Spine Surgery and Related Research最新文献

{"title":"Effectiveness of a Specialized Outpatient Clinic on Bone Metastasis for Spine Surgeons Based on a Long-Term Follow-Up Evaluation.","authors":"Hiroyuki Tsuchie, Yuichi Ono, Shohei Murata, Michio Hongo, Yuji Kasukawa, Daisuke Kudo, Ryota Kimura, Naohisa Miyakoshi","doi":"10.22603/ssrr.2025-0341","DOIUrl":"10.22603/ssrr.2025-0341","url":null,"abstract":"<p><strong>Introduction: </strong>Advances in cancer treatment have improved the prognosis of patients with advanced cancer, and the number of patients with bone metastases is increasing. Early interventions, such as a multidisciplinary approach and a specialized outpatient clinic for bone metastasis (SOCBM), are important to prevent fractures and nerve disorders. However, few studies have directly compared the effectiveness of these measures before and after their initiation. We aimed to analyze the usefulness of SOCBM and its impact on spine surgeons in a larger number of cases.</p><p><strong>Methods: </strong>We included 70 patients with vertebral metastases of carcinoma who underwent surgical treatment performed by spine surgeons. We divided the patients into two groups: before and after the SOCBM was initiated (pre and post groups), and compared their clinical characteristics and surgical information.</p><p><strong>Results: </strong>In all patients and in those treated for primary tumors at our hospital, the post group demonstrated a longer period from spine surgeon consultation to surgery than the pre group (p=0.0369 and p=0.0111, respectively). Additionally, the proportion of patients leaving the operating room after 8 pm was significantly lower in the post group (p=0.0471). Multivariate logistic regression analysis revealed that the period from spine surgeon consultation to surgery and leaving the operating room after 8 pm were significantly associated with SOCBM visits (p=0.0118 and p=0.0270, respectively).</p><p><strong>Conclusions: </strong>SOCBM reduces the burden on spine surgeons by providing a margin before surgery for patients with spinal metastasis and by reducing delays for surgical management.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"10 5","pages":"780-786"},"PeriodicalIF":1.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Performance Evaluation of the Latest General-Purpose Large Language Models in Medical Reasoning and Clinical Screening Tasks.","authors":"Masaki Sakamoto, Shintaro Honda, Bungo Otsuki, Koichi Murata, Takayoshi Shimizu, Takashi Sono, Koichiro Shima, Takaki Yoshiyama, Ryohei Saito, Kosei Ono, Atsushi Tanaka, Shuichi Matsuda","doi":"10.22603/ssrr.2026-0056","DOIUrl":"10.22603/ssrr.2026-0056","url":null,"abstract":"<p><strong>Study design: </strong>Validation Study.</p><p><strong>Introduction: </strong>General-purpose large language models (LLMs) have shown substantial improvements since 2023, but their performance in specialized clinical tasks remains inadequately validated. This study aimed to evaluate the performance of the latest general-purpose LLMs as of December 2025 in both knowledge-based and practical tasks, specifically focusing on their utility in literature screening for orthopedic research requiring specialized judgment.</p><p><strong>Methods: </strong>We evaluated nine of the latest general-purpose LLMs from three major providers (OpenAI: gpt-5/5-mini/5-nano, Google: gemini-2.5-pro/flash/flash-lite, Anthropic: claude-opus-4-5/sonnet-4-5/haiku-4-5) using two approaches: (1) knowledge-based assessment using the MedQA-USMLE (United States Medical Licensing Examination) benchmark (1,273 questions), and (2) practical assessment by replicating the primary screening task from a published orthopedic meta-analysis (384 articles). All evaluations were conducted through an identical automated pipeline using structured output to ensure fair comparison.</p><p><strong>Results: </strong>Top-tier models achieved accuracy exceeding 0.94 (94%) on MedQA-USMLE (gpt-5: 0.9427 [94.27%], gemini-2.5-pro: 0.9340 [93.40%], claude-opus-4-5: 0.9026 [90.26%]), surpassing prior benchmarks. In the specialized meta-analysis screening task, the highest-tier models achieved performance approaching the agreement between two expert evaluators used as the reference standard (claude-opus-4-5: κ=0.8881, gpt-5: κ=0.8805 vs. inter-evaluator κ=0.8951). Confidence scores from structured output demonstrated trends suggesting utility for implementing quality-controlled two-stage screening.