{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T03:13:08Z","timestamp":1740107588360,"version":"3.37.3"},"reference-count":36,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Spine J"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Revision lumbar fusion is most commonly due to nonunion, adjacent segment disease (ASD), or recurrent stenosis, but it is unclear if diagnosis affects patient outcomes. The primary aim of this study was to assess whether patients achieved the patient acceptable symptom state (PASS) or minimal clinically important difference (MCID) after revision lumbar fusion and assess whether this was influenced by the indication for revision.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We retrospectively identified all 1\u20133 level revision lumbar fusions at a single institution. Oswestry Disability Index (ODI) was collected at preoperative, three-month postoperative, and one-year postoperative time points. The MCID was calculated using a distribution-based method at each postoperative time point. PASS was set at the threshold of \u2264\u200922.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>We identified 197 patients: 56% with ASD, 28% with recurrent stenosis, and 15% with pseudarthrosis. The MCID for ODI was 10.05 and 10.23 at three months and one year, respectively. In total, 61% of patients with ASD, 52% of patients with nonunion, and 65% of patients with recurrent stenosis achieved our cohort-specific MCID at one year postoperatively with ASD (<jats:italic>p<\/jats:italic>\u2009=\u20090.78). At one year postoperatively, 33.8% of ASD patients, 47.8% of nonunion patients, and 37% of patients with recurrent stenosis achieved PASS without any difference between indication (<jats:italic>p<\/jats:italic>\u2009=\u20090.47).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The majority of patients undergoing revision spine fusion experience significant postoperative improvements regardless of the indication for revision. However, a large proportion of these patients do not achieve the patient acceptable symptom state. While revision spine surgery may offer substantial benefits, these results underscore the need to manage patient expectations.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00586-024-08358-8","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T10:02:05Z","timestamp":1719223325000},"page":"3516-3522","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The attainment of a patient acceptable symptom state in patients undergoing revision spine fusion"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0978-5225","authenticated-orcid":false,"given":"Tariq Z.","family":"Issa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omar H.","family":"Tarawneh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teeto","family":"Ezeonu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ameer A.","family":"Haider","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajkishen","family":"Narayanan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose A.","family":"Canseco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan S.","family":"Hilibrand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander R.","family":"Vaccaro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gregory D.","family":"Schroeder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher K.","family":"Kepler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,24]]},"reference":[{"key":"8358_CR1","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1097\/brs.0000000000002822","volume":"44","author":"BI Martin","year":"2019","unstructured":"Martin BI, Mirza SK, Spina N et al (2019) Trends in lumbar fusion procedure rates and associated hospital costs for degenerative spinal diseases in the United States, 2004 to 2015. Spine (Phila Pa 1976) 44:369\u2013376. https:\/\/doi.org\/10.1097\/brs.0000000000002822","journal-title":"Spine (Phila Pa 1976)"},{"key":"8358_CR2","doi-asserted-by":"publisher","first-page":"1413","DOI":"10.1056\/nejmoa1513721","volume":"374","author":"P F\u00f6rsth","year":"2016","unstructured":"F\u00f6rsth P, \u00d3lafsson G, Carlsson T