Global Spine Journal最新文献

{"title":"Actively Controlled Exoskeletons Show Improved Function and Neuroplasticity Compared to Passive Control: A Systematic Review.","authors":"Ka Ioi Argus Chiu, Charles Taylor, Priyanshu Saha, James Geddes, Timothy Bishop, Jason Bernard, Darren Lui","doi":"10.1177/21925682251343529","DOIUrl":"10.1177/21925682251343529","url":null,"abstract":"<p><p>Study DesignSystematic Review.ObjectivesTo determine whether actively controlled exoskeletons or passively controlled exoskeletons are better at rehabilitating patients with SCIs.MethodsA literature search between January 2011 to June 2023 on Pubmed Central, Pubmed, Web of Science and Embase was carried out. Exoskeletons were classified as actively controlled if they detect bioelectrical signals (HAL). All other exoskeletons were classified as passively controlled (ReWalk, Ekso, H-MEX, Atlante, Indego, Rex Bionics, SuitX Phoenix, Lokomat and HANK). Functional outcomes used were 6 minute walk test (6MWT) distance and 10 metre walk test (10MWT) speed. Further subgroup analysis was carried out for acute and chronic SCI patients. All outcomes were examined without the aid of the exoskeleton device. Secondary outcomes including continence, pain and quality of life were also examined.Results555 articles were identified in the initial search and 27 were included in the review resulting in a total of 591 patients and 10 different exoskeleton models. HAL was the only exoskeleton to show improvements in both mobility and all secondary health outcomes. HANK and Ekso also showed improvements in mobility. Rewalk showed improvements in all secondary health outcomes with Ekso only showing improvements in QoL. No other exoskeletons showed significant improvements.ConclusionIn conclusion, the actively controlled exoskeleton HAL showed improvement in all outcomes of interest suggesting that neuroplasticity could be induced with HAL rehabilitation allowing the weakened bioelectrical signals to transcend the SCI to show genuine improvements.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"3933-3952"},"PeriodicalIF":3.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12141264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence vs Human Authorship in Spine Surgery Fellowship Personal Statements: Comment.","authors":"Amnuay Kleebayoon, Viroj Wiwanitkit","doi":"10.1177/21925682251357015","DOIUrl":"10.1177/21925682251357015","url":null,"abstract":"","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"3988"},"PeriodicalIF":3.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Analysis of Revision Rates in Surgical Treatments for Lumbar Isthmic Spondylolisthesis.","authors":"Wesley M Durand, Theodore Quan, Yesha Parekh, S Tim Yoon, Patrick C Hsieh, Hai Le, Philip K Louie, Stipe Corluka, Hardeep Singh, Samuel K Cho, Sathish Muthu, Zori Buser, Waeel Hamouda, Andreas K Demetriades, Gianluca Vadalà, Amit Jain","doi":"10.1177/21925682251326914","DOIUrl":"10.1177/21925682251326914","url":null,"abstract":"<p><p>Study DesignRetrospective Cohort Study.ObjectiveIsthmic spondylolisthesis is frequently encountered in spine surgical practice, though there is a significant variation in surgical management strategies. We sought to evaluate revision rates between patients who underwent anterior-approach lumbar interbody fusion (ALIF) alone, posterolateral fusion (PLF) alone, PLIF/TLIF, and ALIF+PSF.MethodsThis retrospective study utilized a large commercial insurance claims database of patients ≤65 years-old. Patients with isthmic spondylolisthesis who underwent single-level instrumented arthrodesis were included, and those who underwent revision surgery, surgery for deformity, multi-level surgery, or surgery for traumatic, infectious, or neoplastic etiologies were excluded, as determined by ICD-10-CM and CPT codes. Patients were assigned to surgical cohorts of ALIF alone, PLF alone, PLIF/TLIF, and ALIF+PSF based on CPT codes. Additional independent variables included age, sex, decompression at index surgery, and region. The primary outcome was revision arthrodesis or decompression, defined using CPT codes. Kaplan-Meier analysis and Cox Proportional Hazards