Spine Journal




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سفارش

Editorial Board

doi : 10.1016/S1529-9430(22)00227-3

Volume 22, Issue 8, August 2022, Page A1

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Table of Contents

doi : 10.1016/S1529-9430(22)00228-5

Volume 22, Issue 8, August 2022, Pages A3-A6

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Someone needs to claim it: second notice

Bruce E. Dall, MD*

doi : 10.1016/j.spinee.2022.03.004

Volume 22, Issue 8, August 2022, Pages 1237-1239

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Minimally invasive sacroiliac joint fusion for chronic sacroiliac joint pain: a systematic review

Eva Chang, PhD, MPH a, *, Caroline Rains, MPH b , Rania Ali, MPH b , Roberta C. Wines, MPH b , Leila C. Kahwati, MD, MPH

doi : 10.1016/j.spinee.2022.01.005

Volume 22, Issue 8, August 2022, Pages 1240-1253

Sacroiliac (SI) joint pain causes significant disability and impairment to quality of life (QOL). Minimally invasive SI joint fusion is increasingly used to relieve chronic SI joint pain among patients who do not respond to nonsurgical treatment.

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Malpractice litigation in elective lumbar spinal fusion: a comprehensive review of reported legal claims in the U.S. in the past 50 years

Justin K. Zhang, BSa , Armando J. del Valle, BS a , Georgios Alexopoulos, MDa , Niel Patel, BS a , Johan Van Nispen, BSa , Mayur Patel, BS a , Evan Xu, BSa , Philippe Mercier, MD, PhDa , Nina A. Kohn, JDb , Tobias A. Mattei, MD

doi : 10.1016/j.spinee.2022.03.015

Volume 22, Issue 8, August 2022, Pages 1254-1264

In the U.S., medical malpractice litigation is associated with significant financial costs and often leads to the practice of defensive medicine. Among medical subspecialities, spine surgery is disproportionately impacted by malpractice claims.

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Lower effectiveness of facet joint infiltration in patients with concurrent facet joint degeneration and active endplate changes

Dimitris Dimitriou, MD # , Elin Winkler, MD*,# , Mazda Farshad, MD, MPH, Jose Miguel Spirig, MD

doi : 10.1016/j.spinee.2022.03.013

Volume 22, Issue 8, August 2022, Pages 1265-1270

Facet joint degeneration (FJD) and disc degeneration (DD) with associated endplate (EP) changes, specifically Modic 1 changes, might occur concurrently and therefore pose a challenge in the treatment of lower back pain (LBP).

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Cervical foraminal stenosis as a risk factor for cervical kyphosis following cervical laminoplasty

Joonoh Seo, MD, Kyung-Soo Suk, MD, PhD*, Ji-Won Kwon, MD, Namhoo Kim, MD, Byung Ho Lee, MD, PhD, Seong-Hwan Moon, MD, PhD, Hak-Sun Kim, MD, PhD, Hwan-Mo Lee, MD, PhD

doi : 10.1016/j.spinee.2022.03.017

Volume 22, Issue 8, August 2022, Pages 1271-1280

Cervical laminoplasty (CLP) is an effective spinal cord decompression method for patients with cervical myelopathy. However, cervical kyphosis after CLP may cause insufficient decompression of the spinal cord. Thus, prevention of cervical kyphosis after CLP and identification of its risk factors are essential.

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Ideal entry point and trajectory for C2 pedicle screw placement in basilar invagination patients with high-riding vertebral artery based on 3D computed tomography

Lu-Ping Zhou, PhDa,# , Ren-Jie Zhang, PhD a,# , Zhen-Fei Jiang, MDb,# , Er-Xu Tao, MD a , Jin Shang, MDc , Cai-Liang Shen, PhD

doi : 10.1016/j.spinee.2022.04.015

Volume 22, Issue 8, August 2022, Pages 1281-1291

C2 pedicle screw placement in patients with basilar invagination (BI) is fraught with risks because of a high incidence of anatomical variations and high-riding vertebral artery (HRVA). However, no study can be found in the literature that attempted to identify the ideal entry point and trajectory through the C2 pedicle in BI patients with HRVA.

