Spine Journal最新文献

{"title":"Advances in Endoscopic Lumbar Spine Surgery: A Comprehensive Review of the Techniques used for the Treatment of Lumbar Disc Herniations and Spinal Stenosis and Lumbar Spinal Fusion.","authors":"Brian Kwon, Andrew Moon","doi":"10.1016/j.spinee.2025.06.004","DOIUrl":"https://doi.org/10.1016/j.spinee.2025.06.004","url":null,"abstract":"<p><p>Endoscopic lumbar spine surgery has been practiced for decades but has recently gained popularity as a minimally invasive technique for treating the most common spinal pathologies treated by spine surgeons. These include lumbar disc herniations, spinal stenosis, and lumbar spinal fusion. This review provides comprehensive, up-to-date analyses of the two main approaches-uniportal and biportal endoscopy-utilized for discectomy, foraminotomy, laminectomy, and interbody fusion. The key advantages of endoscopic spine surgery include smaller incisions, less soft tissue disruption, reduced blood loss, shorter hospital stays, and faster recovery times, all of which collectively contribute to positive patient outcomes. Advances in visualization and instrumentation as well as surgeon training and experience have expanded the indications for endoscopic spine surgery beyond herniated discs, allowing its application in more complex conditions, such as highly migrated disc herniations, spinal tumors, and trauma. Moreover, endoscopic surgery has shown promising results in special populations, such as obese patients, where traditional open approaches can be challenging. Despite its advantages, adopting endoscopic spine surgery poses several challenges: particularly a steep learning curve related to issues with depth perception, maneuvering instruments in narrow spaces, and managing technical pitfalls like dural tears and hemostasis. There are also limitations with endoscopic interbody fusions, in particular the use of smaller cages that have a limited fusion surface area and sagittal alignment; newer expandable cages may circumvent these shortcomings, however. As the body of literature demonstrates comparable, if not superior, outcomes to traditional open surgery, the adoption of endoscopic techniques is expected to increase. Continued innovation, surgeon education and experience, and most important, patient demand are driving the growth of this technique. It is the authors' opinions that in the near future, endoscopic spine surgery will become a fundamental approach utilized in the treatment of degenerative lumbar spine conditions.</p>","PeriodicalId":49484,"journal":{"name":"Spine Journal","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shear Resistance of a Posterior Lumbar Total Joint Replacement Prosthesis.","authors":"Avinash G Patwardhan, Robert M Havey, Scott D Hodges, S Craig Humphreys, Jason E Meldau, Marissa Koscielski, J Alex Sielatycki, Muturi G Muriuki","doi":"10.1016/j.spinee.2025.06.005","DOIUrl":"10.1016/j.spinee.2025.06.005","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background context: &lt;/strong&gt;Anterior total disc replacement in the lumbar spine does not address facet pathology or central/recess stenosis. A novel posterior-based motion-preserving lumbar total joint replacement (Lumbar TJR) allows direct neural decompression with laminectomy and bilateral facet resection, along with complete discectomy. The destabilization caused by a wide decompression raises the question: How stable is the lumbar TJR implant under expected physiological (combined compression and shear) forces?&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;To investigate the shear resistance of L5-S1 reconstructed with bilateral posterior lumbar TJR prostheses, implanted after bilateral facetectomy and discectomy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;A biomechanical study using human lumbosacral spine specimens.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Seven (7) L1-S1 human cadaveric spine specimens were tested, each in the following sequence: (A) intact, (B) after L5-S1 bilateral facetectomy and discectomy, and (C) after lumbar TJR prostheses were implanted bilaterally at L5-S1. Stability was quantified by measuring anterior slip of L5 and angular displacement at L5-S1 under a net force of 700N applied across L5-S1, first with minimal shear (S∼0N, C=700N), then with shear-to-compression (S:C) ratios of 1:1 (S=495N, C=495N) and 1.7:1 (S=600N, C=350N), simulating increasing shear-loading scenarios.