{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T21:47:16Z","timestamp":1793396836459,"version":"4.5.0"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2023,2,24]],"date-time":"2023-02-24T00:00:00Z","timestamp":1677196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,2,24]],"date-time":"2023-02-24T00:00:00Z","timestamp":1677196800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Innsbruck and Medical University of Innsbruck"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Spine J"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Lumbar spinal stenosis\u00a0is a common disease in the aging population.\u00a0Decompression surgery\u00a0represents the treatment\u00a0standard, however, a risk of segmental destabilization depending on the approach and\u00a0extent of decompression is discussed. So far, biomechanical studies on\u00a0techniques were mainly conducted on non-degenerated specimens. This biomechanical in vitro study aimed to investigate the increase in segmental range of motion (ROM) depending on the extent of\u00a0decompression in\u00a0degenerated segments.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Ten\u00a0fresh frozen lumbar\u00a0specimens\u00a0were\u00a0embedded in polymethyl methacrylate (PMMA) and loaded in a spine tester with pure moments of\u2009\u00b1\u20097.5 Nm. The\u00a0specimens\u00a0were tested\u00a0in their intact state for lateral bending (LB), flexion\/extension (FE) and axial rotation (AR). Subsequently, four different\u00a0decompression techniques were performed:\u00a0unilateral interlaminar decompression (DC1), unilateral with \"over the top\" decompression (DC2), bilateral interlaminar decompression (DC3) and laminectomy (DC4). The ROM\u00a0of the index segment was reported as percent (%) of the native state.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Specimens were measured in their intact state prior to decompression. The mean ROM was defined as 100% (FE:6.3\u2009\u00b1\u20092.3\u00b0; LB:5.4\u2009\u00b1\u20092.8\u00b0;\u00a0AR:3.0\u2009\u00b1\u20091.6\u00b0). Interventions showed a continuous ROM increase: FE (DC1:\u2009+\u20094%\u2009\u00b1\u20094.3; DC2:\u2009+\u20094%\u2009\u00b1\u20094.5; DC3:\u2009+\u20098%\u2009\u00b1\u20098.3;DC4:\u2009+\u200920%\u2009\u00b1\u200915.9),\u00a0LB(DC1:\u2009+\u20094%\u2009\u00b1\u20096.0;\u00a0DC2:\u2009+\u20095%\u2009\u00b1\u20097.3;\u00a0DC3:\u2009+\u20098%\u2009\u00b1\u20098.3;\u00a0DC4:\u2009+\u200911%\u2009\u00b1\u20099.9),\u00a0AR (DC1:\u2009+\u20097%\u2009\u00b1\u20096.0; DC2:\u2009+\u20099%\u2009\u00b1\u20097.9; DC3:\u2009+\u200915%\u2009\u00b1\u200911.5; DC4:\u2009+\u200919%\u2009\u00b1\u200910.5). Significant increases in ROM for all motion directions (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) were only obtained after complete laminectomy (DC4).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Unilateral and\/or bilateral decompressive surgery resulted in a statistically insignificant ROM increase, whereas complete laminectomy showed statistically significant ROM increase. If this ROM increase also has an impact on the clinical outcome and how to identify segments at risk for secondary lumbar instability should be evaluated in further studies.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00586-023-07587-7","type":"journal-article","created":{"date-parts":[[2023,2,24]],"date-time":"2023-02-24T09:03:10Z","timestamp":1677229390000},"page":"1358-1366","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["The effect of various options for decompression of degenerated lumbar spine motion segments on the range of motion: a biomechanical in vitro study"],"prefix":"10.1007","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5644-2399","authenticated-orcid":false,"given":"Sara","family":"Lener","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Werner","family":"Schm\u00f6lz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anto","family":"Abramovic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Kluger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudius","family":"Thom\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Hartmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,2,24]]},"reference":[{"issue":"9","key":"7587_CR1","doi-asserted-by":"publisher","first-page":"E554","DOI":"10.1097\/BRS.0b013e31828a2846","volume":"38","author":"J