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Quality-of-life and postoperative satisfaction following pseudoarthrectomy in patients with Bertolotti syndrome

Kyle A. McGrath, BS a, *, Nicolas R. Thompson, MSb,c , Emily Fisher, MPH a , Joseph Kanasz, BFAd , Joshua L. Golubovsky, MD e , Michael P. Steinmetz, MD

doi : 10.1016/j.spinee.2022.02.010

Volume 22, Issue 8, August 2022, Pages 1292-1300

Bertolotti syndrome is a clinical diagnosis given to patients with back pain arising from a lumbosacral transitional vertebra (LSTV).

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Preoperative MRI-based vertebral bone quality (VBQ) score assessment in patients undergoing lumbar spinal fusion

Stephan N. Salzmann, MD, Ichiro Okano, MD, Conor Jones, BA, Jiaqi Zhu, BS, Shuting Lu, BS, Ikenna Onyekwere, BS, Venkatesh Balaji, BA, Marie-Jacqueline Reisener, MD, Erika Chiapparelli, MD, Jennifer Shue, MS, John A. Carrino, MD, MPH, Federico P. Girardi, MD, Frank P. Cammisa, MD, Andrew A. Sama, MD, Alexander P. Hughes, MD*

doi : 10.1016/j.spinee.2022.03.006

Volume 22, Issue 8, August 2022, Pages 1301-1308

The importance of bone status assessment in spine surgery is well recognized. The current gold standard for assessing bone mineral density is dual-energy X-ray absorptiometry (DEXA).

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Impact of insurance type on patient-reported outcome measures in patients with lumbar disc herniation

Grace X. Xiong, MD a , Brian C. Goh, MD, PhDa , Nicole Agaronnik, BA b , Alexander M. Crawford, MD a , Jeremy T. Smith, MD c , Stuart H. Hershman, MDd , Andrew J. Schoenfeld, MD, MScc , Andrew K. Simpson, MD, MBA c, *

doi : 10.1016/j.spinee.2022.03.011

Volume 22, Issue 8, August 2022, Pages 1309-1317

Lumbar disc herniations (LDH) are among the most common spinal conditions. Despite increased appreciation for the importance of social determinants of health, the role that these factors play in patients with lumbar disc herniations is poorly defined.

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The impact of interbody approach and lumbar level on segmental, adjacent, and sagittal alignment in degenerative lumbar pathology: a radiographic analysis six months following surgery

Bailey O’Connor, BS a,b , Caroline E. Drolet, PhDa , Jean-Christophe A. Leveque, MDa , Venu Nemani, MD, PhD a , Katie L. Krause, MD, PhD a , Michael Dorsi, MD c , Samuel Schroerlucke, MD d , Jesse Shen, MD a , Philip K. Louie, MD

doi : 10.1016/j.spinee.2022.03.010

Volume 22, Issue 8, August 2022, Pages 1318-1324

Interbody fusion, including: transforaminal (TLIF), posterior (PLIF), anterior (ALIF), and lateral (LLIF); effectively treat lumbar degenerative pathology and provide spinopelvic balance.

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Epidemiology of primary malignant non-osseous spinal tumors in the United States

Arbaz A. Momin, MS a, *, Precious Oyem, BSa , Nirav Patil, MBBS, MPH b,c , Pranay Soni, MDd , Tamia O. Potter, BSa,h , Gino Cioffi, MPH c,e , Kristin Waite, PhDc,e , Quinn Ostrom, PhDc,f , Caro Kruchko, BA c , Jill S. Barnholtz-Sloan, PhDc,e,g , Pablo F. Recinos, MDa,d,h , Varun R. Kshettry, MD a,d,h , Michael P. Steinmetz, MD

doi : 10.1016/j.spinee.2022.02.015

Volume 22, Issue 8, August 2022, Pages 1325-1333

Primary malignant non-osseous spinal tumors are relatively rare and this has led to a paucity of studies specifically examining the epidemiology of malignant spinal tumors.

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Preoperative embolization in surgical treatment of spinal metastases originating from non–hypervascular primary tumors: a propensity score matched study using 495 patients

Olivier Q. Groot, MD, PhD a,b, *, Nicole J. van Steijn, MDa , Paul T. Ogink, MDb , Robert-Jan Pierik, BSc a , Michiel E.R. Bongers, MD, PhDa , Hester Zijlstra, MDa,b , Tom M. de Groot, BSc a , Thomas J. An, MD c , James D. Rabinov, MD c , Jorrit-Jan Verlaan, MD, PhD b , Joseph H. Schwab, MD, MS

doi : 10.1016/j.spinee.2022.03.001

Volume 22, Issue 8, August 2022, Pages 1334-1344

Preoperative embolization (PE) reduces intraoperative blood loss during surgery for spinal metastases of hypervascular primary tumors such as thyroid and renal cell tumors. However, most spinal metastases originate from primary breast, prostate, and lung tumors and it remains unclear whether these and other spinal metastases benefit from PE.