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Financial disclosures: &lt;/strong&gt;Five of the eight authors own shares in the company that manufactures the TJR implant. No other conflicts are noted. Supported in part by research funds received from the sponsor, which were paid directly to the institution to offset expenses related to technician salaries and materials. The Lumbar TJR device is investigational.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In the intact L5-S1 segment, statistically significant anterior slip was created under load with S:C ratios of 1:1 (0.76±0.52mm) and 1.7:1 (0.83±0.51mm) when compared to loading with minimal shear (0.03±0.17mm) (P&lt;.05). After bilateral facetectomy and discectomy, the L5 slip under load increased to 0.29±0.63mm, 3.2±1.4mm (P&lt;.05), and 3.6±1.4mm (P&lt;.05) at S:C ratios of 0:1, 1:1, and 1.7:1, respectively. The lumbar TJR significantly reduced the anterior slip of L5 to 1.4±0.6mm and 1.6±0.6mm at S:C ratios of 1:1 and 1.7:1, respectively (P&lt;.05). The lumbar TJR limited the L5-S1 anterior slip to the intact level (P=.18). Likewise, the lumbar TJR restored the L5-S1 angular motion to the intact level (P=. 96) under combined shear and compression loading.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The lumbar TJR prosthesis restored the anterior slip and angular displacement at L5-S1 to the levels of an intact segment. These biomechanical results show the lumbar TJR resists anterior shear forces which are of primary concern after wide posterior decompression involving laminectomy, bilateral facetectomy and discectomy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Clinical significance: &lt;/strong&gt;The ability","PeriodicalId":49484,"journal":{"name":"Spine Journal","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primer on Unilateral Biportal Endoscopic Spine Surgery: Technical Overview for Beginners.","authors":"Erick R Kazarian, Jason I Yang, Gregory S Kazarian, Yong H Kim","doi":"10.1016/j.spinee.2025.06.003","DOIUrl":"https://doi.org/10.1016/j.spinee.2025.06.003","url":null,"abstract":"<p><strong>Background context: </strong>Unilateral biportal endoscopic (UBE) spine surgery is a minimally invasive technique that offers the benefits of enhanced visualization and reduced tissue disruption compared to traditional open spine surgery.</p><p><strong>Purpose: </strong>This review outlines the historical evolution, technical considerations, and adoption challenges of UBE, focusing on its use in lumbar spine procedures.</p><p><strong>Study design/setting: </strong>Technique overview METHODS: The biportal approach, characterized by separate working and visualization portals, facilitates the minimally invasive benefits of endoscopy while maintaining the tactile feedback of open surgery. Key elements, including portal placement, fluid management, instrumentation, and operative room setup, are discussed.</p><p><strong>Results: </strong>The learning curve for UBE is steep yet manageable, with most surgeons achieving proficiency within 25-50 cases through cadaver labs, mentorship, and selective case strategies. Early adoption challenges, such as establishing viewing windows and managing complications, are addressed.</p><p><strong>Conclusions: </strong>As its indications expand to thoracic and cervical pathologies, UBE promises to enhance patient outcomes by providing effective, minimally invasive surgical options for a broader range of spinal conditions.</p>","PeriodicalId":49484,"journal":{"name":"Spine Journal","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Laminoplasty vs. Laminectomy with Fusion in different K-line status among patients with high occupation rate of cervical ossification of longitudinal ligament.","authors":"Haosen Wu, Shengfa Pan, Yajing Liu, Yu Sun, Shaobo Wang, Fengshan Zhang, Li Zhang, Yanbin Zhao, Yinze Diao, Tian Xia, Feifei Zhou, Xin Chen","doi":"10.1016/j.spinee.2025.06.002","DOIUrl":"https://doi.org/10.1016/j.spinee.2025.06.002","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background context: &lt;/strong&gt;For patients with high occupation rate cervical ossification of the posterior longitudinal ligament (HOR-cOPLL) that are K-line negative, laminoplasty often results in poor outcomes due to postoperative loss of cervical curvature. Preserving the posterior muscle-ligament complex (PMLC) on the hinge side during laminoplasty has been shown to reduce cervical curve loss and improve postoperative cervical alignment. We hypothesized that a modified laminoplasty (mLP) with preserving the PMLC could maintain cervical curvature and achieve similar neurological recovery to that of laminectomy with fusion (LF), regardless of K-line status.