regression were utilized to assess differences in revision occurrence between cohorts.Results1014 patients who underwent single-level arthrodesis for isthmic spondylolisthesis were included. The mean age was 48.6 years, with a mean follow-up of 637.6 days. The majority of patients underwent PLIF/TLIF (60.6%, n = 614), followed by ALIF+PSF (18.5%, n = 188), PLF alone (14.4%, n = 146), and ALIF alone (6.5%, n = 66). The 5-year revision-rate was 11.0% for all patients in the Kaplan-Meier analysis. In multivariable analysis adjusting for confounding factors, ALIF-alone demonstrated significantly higher occurrence of revision compared to both ALIF+PSF (HR 5.0, <i>P</i> = 0.0026) and PLIF/TLIF (HR 5.8, <i>P</i> < 0.0001) groups. Similarly, PLF alone demonstrated significantly higher occurrence of revision surgery compared to PLIF/TLIF (HR 2.4, <i>P</i> = 0.0379) while other comparisons were not statistically significant.ConclusionsIn this analysis of single-level arthrodesis for isthmic spondylolisthesis, patients who underwent ALIF alone had higher revision rates than those who underwent PLIF/TLIF and ALIF+PSF surgery, and those who underwent PLF alone had higher revision rates than those who underwent PLIF/TLIF. Surgical strategies providing both anterior and posterior column support resulted in lower real-world revision rates.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"3648-3655"},"PeriodicalIF":3.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143614373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adherence to the Lamartina-Berjano Classification and Suggested Surgical Treatment Decreases the Rate of Postoperative Mechanical Failures in Adult Deformity Patients. A Retrospective Observational Study With a Minimum 10 Years Follow-Up.","authors":"D Compagnone, L La Verde, A Redaelli, D Solano, F Langella, M Damilano, D Vanni, C Lamartina, P Berjano, R Cecchinato","doi":"10.1177/21925682251332555","DOIUrl":"10.1177/21925682251332555","url":null,"abstract":"<p><p>Study DesignRetrospective cohort analysis.ObjectivesTo evaluate the effectiveness of the Lamartina-Berjano (L-B) classification in reducing mechanical complications in patients with adult spinal deformities, with a minimum follow-up of 10 years.MethodsThe study included cases of adult deformity with at least 10 years of follow-up. The rate of clinically-relevant mechanical complications, defined as any implant-related issue requiring revision surgery, was estimated. The independent variable was adherence to the treatment guidelines of the L-B classification. The analysis was limited to patients with thoracolumbar deformities, and the population was stratified according to postoperative alignment using GAP scores.ResultsA total of 121 patients met the inclusion and exclusion criteria. In this cohort, the revision surgery rate for clinically-relevant mechanical complications was 49.6% (60 out of 121 patients). Of these, 90 patients (74%) had surgery following the L-B classification guidelines. A lower risk of complications was observed in aligned patients whose surgeries adhered to the L-B classification. Additionally, the survival curve showed significant differences between patients who followed L-B guidelines and those who did not.ConclusionOur retrospective analysis shows that following the L-B classification guidelines leads to a reduction in mechanical complications in patients with thoracolumbar deformities, particularly in a long-term follow-up scenario.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"3775-3781"},"PeriodicalIF":3.