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A novel online calculator to predict nonroutine discharge, length of stay, readmission, and reoperation in patients undergoing surgery for intramedullary spinal cord tumors

Andrew M. Hersh, AB a , Jaimin Patel, BSa , Zach Pennington, MD b , Albert Antar, BS a , Earl Goldsborough, BSa , Jose L. Porras, MD a , James Feghali, MD a , Aladine A. Elsamadicy, MD c , Daniel Lubelski, MDa, *, Jean-Paul Wolinsky, MDd , George I. Jallo, MD e , Ziya L. Gokaslan, MDf , Sheng-Fu Larry Lo, MD, MHSg , Daniel M. Sciubba, MD, MBA

doi : 10.1016/j.spinee.2022.03.005

Volume 22, Issue 8, August 2022, Pages 1345-1355

Intramedullary spinal cord tumors (IMSCTs) are rare tumors associated with significant morbidity and mortality. Surgical resection is often indicated for symptomatic lesions but may result in new neurological deficits and decrease quality of life. Identifying predictors of these adverse outcomes may help target interventions designed to reduce their occurrence.

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Cost-effectiveness studies of vertebral augmentation for osteoporotic vertebral fractures: a systematic review

Gaylene Pron, MSc, PhD a , Matthew Hwang, BMSc b , Roger Smith, MB, ChB, FRCSE b , Angela Cheung, MB, PhD c , Kieran Murphy, MB, FRCPC, FSIR

doi : 10.1016/j.spinee.2022.02.013

Volume 22, Issue 8, August 2022, Pages 1356-1371

Osteoporotic vertebral fractures (OVF) dramatically increase with age and are serious life altering adverse events for seniors resulting in increased rates of institutionalization, morbidity and mortality.

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Advances in monitoring for acute spinal cord injury: a narrative review of current literature

Yohannes Tsehay, BA a,b , Carly Weber-Levine, MS a,b , Timothy Kim, BSa , Alejandro Chara, MSa , Safwan Alomari, MD a , Tolulope Awosika, BSa,b , Ann Liu, MDa , Jeffrey Ehresman, BS a , Kurt Lehner, MD a , Brian Hwang, MDa , Andrew M. Hersh, AB a , Ian Suk, BS a , Eli Curry, PhD b , Fariba Aghabaglou, PhD b , Yinuo Zeng, MS b , Amir Manbachi, PhD a,b,c , Nicholas Theodore, MD

doi : 10.1016/j.spinee.2022.03.012

Volume 22, Issue 8, August 2022, Pages 1372-1387

Spinal cord injury (SCI) is a devastating condition that affects about 17,000 individuals every year in the United States, with approximately 294,000 people living with the ramifications of the initial injury.

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A new “de-tension�-guided surgical strategy for multilevel ossification of posterior longitudinal ligament in thoracic spine: a prospective observational study with at least 3-year follow-up

Chuiguo Sun, MDa,b,# , Zhongqiang Chen, MD, PhDa,b, *, Guanghui Chen, MD a,b,# , Weishi Li, MD, PhD a,b,c , Qiang Qi, MDa,b , Zhaoqing Guo, MDa,b , Woquan Zhong, MD

doi : 10.1016/j.spinee.2022.03.007

Volume 22, Issue 8, August 2022, Pages 1388-1398

Multilevel ossification of the posterior longitudinal ligament in thoracic spine (mT-OPLL) is a rare but clinically significant spinal condition. Various surgical methods have been developed to address this disease.