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;To compare the clinical and radiological results between mLP and LF among patients with HOR-cOPLL during postoperative 2-year follow-up.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;Prospective observational study PATIENTS SAMPLE: Patients with HOR-cOPLL were enrolled between December 2018 and February 2022. Among them, 30 patients underwent LF, while 34 patients received mLP.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcome measures: &lt;/strong&gt;The modified Japanese Orthopaedic Association (mJOA) score and the mJOA recovery rate (mJOA RR) were used for neurological improvement. The Neck Disability Index (NDI) score, Visual Analog Scale (VAS) scores were for neck and/or shoulder pain. Perioperative values included operative time, estimated blood loss, and perioperative complications. Radiological characteristics consisted of the cervical Cobb angle and cervical range of motion (ROM), etc. METHODS: Independent samples t-test and Mann-Whitney U-test were used to compare normally and non-normally distributed continuous variables between two groups, respectively. Paired sample t-tests and Wilcoxon signed-rank tests were used to evaluate changes in variables before and two years after surgery. Subgroup based on K-line was performed to access the differences between two groups.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The mLP group experienced shorter surgery times (101 min vs 122.5 min, P = 0.009), less blood loss (175 ml vs 200 ml, P = 0.020), and had complication rates comparable to those of the LF group. The mLP (12.5 vs 16.5, P&lt;0.001) and LF groups (11.5 vs 15.25, P&lt;0.001) showed significant and comparable improvements in mJOA (P = 0.648) and mJOA RR (65.16% vs 68.33%, P = 0.598) at postoperative 2-year follow-up, which were consistent in both K-line positive and negative subgroups. Postoperative NDI, VAS, and axial symptoms were also comparable between the two groups. While maintaining a cervical curve comparable to the LF group (3.17° vs 2.95°, P = 0.935), the mLP group exhibited a lesser reduction in ROM at the 2-year mark (17.77° vs 12.02°, P = 0.033), although this was not significant in either K-line positive or negative subgroups.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This was the first prospective cohort to compare mLP and LF for HOR-cOPLL. Both the mLP and LF groups demonstrated significan","PeriodicalId":49484,"journal":{"name":"Spine Journal","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L4-S1 ALIF restores and maintains lordosis while minimizing adjacent segment disease compared to L4-S1 TLIF.","authors":"Yi Zhang, Ved A Vengsarkar, Jialun Chi, Hanzhi Yang, Ariaz Goudarzi, Mia Shen, Li Jin, Samuel K Cho, S Tim Yoon, Xudong Li","doi":"10.1016/j.spinee.2025.06.001","DOIUrl":"10.1016/j.spinee.2025.06.001","url":null,"abstract":"<p><strong>Background context: </strong>The L4-S1 region contributes the most to lumbar lordosis, and adjacent segment disease (ASD) is a common complication following lumbar interbody fusion. To date, no study has directly compared sagittal alignment parameters and incidence of ASD between ALIF and TLIF for the treatment of L4-S1 degenerative disc disease.</p><p><strong>Purpose: </strong>This study aims to evaluate and compare the efficacy of anterior lumbar interbody fusion (ALIF) versus transforaminal lumbar interbody fusion (TLIF) in restoring L4-S1 lordosis and the impact on the development of ASD.</p><p><strong>Study design: </strong>A retrospective cohort study.</p><p><strong>Patient sample: </strong>102 TLIF patients and 53 ALIF patients were identified from a single-center database.</p><p><strong>Outcome measures: </strong>Complications, revisions, and radiological sagittal parameters.</p><p><strong>Methods: </strong>We conducted a retrospective study involving patients who underwent L4-S1 fusion for degenerative lumbar disease from January 2017 to December 2021. Patients were categorized into TLIF and ALIF groups, with demographic, surgical, and radiographic data collected. Radiographic parameters were assessed preoperatively, postoperatively, and at final follow-up (45.8 ± 13.2 months).