North American Spine Society Journal最新文献

{"title":"Commentary on “Opioid-use disorder and reported pain after spine surgery: Risk-group patterns in cognitive-appraisal processes in a longitudinal cohort study”","authors":"Tejas Purimetla BS , Zorica Buser PhD, MBA","doi":"10.1016/j.xnsj.2026.100885","DOIUrl":"10.1016/j.xnsj.2026.100885","url":null,"abstract":"","PeriodicalId":34622,"journal":{"name":"North American Spine Society Journal","volume":"26 ","pages":"Article 100885"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multi-level posterior cervical-only fusion and instrumentation with versus without extension to C1: A short-term outcomes analysis using a large database","authors":"Carla Guedikian BA ,&nbsp;Shahabeddin Yazdanpanah MS ,&nbsp;Hana-Joy E. Hanks BS ,&nbsp;Sultan Baz BA ,&nbsp;Yu-Po Lee MD ,&nbsp;Emily S. Mills MD ,&nbsp;Nitin N. Bhatia MD ,&nbsp;Don Y. Park MD ,&nbsp;Sohaib Z. Hashmi MD ,&nbsp;Hao-Hua Wu MD","doi":"10.1016/j.xnsj.2026.100897","DOIUrl":"10.1016/j.xnsj.2026.100897","url":null,"abstract":"<div><h3>Background Context</h3><div>Few studies have compared outcomes of posterior cervical fusions and instrumentations with versus without extension to C1. Therefore, this study evaluates such 30-day adverse events, comparing multi-level constructs extending to C1 (C1) with subaxial fusions (SF) at C2 and below, to better define complication profiles.</div></div><div><h3>Methods</h3><div>The ACS-NSQIP database (2014–2023) was queried for patients undergoing multi-level posterior cervical-only fusions and instrumentations using CPT codes 22600 (SF) and 22595 (C1), each paired with 22842. Cases with missing key variables or involving occiput, thoracic, or lumbar arthrodesis were excluded, and coding restrictions prevented cohort overlap. The primary outcome was any adverse event (AAE), with additional subgroup analyses. Propensity score matching (PSM) of relevant covariates balanced cohorts, with standardized mean differences &lt;0.1 considered acceptable. Statistics included chi-squares, independent t-tests, multivariable regressions with odds-ratios (ORs), and threshold analyses, when appropriate.</div></div><div><h3>Results</h3><div>Each cohort had 281 patients after PSM: SF (mean age=50.2±10.6; BMI=28.1±6.1 kg/m²; 52.7% male) and C1 (age=50.7±13.0; BMI=27.8±5.6 kg/m²; 52.7% male). Admission-to-operation interval (0.6±1.8 vs. 1.5±2.6 days; p&lt;.001), and operative time (157.8±76.1 vs. 193.7±74.9 minutes; p&lt;.001) were higher in C1 patients. AAE occurred in 13.9% of SF and 18.9% of C1 patients (p=.111), with no significant differences in major (11.0% vs. 14.6%), minor (6.1% vs. 7.1%), or infection (4.3% vs. 6.1%) subgroupings. Operative time (OR=1.009; p&lt;.001) and admission-to-operation interval (OR= 1.226; p=.016) were associated with AAE in SF patients, whereas no C1 predictors were identified. Threshold analysis identified covariate-adjusted inflection points at operative time 296 minutes (95th percentile) and admission-to-operation interval 0.98 days (81st percentile), above which AAE rates increased in SF patients (both corrected p&lt;.01).</div></div><div><h3>Conclusions</h3><div>SF and C1 patients demonstrated plausibly comparable short-term outcomes, suggesting that extension of cervical-only fusion and instrumentation constructs through the atlantoaxial joint does not substantially increase early postoperative risk. Attention to perioperative timing may be warranted, and larger, longer-term studies are needed for corroboration.</div></div><div><h3>Level of Evidence</h3><div>Level III.</div></div>","PeriodicalId":34622,"journal":{"name":"North American Spine Society Journal","volume":"26 ","pages":"Article 100897"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic resection for cervical and thoracic spinal osteoid osteoma: A case series","authors":"Mazda Farshad MD, MPH ,&nbsp;Florian Wanivenhaus MD ,&nbsp;Christoph J. Laux MD ,&nbsp;José M. Spirig MD, PD ,&nbsp;Chantal Pauli MD ,&nbsp;Lukas Zingg MD","doi":"10.1016/j.xnsj.2026.100874","DOIUrl":"10.1016/j.xnsj.2026.100874","url":null,"abstract":"<div><h3>Background</h3><div>Osteoid osteomas (OOs) are benign but painful bone tumors characterized by a vascularized nidus of osteoblastic cells surrounded by sclerotic bone. They affect the spine in 6%–20% of cases, most commonly in the posterior elements. Nonsteroidal anti-inflammatory drugs (NSAIDs) often provide initial relief, but surgery is required when symptoms persist. Complete nidus excision is critical to prevent recurrence. Minimally invasive techniques such as radiofrequency ablation (RFA) have gained popularity, but proximity to neural structures limits their use. Full endoscopic resection has emerged as a promising alternative, offering direct visualization, histologic confirmation, and minimal tissue disruption. This case series evaluates the safety, feasibility, and outcomes of full endoscopic resection for cervical and thoracic spinal OOs.