et al (2016) A randomized, controlled trial of fusion surgery for lumbar spinal stenosis. N Engl J Med 374:1413\u20131423. https:\/\/doi.org\/10.1056\/nejmoa1513721","journal-title":"N Engl J Med"},{"key":"8358_CR3","doi-asserted-by":"publisher","first-page":"1230","DOI":"10.1016\/j.spinee.2013.06.069","volume":"13","author":"CH Kim","year":"2013","unstructured":"Kim CH, Chung CK, Park CS et al (2013) Reoperation rate after surgery for lumbar spinal stenosis without spondylolisthesis: a nationwide cohort study. Spine J 13:1230\u20131237. https:\/\/doi.org\/10.1016\/j.spinee.2013.06.069","journal-title":"Spine J"},{"key":"8358_CR4","doi-asserted-by":"publisher","first-page":"382","DOI":"10.1097\/01.brs.0000254104.55716.46","volume":"32","author":"BI Martin","year":"2007","unstructured":"Martin BI, Mirza SK, Comstock BA et al (2007) Reoperation rates following lumbar spine surgery and the influence of spinal fusion procedures. Spine (Phila Pa 1976) 32:382\u2013387. https:\/\/doi.org\/10.1097\/01.brs.0000254104.55716.46","journal-title":"Spine (Phila Pa 1976)"},{"key":"8358_CR5","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1016\/j.spinee.2022.08.018","volume":"23","author":"MJ Lambrechts","year":"2023","unstructured":"Lambrechts MJ, Toci GR, Siegel N et al (2023) Revision lumbar fusions have higher rates of reoperation and result in worse clinical outcomes compared to primary lumbar fusions. Spine J 23:105\u2013115. https:\/\/doi.org\/10.1016\/j.spinee.2022.08.018","journal-title":"Spine J"},{"key":"8358_CR6","doi-asserted-by":"publisher","first-page":"147","DOI":"10.3171\/2012.11.spine12226","volume":"18","author":"O Adogwa","year":"2013","unstructured":"Adogwa O, Owens R, Karikari I et al (2013) Revision lumbar surgery in elderly patients with symptomatic pseudarthrosis, adjacent-segment disease, or same-level recurrent stenosis. Part 2. A cost-effectiveness analysis. J Neurosurg Spine 18:147\u2013153. https:\/\/doi.org\/10.3171\/2012.11.spine12226","journal-title":"J Neurosurg Spine"},{"key":"8358_CR7","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1097\/BRS.0b013e3181cf1091","volume":"36","author":"M Djurasovic","year":"2011","unstructured":"Djurasovic M, Glassman SD, Howard JM et al (2011) Health-related quality of life improvements in patients undergoing lumbar spinal fusion as a revision surgery. Spine (Phila Pa 1976) 36:269\u2013276. https:\/\/doi.org\/10.1097\/BRS.0b013e3181cf1091","journal-title":"Spine (Phila Pa 1976)"},{"key":"8358_CR8","doi-asserted-by":"publisher","first-page":"463","DOI":"10.4184\/asj.2017.11.3.463","volume":"11","author":"S-P Suh","year":"2017","unstructured":"Suh S-P, Jo Y-H, Jeong HW et al (2017) Outcomes of revision surgery following instrumented Posterolateral Fusion in degenerative lumbar spinal stenosis: a comparative analysis between pseudarthrosis and adjacent segment disease. Asian Spine J 11:463\u2013471. https:\/\/doi.org\/10.4184\/asj.2017.11.3.463","journal-title":"Asian Spine J"},{"key":"8358_CR9","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1056\/nejmp1113631","volume":"366","author":"DB Reuben","year":"2012","unstructured":"Reuben DB, Tinetti ME (2012) Goal-oriented patient care \u2014 an alternative health outcomes paradigm. N Engl J Med 366:777\u2013779. https:\/\/doi.org\/10.1056\/nejmp1113631","journal-title":"N Engl J Med"},{"key":"8358_CR10","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1080\/17453674.2020.1750877","volume":"91","author":"VP Galea","year":"2020","unstructured":"Galea VP, Ingelsrud LH, Florissi I et al (2020) Patient-acceptable symptom state for the Oxford hip score and forgotten joint score at 3 months, 1 year, and 2 years following total hip arthroplasty: a registry-based study of 597 cases. Acta Orthop 91:372\u2013377. https:\/\/doi.org\/10.1080\/17453674.2020.1750877","journal-title":"Acta Orthop"},{"key":"8358_CR11","doi-asserted-by":"publisher","first-page":"995","DOI":"10.2106\/jbjs.18.00233","volume":"101","author":"JW Connelly","year":"2019","unstructured":"Connelly JW, Galea VP, Rojanasopondist P et al (2019) Patient acceptable symptom state at 1 and 3 years after total knee