European Spine Journal最新文献

{"title":"Augmented reality assisted minimally invasive transforaminal lumbar interbody fusion: feasible and effective workflow with intraoperative video.","authors":"Iyan Younus, Rafael Garcia de Oliveira, Patricia Lipson, Aiyush Bansal, Philip Louie","doi":"10.1007/s00586-026-09972-4","DOIUrl":"https://doi.org/10.1007/s00586-026-09972-4","url":null,"abstract":"<p><strong>Purpose: </strong>This article and accompanying video provide a comprehensive workflow for incorporating headset-mounted augmented reality (AR) navigation for minimally invasive transforaminal lumbar interbody fusion (MIS TLIF).</p><p><strong>Methods: </strong>Consecutive patients undergoing a single level MIS-TLIF with AR navigation for degenerative spondylolisthesis were analyzed between January 2023-2025. Demographic, intraoperative, and postoperative outcomes were collected. The AR workflow features a wireless headset with projection of intraoperative navigation in the surgical field. MIS pedicle screw placement, facetectomy, disc preparation, and contralateral arthrodesis are carried out percutaneously though single line of sight using navigated instruments.</p><p><strong>Result: </strong>A total of 138 consecutive patients underwent AR-assisted spinal fusion at our institution and 22 cases of single-level MIS TLIF met inclusion criteria. Mean age was 62.3 ± 15 years, 59% were females, mean BMI was 29.4±5.7 kg/m², and mean CCI score was 2.1±1.5. The mean operative time from incision to closure for the entire cohort was 129±28 min, mean fluoroscopy time was 41±12 s, EBL was 51±33 ml, and the mean length of stay was 1.9±1.8 days. Two (9%) patients required reoperation at a mean 5 weeks. The AR protocol was safely implemented in all cases with improvement in back and leg pain and no persistent neurologic deficits at mean 163 day follow up.</p><p><strong>Conclusion: </strong>Headset-mounted AR navigation is a feasible and reproducible tool to provide visualization for MIS TLIF that can be successfully integrated into surgical workflow. In this initial case series, its use was associated with an acceptable early safety profile and consistent perioperative outcomes. However, given the limitations of this study, including its retrospective design and lack of a comparator cohort, further prospective and comparative studies are necessary to evaluate its impact on surgical efficiency, accuracy, and clinical outcomes.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative carotid ultrasound in degenerative cervical myelopathy: from routine screening to selective use.","authors":"Taotao Lin, Zhitao Shangguan, Rongcan Wu, Ruixiong Du, Hailin Lin, Xianfeng Lin, Chao Qin, Gang Chen, Wenge Liu, Zhenyu Wang","doi":"10.1007/s00586-026-09938-6","DOIUrl":"https://doi.org/10.1007/s00586-026-09938-6","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;To determine the prevalence and clinical relevance of carotid atherosclerosis in patients undergoing surgery for degenerative cervical myelopathy (DCM). Specifically, to identify clinical and radiographic predictors of carotid plaque, to develop and internal-temporal validate a nomogram to guide selective preoperative carotid ultrasound screening, and to explore the association between carotid disease and both neurological recovery and global patient-reported outcome.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We conducted a single-center retrospective prognostic cohort study of 160 consecutive patients who underwent cervical decompression for DCM between January 2017 and February 2023, all with ≥ 2 years of follow-up. Patients treated from 2017 to 2021 (n = 104) formed the development cohort, and those treated from 2021 to 2023 (n = 56) constituted a temporally distinct internal-temporal validation cohort from the same institution. Preoperative carotid ultrasonography classified patients by (1) presence of carotid plaque and (2) carotid stenosis severity (none/mild vs. moderate/severe, ≥ 50%). Clinical, biochemical, radiographic, and outcome measures-including mJOA recovery rate and modified Macnab criteria (excellent/good vs. fair/poor)-were compared between groups. In the development cohort, variables with p &lt; 0.05 in univariable analyses entered multivariable logistic regression to identify independent predictors of carotid plaque and construct a nomogram. Model performance was assessed by the area under the receiver operating characteristic curve (AUC), calibration plots, and decision curve analysis (DCA) in both cohorts. Bootstrap-based internal validation with 1,000 resamples was additionally performed for the final prediction model in the development cohort.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Overall, 94 of 160 patients (58.8%) had carotid plaque and 39 (24.4%) had moderate/severe carotid stenosis. In the development cohort, the plaque group was older, had higher body mass index (BMI), more vertigo and hypertension, greater C2-C7 Cobb angle (CL), more moderate/severe stenosis, and a lower proportion of excellent/good outcomes by modified Macnab criteria than the normal group (p &lt; 0.05). Multivariable analysis identified age, BMI, vertigo, and CL as independent predictors of carotid plaque; each 1-year increase in age increased the odds of plaque by 13.7% (odds ratio 1.137, p &lt; 0.001). These four variables were incorporated into a nomogram. The model showed good discrimination in the development cohort (apparent AUC 0.863; optimism-corrected AUC 0.838) and internal-temporal validation cohort (AUC 0.892), with acceptable calibration. DCA in both cohorts demonstrated greater net benefit for nomogram-guided selective screening than for \"screen-all\" or \"screen-none\" strategies across a clinically relevant range of threshold probabilities.