</div></div><div><h3>Case Description</h3><div>This retrospective series included 4 patients treated at a single academic institution between December 2023 and April 2025. Diagnosis was based on clinical and radiologic findings. All patients underwent full endoscopic resection. Postoperative outcomes were assessed using imaging. Histological confirmation was obtained in all cases.</div></div><div><h3>Outcome</h3><div>Lesions were located at C7, T1 and T10 (2 cases). All patients reported immediate pain relief within 24 hours. No complications occurred, and all were discharged within 36 hours. Histopathology confirmed OO in every case. Follow-up imaging up to 15 months showed no recurrence.</div></div><div><h3>Conclusions</h3><div>Full endoscopic resection of cervical and thoracic OO is safe, effective, and minimally invasive. It enables complete nidus removal, rapid symptom relief, histologic confirmation, and preservation of spinal stability. Further long-term follow-ups are warranted to validate these findings and evaluate recurrence rates.</div></div>","PeriodicalId":34622,"journal":{"name":"North American Spine Society Journal","volume":"26 ","pages":"Article 100874"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lumbar discectomy patients with a criminal incarceration history are at risk of higher postoperative opioid utilization, emergency department visits, and adverse events","authors":"Anthony E. Seddio MD,&nbsp;Michael J. Gouzoulis MD,&nbsp;Wesley Day BS,&nbsp;Julian Smith-Voudouris MS,&nbsp;Joshua G. Sanchez BA,&nbsp;Sahir S. Jabbouri MD,&nbsp;Daniel R. Rubio MD,&nbsp;Jonathan N. Grauer MD","doi":"10.1016/j.xnsj.2026.100896","DOIUrl":"10.1016/j.xnsj.2026.100896","url":null,"abstract":"<div><h3>Background</h3><div>Nearly 700,000 individuals are released from US correctional facilities annually. Those with a history of criminal incarceration (HCI) experience inferior health outcomes related to limited healthcare access, chronic disease burden, and economic marginalization. These inequities may increase complications following spine surgery, such as lumbar discectomy (LD); however, postoperative outcomes in this population remain unknown.</div></div><div><h3>Methods</h3><div>Patients undergoing single-level LD between 2016 and 2023 were identified from a large, national, multi-insurance claims database. Exclusion criteria included: age &lt;18, concurrent lumbar procedures, multilevel surgery, &lt;90-day follow-up, or trauma, neoplasm, or infection within 90 days preoperatively. Patients were stratified by documented prior incarceration, imprisonment, or problems related to prison release. (+)HCI patients were matched 1:4 to (−)HCI controls by age, sex, and comorbidity burden. Multivariable logistic regression assessed associations between HCI and social determinants of health, as well as 90-day postoperative outcomes. Five-year reoperation was evaluated using Kaplan–Meier survival analysis.</div></div><div><h3>Results</h3><div>HCI was identified in 146 LD patients; after matching, 141 (+)HCI and 551 (−)HCI patients remained. Relative to matched controls, (+)HCI patients demonstrated higher odds of housing insecurity (odds ratio [OR] 4.62, p&lt;.001), economic inequality (OR 4.25, p&lt;.001), and unemployment (OR 3.82, p=.001), with no differences in Medicaid (p=.260) or Medicare coverage (p=.288), relative to commercial insurance. Postoperatively, (+)HCI patients were prescribed higher opioid morphine milligram equivalents (+361.8, p=.022) and had greater odds of emergency department visits (OR 2.83, p&lt;.001) and minor adverse events (OR 2.46, p=.006). No differences were observed in readmission (p=.082) or 5-year reoperation (4.1% vs. 2.5%, p=.100).