arthroplasty. J Bone Joint Surg Am 101:995\u20131003. https:\/\/doi.org\/10.2106\/jbjs.18.00233","journal-title":"J Bone Joint Surg Am"},{"key":"8358_CR12","doi-asserted-by":"publisher","first-page":"iii40","DOI":"10.1136\/ard.2007.079798","volume":"66","author":"TK Kvien","year":"2007","unstructured":"Kvien TK, Heiberg T, Hagen KB (2007) Minimal clinically important improvement\/difference (MCII\/MCID) and patient acceptable symptom state (PASS): what do these concepts mean? Ann Rheum Dis 66:iii40\u2013iii41. https:\/\/doi.org\/10.1136\/ard.2007.079798","journal-title":"Ann Rheum Dis"},{"key":"8358_CR13","doi-asserted-by":"publisher","first-page":"67","DOI":"10.5435\/JAAOS-D-16-00606","volume":"26","author":"T Kreitz","year":"2018","unstructured":"Kreitz T, Huang R, Beck D et al (2018) Prolonged preoperative weakness affects recovery of motor function after Anterior Cervical Diskectomy and Fusion. JAAOS - J Am Acad Orthop Surg 26:67\u201373. https:\/\/doi.org\/10.5435\/JAAOS-D-16-00606","journal-title":"JAAOS - J Am Acad Orthop Surg"},{"key":"8358_CR14","doi-asserted-by":"publisher","first-page":"E698","DOI":"10.1097\/BSD.0000000000001340","volume":"35","author":"ZW Pinter","year":"2022","unstructured":"Pinter ZW, Sebastian AS, Wagner SC et al (2022) Indicators for substantial neurological recovery following elective Anterior Cervical Discectomy and Fusion. Clin Spine Surg 35:E698\u2013E701. https:\/\/doi.org\/10.1097\/BSD.0000000000001340","journal-title":"Clin Spine Surg"},{"key":"8358_CR15","doi-asserted-by":"publisher","first-page":"2940","DOI":"10.1097\/00007632-200011150-00017","volume":"25","author":"JCT Fairbank","year":"2000","unstructured":"Fairbank JCT, Pynsent PB (2000) The Oswestry disability index. Spine (Phila Pa 1976) 25:2940\u20132953. https:\/\/doi.org\/10.1097\/00007632-200011150-00017","journal-title":"Spine (Phila Pa 1976)"},{"key":"8358_CR16","doi-asserted-by":"publisher","first-page":"582","DOI":"10.1097\/01.mlr.0000062554.74615.4c","volume":"41","author":"GR Norman","year":"2003","unstructured":"Norman GR, Sloan JA, Wyrwich KW (2003) Interpretation of changes in health-related quality of life. Med Care 41:582\u2013592. https:\/\/doi.org\/10.1097\/01.mlr.0000062554.74615.4c","journal-title":"Med Care"},{"key":"8358_CR17","doi-asserted-by":"publisher","first-page":"1309","DOI":"10.1016\/j.arth.2023.01.020","volume":"38","author":"I Bendich","year":"2023","unstructured":"Bendich I, Tarity TD, Alpaugh K et al (2023) Identifying aseptic revision total knee arthroplasty diagnoses that achieve minimal clinically important difference and patient acceptable symptom state. J Arthroplasty 38:1309\u20131312. https:\/\/doi.org\/10.1016\/j.arth.2023.01.020","journal-title":"J Arthroplasty"},{"key":"8358_CR18","doi-asserted-by":"publisher","first-page":"1122","DOI":"10.1016\/j.spinee.2012.10.006","volume":"12","author":"SL Parker","year":"2012","unstructured":"Parker SL, Adogwa O, Mendenhall SK et al (2012) Determination of minimum clinically important difference (MCID) in pain, disability, and quality of life after revision fusion for symptomatic pseudoarthrosis. Spine J 12:1122\u20131128. https:\/\/doi.org\/10.1016\/j.spinee.2012.10.006","journal-title":"Spine J"},{"key":"8358_CR19","doi-asserted-by":"publisher","first-page":"1221","DOI":"10.1016\/j.spinee.2016.06.010","volume":"16","author":"ML van Hooff","year":"2016","unstructured":"van Hooff ML, Mannion AF, Staub LP et al (2016) Determination of the Oswestry Disability Index score equivalent to a satisfactory symptom state in patients undergoing surgery for degenerative disorders of the lumbar spine\u2014a spine Tango registry-based study. Spine J 16:1221\u20131230. https:\/\/doi.org\/10.1016\/j.spinee.2016.06.010","journal-title":"Spine J"},{"key":"8358_CR20","doi-asserted-by":"publisher","first-page":"007","DOI":"10.1055\/s-0032-1307254","volume":"2","author":"H Elgafy","year":"2012","unstructured":"Elgafy H, Vaccaro AR, Chapman JR, Dvorak MF (2012) Rationale of revision lumbar spine surgery. Global Spine J 2:007\u2013014. https:\/\/doi.org\/10.1055\/s-0032-1307254","journal-title":"Global Spine