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Evaluation of bone strength using finite-element analysis in patients with ossification of the posterior longitudinal ligament

Toru Doi, MD, PhD a , Satoru Ohashi, MD, PhD b , Nozomu Ohtomo, MD a , Keiichiro Tozawa, MD a , Hiroyuki Nakarai, MDa , Yuichi Yoshida, MDa , Yusuke Ito, MD a , Ryuji Sakamoto, MDa , Koji Nakajima, MDa , Kosei Nagata, MD, PhDa , Naoki Okamoto, MDa , Hideki Nakamoto, MD, PhDa , So Kato, MD, PhD a , Yuki Taniguchi, MD, PhD a , Yoshitaka Matsubayashi, MDa , Sakae Tanaka, MD, PhDa , Yasushi Oshima, MD, PhD

doi : 10.1016/j.spinee.2022.02.018

Volume 22, Issue 8, August 2022, Pages 1399-1407

Patients with ossification of the posterior longitudinal ligament (OPLL) are often reported to have increased bone mineral density (BMD). The bone strength of the proximal femur measured by quantitative computed tomography-based finite element analysis (QCT/FEA) is reportedly comparable between healthy subjects with and without OPLL. However, the bone strength in symptomatic OPLL patients remains unknown.

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Ultrasound-based navigated pedicle screw insertion without intraoperative radiation: feasibility study on porcine cadavers

Houssem-Eddine Gueziri, PhDa, *, Miltiadis Georgiopoulos, MD, PhD b , Carlo Santaguida, MD, FRCS(C) b , D. Louis Collins, PhD

doi : 10.1016/j.spinee.2022.04.014

Volume 22, Issue 8, August 2022, Pages 1408-1417

Navigation systems for spinal fusion surgery rely on intraoperative computed tomography (CT) or fluoroscopy imaging. Both expose patient, surgeons and operating room staff to significant amounts of radiation.

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Letter to the editor regarding, “A scoring system for the preoperative evaluation of prognosis in spinal infection: the MSI-20 score by Lener et al.”

Mingping Zhou, MD Wei Liang, MD

doi : 10.1016/j.spinee.2022.04.018

Volume 22, Issue 8, August 2022, Page 1418

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Reply to the letter to editor regarding, “A scoring system for the preoperative evaluation of prognosis in spinal infection: the MSI-20 score�

Sara Lener, MD, PhD* Sebastian Hartmann, MD, PhD Claudius Thome, MD

doi : 10.1016/j.spinee.2022.04.017

Volume 22, Issue 8, August 2022, Pages 1419-1420

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Meetings Calendar

doi : 10.1016/S1529-9430(22)00229-7

Volume 22, Issue 8, August 2022, Page 1421

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Editorial Board

doi : 10.1016/S1529-9430(23)00224-3

Volume 23, Issue 8, August 2023, Page A1

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Table of Contents

doi : 10.1016/S1529-9430(23)00225-5

Volume 23, Issue 8, August 2023, Pages A3-A6

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Specific and nonspecific low back pain—mind the gap and its impact in clinical practice: opinion of a recovering interventional spine physiatrist

Mustafa Farooque, MD, MSEd a,b

doi : 10.1016/j.spinee.2023.04.011

Volume 23, Issue 8, August 2023, Pages 1101-1107

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Genotype-by-environment interactions in chronic back pain

Ivan A. Kuznetsov, MS a , Yakov A. Tsepilov, PhD b,c,d , Maxim B. Freidin, PhD e , Frances M.K. Williams, MD, PhD f , Pradeep Suri, MD g,h,i,x, Yurii S. Aulchenko, PhDb,j,x, *

doi : 10.1016/j.spinee.2023.04.009

Volume 23, Issue 8, August 2023, Pages 1108-1114

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Would you do it again? Discrepancies between patient and surgeon perceptions following adult spine deformity surgery

Shay Bess, MD a, *, Breton Line, BSa , Christopher Ames, MD b , Douglas Burton, MDc , Gregory Mundis, MDd , Robert Eastlack, MD d , Robert Hart, MD e , Munish Gupta, MDf , Eric Klineberg, MD g , Han Jo Kim, MDh , Richard Hostin, MDi , Khaled Kebaish, MD j , Virgine Lafage, PhD k , Renaud Lafage, MS k , Frank Schwab, MDk , Christopher Shaffrey, MDl , Justin S. Smith, MD, PhD m, International Spine Study Group

doi : 10.1016/j.spinee.2023.04.018

Volume 23, Issue 8, August 2023, Pages 1115-1126

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Investigation of gait and balance function in cervical spondylotic myelopathy patients using wearable sensors