Abbas","year":"2013","unstructured":"Abbas J, Hamoud K, May H, Peled N, Sarig R, Stein D et al (2013) Socioeconomic and physical characteristics of individuals with degenerative lumbar spinal stenosis. Spine 38(9):E554\u2013E561","journal-title":"Spine"},{"issue":"17","key":"7587_CR2","doi-asserted-by":"publisher","first-page":"1339","DOI":"10.1097\/BRS.0000000000000445","volume":"39","author":"C Schizas","year":"2014","unstructured":"Schizas C, Schmit A, Schizas A, Becce F, Kulik G, Pierzcha\u0142a K (2014) Secular changes of spinal canal dimensions in Western Switzerland: a narrowing epidemic? Spine 39(17):1339\u20131344","journal-title":"Spine"},{"issue":"5","key":"7587_CR3","doi-asserted-by":"publisher","first-page":"556","DOI":"10.1097\/00007632-200003010-00005","volume":"25","author":"SJ Atlas","year":"2000","unstructured":"Atlas SJ, Keller RB, Robson D, Deyo RA, Singer DE (2000) Surgical and nonsurgical management of lumbar spinal stenosis: four-year outcomes from the Maine Lumbar Spine study. Spine 25(5):556\u2013562","journal-title":"Spine"},{"key":"7587_CR4","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1186\/1471-2474-13-30","volume":"13","author":"MS Jarrett","year":"2012","unstructured":"Jarrett MS, Orlando JF, Grimmer-Somers K (2012) The effectiveness of land based exercise compared to decompressive surgery in the management of lumbar spinal-canal stenosis: a systematic review. BMC Musculoskelet Disord 13:30","journal-title":"BMC Musculoskelet Disord"},{"issue":"8","key":"7587_CR5","doi-asserted-by":"publisher","first-page":"794","DOI":"10.1056\/NEJMoa0707136","volume":"358","author":"JN Weinstein","year":"2008","unstructured":"Weinstein JN, Tosteson TD, Lurie JD, Tosteson ANA, Blood E, Hanscom B et al (2008) (1976) Surgical versus nonsurgical therapy for lumbar spinal stenosis. N Engl J Med 358(8):794\u2013810","journal-title":"N Engl J Med"},{"key":"7587_CR6","first-page":"112","volume":"117","author":"NJ Rosenberg","year":"1976","unstructured":"Rosenberg NJ (1976) Degenerative spondylolisthesis: surgical treatment. Clin Orthop Relat Res 117:112\u2013120","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"7587_CR7","doi-asserted-by":"publisher","first-page":"129","DOI":"10.3171\/spi.2005.3.2.0129","volume":"3","author":"C Thom\u00e9","year":"2005","unstructured":"Thom\u00e9 C, Zevgaridis D, Leheta O, B\u00e4zner H, P\u00f6ckler-Sch\u00f6niger C, W\u00f6hrle J et al (2005) Outcome after less-invasive decompression of lumbar spinal stenosis: a randomized comparison of unilateral laminotomy, bilateral laminotomy, and laminectomy. J Neurosurg Spine 3(2):129\u2013141","journal-title":"J Neurosurg Spine"},{"issue":"3","key":"7587_CR8","doi-asserted-by":"publisher","first-page":"386","DOI":"10.1302\/0301-620X.75B3.8496205","volume":"75","author":"F Postacchini","year":"1993","unstructured":"Postacchini F, Cinotti G, Perugia D, Gumina S (1993) The surgical treatment of central lumbar stenosis. Multiple laminotomy compared with total laminectomy. J Bone Joint Surg 75(3):386\u2013392","journal-title":"J Bone Joint Surg"},{"issue":"4","key":"7587_CR9","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1055\/s-2008-1053749","volume":"136","author":"U Quint","year":"1998","unstructured":"Quint U, Wilke HJ, L\u00f6er F, Claes LE (1998) Funktionelle Folgen operativer Dekompressionen am lumbalen Bewegungssegment\u2013eine biomechanische Studie in vitro [Functional sequelae of surgical decompression of the lumbar spine\u2013a biomechanical study in vitro]. Z Orthop Ihre Grenzgeb 136(4):350\u2013357","journal-title":"Z Orthop Ihre Grenzgeb"},{"issue":"2","key":"7587_CR10","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1007\/s00402-009-1002-x","volume":"130","author":"KS Delank","year":"2010","unstructured":"Delank KS, Gercek E, Kuhn S, Hartmann F, Hely H, R\u00f6llinghoff M et al (2010) How does spinal canal decompression and dorsal