</p><p><strong>Conclusions: </strong>General-purpose LLMs have achieved high medical reasoning capabilities without medical-specific training. In orthopedic literature screening, the highest-tier models demonstrated performance approaching inter-expert agreement, with confidence metrics showing utility for the implementation of quality-controlled screening workflows. These findings suggest that LLMs may serve as potentially useful tools to reduce expert burden in medical literature screening, although validation was limited to a single orthopedic meta-analysis, and generalizability to other settings requires further investigation.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"10 5","pages":"771-779"},"PeriodicalIF":1.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676357/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative Computed Tomography-Based Prediction of Device Size for Lumbar Stabilization with Interspinous Process Device for Lumbar Spinal Canal Stenosis.","authors":"Taisuke Yoshinaga, Kyongsong Kim, Toyohiko Isu, Takato Tajiri, Fumiaki Fujihara, Juntaro Matsumoto, Masanori Isobe, Hiroshi Abe","doi":"10.22603/ssrr.2026-0010","DOIUrl":"10.22603/ssrr.2026-0010","url":null,"abstract":"<p><strong>Introduction: </strong>Lumbar stabilization using an interspinous process device is a surgical option for lumbar spinal canal stenosis. This study retrospectively evaluated the relationship between preoperative computed tomography (CT) measurements and inserted device size.</p><p><strong>Methods: </strong>A total of 21 consecutive patients who underwent lumbar stabilization with an interspinous process device (Swift system^Ⓡ) for one- or two-level lumbar spinal canal stenosis were included. The mean age of the patients was 73.2 years. Surgery involved one level in seven patients and two levels in 14 patients. On preoperative CT images, the interspinous process distance was measured at the posterior line of the bilateral facet joints (basal distance) and at a point 8 mm dorsal (dorsal distance), corresponding to the Swift system^Ⓡ diameter.</p><p><strong>Results: </strong>The mean basal and dorsal distances were 6.5±2.1 mm and 5.3±2.4 mm, respectively. In 33 levels (93.5%) with a basal distance ≥4 mm, the device was successfully inserted between the spinous process bases. In the two levels with a basal distance of 2 mm, the device could not be inserted at the base and was placed dorsally. Except for these two cases, the size of the inserted device significantly correlated with the basal distance (p<0.01, r=0.694).</p><p><strong>Conclusions: </strong>The basal interspinous distance on preoperative CT was useful for predicting the appropriate device size. The device could be inserted between the spinous processes in all cases with a basal distance of ≥4 mm.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"10 5","pages":"734-740"},"PeriodicalIF":1.6,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posterior Sacroiliac Joint Fusion for Severe Sacroiliac Joint Disorders: A Technical Note on Surgery Using Transarticular Cylindrical Cages Combining Posterior Instrumentation and its Surgical Outcomes.","authors":"Daisuke Kurosawa, Eiichi Murakami, Takeshi Sasaki, Hiroshi Ozawa","doi":"10.22603/ssrr.2025-0431","DOIUrl":"10.22603/ssrr.2025-0431","url":null,"abstract":"<p><strong>Introduction: </strong>Anterior sacroiliac joint (SIJ) fusion has been performed for severe SIJ disorders and has demonstrated stable long-term outcomes; however, its relatively high invasiveness remains a significant concern. To overcome this limitation, we developed a posterior fusion using transarticular cylindrical cages combined with posterior instrumentation. This study describes the posterior SIJ fusion technique and evaluates the surgical outcomes.