Zawar Khan Khattak, MSc a,b,c,1 , Xin Jiao, MDa,b,c,1 , Tianyi Hu, BME a,b,c , Qineng Shao, MEd b,c , Xin Sun, MD a , Xin Zhao, MD, PhD a, *, Dongyun Gu, BME, PhDa,b,c, **

doi : 10.1016/j.spinee.2023.03.004

Volume 23, Issue 8, August 2023, Pages 1127-1136

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Transversus abdominis plane block for anterior lumbar interbody fusion: a randomized controlled trial

Alice Coquet, MDa , Audrey Sion, MDa , Antoine Bourgoin, MD b , Mickael Ropars, MD, PhDb , Helene Beloeil, MD, PhD

doi : 10.1016/j.spinee.2023.03.013

Volume 23, Issue 8, August 2023, Pages 1137-1143

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Morphologic aspects of the cervical (C3-C7) annular epiphysis: a skeletal study

David Ezra, PhD a, *, Alon Barash, PhDb , Sigal Levy, PhDc , Ilor Vardi, MAd , Mark Nielsen, PhD e , Gideon Dror, PhD

doi : 10.1016/j.spinee.2023.04.006

Volume 23, Issue 8, August 2023, Pages 1144-1151

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Poor muscle health and low preoperative ODI are independent predictors for slower achievement of MCID after minimally invasive decompression

Sumedha Singh, MBBS, MD a , Pratyush Shahi, MBBS, MS(Ortho) a , Tomoyuki Asada, MDa , Austin Kaidi, MD a , Tejas Subramanian, BE a,b , Eric Zhao, BS a,b , Ashley Yeo Eun Kim, BS a,b , Omri Maayan, BS a,b , Kasra Araghi, BS a , Nishtha Singh, MBBS a , Olivia Tuma, BSa , Maximilian Korsun, BS a , Robert Kamil, BSa , Evan Sheha, MD a , James Dowdell, MDa , Sheeraz Qureshi, MD, MBA a,b , Sravisht Iyer, MD

doi : 10.1016/j.spinee.2023.04.004

Volume 23, Issue 8, August 2023, Pages 1152-1160

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Evidence of causal effects of blood pressure on back pain and back pain on type II diabetes provided by a bidirectional Mendelian randomization study

Pradeep Suri, MD, MSa,b,c,d, *,x, Elizaveta E. Elgaeva, MS e,f,x, Frances M.K. Williams, BSc, MBBS, PhD, FRCP(E) g,x, Maxim B. Freidin, PhDh , Olga O. Zaytseva, PhDi , Yurii S. Aulchenko, PhDf,j , Yakov A. Tsepilov, PhD

doi : 10.1016/j.spinee.2023.04.001

Volume 23, Issue 8, August 2023, Pages 1161-1171

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Assessment of bone density using the 1.5 T or 3.0 T MRI-based vertebral bone quality score in older patients undergoing spine surgery: does field strength matter?

Wentao Lin, MM a , Chaoqin He, MM a , Faqin Xie, MM a , Tao Chen, MM a , Guanghao Zheng, MM a , Houjie Yin, MMa , Haixiong Chen, MMb , Zhiyun Wang, MD

doi : 10.1016/j.spinee.2023.03.016

Volume 23, Issue 8, August 2023, Pages 1172-1181

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Evolution of patient-reported outcome measures, 1, 2, and 5 years after surgery for subaxial cervical spine fractures, a nation-wide registry study

Victor Gabriel El-Hajj a , Aman Singh a , Simon Blixt, MD c,d , Erik Edstr€om, MD, PhDa,e , Adrian Elmi-Terander, MD, PhDb,e , Paul Gerdhem, MD, PhD b

doi : 10.1016/j.spinee.2023.04.014

Volume 23, Issue 8, August 2023, Pages 1182-1188

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A critical appraisal of clinical practice guidelines for diagnostic imaging in the spinal cord injury

Bin Guan, MBBS a,z, Guoyu Li, MBBS a,z, Ruiyuan Zheng, MBBS a,z, Yuxuan Fan, MBBS b , Liang Yao, PhDc , Lingxiao Chen, PhD a,d,y, ***, Shiqing Feng, MD a,b,y, **, Hengxing Zhou, MD

doi : 10.1016/j.spinee.2023.03.003

Volume 23, Issue 8, August 2023, Pages 1189-1198

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Symptomatic secondary spinal arachnoid cysts: a systematic review

