{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:51:14Z","timestamp":1782604274180,"version":"3.54.5"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T00:00:00Z","timestamp":1709596800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T00:00:00Z","timestamp":1709596800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100008375","name":"University of Basel","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100008375","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":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>To describe the complications and the outcome of patients with achondroplasia undergoing thoracolumbar spinal surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Retrospective analysis of prospectively collected data of all patients with achondroplasia undergoing surgery within the years 1992\u20132021 at the thoracic and\/or lumbar spine. The outcome was measured by analyzing the surgical complications and revisions. The patient-rated outcome was assessed with the COMI score from 2005 onwards.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 15 patients were included in this study undergoing a total of 31 surgeries at 79 thoracolumbar levels. 12\/31 surgeries had intraoperative complications consisting of 11 dural tears and one excessive intraoperative bleeding. 4\/18 revision surgeries were conducted due to post-decompression hyperkyphosis. The COMI score decreased from 7.5 IQR 1.4 (range 7.1\u20139.8) preoperatively to 5.3 IQR 4.1 (2.5\u20137.5) after 2 years (p\u2009=\u20090.046).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Patients with achondroplasia, the most common skeletal dysplasia condition with short-limb dwarfism, are burdened with a congenitally narrow spinal canal and are commonly in need of spinal surgery. However, surgery in these patients is often associated with complications, namely dural tears and post-decompression kyphosis. Despite these complications, patients benefit from surgical treatment at a follow-up of 2 years after surgery.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00586-024-08181-1","type":"journal-article","created":{"date-parts":[[2024,3,5]],"date-time":"2024-03-05T04:29:21Z","timestamp":1709612961000},"page":"1385-1390","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Surgical outcome after treatment of thoracolumbar spinal stenosis in adults with achondroplasia"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3439-3394","authenticated-orcid":false,"given":"Lukas","family":"Urbanschitz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dezs\u00f6 J.","family":"Jeszenszky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2813-6643","authenticated-orcid":false,"given":"Mario","family":"Ropleato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5231-5600","authenticated-orcid":false,"given":"Tam\u00e1s F.","family":"Fekete","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,5]]},"reference":[{"key":"8181_CR1","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1111\/J.1442-200X.1997.TB03630.X","volume":"39","author":"H Tanaka","year":"1997","unstructured":"H Tanaka 1997 Achondroplasia: recent advances in diagnosis and treatment Acta Paediatr Jpn 39 514 520 https:\/\/doi.org\/10.1111\/J.1442-200X.1997.TB03630.X","journal-title":"Acta Paediatr Jpn"},{"key":"8181_CR2","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1136\/JMG.23.4.328","volume":"23","author":"IM Orioli","year":"1986","unstructured":"IM Orioli EE Castilla JG Barbosa-Neto 1986 The birth prevalence rates for the skeletal dysplasias J Med Genet 23 328 332 https:\/\/doi.org\/10.1136\/JMG.23.4.328","journal-title":"J Med Genet"},{"key":"8181_CR3","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1136\/JMG.16.2.140","volume":"16","author":"F Oberklaid","year":"1979","unstructured":"F Oberklaid DM Danks F Jensen  1979 Achondroplasia and hypochondroplasia. 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