</p><p><strong>Technical note: </strong>An S1 pedicle screw is inserted toward the sacral promontory, and two S2 alar-iliac screws are placed in the ilium. All three screws are connected to a rod. One or two cylindrical cages filled with cancellous bone are inserted into the SIJ via a trans-iliac bony channel lateral to the posterior superior iliac spine to promote fusion in the anterior-superior portion of the SIJ while preserving the posterior sacroiliac ligaments. Seventeen patients (20 joints) with SIJ disorders were followed for a mean period of 53±23 months. Bone union was obtained in 93.3% of joints. Postoperative SIJ pain evaluated by the visual analog scale significantly improved from 87±18 to 24±25 mm (p<0.0001), and activities of daily living, assessed by the Denver SIJ Questionnaire, improved from 32±11 to 18±16 (p=0.0002).</p><p><strong>Conclusions: </strong>The posterior SIJ fusion technique using transarticular cylindrical cages via a trans-iliac bony channel combined with posterior instrumentation resulted in favorable postoperative outcomes in patients with SIJ disorders.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"10 4","pages":"634-640"},"PeriodicalIF":1.6,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13477752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reliability and Validity of Isometric Back Extensor Strength Measurements Using Hand-Held and Isokinetic Dynamometry in Sitting and Semi-Standing Positions.","authors":"Tomohiro Nakatani, Masakazu Minetama, Yoshio Yamamoto, Yukihiro Nakagawa","doi":"10.22603/ssrr.2026-0019","DOIUrl":"10.22603/ssrr.2026-0019","url":null,"abstract":"<p><strong>Introduction: </strong>The prone position is generally regarded as the standard posture for back extensor strength testing. However, some older adults may have difficulty assuming this position, making alternative approaches more clinically feasible. It remains unclear whether measurements obtained in the sitting and semi-standing positions demonstrate sufficient validity compared with those in the prone position. This study aimed to evaluate the reliability and validity of isometric back extensor strength measurements using hand-held dynamometry (HHD) in the sitting position and the Biodex system in the semi-standing position. The results were compared with measurements in the prone position.</p><p><strong>Methods: </strong>Thirty-four healthy adults (10 males and 24 females; mean age, 23.8 years) participated. Back extensor strength was assessed using three methods: HHD in the prone, HHD in the sitting position, and the Biodex system in the semi-standing position. Test-retest reliability was evaluated using two sessions. Convergent validity of HHD in the sitting position and the Biodex in the semi-standing position was examined and compared with prone HHD, which served as a reference standard.</p><p><strong>Results: </strong>The semi-standing Biodex demonstrated excellent reliability and sufficient convergent validity compared with prone HHD, whereas HHD in the sitting position showed acceptable reliability but limited validity. Intraclass correlation coefficients (ICCs) indicated excellent reliability for prone HHD (ICC=0.95) and semi-standing Biodex (ICC=0.92), while sitting HHD showed acceptable reliability (ICC=0.76). Regarding convergent validity, the Biodex in the semi-standing position showed a moderate correlation with prone HHD (r=0.60), whereas sitting HHD showed a weaker correlation (r=0.45).</p><p><strong>Conclusions: </strong>The Biodex system in the semi-standing position demonstrated excellent reliability and sufficient validity for assessing back extensor strength. In contrast, HHD in the sitting position showed acceptable reliability but limited validity, which may be influenced by the measurement protocol used. Further studies are needed to improve measurement protocols, particularly for use in older adults and clinical populations.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"10 4","pages":"620-626"},"PeriodicalIF":1.6,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13477758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Factors Associated with Implant Removal Following Surgical Site Infection after Spinal Instrumentation Surgery for Lumbar Degenerative Disease.","authors":"Kazumasa Konishi, Kaito Jinnai, Yuhei Takamizawa, Kenichiro Yamagishi, Yosuke Kawano, Masaichi Hasegawa, Shunsuke Sato, Atsushi Hasegawa, Masaaki Tsuji, Takehiko Moroi, Takumi Takeuchi, Hideto Sano, Masahito Takahashi, Naobumi Hosogane","doi":"10.22603/ssrr.2026-0039","DOIUrl":"10.22603/ssrr.2026-0039","url":null,"abstract":"<p><strong>Introduction: </strong>Surgical site infection (SSI) is a serious complication of spinal instrumentation surgery that often necessitates implant removal due to biofilm formation. Implant removal adversely affects postoperative outcomes, making implant retention preferable. Although several risk factors for SSI have been reported, those specifically linked to implant removal in lumbar degenerative disease remain insufficiently examined. The purpose of this study was to examine factors associated with implant removal in patients who developed SSI after spinal instrumentation surgery for lumbar degenerative disease.