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Carotid atherosclerotic plaque is common in patients und","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interrelationships among 3D spinal alignment variables during active self-correction in adolescents with idiopathic scoliosis.","authors":"Arkadiusz Żurawski, Sun-Young Ha","doi":"10.1007/s00586-026-09978-y","DOIUrl":"https://doi.org/10.1007/s00586-026-09978-y","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to (1) determine whether active three-dimensional (3D) self-correction induces immediate changes in spinal alignment compared with passive standing, (2) examine associations between anthropometric variables and spinal alignment parameters, and (3) identify coupled predictive relationships among alignment parameters during self-correction in adolescents with idiopathic scoliosis (AIS).</p><p><strong>Methods: </strong>Fifty-four adolescents with AIS (mean age 16.96 ± 2.61 years) were assessed using the DIERS Formetric 4D surface topography system under two conditions: passive standing and active self-correction following a standardized 30-minute training session. Measured variables included trunk inclination, lateral deviation, surface rotation, thoracic kyphosis, and lumbar lordosis. Between-condition differences were analyzed using the Wilcoxon signed-rank test. Associations with anthropometric variables were examined using Spearman's correlation. Multiple linear regression models were applied to identify predictors of correction magnitude based on baseline alignment parameters.</p><p><strong>Results: </strong>Significant improvements were observed during active self-correction in trunk inclination, lateral deviation, surface rotation, thoracic kyphosis, and trunk length (p < 0.05), with no significant changes in lumbar lordosis or pelvic tilt. Anthropometric variables showed no meaningful associations with alignment parameters (p > 0.05), except for a weak correlation between trunk inclination and body weight (r = -0.233). Regression analyses demonstrated that correction magnitude was strongly associated with baseline alignment parameters, with substantial explanatory power (R² up to 0.720). Significant cross-planar relationships indicated interdependence among coronal, sagittal, and transverse parameters.</p><p><strong>Conclusion: </strong>Active 3D self-correction produces immediate, measurable improvements in spinal alignment in AIS. Correction responses are primarily determined by baseline biomechanical alignment rather than anthropometric factors and exhibit coupled, multi-planar interactions, supporting integrated PSSE approaches targeting coordinated control across all planes.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual reality based-rehabilitation for chronic neck pain: an overview of systematic reviews with meta-analysis of randomized clinical trials.","authors":"Javier Martinez-Calderon, Cristina García-Muñoz, Olga Villar-Alises, Alberto Marcos Heredia-Rizo, Javier Matias-Soto","doi":"10.1007/s00586-026-09975-1","DOIUrl":"https://doi.org/10.1007/s00586-026-09975-1","url":null,"abstract":"<p><strong>Purpose: </strong>This overview of systematic reviews with meta-analysis aimed to synthesize the quality of the evidence of the short-, and intermediate-effects of virtual reality (VR), alone or combined with other interventions, in individuals with chronic neck pain (NP).</p><p><strong>Methods: </strong>CINAHL, Embase, Epistemonikos, PubMed, Scopus, SPORTDiscus, and the Cochrane Library were searched from inception until April 2025. The methodological quality of systematic reviews was assessed using the AMSTAR 2 checklist. The degree of overlap between reviews was calculated.</p><p><strong>Results: </strong>Nine systematic reviews, with over 2,000 participants, were included. The degree of overlap was very high for all outcomes (40%-100%). The findings of the included systematic reviews were inconsistent about the possible impact of VR on pain intensity, disability, and global perceived effect in the short- and intermediate- terms. Overall, the results show that VR-based rehabilitation was no better than control interventions to manage kinesiophobia, health-related quality of life, and cervical kinematics. Positive effects in favor of VR were only found in the short term for patient satisfaction and cervical range of motion.</p><p><strong>Conclusion: </strong>No consistent findings were found in favor of VR-based rehabilitation to manage chronic pain related symptoms in the short- and intermediate- terms. The clinical applicability of these findings is limited by the heterogeneity between reviews in the delivery mode of VR and control interventions, the poor quality of information provided on how VR was delivered, a very high overlap among meta-analyses, and the low/very low certainty of evidence in most meta-analyses when GRADE system was applied.