Yu-bo Wang, MD, PhD a,# , Dan-hua Wang, MDb,# , Shuang-lin Deng, MD, PhD

doi : 10.1016/j.spinee.2023.03.002

Volume 23, Issue 8, August 2023, Pages 1199-1211

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Varenicline mitigates the increased risk of pseudarthrosis associated with nicotine

Brian A. Karamian, MDa,b,c, *,# , Hannah A. Levy, MD b,d , Goutham R. Yalla, BSb , Nicholas D. D’Antonio, BSb , Jeremy C. Heard, BS b , Mark J. Lambrechts, MDa,b , Jose A. Canseco, MD, PhD a,b , Alexander R. Vaccaro, MD, PhD, MBAa,b , Dessislava Z. Markova, PhD b , Christopher K. Kepler, MD, MBA

doi : 10.1016/j.spinee.2023.04.005

Volume 23, Issue 8, August 2023, Pages 1212-1222

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Anatomic zone division and clinical significance of the lumbar sinuvertebral nerves

Junjie Chen, MD # , Zexian Liu, MD# , Yejie Xu, MD # , Zezheng Liu, PhD, Zhiyang Zheng, PhD, Zhenfeng Zhang, MD, Chaohui Fan, MD, Qingchu Li, PhD*, Qinghao Zhao, PhD

doi : 10.1016/j.spinee.2023.03.017

Volume 23, Issue 8, August 2023, Pages 1223-1233

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Letter to the editor regarding “Robotic and navigated pedicle screws are safer and more accurate than fluoroscopic freehand screws: a systematic review and meta-analysis� by Matur et al.

Jacob K. Greenberg, MD, MSCI a, * Dominic Pelle, MDa William Clifton, MDa Saad Javeed, MBBS b Wilson Z. Ray, MD b Michael P. Kelly, MD, MScc Jeffrey C. Wang, MD d James S. Harrop, MDe Alexander R. Vaccaro, MD, PhD, MBA f,g Zoher Ghogawala, MD h Jason W. Savage, MDa Michael P. Steinmetz, MDa

doi : 10.1016/j.spinee.2023.04.008

Volume 23, Issue 8, August 2023, Pages 1234-1235

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Response to letter to the editor regarding “Robotic and navigated pedicle screws are safer and more accurate than freehand screws: a systematic review and meta-analysis�

Abhijith V. Matur, MD Owoicho Adogwa, MD, MPH

doi : 10.1016/j.spinee.2023.04.007

Volume 23, Issue 8, August 2023, Page 1236

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Letter to editor regarding: “Vertebral bone quality score independently predicts cage subsidence following transforaminal lumbar interbody fusion� by Soliman et al.

Daniele Armocida, MD a,b, * Luca Proietti, PhD, MD c,d Alessandro Frati, PhD

doi : 10.1016/j.spinee.2023.04.019

Volume 23, Issue 8, August 2023, Pages 1237-1238

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Response to the letter to the editor regarding “Vertebral bone quality score independently predicts cage subsidence following transforaminal lumbar interbody fusion�

Mohamed A.R. Soliman, MD, MSc, PhD a,b,c Alexander O. Aguirre, BSd Cathleen C. Kuo, BSd Rehman Ali Baig, MD a,b Asham Khan, MD a,b Jeffrey P. Mullin, MD, MBA a,b John Pollina, MD

doi : 10.1016/j.spinee.2023.04.015

Volume 23, Issue 8, August 2023, Pages 1239-1240

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Corrigendum to ‘evaluation of the diagnostic performance of 18F-NaF positron emission tomography/computed tomography in patients with suspected ankylosing spondylitis according to the assessment of SpondyloArthritis International Society criteria’ by Seung Min Son et al’ [The Spine Journal 20/9 (2020) 1471-1479]

Seung Min Son, PhD a,z, Keunyoung Kim, PhD b,z, Kyoungjune Pak, PhD b , Seong-Jang Kim, PhD c , Tae Sik Goh, PhD d , Jung Sub Lee, PhD

doi : 10.1016/j.spinee.2023.04.016

Volume 23, Issue 8, August 2023, Page 1241

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Meetings Calendar

doi : 10.1016/S1529-9430(23)00226-7

Volume 23, Issue 8, August 2023, Page 1242

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