</p><p><strong>Methods: </strong>Among 4,743 patients who underwent spinal instrumentation surgery for lumbar degenerative disease between 2013 and 2021 at our institution and affiliated centers, 73 developed SSI. After excluding cases with missing data, 50 patients were retrospectively analyzed. They were categorized into an implant removal group (R group, n=15) and an implant retention group (N group, n=35). Patient characteristics, laboratory findings, surgical factors, and postoperative factors were compared. Univariate and receiver operating characteristic (ROC) analyses were performed to examine factors of implant removal.</p><p><strong>Results: </strong>The implant removal rate was 30%. Univariate analysis showed associations with the number of previous surgeries at the same level (p=0.004), operative time (p=0.03), interval from surgery to SSI onset (p=0.03), and interval from SSI onset to the first surgical intervention (p=0.03). ROC analysis demonstrated cutoff values of 205 minutes for operative time (area under the curve [AUC]=0.692), 42 days from surgery to SSI onset (AUC=0.702), and 22 days from SSI onset to the first surgical intervention (AUC=0.697).</p><p><strong>Conclusions: </strong>Implant removal after SSI in lumbar degenerative disease was associated with a history of surgery at the same level, prolonged operative time, and delayed SSI onset. Early surgical intervention after SSI onset was associated with implant retention.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"10 5","pages":"726-733"},"PeriodicalIF":1.6,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of Percutaneous Laser Disc Decompression for Lumbar Disc Herniation: A Systematic Review and Meta-Analysis.","authors":"Stylianos Kapetanakis, Benjamin Cappin, Mikail Chatzivasiliadis","doi":"10.22603/ssrr.2025-0401","DOIUrl":"10.22603/ssrr.2025-0401","url":null,"abstract":"<p><strong>Background: </strong>Percutaneous laser disc decompression (PLDD) is a minimally invasive treatment option for carefully selected patients with lumbar disc herniations (LDH) whose condition does not respond to conservative therapy but who may not require surgical decompression. Although PLDD has been increasingly adopted, reported outcomes vary widely across studies. This systematic review and meta-analysis aimed to evaluate the effectiveness and safety of PLDD in adults with LDH.</p><p><strong>Methods: </strong>A systematic search of PubMed, Scopus, and Web of Science was conducted through November 2025. Adult PLDD studies reporting clinical outcomes were included. Random-effects models pooled continuous and binary outcomes. Primary outcomes were visual analog scale (VAS) improvement and clinical success. Secondary outcomes were Oswestry Disability Index (ODI) change, reoperation rates, and complications. Heterogeneity was assessed with I², and risk of bias with the Risk of Bias in Non-randomized Studies of Interventions.</p><p><strong>Results: </strong>Fifteen publications reporting 14 unique PLDD cohorts were included. Eight studies (n=506) reported VAS outcomes, showing a pooled pain reduction of 4.33 points on a 0-10 scale (95% confidence interval [CI] 3.03-5.64; I²=98.8%). Three studies (n=128) reported ODI outcomes, with a pooled improvement of 20.1 points, but with substantial uncertainty (95% CI -21.7 to 61.9; I²=99.6%). Five studies (n=298) reported clinical success, yielding a pooled success rate of 73.8% (95% CI 55.9%-86.2%; I²=91.0%). The pooled reoperation rate across eight cohorts (n=650) was 10.3% (95% CI 6.3%-16.5%; I²=65.8%), and the pooled complication rate across ten studies (n=750) was 1.3% (95% CI 0.4%-3.9%; I²=1.0%). Most studies had moderate risk of bias due to non-randomized, single-arm designs.