</p><p><strong>Systematic review registration number: </strong>OSF Registries, doi: https://doi.org/10.17605/OSF.IO/AER7J .</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147812860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A prospective study based on ERAS: Did preoperative education and counseling contribute to spine surgery patients pre-optimization?","authors":"Göknur Parlak, Kübra Can, Züleyha Seki̇, Hayat Yalin, Fatma Eti Aslan","doi":"10.1007/s00586-026-09956-4","DOIUrl":"https://doi.org/10.1007/s00586-026-09956-4","url":null,"abstract":"<p><strong>Background: </strong>The literature reports that pre-optimization achieved within the scope of Accelerated Recovery After Spine Surgery (ERAS) improves patients' physiological functions and satisfaction. This study aims to examine the effect of preoperative education and counseling, implemented within the scope of ERAS in spinal surgery, on pre-optimization of patients.</p><p><strong>Method: </strong>In this single centered prospective study, 102 patients scheduled for spine surgery were included and divided into two groups: n = 51 in the control group and n = 51 in the intervention group. The control group received standard care according to hospital protocol. The intervention group received a structured preoperative education program including information on surgical preparation, fasting duration, expected surgery time, potential risks, the importance of nutrition, early mobilization, and the negative effects of smoking and alcohol on recovery. Visual materials demonstrating operating room admission and postoperative transfer were also presented. Data were collected with the \"Individual Characteristics Information Form\", \"Riker Sedation-Agitation Scale\", \"Peri Anesthesia Comfort Scale\" and \"Visual Comparison Scale\". The primary outcome was emergence agitation. Secondary outcomes included recovery unit stay, hospital length of stay, pain, hemodynamic parameters, and comfort.</p><p><strong>Results: </strong>The incidence of emergence agitation over time was lower in the intervention group, however, this difference was not statistically significant. Patients in the intervention group had significantly (p < 0.05) shorter recovery unit stay, hospital stay, anesthesia duration (p < 0.05). Comfort scores were higher and pain scores in all measured times were lower in the intervention group (p < 0.05).</p><p><strong>Conclusions: </strong>The findings of this study demonstrate that preoperative education and counseling based on ERAS protocols optimize patient outcomes, accelerates postoperative recovery, and increases patient satisfaction for patients undergoing spinal surgery.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posterior spinal fusion for Lenke 1 C and 2 C AIS: can the lowest instrumented vertebra stop at the lumbar apex?","authors":"Jie Chen, Zhong He, Yi Chen, Xiaodong Qin, Zhen Liu, Minxuan Sun, Dong Xie, Hifza Babar, Yankun Jiang, Yong Qiu, Zezhang Zhu","doi":"10.1007/s00586-026-09958-2","DOIUrl":"https://doi.org/10.1007/s00586-026-09958-2","url":null,"abstract":"<p><strong>Objective: </strong>To identify risk factors for distal adding-on (AO) in Lenke 1 C/2 C AIS patients with the lowest instrumented vertebra (LIV) at the lumbar apex vertebra (LAV).</p><p><strong>Methods: </strong>This study included 60 Lenke 1 C/2 C AIS patients undergoing posterior spinal fusion with LIV at LAV and > 2 years follow-up. Patients were categorized into AO (n = 17) and non-AO (n = 43) groups. Radiographic analysis assessed thoracic/lumbar curve flexibility, apical vertebral translation (AVT), LAV rotation/tilt, coronal balance, Harrington stable zone on anteroposterior(AP)and concave-side bending films, and LAV/AV + 1 disc opening/closing status. Clinical outcomes used SRS-22. Statistical comparison was performed.</p><p><strong>Results: </strong>The AO group exhibited significantly poorer preoperative thoracic curve flexibility, greater coronal imbalance toward the lumbar convex side, larger lumbar AVT, smaller Harrington stable zones, and fewer patients with favorable LAV/AV + 1 disc status. Logistic regression identified thoracic flexibility, Harrington stable zone on concave-side bending, and disc status as significant AO predictors. Optimal thresholds for selecting LAV as LIV were thoracic flexibility > 47.4% ,concave-side bending Harrington zone > 84.9% ,and favorable opening/closing status of the LAV/AV + 1 disc .At final follow-up, the AO group had larger lumbar Cobb angle and AVT with lower correction rates, but SRS-22 scores showed no significant difference.</p><p><strong>Conclusion: </strong>For Lenke 1 C/2 C AIS, terminating LIV at LAV is feasible when thoracic flexibility is good (> 47.4%), the LAV/AV + 1 disc status is favorable, and the Harrington stable zone on concave-side bending is large (> 84.9%).</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing referral decisions for patients with chronic low back pain: a scoping review.","authors":"Floor Koopman, Roos van Leeuwen, Remko Soer, Carsten Bantel, André Wolff, Bregje Seves","doi":"10.1007/s00586-026-09950-w","DOIUrl":"https://doi.org/10.1007/s00586-026-09950-w","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic low back pain (CLBP) is a leading cause of disability worldwide, requiring coordinated referrals across different healthcare services. Despite clinical guidelines emphasising a biopsychosocial approach, referral decisions are often unstructured and poorly understood. Existing research has mainly focused on clinical management, with limited attention to the factors influencing referral decisions and their impact on referral pathways. The objective of this scoping review is to map the existing literature on factors influencing referral decisions for patients with non-specific CLBP and identify gaps for future research.