{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T11:28:29Z","timestamp":1782127709573,"version":"3.54.5"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T00:00:00Z","timestamp":1679011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T00:00:00Z","timestamp":1679011200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006447","name":"University of Zurich","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006447","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Spine J"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>To develop ligamentous vertebral stabilization techniques (\u201cvertebropexy\u201d) that can be used after microsurgical decompression (intact posterior structures) and midline decompression (removed posterior structures) and to elaborate their biomechanical characteristics.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Fifteen spinal segments were biomechanically tested in a stepwise surgical decompression and ligamentous stabilization study. Stabilization was achieved with a gracilis or semitendinosus tendon allograft, which was attached to the spinous process (interspinous vertebropexy) or the laminae (interlaminar vertebropexy) in form of a loop. The specimens were tested (1) in the native state, after (2) microsurgical decompression, (3) interspinous vertebropexy, (4) midline decompression, and (5) interlaminar vertebropexy. In the intact state and after every surgical step, the segments were loaded in flexion\u2013extension (FE), lateral shear (LS), lateral bending (LB), anterior shear (AS) and axial rotation (AR).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Interspinous vertebropexy significantly reduced the range of motion (ROM) in all loading scenarios compared to microsurgical decompression: in FE by 70% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), in LS by 22% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), in LB by 8% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) in AS by 12% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) and in AR by 9% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Interlaminar vertebropexy decreased ROM compared to midline decompression by 70% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) in FE, 18% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) in LS, 11% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) in LB, 7% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) in AS, and 4% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) in AR. Vertebral segment ROM was significantly smaller with the interspinous vertebropexy compared to the interlaminar vertebropexy for all loading scenarios except FE. Both techniques were able to reduce vertebral body segment ROM in FE, LS and LB beyond the native state.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Vertebropexy is a new concept of semi-rigid spinal stabilization based on ligamentous reinforcement of the spinal segment. It is able to reduce motion, especially in flexion\u2013extension. Studies are needed to evaluate its clinical application.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00586-023-07647-y","type":"journal-article","created":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T14:03:01Z","timestamp":1679061781000},"page":"1695-1703","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Vertebropexy as a semi-rigid ligamentous alternative to lumbar spinal fusion"],"prefix":"10.1007","volume":"32","author":[{"given":"Mazda","family":"Farshad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christos","family":"Tsagkaris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Widmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Rosa","family":"Fasser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Cornaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5499-5096","authenticated-orcid":false,"given":"Anna-Katharina","family":"Calek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,3,17]]},"reference":[{"key":"7647_CR1","doi-asserted-by":"publisher","first-page":"1938","DOI":"10.1097\/01.brs.0000137069.88904.03","volume":"29","author":"P Park","year":"2004","unstructured":"Park P, Garton HJ, Gala VC et al (2004) Adjacent segment disease after lumbar or lumbosacral fusion&colon; review of the literature. 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All the other authors report no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Kantonale Ethikkommission Z\u00fcrich had given the approval for the study. (Basec No. KEK-ZH-Nr. 2022-00104).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}}]}}