</p><p><strong>Conclusions: </strong>PLDD is associated with meaningful pain reduction and moderate clinical success with a very low complication rate in selected patients with LDH. Functional outcomes and reoperation rates varied across studies. Further high-quality comparative research is needed to better define long-term results and optimal patient selection.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"10 3","pages":"366-375"},"PeriodicalIF":1.6,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13255130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative Complications of the Occipitocervical Fixation Surgery for Cervical Trauma in Patients Aged Over 80 Years.","authors":"Norihiro Isogai, Haruki Funao, Mitsuru Yagi, Noriaki Yokogawa, Hiroaki Nakashima, Toru Funayama, Shota Ikegami, Kota Watanabe, Atsushi Yunde, Nobuyuki Suzuki, Hidenori Suzuki, Gen Inoue, Hideaki Nakajima, Tomohiko Hasegawa, Yoshinori Terashima, Ko Hashimoto, Hiroshi Uei, Kenichiro Kakutani, Katsuhito Kiyasu, Hiroyuki Tominaga, Masayuki Ishihara, Takashi Kaito, Satoshi Kato","doi":"10.22603/ssrr.2025-0342","DOIUrl":"10.22603/ssrr.2025-0342","url":null,"abstract":"<p><strong>Introduction: </strong>Although severe perioperative complications have been reported after occipitocervical fixation surgery for cervical trauma, no studies have specifically evaluated these complications in patients aged over 80 years. This study aimed to assess perioperative complications following occipitocervical fixation surgery for cervical trauma in patients older than 80 years.</p><p><strong>Methods: </strong>Among the 1,512 patients with cervical injury treated between 2010 and 2020, 41 patients aged ≥65 years who underwent occipitocervical fixation surgery were enrolled at 77 institutions in Japan. Patients were classified into a young-old group (65-79 years, n=21) and an old-old group (≥80 years, n=20). Demographic and surgical data, diagnosis, comorbidities, and perioperative complications were compared between the two groups.</p><p><strong>Results: </strong>The young-old group included eight atlas fractures and 16 axis fractures, while the old-old group included seven atlas fractures and 15 axis fractures. Perioperative complications occurred in 11 (52%) cases in the young-old group and in four cases (20%) in the old-old group. Reported complications included delirium, dysphagia, pneumonia, implant failure, worsening neurological pain, respiratory disorder, urinary tract infection, diverticular bleeding, cerebral infarction, deep vein thrombosis, and death.</p><p><strong>Conclusions: </strong>Although there were several selection biases, including trauma severity and surgical indication, advanced age of over 80 years alone does not necessarily lead to a markedly increased risk of perioperative complications following occipitocervical fixation surgery for traumatic cervical spine injuries.</p><p><strong>Level of evidence: </strong>Level III.</p>","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"10 5","pages":"660-665"},"PeriodicalIF":1.6,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13676366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Critical appraisal of Anterolateral versus Transpedicular Decompression with Posterior Instrumentation: A Randomized Prospective Study in Paradiscal Thoracic Spine Tuberculosis.","authors":"Sumit Sural, Sandeep Sehrawat, Shivam Pandey","doi":"10.22603/ssrr.2026-0062","DOIUrl":"10.22603/ssrr.2026-0062","url":null,"abstract":"","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"10 3","pages":"535-538"},"PeriodicalIF":1.6,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13255131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148253131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rare Case of Thoracic Spinal Dural Arteriovenous Fistula Emerging Gradually after Lumbar Decompression, Requiring Direct Transection.","authors":"Takuya Nomura, Toshiki Okubo, Narihito Nagoshi, Takahito Iga, Kazuki Takeda, Masahiro Ozaki, Satoshi Suzuki, Kota Watanabe, Masaya Nakamura","doi":"10.22603/ssrr.2026-0048","DOIUrl":"10.22603/ssrr.2026-0048","url":null,"abstract":"","PeriodicalId":22253,"journal":{"name":"Spine Surgery and Related Research","volume":"10 4","pages":"652-655"},"PeriodicalIF":1.6,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13477753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148763677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}