J"},{"key":"8358_CR21","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3171\/foc.2003.15.3.1","volume":"15","author":"KM Eichholz","year":"2003","unstructured":"Eichholz KM, Ryken TC (2003) Complications of revision spinal surgery. Neurosurg Focus 15:1\u20134. https:\/\/doi.org\/10.3171\/foc.2003.15.3.1","journal-title":"Neurosurg Focus"},{"key":"8358_CR22","doi-asserted-by":"publisher","first-page":"196","DOI":"10.4055\/cios20217","volume":"13","author":"WJ Kim","year":"2021","unstructured":"Kim WJ, Shin HM, Song DG et al (2021) Comparison of clinical outcomes and complications of primary and revision surgery using a combined anterior and posterior approach in patients with adult spinal deformity and sagittal imbalance. Clin Orthop Surg 13:196. https:\/\/doi.org\/10.4055\/cios20217","journal-title":"Clin Orthop Surg"},{"key":"8358_CR23","doi-asserted-by":"publisher","first-page":"901","DOI":"10.1097\/brs.0000000000001361","volume":"41","author":"MC Gerling","year":"2016","unstructured":"Gerling MC, Leven D, Passias PG et al (2016) Risk factors for reoperation in patients treated surgically for lumbar stenosis. Spine (Phila Pa 1976) 41:901\u2013909. https:\/\/doi.org\/10.1097\/brs.0000000000001361","journal-title":"Spine (Phila Pa 1976)"},{"key":"8358_CR24","doi-asserted-by":"publisher","first-page":"437","DOI":"10.3171\/2020.12.spine201908","volume":"35","author":"TS Montenegro","year":"2021","unstructured":"Montenegro TS, Gonzalez GA, Saiegh FA et al (2021) Clinical outcomes in revision lumbar spine fusions: an observational cohort study. J Neurosurg Spine 35:437\u2013445. https:\/\/doi.org\/10.3171\/2020.12.spine201908","journal-title":"J Neurosurg Spine"},{"key":"8358_CR25","doi-asserted-by":"publisher","first-page":"836","DOI":"10.1093\/neuros\/nyab300","volume":"89","author":"TS Montenegro","year":"2021","unstructured":"Montenegro TS, Singh A, Elia C et al (2021) Independent predictors of revision lumbar fusion outcomes and the impact of spine surgeon variability: does it matter whether the primary surgeon revises? Neurosurgery 89:836\u2013843. https:\/\/doi.org\/10.1093\/neuros\/nyab300","journal-title":"Neurosurgery"},{"key":"8358_CR26","doi-asserted-by":"publisher","first-page":"2362","DOI":"10.1007\/s00586-014-3597-z","volume":"24","author":"CA Mancuso","year":"2015","unstructured":"Mancuso CA, Duculan R, Stal M, Girardi FP (2015) Patients\u2019 expectations of lumbar spine surgery. Eur Spine J 24:2362\u20132369. https:\/\/doi.org\/10.1007\/s00586-014-3597-z","journal-title":"Eur Spine J"},{"key":"8358_CR27","doi-asserted-by":"publisher","first-page":"357","DOI":"10.3171\/2016.11.spine16526","volume":"27","author":"MJ McGirt","year":"2017","unstructured":"McGirt MJ, Bydon M, Archer KR et al (2017) An analysis from the Quality outcomes Database, Part 1. Disability, quality of life, and pain outcomes following lumbar spine surgery: predicting likely individual patient outcomes for shared decision-making. J Neurosurg Spine 27:357\u2013369. https:\/\/doi.org\/10.3171\/2016.11.spine16526","journal-title":"J Neurosurg Spine"},{"key":"8358_CR28","doi-asserted-by":"publisher","first-page":"e1196","DOI":"10.1016\/j.wneu.2022.09.004","volume":"167","author":"KC Jacob","year":"2022","unstructured":"Jacob KC, Patel MR, Collins AP et al (2022) The effect of the severity of preoperative leg pain on patient-reported outcomes, minimum clinically important difference achievement, and patient satisfaction after minimally invasive transforaminal lumbar interbody fusion. World Neurosurg 167:e1196\u2013e1207. https:\/\/doi.org\/10.1016\/j.wneu.2022.09.004","journal-title":"World Neurosurg"},{"key":"8358_CR29","doi-asserted-by":"publisher","first-page":"45S","DOI":"10.1177\/2192568219882349","volume":"10","author":"S Maitra","year":"2020","unstructured":"Maitra S, Mikhail C, Cho SK, Daubs MD (2020) Preoperative maximization to reduce complications in spinal surgery. Global Spine J 10:45S\u201352. https:\/\/doi.org\/10.1177\/2192568219882349. S","journal-title":"Global Spine J"},{"key":"8358_CR30","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1016\/j.spinee.2011.08.014","volume":"12","author":"O