{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:31:46Z","timestamp":1782603106171,"version":"3.54.5"},"reference-count":19,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Neurology and Neurosurgery"],"published-print":{"date-parts":[[2019,7]]},"DOI":"10.1016\/j.clineuro.2019.04.023","type":"journal-article","created":{"date-parts":[[2019,5,2]],"date-time":"2019-05-02T18:07:51Z","timestamp":1556820471000},"page":"19-24","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":19,"special_numbering":"C","title":["Analysis of factors influencing ligamentum flavum thickness in lumbar spine - A radiological study of 1070 disc levels in 214 patients"],"prefix":"10.1016","volume":"182","author":[{"given":"G.","family":"Sudhir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Vignesh Jayabalan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saikrishna","family":"Gadde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Venkatesh Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Karthik Kailash","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.clineuro.2019.04.023_bib0005","doi-asserted-by":"crossref","first-page":"2805","DOI":"10.1097\/BRS.0b013e31815b650f","article-title":"Pathomechanism of loss of elasticity and hypertrophy of lumbar ligamentum flavum in elderly patients with lumbar spinal canal stenosis","volume":"32","author":"Kosaka","year":"2007","journal-title":"Spine"},{"key":"10.1016\/j.clineuro.2019.04.023_bib0010","doi-asserted-by":"crossref","first-page":"1415","DOI":"10.1007\/s00402-009-0849-1","article-title":"Measurements of ligamentum flavum thickening at lumbar spine using MRI","volume":"129","author":"Sakamaki","year":"2009","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"10.1016\/j.clineuro.2019.04.023_bib0015","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1097\/00007632-200111010-00007","article-title":"Quantitative analysis of transforming growth factor-beta 1 in ligamentum flavum of lumbar spinal stenosis and disc herniation","volume":"26","author":"Park","year":"2001","journal-title":"Spine"},{"key":"10.1016\/j.clineuro.2019.04.023_bib0020","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/s00586-004-0782-5","article-title":"Morphological changes o the ligamentum flavum as a cause of nerve root compression","volume":"14","author":"Okuda","year":"2005","journal-title":"Eur. Spine J."},{"key":"10.1016\/j.clineuro.2019.04.023_bib0025","doi-asserted-by":"crossref","first-page":"2649","DOI":"10.1097\/01.brs.0000188117.77657.ee","article-title":"Pathomechanism of ligamentum flavum hypertrophy: a multidisciplinary investigation based on clinical, biomechanical, histologic, and biologic assessments","volume":"30","author":"Sairyo","year":"2005","journal-title":"Spine"},{"key":"10.1016\/j.clineuro.2019.04.023_bib0030","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1097\/01.brs.0000263407.25009.6e","article-title":"Lumbar ligamentum flavum hypertrophy is due to accumulation of infl ammation-related scar tissue","volume":"32","author":"Sairyo","year":"2007","journal-title":"Spine"},{"key":"10.1016\/j.clineuro.2019.04.023_bib0035","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1097\/00007632-199404150-00009","article-title":"Ligamenta flava in lumbar disc herniation and spinal stenosis. Light and electron microscopic morphology","volume":"19","author":"Postacchini","year":"1994","journal-title":"Spine"},{"key":"10.1016\/j.clineuro.2019.04.023_bib0040","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1097\/00007632-197812000-00004","article-title":"Pathology and pathogenesis of lumbar spondylosis and stenosis","volume":"3","author":"Kirkaldy-Willis","year":"1978","journal-title":"Spine"},{"key":"10.1016\/j.clineuro.2019.04.023_bib0045","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1097\/BRS.0b013e3181bfca15","article-title":"Ligamentum flavum thickness in normal and stenotic lumbar spines","volume":"35","author":"Abbas","year":"2010","journal-title":"Spine"},{"key":"10.1016\/j.clineuro.2019.04.023_bib0050","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1002\/ca.20883","article-title":"The thickness of the ligamentum flavum in relation to age and gender","volume":"23","author":"Safak","year":"2010","journal-title":"Clin. Anat."