deformity, predisposing them to knee fl