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11955972/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utility of Routine Preoperative Urinalysis in Elective Lumbar Spine Fusion Surgery.","authors":"Stevin Lu, Ian Marquez, Hania Shahzad, Jonathan Ochoa, Kanwar Parhar, Muhammad Jawad, Rolando Roberto, Yashar Javidan, Safdar Khan, Eric Klineberg, Hai Le","doi":"10.1177/21925682251330593","DOIUrl":"10.1177/21925682251330593","url":null,"abstract":"<p><p>Study DesignA retrospective cohort study.ObjectiveTo evaluate the utility of routine preoperative urinalysis as a predictor of postoperative complications following elective lumbar fusion surgery (ELFS).MethodsThis study included a retrospective review of patients aged ≥18 years-old who underwent ELFS for degenerative pathology between 2018 to 2022 at a single academic institution. Patients were categorized into 3 groups: No Urinalysis (No-UA), Negative Urinalysis (Negative-UA), and Positive Urinalysis (Positive-UA). A retrospective review of medical records was conducted including patient characteristics and clinical factors of interest. Emergency department (ED) visits and return to the operating room (OR) within 3-months postoperatively were recorded. Statistical analyses were performed using bivariate and multivariate analysis.ResultsA total of 493 patients were included. Despite having higher rates of preoperative antibiotics administered, patients with a positive urinalysis were significantly more likely to present with postoperative urinary tract infections (UTIs) than the No-UA and Negative-UA groups. No significant differences were seen in other types of complications including pneumonia, bacteremia, superficial wound infections, deep wound infections, and wound dehiscence between the 3 groups. Additionally, rates of return to OR, return to ED, reinsertion of foley catheters, duration of indwelling catheterization, and hospital length of stay had no significant differences between the groups.ConclusionThis study suggests there may be a limited role in performing routine preoperative urinalysis prior to ELFS. This study may help further improve preoperative assessment guidelines and assist with patient counseling and considerations prior to elective lumbar fusion surgery.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"3711-3717"},"PeriodicalIF":3.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidental Durotomy During Transforaminal Lumbar Interbody Fusion (TLIF) Surgery with Expandable Interbody Spacers: A Retrospective, Single-Center Analysis of Complications and Outcomes.","authors":"Linda Bättig, Francis Kissling, Stefan Motov, Felix C Stengel, Yesim Yildiz, Laurin Feuerstein, Gregor Fischer, Thomas Schöfl, Daniele Gianoli, Nader Hejrati, Benjamin Martens, Martin N Stienen, Lorenzo Bertulli","doi":"10.1177/21925682251332547","DOIUrl":"10.1177/21925682251332547","url":null,"abstract":"<p><p>Study DesignRetrospective cohort study.ObjectivesTo evaluate the frequency, risk factors, and impact of incidental durotomy on adverse events and outcomes after TLIF with expandable interbody spacers.MethodsWe reviewed 433 consecutive patients treated by TLIF using expandable titanium interbody implants (ALTERA®, Globus Medical Inc) on 538 levels between December 2018 and September 2023. Patients with incidental durotomy (ID) and cerebrospinal fluid leakage were compared to patients without ID, focusing on patient-specific and surgery-related factors, adverse events, clinical outcomes (MacNab criteria), and radiological outcomes at discharge, 3, and 12 months.ResultsThe ID rate was 9.0% (39/433 patients). Patients with ID had lower BMI (26.1 ± 5.2 vs 28.0 ± 5.3 kg/m², <i>P</i> = .03), longer surgery duration (358 ± 132 vs 305 ± 128 minutes, <i>P</i> = .01), and extended hospital stays (14.7 ± 12.8 vs 10.9 ± 8.2 days, <i>P</i> < .01). More postoperative adverse events (51.3% vs 28.7%, <i>P</i> = .004) with higher severity (28.2% vs 13.2% moderate to severe, <i>P</i> = .019) occurred at discharge. No differences were found in outcomes at 3 or 12 months. ID patients showed higher risks for impaired wound healing (adjusted OR, 4.39; 95% CI, 1.90-10.2; <i>P</i> = .001) and pulmonary embolism (adjusted OR, 3.52; 95% CI, 1.13-10.9; <i>P</i> = .029).ConclusionsIncidental durotomy was associated with longer surgery time, hospital stays, and increased early postoperative complications. While not affecting mid-to-long-term outcomes, ID increased risks for wound healing difficulties and pulmonary embolisms.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"3782-3796"},"PeriodicalIF":3.