</div></div><div><h3>Conclusions</h3><div>Among the largest spine surgery cohort to date with a criminal incarceration history, LD patients with HCI were associated with substantial social determinants of health barriers, increased postoperative opioid exposure, emergency department utilization, and complications. These inequities warrant attention within postoperative care pathways and underscore the need for further investigation to optimize support strategies for this vulnerable and growing population.</div></div>","PeriodicalId":34622,"journal":{"name":"North American Spine Society Journal","volume":"26 ","pages":"Article 100896"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A multifactorial investigation of 90-day readmission risk in thoracolumbar burst fractures: Does surgery play a role?","authors":"Luke L. Jouppi BS ,&nbsp;Christopher Seidel DO, MPH ,&nbsp;Clifford Pierre MD ,&nbsp;Jonathan Pluemer MD ,&nbsp;August Avantaggio BS ,&nbsp;Neel Patel MD ,&nbsp;Julius Gerstmeyer MD ,&nbsp;Daniel C. Norvell PhD ,&nbsp;Amir Abdul-Jabbar MD ,&nbsp;Rod J. Oskouian MD ,&nbsp;Jens R. Chapman MD","doi":"10.1016/j.xnsj.2026.100895","DOIUrl":"10.1016/j.xnsj.2026.100895","url":null,"abstract":"<div><h3>Background</h3><div>Most spinal fractures occur in the thoracolumbar region, with controversy persisting over operative versus nonoperative treatment paradigms for neurologically intact thoracolumbar burst fractures (TLBF). This study sought to determine the readmission rate, risk factors, and total hospital charges within 90 days of TLBF.</div></div><div><h3>Methods</h3><div>Using International Classification of Diseases, Tenth Revision (ICD-10) codes, we retrospectively reviewed all adult patients in the 2018 United States Healthcare Utilization Project Nationwide Readmissions Database with a new single-level TLBF from January to September 2018. We assessed readmissions, operative versus nonoperative treatment, demographics, comorbidities, charges, and payer status.</div></div><div><h3>Results</h3><div>We identified 4,395 TLBF patients, with 1,857 (42%) treated operatively and 2,538 (58%) treated nonoperatively. There was a 7.0% unplanned 90-day readmission rate in the overall cohort. For readmitted patients, 69 (22.5%) were treated operatively, and 238 (77.5%) were treated nonoperatively. Patients treated operatively were less likely to undergo readmission (adjusted odds ratios [aOR]=0.39, 95% confidence interval [CI]=0.29–0.53, p&lt;.001), though operative management was associated with substantial charges (mean $161,728, 95% CI $153,720–$169,735, p&lt;.001). Total hospital charges were significantly greater in readmitted patients ($224,445±$184,681) than in nonreadmitted patients ($131,783±$148,029, p&lt;.001). Patients with obesity (p&lt;.0001, aOR=2.04, 95% CI=1.5–2.8), coagulopathy (p=.05), pain syndromes (p&lt;.01), and/or bipolar disorder (p&lt;.01) were significantly more likely to be readmitted, as were patients with Medicare when compared to those with Medicaid, private insurance, or self-pay (p&lt;.01). Operatively treated patients with nutritional deficiencies demonstrated the highest odds for readmission (aOR=3.5, 95% CI=1.41–8.8, p&lt;.01), suggesting surgical caution for these patients.</div></div><div><h3>Conclusions</h3><div>We observed a 7.0% 90-day readmission rate for neurologically intact TLBF patients with key comorbidities associated with increased risk. Recognition of these comorbidities may aid clinicians in counseling patients and considering operative versus nonoperative management of neurologically intact TLBF.</div></div>","PeriodicalId":34622,"journal":{"name":"North American Spine Society Journal","volume":"26 ","pages":"Article 100895"},"PeriodicalIF":2.5,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148177845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression among lumbar spine surgery patients: Uncovering the untold story","authors":"Aboubacar Wague BA ,&nbsp;Jennifer M. O’Donnell MD ,&nbsp;Nesa Milan MD ,&nbsp;Alex Youn BA ,&nbsp;Gurbinder Singh BS ,&nbsp;Anna Filley MD ,&nbsp;Avionna Baldwin MD ,&nbsp;Zodina Beine MD ,&nbsp;Aesha Ajose BS ,&nbsp;Ashraf N. El Naga MD ,&nbsp;David Gendelberg MD ,&nbsp;Sigurd Berven MD","doi":"10.1016/j.xnsj.2025.100846","DOIUrl":"10.1016/j.xnsj.2025.100846","url":null,"abstract":"<div><h3>Background</h3><div>Depression is highly prevalent among patients with lumbar degenerative disease and is associated with worse postoperative outcomes. However, a significant proportion of affected individuals remain undiagnosed. We aimed to evaluate the utility of PROMIS Depression scores in identifying patients with undiagnosed depression undergoing lumbar spine surgery and to characterize their clinical outcomes relative to patients with diagnosed and no depression.