Adogwa","year":"2012","unstructured":"Adogwa O, Parker SL, Shau DN et al (2012) Preoperative Zung Depression Scale predicts outcome after revision lumbar surgery for adjacent segment disease, recurrent stenosis, and pseudarthrosis. Spine J 12:179\u2013185. https:\/\/doi.org\/10.1016\/j.spinee.2011.08.014","journal-title":"Spine J"},{"key":"8358_CR31","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1016\/j.spinee.2013.01.017","volume":"13","author":"O Adogwa","year":"2013","unstructured":"Adogwa O, Parker SL, Shau DN et al (2013) Preoperative Zung depression scale predicts patient satisfaction independent of the extent of improvement after revision lumbar surgery. Spine J 13:501\u2013506. https:\/\/doi.org\/10.1016\/j.spinee.2013.01.017","journal-title":"Spine J"},{"key":"8358_CR32","doi-asserted-by":"publisher","first-page":"141","DOI":"10.3171\/2011.9.SPINE11419","volume":"16","author":"O Adogwa","year":"2012","unstructured":"Adogwa O, Parker SL, Shau DN et al (2012) Cost per quality-adjusted life year gained of laminectomy and extension of instrumented fusion for adjacent-segment disease: defining the value of surgical intervention. J Neurosurg Spine 16:141\u2013146. https:\/\/doi.org\/10.3171\/2011.9.SPINE11419","journal-title":"J Neurosurg Spine"},{"key":"8358_CR33","doi-asserted-by":"publisher","first-page":"135","DOI":"10.3171\/2011.9.SPINE11308","volume":"16","author":"O Adogwa","year":"2012","unstructured":"Adogwa O, Parker SL, Shau DN et al (2012) Cost per quality-adjusted life year gained of revision neural decompression and instrumented fusion for same-level recurrent lumbar stenosis: defining the value of surgical intervention. J Neurosurg Spine 16:135\u2013140. https:\/\/doi.org\/10.3171\/2011.9.SPINE11308","journal-title":"J Neurosurg Spine"},{"key":"8358_CR34","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-023-07896-x","author":"TZ Issa","year":"2023","unstructured":"Issa TZ, Lee Y, Henry TW et al (2023) Values derived from patient reported outcomes in spine surgery: a systematic review of the minimal clinically important difference, substantial clinical benefit, and patient acceptable symptom state. Eur Spine J. https:\/\/doi.org\/10.1007\/s00586-023-07896-x","journal-title":"Eur Spine J"},{"key":"8358_CR35","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1016\/j.arth.2022.09.007","volume":"38","author":"KK Tanghe","year":"2023","unstructured":"Tanghe KK, Beiene ZA, McLawhorn AS et al (2023) Metrics of clinically important changes in total hip arthroplasty: a systematic review. J Arthroplast 38:383\u2013388. https:\/\/doi.org\/10.1016\/j.arth.2022.09.007","journal-title":"J Arthroplast"},{"key":"8358_CR36","doi-asserted-by":"publisher","DOI":"10.1097\/bsd.0000000000001517","author":"P Shahi","year":"2023","unstructured":"Shahi P, Subramanian T, Maayan O et al (2023) Preoperative disability influences effectiveness of MCID and PASS in predicting patient improvement following lumbar spine surgery. Clin Spine Surg. https:\/\/doi.org\/10.1097\/bsd.0000000000001517","journal-title":"Clin Spine Surg"}],"container-title":["European Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-024-08358-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00586-024-08358-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-024-08358-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,21]],"date-time":"2024-09-21T16:02:57Z","timestamp":1726934577000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00586-024-08358-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,24]]},"references-count":36,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["8358"],"URL":"https:\/\/doi.org\/10.1007\/s00586-024-08358-8","relation":{},"ISSN":["0940-6719","1432-0932"],"issn-type":[{"type":"print","value":"0940-6719"},{"type":"electronic","value":"1432-0932"}],"subject":[],"published":{"date-parts":[[2024,6,24]]},"assertion":[{"value":"27 October 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"23 May 2024","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 June 2024","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 June 2024","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}