},{"issue":"2","key":"10.1016\/j.clineuro.2019.04.023_bib0055","doi-asserted-by":"crossref","first-page":"245","DOI":"10.4184\/asj.2015.9.2.245","article-title":"Thickness of the ligamentum flavum: correlation with age and its Asymmetry\u2013An magnetic resonance imaging study","volume":"9","author":"Kolte","year":"2015","journal-title":"Asian Spine J."},{"key":"10.1016\/j.clineuro.2019.04.023_bib0060","first-page":"410","article-title":"Lesions of the intervertebral disk and ligamentum flavum of the lumbar vertebrae","volume":"6","author":"Horwitz","year":"1939","journal-title":"Surgery"},{"key":"10.1016\/j.clineuro.2019.04.023_bib0065","doi-asserted-by":"crossref","first-page":"E1093","DOI":"10.1097\/BRS.0b013e318203e2b5","article-title":"Factors associated with the thickness of the ligamentum flavum: is ligamentum flavum thickening due to hypertrophy or buckling?","volume":"36","author":"Altinkaya","year":"2011","journal-title":"Spine"},{"key":"10.1016\/j.clineuro.2019.04.023_bib0070","doi-asserted-by":"crossref","first-page":"1873","DOI":"10.1097\/00007632-200109010-00011","article-title":"Magnetic resonance classification of lumbar intervertebral disc degeneration","volume":"26","author":"Pfirrmann","year":"2001","journal-title":"Spine"},{"key":"10.1016\/j.clineuro.2019.04.023_bib0075","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1136\/jnnp.38.6.550","article-title":"Role of ligamentum flavum in the symptomatology of prolapsed lumbar intervertebral discs","volume":"38","author":"Ramani","year":"1975","journal-title":"J. Neurol. Neurosurg. Psychiatry"},{"key":"10.1016\/j.clineuro.2019.04.023_bib0080","doi-asserted-by":"crossref","first-page":"928","DOI":"10.1001\/jama.1937.02780380012004","article-title":"Hypertrophy of the ligamenta flava as a cause of low back pain","volume":"109","author":"Spurling","year":"1937","journal-title":"JAMA"},{"key":"10.1016\/j.clineuro.2019.04.023_bib0085","doi-asserted-by":"crossref","first-page":"1813","DOI":"10.3174\/ajnr.A2241","article-title":"The \u201cThickened\u201d ligamentum flavum: Is It buckling or enlargement?","volume":"31","author":"Chokshi","year":"2019","journal-title":"AJNR Am. J. Neuroradiol."},{"issue":"5","key":"10.1016\/j.clineuro.2019.04.023_bib0090","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1007\/s00586-012-2612-5","article-title":"Association of facet tropism with lumbar disc herniation","volume":"22","author":"Chadha","year":"2013","journal-title":"Eur Spine J."},{"issue":"9","key":"10.1016\/j.clineuro.2019.04.023_bib0095","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1097\/BSD.0b013e31827ad875","article-title":"Asymmetric facet joint osteoarthritis and its relationships to facet orientation, facet tropism and ligamentum flavum thickening","volume":"29","author":"Liu","year":"2016","journal-title":"Clin. Spine Surg."}],"container-title":["Clinical Neurology and Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S030384671930126X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S030384671930126X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T14:29:43Z","timestamp":1759588183000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S030384671930126X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":19,"alternative-id":["S030384671930126X"],"URL":"https:\/\/doi.org\/10.1016\/j.clineuro.2019.04.023","relation":{},"ISSN":["0303-8467"],"issn-type":[{"value":"0303-8467","type":"print"}],"subject":[],"published":{"date-parts":[[2019,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Analysis of factors influencing ligamentum flavum thickness in lumbar spine - A radiological study of 1070 disc levels in 214 patients","name":"articletitle","label":"Article Title"},{"value":"Clinical Neurology and Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clineuro.2019.04.023","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}