</div></div><div><h3>Methods</h3><div>This retrospective cohort study included patients undergoing 1- or 2-level lumbar decompression or fusion between March 2019 and November 2021. Patients were stratified into three cohorts: diagnosed depression (PDD), no depression (NDD), and at-risk for undiagnosed depression (ARUD), defined as PROMIS Depression ≥55 without an ICD-10 diagnosis. Patient-reported outcomes were assessed preoperatively and at 6, 12, and 24 months postoperatively. Between group comparisons and baseline-adjusted ANCOVA models were performed, including subgroup analyses by procedure type (fusion vs. decompression) and revision status.</div></div><div><h3>Results</h3><div>Of 286 ICD-10-negative patients, 24.1% (n=69) met criteria for ARUD. Patient-reported outcome scores across all domains in the ARUD cohort mirrored those of the PDD group and were significantly worse than those of the NDD cohort at all timepoints (p&lt;.001). PROMIS Depression showed a strong correlation with Anxiety (ρ&gt;0.77) and moderate correlations with other domains. No significant difference was observed in outcomes between treated and untreated PDD patients. Older age was associated with reduced likelihood of diagnosis, while substance abuse history, pain clinic enrollment, and retired status predicted higher risk of undiagnosed depression.</div></div><div><h3>Conclusions</h3><div>PROMIS Depression scores can identify patients with undiagnosed depression who experience similar impairments and postoperative outcomes as those with diagnosed depression. These findings support the routine use of PROMIS Depression as a screening tool to enhance preoperative psychiatric assessment in spine surgery patients.</div></div>","PeriodicalId":34622,"journal":{"name":"North American Spine Society Journal","volume":"25 ","pages":"Article 100846"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Portal message utilization in orthopedic spine surgery: patterns, predictors, and financial implications","authors":"Sydney Rucker BA ,&nbsp;Michal C Williams BS ,&nbsp;Robert J. Ferdon MS ,&nbsp;Jason Silvestre MD ,&nbsp;Charles Reitman MD ,&nbsp;Robert Ravinsky MDCM, MPH, FRCSC","doi":"10.1016/j.xnsj.2025.100845","DOIUrl":"10.1016/j.xnsj.2025.100845","url":null,"abstract":"<div><h3>Background</h3><div>Electronic patient portals (EPPs) facilitate communication between patients and providers, but their utilization and impact in orthopedic spine surgery are poorly defined. This study aims to quantify portal message volume and content, identified demographic predictors of high utilization, and estimated the associated administrative and financial burden.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted of 833 new patients presenting to a single tertiary-care orthopedic spine practice over 6 months (April 2–October 31, 2024). Portal messages were categorized by timeframe and subject matter. Patients were classified as low- or high-volume (HV) users, with HV defined as ≥4 messages. Demographic predictors were assessed using independent t-tests and chi-square analyses. Messages meeting Centers for Medicare and Medicaid Services (CMS) criteria for billable Evaluation and Management (E/M) services were identified and assigned reimbursement values. A Monte Carlo simulation (100,000 iterations; R v4.5.1) estimated lost revenue from unbilled encounters.</div></div><div><h3>Results</h3><div>A total of 548 portal messages were sent (median 0 messages per patient; IQR 0–1). Common message topics included appointment scheduling (<em>n</em>=97), imaging-related concerns (<em>n</em>=94), postoperative issues (<em>n</em>=79), pain management (<em>n</em>=70), and third-party requests (<em>n</em>=59). High-volume utilization occurred in 43 patients (5.2%), with a mean of 5.19 messages per patient (range 3–18). Age was not associated with portal use (p=.276). Race was the only significant predictor of HV utilization (χ²=6.172, p=.046), with White/Caucasian patients overrepresented and Black/African American patients underrepresented. Only 25 messages (4.6%) met CMS billing criteria, primarily Level III E/M encounters (72%). Estimated median lost billable revenue was $7,501 (95% CI $3,845–$12,539).