</p><p><strong>Methods: </strong>Following PRISMA-ScR guidelines and Joanna Briggs Institute guidance for scoping reviews, a comprehensive literature search was conducted across the PubMed, EMBASE, and Web of Science databases. Studies focusing on referral decisions for patients with CLBP were included. Data extraction and descriptive synthesis were performed.</p><p><strong>Results: </strong>The search yielded 4,816 records, with 13 studies meeting inclusion criteria. Included studies, conducted between 1996 and 2025, spanned Europe, North America, and Israel, and comprised diverse designs including qualitative interviews, surveys, experimental vignettes, cross-sectional and cohort studies. Referral decisions in CLBP care were influenced by an interplay of clinical, psychosocial, patient-related, healthcare professional-related, systemic and contextual factors.</p><p><strong>Conclusion: </strong>This scoping review highlights the multifactorial nature of referral decisions in CLBP care and identifies critical gaps in current research. Future prospective studies are needed to better understand these factors and referral pathways, aiming to improve guideline adherence, patient outcomes, and equity in CLBP management.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prehabilitation and preoperative exercise in adolescent idiopathic scoliosis surgery: a systematic review.","authors":"Tsz Hei Tam, Huk Yin Cheng, Adam Yiu Chung Lau","doi":"10.1007/s00586-026-09980-4","DOIUrl":"https://doi.org/10.1007/s00586-026-09980-4","url":null,"abstract":"<p><strong>Background: </strong>Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity that can lead to physical and psychological distress, requiring surgical treatment for severe AIS. Exercise has been proposed as a conservative treatment or postoperative rehabilitation. Yet, the effectiveness of preoperative exercise and prehabilitation in improving surgical outcomes remains unclear.</p><p><strong>Purpose: </strong>This systematic review evaluates the effectiveness of preoperative exercise and prehabilitation in improving surgical outcomes and analyzes which outcomes showed significant improvement.</p><p><strong>Methods: </strong>Six major databases were searched for studies published before June 2025. Studies recruiting AIS patients aged under 18 undergoing surgeries and performing preoperative exercise or ERAS protocols involving preoperative exercise are included. Outcomes include pain level, hospitalization time, postoperative complications, curve correction, spine flexibility, cardiopulmonary function, re-admission and quality of life.</p><p><strong>Results: </strong>Nine studies with 574 patients were included, comprising 329 patients as exercise-intervention group and 245 patients receiving no intervention or other preoperative interventions. The average age was 14.86 ± 2.78 [CI: 14.63, 15.09] and mean Cobb angle was 65.59°±13.47° [CI: 64.49, 66.69]. The exercise-intervention group showed lower postoperative VAS scores than control. The average length of hospital stay was 2.5 days shorter in the exercise group compared to control (4.15 [CI: 4.04, 4.26] vs. 6.65 [CI: 6.29, 7.01]). The exercise group also demonstrated fewer postoperative complications (Rate: 5.2% vs. 18.5%), improvement in spine flexibility (from 0.39 to 0.66), better cardiopulmonary function and higher quality of life. The mean rate of re-admission of exercise-intervention groups is 0.9%.</p><p><strong>Conclusion: </strong>Preoperative exercise has been shown to improve postoperative pain, length of stay, complications, cardiopulmonary recovery, and quality of life. Although its effect on objective surgical correction outcomes remains uncertain, incorporating preoperative exercise into AIS surgical care may enhance recovery experience and functional outcomes. However, given the significant heterogeneity among studies, further research and clinical trials are needed to standardize implementation protocols and outcome measures, as well as to conduct subgroup analysis based on baseline severity and spinal flexibility.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A preliminary descriptive study on the histology of giant calcified disc herniations: a case series.","authors":"Riccardo Cecchinato, Alessandra Colombini, Barbara Rubino, Daniele Vanni, Luca Maria Sconfienza, Pedro Berjano","doi":"10.1007/s00586-026-09940-y","DOIUrl":"https://doi.org/10.1007/s00586-026-09940-y","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology of spinal cord hypertension syndrome in water-mediated uniportal full endoscopic thoracolumbar surgery: a single-center experience.","authors":"Haiyang Wu, Luyang Wang, Yiping Zheng, Xizhong Zhu, Wanqi Ren, Ziheng Li, Shoule Ma, Mingwang Zhao, Xingchen Li, Yusheng Xu","doi":"10.1007/s00586-026-09974-2","DOIUrl":"https://doi.org/10.1007/s00586-026-09974-2","url":null,"abstract":"","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}