stabilization affect segmental mobility? A biomechanical study. Arch Orthop Trauma Surg 130(2):285\u2013292","journal-title":"Arch Orthop Trauma Surg"},{"issue":"9","key":"7587_CR11","doi-asserted-by":"publisher","first-page":"1233","DOI":"10.1007\/s00402-012-1543-2","volume":"132","author":"F Hartmann","year":"2012","unstructured":"Hartmann F, Janssen C, B\u00f6hm S, Hely H, Rommens PM, Gercek E (2012) Biomechanical effect of graded minimal-invasive decompression procedures on lumbar spinal stability. Arch Orthop Trauma Surg 132(9):1233\u20131239","journal-title":"Arch Orthop Trauma Surg"},{"issue":"6","key":"7587_CR12","doi-asserted-by":"publisher","first-page":"680","DOI":"10.3340\/jkns.2018.0023","volume":"61","author":"F Costa","year":"2018","unstructured":"Costa F, Ottardi C, Volkheimer D, Ortolina A, Bassani T, Wilke HJ, Galbusera F (2018) Bone-preserving decompression procedures have a minor effect on the flexibility of the lumbar spine. J Korean Neurosurg Soc 61(6):680\u2013688","journal-title":"J Korean Neurosurg Soc"},{"key":"7587_CR13","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0000000000001268","author":"C Zhang","year":"2021","unstructured":"Zhang C, Chen L, Li J, Huang D, Zhang W, Lin J (2021) Should posterior midline structures be preserved in decompression surgery for lumbar spinal stenosis? A systematic review and meta-analysis. Clin Spine Surg. https:\/\/doi.org\/10.1097\/BSD.0000000000001268","journal-title":"Clin Spine Surg"},{"issue":"4","key":"7587_CR14","doi-asserted-by":"publisher","first-page":"578","DOI":"10.1007\/s00586-010-1635-z","volume":"20","author":"A Kettler","year":"2011","unstructured":"Kettler A, Rohlmann F, Ring C, Mack C, Wilke HJ (2011) Do early stages of lumbar intervertebral disc degeneration really cause instability? Evaluation of an in vitro database. Eur Spine J 20(4):578\u2013584 (Epub 2010 Dec 2)","journal-title":"Eur Spine J"},{"issue":"5","key":"7587_CR15","doi-asserted-by":"publisher","first-page":"1108","DOI":"10.1007\/s00586-021-06729-z","volume":"30","author":"F Galbusera","year":"2021","unstructured":"Galbusera F, Niemeyer F, Tao Y, Cina A, Sconfienza LM, Kienle A, Wilke HJ (2021) ISSLS prize in bioengineering science 2021: in vivo sagittal motion of the lumbar spine in low back pain patients-a radiological big data study. Eur Spine J 30(5):1108\u20131116 (Epub 2021 Jan 21)","journal-title":"Eur Spine J"},{"issue":"12","key":"7587_CR16","doi-asserted-by":"publisher","first-page":"1371","DOI":"10.1097\/00007632-199406000-00011","volume":"19","author":"M Mimura","year":"1994","unstructured":"Mimura M, Panjabi MM, Oxland TR, Crisco JJ, Yamamoto I, Vasavada A (1994) Disc degeneration affects the multidirectional flexibility of the lumbar spine. Spine 19(12):1371\u20131380","journal-title":"Spine"},{"issue":"4","key":"7587_CR17","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1007\/s002560050503","volume":"28","author":"D Weishaupt","year":"1999","unstructured":"Weishaupt D, Zanetti M, Boos N, Hodler J (1999) MR imaging and CT in osteoarthritis of the lumbar facet joints. Skeletal Radiol 28(4):215\u2013219","journal-title":"Skeletal Radiol"},{"issue":"5","key":"7587_CR18","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1007\/BF01808874","volume":"139","author":"U Spetzger","year":"1997","unstructured":"Spetzger U, Bertalanffy H, Reinges MH, Gilsbach JM (1997) Unilateral laminotomy for bilateral decompression of lumbar spinal stenosis Part II: clinical experiences. Acta Neurochir 139(5):397\u2013403","journal-title":"Acta Neurochir"},{"issue":"2","key":"7587_CR19","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1007\/s005860050045","volume":"7","author":"HJ Wilke","year":"1998","unstructured":"Wilke HJ, Wenger K, Claes L (1998) Testing criteria for spinal implants: recommendations for the standardization of in vitro stability testing of spinal implants. Eur spine J 7(2):148\u2013154","journal-title":"Eur spine J"},{"issue":"3","key":"7587_CR20","doi-asserted-by":"publisher","first-page":"357","DOI":"10.3171\/2019.2.SPINE181383","volume":"31","author":"S Kitab","year":"2019","unstructured":"Kitab