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11982061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and Radiological Outcomes of Intermuscular \"Raising Roof\" Modified Cervical Laminoplasty for Cervical Spondylotic Myelopathy: A Retrospective Study of at Least 2 Years Follow-Up.","authors":"Xinhang Li, Haosen Wu, Liran Xu, Xueshi Tian, Gengyu Han, Yu Sun, Shengfa Pan, Yanbin Zhao, Feifei Zhou","doi":"10.1177/21925682251333285","DOIUrl":"10.1177/21925682251333285","url":null,"abstract":"<p><p>Study designRetrospective study.ObjectivesThe aim of this study was to evaluate the outcomes of a new modified laminoplasty, intermuscular \"raising roof\" laminoplasty for patients with cervical spondylotic myelopathy.Methods98 patients with cervical spondylotic myelopathy were involved into the study, including 44 patients underwent intermuscular \"raising roof\" laminoplasty (RL) and 54 patients underwent unilateral muscle-preserve laminoplasty (UL). The data, including sagittal parameters and clinical scale was collected at preoperative stage and final follow-up (at least 2 years) and compared between RL group and UL group. Multivariable liner regressions were preformed to evaluate the relationship between parameters with significant changes at the final follow-up and changes of CL, postoperative NDI and JOA. The cumulative sum (CUSUM) analysis was used for quantitative assessment of RL learning curve. All cases were divided into the learning phase and the proficiency phase according to the peak of CUSUM curve.ResultsNo significant difference was found between RL group and UL group preoperatively. At final follow-up, patients in RL group showed higher JOA scores and recovery rate (RR) but lower NDI scores. For the cervical alignment, the ROM of RL group was greater significantly than UL group, whereas the T1S of RL group was lower than UL group. For the decompression, the RL group had larger CSA of spinal canal than UL group (C4: 278.16 ± 50.40 vs 233.84 ± 42.71, <i>P</i> < .001; C5: 279.12 ± 63.88 vs 232.41 ± 48.38, <i>P</i> < .001). For the muscle-preserve effect, the CSA of left-side PM in RL group decreased significantly compared to the preoperative stage on C5 level (2.92 ± 0.66 vs 3.16 ± 1.08, <i>P</i> < .05), and RL group showed better postoperative symmetry than UL group. The regression results indicated postoperative CSA of right-side PM on C4 level had positive impact on the change of CL (positive value increasing, <i>P</i> = .023). And the postoperative symmetry of PM at C4 had positively correlation with postoperative NDI (<i>P</i> = .034). However, the ages of patients showed negative correlation (<i>P</i> = .012) with postoperative JOA. Operation time of learning phase was significantly longer than proficiency phase (166 ± 34.78 vs 120.65 ± 20.36, <i>P</i> < .001), and blood loss of learning phase was significantly higher than proficiency phase (251.90 ± 171.27 vs 148.88 ± 82.02, <i>P</i> < .001).ConclusionCompared to UL, RL showed similar recovery of neurological functions, but with better improvement of quality of life, cervical mobility and decompression effect at 2-year follow-up. It provides a new treatment approach for degeneration cervical myelopathy.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"3807-3818"},"PeriodicalIF":3.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11962932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Decompression-Only for Lumbar Degenerative Spondylolisthesis - What are the Risk for Failure? - A Systematic Review.","authors":"Stipe Corluka, Sathish Muthu, Tim Yoon, Carla Cunha, Matthew Gary, Gianluca Vadala, Giovanni Barbanto Brodano, Annalisa Monetta, Andreas K Demetriades, Stjepan Ivandić, Yabin Wu, Jeffrey Wang, Hans-Jorg Meisel, Zorica Buser","doi":"10.1177/21925682251342230","DOIUrl":"10.1177/21925682251342230","url":null,"abstract":"<p><p>Study DesignSystematic review.ObjectiveThe current literature suggests that decompression-only procedures may be an adequate treatment option for low-grade degenerative spondylolisthesis. It is necessary to understand the causes of the failure to adequately select patients to achieve acceptable results. Our aim is to identify factors associated with failure of decompression-only procedures for degenerative lumbar spondylolisthesis.MethodsAn independent