</p><p><strong>Results: </strong>A total of 155 patients were analyzed (102 TLIFs and 53 ALIFs). Both groups exhibited significant changes in L4-S1 lordosis postoperatively; however, ALIF resulted in a more pronounced increase in L4-S1 lordosis (6.5° vs. 1.3°) and reduced compensatory changes at L3/4 compared with TLIF (-2.4° vs. 0.2°). ALIF also maintained 72% of the lordosis restoration over time. Moreover, ALIF had lower incidences of ASD (3.8% vs. 15.7%, p=.034) and significantly fewer reoperations (7.5% vs. 25.5%, p=.009). A binary logistic regression analysis revealed that an increase in postoperative L4-S1 lordosis (OR 0.903 [95% CI: 0.820-0.994]) and a decrease in delta L3/4 (OR 0.757 [95% CI: 0.597-0.961]) were significantly associated with the reduced risk of ASD.</p><p><strong>Conclusions: </strong>ALIF demonstrated superior effectiveness compared to TLIF in restoring and maintaining L4-S1 lordosis, mitigating compensatory lordosis, and decreasing the incidence of ASD.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":49484,"journal":{"name":"Spine Journal","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Return to work after lumbar endoscopic spinal surgery in the United States.","authors":"Peter B Derman, Micheal Raad, Alexander M Satin, Albert Telfeian, John Ogunlade, Conor Dunn, Osama Kashlan, Sanjay Konakondla, Anubhav G Amin, Meng Huang, Imad Khan, Mark Mahan, Christoph P Hofstetter, Mary P Rogers-LaVanne","doi":"10.1016/j.spinee.2025.05.033","DOIUrl":"10.1016/j.spinee.2025.05.033","url":null,"abstract":"<p><strong>Background context: </strong>Return to work (RTW) after spinal surgery is a crucial postoperative outcome influencing patients' lives. Endoscopic spinal surgery (ESS) is an ultra-minimally invasive technique for the treatment of spinal pathology, and some ESS procedures have been shown to improve RTW dynamics following spinal surgery.</p><p><strong>Purpose: </strong>The aim of this study is to investigate RTW within ninety days following various lumbar ESS procedures in the United States (US) and compare differences in RTW between patient occupational activity levels and ESS procedural types.</p><p><strong>Study design/setting: </strong>Prospectively collected data provided by patients via the SPINEHealthie mobile health application.</p><p><strong>Patient sample: </strong>Patients with a status of employed who received lumbar ESS (n=192).</p><p><strong>Outcome measures: </strong>Back pain, leg pain, ODI, and return to work after spine surgery.</p><p><strong>Methods: </strong>The SPINEHealthie project dataset was used for this study. The SPINEHealthie project is a multicenter, multisurgeon prospectively collected dataset for endoscopic spine surgery in which patients utilize a mobile health application to report critical outcome measures. One hundred ninety-two patients met the inclusion criteria for this study. The primary outcome was patient reported time to RTW. Kaplan Meier survival analysis and Cox proportional hazard models were performed to analyze RTW after lumbar ESS.</p><p><strong>Results: </strong>Average age was 52.0 years, and 59.4% of the sample were male. The cumulative incidence in RTW was 83.6% with a median of patients returning to work at or before 16.0 days after any type of lumbar ESS. Patients with labor-intensive occupations returned to work significantly later than patients with sedentary occupations (p=.014). Surgical procedure was also associated with RTW (p=.043); a median of patients returned to work at or before 13.0 days after interlaminar discectomy or unilateral decompression, 20.0 days after far lateral approaches for discectomy or decompression, and 40.0 days after interlaminar unilateral laminotomy for bilateral decompression.</p><p><strong>Conclusions: </strong>Patients who received lumbar ESS return to work relatively rapidly compared to the literature on traditional open lumbar procedures. The type of ESS (as dictated by the underlying pathology), as well as patient occupational physical activity requirements impact postoperative RTW.</p>","PeriodicalId":49484,"journal":{"name":"Spine Journal","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deciphering the role of glial cell-specific metabolites as biomarkers in early cervical myelopathy-insights from in vivo MRS study.","authors":"Karthik Ramachandran, Pushpa Bhari Thippeswamy, Ajoy Prasad Shetty, Rishi Mugesh Kanna, Shanmuganathan Rajasekaran","doi":"10.1016/j.spinee.2025.05.031","DOIUrl":"10.1016/j.spinee.2025.05.031","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Early degenerative cervical myelopathy (DCM) presents a diagnostic dilemma due to its variability in presentation, overlap with other clinical conditions, and lack of specific clinical tests. Although magnetic resonance imaging (MRI) is the preferred imaging modality, its ability to detect early cervical myelopathy remains uncertain due to its inability to detect microstructural changes at an early spondylotic stage. Magnetic Resonance Spectroscopy (MRS) is a novel, noninvasive spinal imaging technique that provides metabolic and biochemical information regarding spinal cord function.