S, Habboub G, Abdulkareem SB, Alimidhatti MB, Benzel E (2019) Redefining lumbar spinal stenosis as a developmental syndrome: does age matter? J Neurosurg Spine 31(3):357\u2013365","journal-title":"J Neurosurg Spine"},{"issue":"6","key":"7587_CR21","doi-asserted-by":"publisher","first-page":"802","DOI":"10.2106\/00004623-199173060-00002","volume":"73","author":"HN Herkowitz","year":"1991","unstructured":"Herkowitz HN, Kurz LT (1991) Degenerative lumbar spondylolisthesis with spinal stenosis. A prospective study comparing decompression with decompression and intertransverse process arthrodesis. J Bone Joint Surg Am 73(6):802\u2013808","journal-title":"J Bone Joint Surg Am"},{"issue":"6","key":"7587_CR22","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1097\/00002517-199306060-00001","volume":"6","author":"KH Bridwell","year":"1993","unstructured":"Bridwell KH, Sedgewick TA, O\u2019Brien MF, Lenke LG, Baldus C (1993) The role of fusion and instrumentation in the treatment of degenerative spondylolisthesis with spinal stenosis. J Spinal Disord 6(6):461\u2013472","journal-title":"J Spinal Disord"},{"issue":"13","key":"7587_CR23","doi-asserted-by":"publisher","first-page":"1259","DOI":"10.1001\/jama.2010.338","volume":"303","author":"RA Deyo","year":"2010","unstructured":"Deyo RA, Mirza SK, Martin BI, Kreuter W, Goodman DC, Jarvik JG (2010) Trends, major medical complications, and charges associated with surgery for lumbar spinal stenosis in older adults. JAMA 303(13):1259\u20131265","journal-title":"JAMA"},{"issue":"19","key":"7587_CR24","doi-asserted-by":"publisher","first-page":"1584","DOI":"10.1097\/BRS.0000000000000486","volume":"39","author":"CK Kepler","year":"2014","unstructured":"Kepler CK, Vaccaro AR, Hilibrand AS, Anderson DG, Rihn JA, Albert TJ et al (2014) National trends in the use of fusion techniques to treat degenerative spondylolisthesis. Spine 39(19):1584\u20131589","journal-title":"Spine"},{"issue":"3","key":"7587_CR25","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0092611","volume":"9","author":"ZA Smith","year":"2014","unstructured":"Smith ZA, Vastardis GA, Carandang G, Havey RM, Hannon S, Dahdaleh N et al (2014) Biomechanical effects of a unilateral approach to minimally invasive lumbar decompression. PLoS ONE 9(3):e92611","journal-title":"PLoS ONE"},{"key":"7587_CR26","doi-asserted-by":"publisher","first-page":"208","DOI":"10.1186\/s12891-015-0659-2","volume":"16","author":"Y-H Ho","year":"2015","unstructured":"Ho Y-H, Tu Y-K, Hsiao C-K, Chang C-H (2015) Outcomes after minimally invasive lumbar decompression: a biomechanical comparison of unilateral and bilateral laminotomies. BMC Musculoskelet Disord 16:208","journal-title":"BMC Musculoskelet Disord"},{"issue":"10","key":"7587_CR27","doi-asserted-by":"publisher","first-page":"1103","DOI":"10.1016\/j.joca.2012.06.018","volume":"20","author":"Y Ishimoto","year":"2012","unstructured":"Ishimoto Y, Yoshimura N, Muraki S, Yamada H, Nagata K, Hashizume H et al (2012) Prevalence of symptomatic lumbar spinal stenosis and its association with physical performance in a population-based cohort in Japan: the wakayama spine study. Osteoarthritis Cartilage 20(10):1103\u20131108 (Epub 2012 Jul 10)","journal-title":"Osteoarthritis Cartilage"},{"issue":"10","key":"7587_CR28","doi-asserted-by":"publisher","first-page":"1566","DOI":"10.1016\/j.spinee.2020.04.026","volume":"20","author":"H Urakawa","year":"2020","unstructured":"Urakawa H, Jones T, Samuel A, Vaishnav AS, Othman Y, Virk S et al (2020) The necessity and risk factors of subsequent fusion after decompression alone for lumbar spinal stenosis with lumbar spondylolisthesis: 5 years follow-up in two different large populations. Spine J 20(10):1566\u20131572","journal-title":"Spine J"},{"key":"7587_CR29","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1097\/00003086-198802000-00018","volume":"227","author":"E Hopp","year":"1988","unstructured":"Hopp E, Tsou PM (1988) Postdecompression lumbar instability. Clin Orthop Relat Res 227:143\u2013151","journal-title":"Clin Orthop Relat