systematic review of scientific databases (PubMed, Scopus, clinicaltrials. gov, Web of Science) was performed to identify relevant articles as per the preferred reporting in systematic reviews and meta-analysis (PRISMA) guidelines. Studies analysing the risk factors for failure following decompression-only procedure for degenerative lumbar spondylolisthesis were included. The pooled analysis was performed using the Stata software.ResultsSix studies were included with the baseline characteristics of the successful group and the failed group. Individual study analysis has found factors like motion at index level, and multi-level decompression to be responsible for failure. However, upon pooled analysis patient-related factors (age, sex, BMI), disease-related factors (Pfirrmann grade, slip distance, disc height, facet angulation, translation, movement at index level, sacral slope), and outcome parameters (VAS, ODI and JOA score) between the two groups did not demonstrate any significant difference.ConclusionHigh-quality evidence analysing the risk factors for failure of decompression-only procedure for degenerative spondylolisthesis is limited. Although factors such as motion at index level, and multi-level decompression were found to be potential risk factors in individual studies, pooled analysis did not find any of them to significantly predict failure of decompression-only procedures for degenerative spondylolisthesis.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"3919-3932"},"PeriodicalIF":3.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spinal Cord Stimulators Adversely Affect Outcomes in Spinal Deformity Surgery. A Retrospective Case-Control Study.","authors":"Michael S Chang, Biodun Adeniyi, Dennis G Crandall","doi":"10.1177/21925682251334987","DOIUrl":"10.1177/21925682251334987","url":null,"abstract":"<p><p>Study DesignRetrospective comparative analysis of prospective cohort.ObjectiveTo examine clinical outcomes of patients with preexisting SCS after adult spinal deformity surgery.MethodsA total of 94 patients with and without a previous history of spinal cord stimulator placement undergoing surgery for ASD with minimum 2-year follow-up. Thirty-three patients with SCS undergoing ASD surgery with minimum 2-year follow-up were compared with a matched cohort of 61 ASD patients without SCS.ResultsDespite similar baseline ODI (56 vs 50, <i>P</i> = .11) and back VAS (6.8 vs 6.6, <i>P</i> = .52), SCS patients did worse at all post-op time intervals. At 6 months, the SCS cohort had higher ODI (48 vs 31, <i>P</i> < .001) and VAS (4.8 vs 3.5, <i>P</i> = .01). This difference persisted at 1 year for ODI (46 vs 30, <i>P</i> < .001) but not for VAS (4.7 vs 4.0, <i>P</i> = .19). At 2 years, ODI remained significantly worse in the SCS cohort (49 vs 38, <i>P</i> = .004). Both cohorts had significant improvement at 2 years compared to baseline (SCS: -1.6 VAS, <i>P</i> < .001, -7 ODI, <i>P</i> = .03; Control: -2.5 VAS, <i>P</i> < .001, -13 ODI, <i>P</i> < .001). Radiographic parameters such as curve magnitude, curve correction, and balance were similar between the 2 groups.ConclusionDespite having substantial improvement after ASD surgery, patients with previous SCS placement did significantly worse in both back VAS and ODI postop compared with controls. They also did not experience a decrease in narcotic use at 2 years despite having similar overall radiographic results and complication rates.</p>","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"3898-3908"},"PeriodicalIF":3.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12048398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to \"The Effect of Comprehensive Spinal Correction Rehabilitation in Children with Early-Onset Idiopathic Scoliosis: A Clinical Controlled Trial\".","authors":"Xintao Qu, Enshui Zhang, Ke Zhou","doi":"10.1177/21925682251345695","DOIUrl":"10.1177/21925682251345695","url":null,"abstract":"","PeriodicalId":12680,"journal":{"name":"Global Spine Journal","volume":" ","pages":"3984-3985"},"PeriodicalIF":3.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12098317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}