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;This study aims to determine the diagnostic role of MRS and Diffusion Tensor Imaging (DTI) in patients with DCM. Additionally, we intend to explore the role of MRS metabolites/ratio as molecular biomarkers for the early detection of DCM.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;Prospective observational study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Patient sample: &lt;/strong&gt;The study includes a sample size of 89 subjects (20 asymptomatic volunteers and 69 patients with different grades of DCM.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcome measures: &lt;/strong&gt;Predictability of MRS and DTI in identifying early DCM. The severity of myelopathy was assessed using the modified Japanese Orthopaedic Association (mJOA) score.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The study populations were classified according to their mJOA scores: Group 1 included asymptomatic volunteers with no clinical features of cervical myelopathy. Group 2 included patients with a mJOA score of 15 to 17 (mild myelopathy) presenting with early symptoms of myelopathy, like arm pain, hand numbness and clumsiness with/ without the symptoms of radiculopathy. Group 3 included patients with mJOA score of 12 to 14 (moderate myelopathy), presenting with symptoms like gait instability and a decrease in hand dexterity. Group 4 included patients with mJOA score of less than or equal to 11 (severe myelopathy), presenting with advanced symptoms like walker/wheelchair-dependence, loss of hand dexterity, and bladder disturbances. We then looked at MR Imaging in these symptomatic patients to evaluate cervical stenosis. Single voxel MRS was placed at the C2 level, and DTI parameters were measured at the site of maximum compression. MRI parameters like the compression level, presence of signal hyperintensity, grading of stenosis, and compression ratio were also analysed in T2W MRI images.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Among the 89-study population, 20 asymptomatic volunteers in group 1 and 23 patients each in groups 2, 3 and 4 were included. Among the various parameters, there was a statistically significant difference between the groups for various MRS metabolite ratios, namely NAA/Cr (p=.008), Cho/Cr (p=.025), Cho/NAA (p&lt;.001), Cr/NAA (p&lt;.001) and MIn/NAA (p=.003) as well as DTI parameters namely FA (p=.010) and ADC (p=.011). A significant linear correlation was observed between the severity of myelopathy (mJOA sc","PeriodicalId":49484,"journal":{"name":"Spine Journal","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144151796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to Editor regarding “Robotic pedicle screw placement with 3D MRI registration: moving towards radiation free robotic spine surgery” by Altorfer et al","authors":"Yayu Zhao MM ,&nbsp;Wen Lei MM ,&nbsp;Weichao Li MD, PhD","doi":"10.1016/j.spinee.2025.01.041","DOIUrl":"10.1016/j.spinee.2025.01.041","url":null,"abstract":"","PeriodicalId":49484,"journal":{"name":"Spine Journal","volume":"25 6","pages":"Pages 1304-1305"},"PeriodicalIF":4.9,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to letter to the Editor “Robotic pedicle screw placement with 3D MRI registration: moving towards radiation free robotic spine surgery”","authors":"Franziska C.S. Altorfer MD ,&nbsp;Darren R. Lebl MD, MBA","doi":"10.1016/j.spinee.2025.02.004","DOIUrl":"10.1016/j.spinee.2025.02.004","url":null,"abstract":"","PeriodicalId":49484,"journal":{"name":"Spine Journal","volume":"25 6","pages":"Pages 1306-1307"},"PeriodicalIF":4.9,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144098658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to \"An in vivo 3-dimensional kinematics study of the cervical vertebrae under physiological loads in patients with cervical spondylosis\" [Spine J (2025) 734-748].","authors":"Yanlong Zhong, Fangming Zhan, Zizhen Zhang, Guoan Li, Shaobai Wang, Zongmiao Wan","doi":"10.1016/j.spinee.2025.04.025","DOIUrl":"https://doi.org/10.1016/j.spinee.2025.04.025","url":null,"abstract":"","PeriodicalId":49484,"journal":{"name":"Spine Journal","volume":" ","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}