</div></div><div><h3>Conclusions</h3><div>Electronic patient portal (EPP) use in orthopedic spine surgery is highly skewed, with a small subset of patients generating disproportionate message volume. Despite limited billable encounters, portal messaging represents a growing administrative burden. Observed racial disparities highlight the need to further evaluate equity in digital patient engagement.</div></div>","PeriodicalId":34622,"journal":{"name":"North American Spine Society Journal","volume":"25 ","pages":"Article 100845"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of sarcopenia and multifidus atrophy on outcomes from minimally invasive decompression surgery for lumbar spinal stenosis","authors":"Gilad J. Regev MD ,&nbsp;Uri Hochberg MD ,&nbsp;Dror Ofir MD ,&nbsp;Khalil Salame MD ,&nbsp;Zvi Lidar MD ,&nbsp;Morsi Khashan MD","doi":"10.1016/j.xnsj.2025.100828","DOIUrl":"10.1016/j.xnsj.2025.100828","url":null,"abstract":"<div><h3>Background</h3><div>In order to improve outcomes for patients with lumbar spinal stenosis, identification of better prognostic factors is necessary to guide patient selection for surgery. The purpose of this study was to investigate the prognostic value of multifidus atrophy and sarcopenia on postoperative pain and disability following minimally invasive decompression for lumbar spinal stenosis.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed medical records and imaging studies for patients with lumbar spinal stenosis who underwent minimally invasive tubular decompression. Multifidus total cross sectional area (tCSA), multifidus functional cross sectional area (fnCSA), multifidus fatty infiltration (FI), psoas tCSA, and psoas relative cross sectional area (rCSA) were evaluated by univariable and multivariable regression to identify predictors of postoperative improvement in visual analogue scores for back pain (VASB) and leg pain (VASL) and Oswestry disability index (ODI) scores for disability.</div></div><div><h3>Results</h3><div>Minimally invasive decompression was performed at 75 spinal levels in 64 patients with an average age of 70.1±10.0 years. In multivariable analysis, lower multifidus FI was significantly associated with 5 point improvement in ODI (p=.002), 10 point improvement in ODI (p=.017), and 17 point improvement in ODI (p=.044). Only male gender (p=.030), lower preoperative VASB (p=.001), and lower preoperative VASL (p=.015) were independently predictive of postoperative deterioration in ODI, VASB, and VASL, respectively.</div></div><div><h3>Conclusions</h3><div>Multifidus FI predicts postoperative improvement in disability following minimally invasive decompression for lumbar spinal stenosis with high accuracy. Minimally invasive decompression surgery is effective for elderly patients and sarcopenic patients, who are not at risk for poorer postoperative outcomes. Male gender and lower preoperative pain or disability are risk factors for postoperative deterioration in patient-reported outcomes.</div></div>","PeriodicalId":34622,"journal":{"name":"North American Spine Society Journal","volume":"25 ","pages":"Article 100828"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145798543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Commentary on “Identifying patients at risk for a facility discharge following elective one or two level lumbar fusion”","authors":"Emma Portnoy,&nbsp;Jonathan N. Grauer MD","doi":"10.1016/j.xnsj.2026.100869","DOIUrl":"10.1016/j.xnsj.2026.100869","url":null,"abstract":"","PeriodicalId":34622,"journal":{"name":"North American Spine Society Journal","volume":"25 ","pages":"Article 100869"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147448756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A call for dynamic guidelines: Incorporating AI ethics into social media best practices for spine professionals","authors":"Zubayer Shams MD ,&nbsp;Nicola Montemurro MD, PhD, MBA, MSc, FACS ,&nbsp;Bipin Chaurasia MS","doi":"10.1016/j.xnsj.2026.100853","DOIUrl":"10.1016/j.xnsj.2026.100853","url":null,"abstract":"","PeriodicalId":34622,"journal":{"name":"North American Spine Society Journal","volume":"25 ","pages":"Article 100853"},"PeriodicalIF":2.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147537952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}