Res"},{"issue":"6","key":"7587_CR30","doi-asserted-by":"publisher","first-page":"591","DOI":"10.1097\/00007632-198906000-00008","volume":"14","author":"KE Johnsson","year":"1989","unstructured":"Johnsson KE, Redlund-Johnell I, Ud\u00e9n A, Willner S (1989) Preoperative and postoperative instability in lumbar spinal stenosis. Spine 14(6):591\u2013593","journal-title":"Spine"},{"issue":"16","key":"7587_CR31","doi-asserted-by":"publisher","first-page":"E579","DOI":"10.1097\/BRS.0b013e3181aa2acb","volume":"34","author":"L Kalichman","year":"2009","unstructured":"Kalichman L, Suri P, Guermazi A, Li L, Hunter DJ (2009) Facet orientation and tropism: associations with facet joint osteoarthritis and degeneratives. Spine 34(16):E579\u2013E585","journal-title":"Spine"},{"issue":"8","key":"7587_CR32","doi-asserted-by":"publisher","first-page":"912","DOI":"10.1016\/j.clinbiomech.2014.06.016","volume":"29","author":"A Bisschop","year":"2014","unstructured":"Bisschop A, van Engelen SJPM, Kingma I, Holewijn RM, Stadhouder A, van der Veen AJ et al (2014) Single level lumbar laminectomy alters segmental biomechanical behavior without affecting adjacent segments. Clin Biomech 29(8):912","journal-title":"Clin Biomech"},{"issue":"3","key":"7587_CR33","doi-asserted-by":"publisher","first-page":"183","DOI":"10.1016\/j.medengphy.2003.11.006","volume":"26","author":"KK Lee","year":"2004","unstructured":"Lee KK, Teo EC (2004) Effects of laminectomy and facetectomy on the stability of the lumbar motion segment. Med Eng Phys 26(3):183\u2013192","journal-title":"Med Eng Phys"},{"issue":"2","key":"7587_CR34","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1007\/s00586-011-1993-1","volume":"21","author":"F Lattig","year":"2012","unstructured":"Lattig F, Fekete TF, Grob D, Kleinst\u00fcck FS, Jeszenszky D, Mannion AF (2012) Lumbar facet joint effusion in MRI: a sign of instability in degenerative spondylolisthesis? Eur spine J 21(2):276\u2013281","journal-title":"Eur spine J"},{"issue":"2","key":"7587_CR35","doi-asserted-by":"publisher","first-page":"178","DOI":"10.3171\/2014.11.SPINE1426","volume":"23","author":"AM Simmonds","year":"2015","unstructured":"Simmonds AM, Rampersaud YR, Dvorak MF, Dea N, Melnyk AD, Fisher CG (2015) Defining the inherent stability of degenerative spondylolisthesis: a systematic review. J Neurosurg Spine 23(2):178\u2013189","journal-title":"J Neurosurg Spine"},{"key":"7587_CR36","doi-asserted-by":"publisher","first-page":"37","DOI":"10.14444\/3037","volume":"10","author":"DR Denis","year":"2016","unstructured":"Denis DR, Hirt D, Shah S, Lu DC, Holly LT (2016) Minimally invasive surgery for lumbar synovial cysts with coexisting degenerative spondylolisthesis. Int J spine Surg 10:37","journal-title":"Int J spine Surg"},{"issue":"Suppl 1","key":"7587_CR37","doi-asserted-by":"publisher","first-page":"S41","DOI":"10.21037\/jss.2019.04.19","volume":"5","author":"S Hasan","year":"2019","unstructured":"Hasan S, H\u00e4rtl R, Hofstetter CP (2019) The benefit zone of full-endoscopic spine surgery. J spine Surg 5(Suppl 1):S41-56","journal-title":"J spine Surg"}],"container-title":["European Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-023-07587-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00586-023-07587-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-023-07587-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,8]],"date-time":"2023-04-08T04:13:13Z","timestamp":1680927193000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00586-023-07587-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,24]]},"references-count":37,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4]]}},"alternative-id":["7587"],"URL":"https:\/\/doi.org\/10.1007\/s00586-023-07587-7","relation":{},"ISSN":["0940-6719","1432-0932"],"issn-type":[{"value":"0940-6719","type":"print"},{"value":"1432-0932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,24]]},"assertion":[{"value":"10 February 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 January 2023","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 February 2023","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 February 2023","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}