{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T17:11:48Z","timestamp":1755796308978,"version":"3.44.0"},"reference-count":28,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jocn-journal.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Neuroscience"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.jocn.2025.111391","type":"journal-article","created":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T19:13:21Z","timestamp":1750274001000},"page":"111391","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Similar reoperation rates in upper versus lower thoracic to pelvis instrumentation: an analysis of 7,300 patients utilizing a national administrative database"],"prefix":"10.1016","volume":"138","author":[{"given":"Adeesya","family":"Gausper","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paal","family":"Nilssen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin","family":"Babadjouni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suhas K.","family":"Etigunta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andy M.","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David L.","family":"Skaggs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin K.","family":"Scheer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corey T.","family":"Walker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Tuchman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"6","key":"10.1016\/j.jocn.2025.111391_b0005","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1227\/NEU.0000000000001116","article-title":"Outcomes of operative and nonoperative treatment for adult spinal deformity: a prospective, multicenter, propensity-matched cohort assessment with minimum 2-year follow-up","volume":"78","author":"Smith","year":"2016","journal-title":"Neurosurgery"},{"issue":"11","key":"10.1016\/j.jocn.2025.111391_b0010","doi-asserted-by":"crossref","first-page":"800","DOI":"10.1097\/BRS.0000000000004251","article-title":"Postoperative evolution of sagittal parameters over time does not differ by upper instrumented vertebra","volume":"47","author":"Steinhaus","year":"2022","journal-title":"Spine"},{"issue":"7","key":"10.1016\/j.jocn.2025.111391_b0015","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.2106\/00004623-200407000-00020","article-title":"Adjacent segment degeneration in the lumbar spine","volume":"86","author":"Ghiselli","year":"2004","journal-title":"J Bone Joint Surg Am"},{"issue":"20","key":"10.1016\/j.jocn.2025.111391_b0020","doi-asserted-by":"crossref","first-page":"2179","DOI":"10.1097\/BRS.0b013e31817c0428","article-title":"Proximal junctional kyphosis in adult spinal deformity after segmental posterior spinal instrumentation and fusion: minimum five-year follow-up","volume":"33","author":"Kim","year":"2008","journal-title":"Spine"},{"issue":"1","key":"10.1016\/j.jocn.2025.111391_b0025","doi-asserted-by":"crossref","first-page":"37","DOI":"10.21037\/jss-20-598","article-title":"Factors influencing upper-most instrumented vertebrae selection in adult spinal deformity patients: qualitative case-based survey of deformity surgeons","volume":"7","author":"Virk","year":"2021","journal-title":"J Spine Surg"},{"issue":"11","key":"10.1016\/j.jocn.2025.111391_b0030","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-012103","article-title":"Long fusion correction of degenerative adult spinal deformity and the selection of the upper or lower thoracic region as the site of proximal instrumentation: a systematic review and meta-analysis","volume":"6","author":"Fu","year":"2016","journal-title":"BMJ Open"},{"key":"10.1016\/j.jocn.2025.111391_b0035","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.wneu.2017.02.126","article-title":"Upper thoracic versus lower thoracic as site of upper instrumented vertebrae for long fusion surgery in adult spinal deformity: a meta-analysis of proximal junctional kyphosis","volume":"102","author":"Luo","year":"2017","journal-title":"World Neurosurg"},{"issue":"4","key":"10.1016\/j.jocn.2025.111391_b0040","doi-asserted-by":"crossref","first-page":"506","DOI":"10.3171\/2018.9.SPINE18505","article-title":"Treatment of only the fractional curve for radiculopathy in adult scoliosis: comparison to lower thoracic and upper thoracic fusions","volume":"30","author":"Amara","year":"2019","journal-title":"J Neurosurg Spine"},{"issue":"5","key":"10.1016\/j.jocn.2025.111391_b0045","doi-asserted-by":"crossref","first-page":"E9","DOI":"10.3171\/2014.3.FOCUS13541","article-title":"Long fusion from sacrum to thoracic spine for adult spinal deformity with sagittal imbalance: upper versus lower thoracic spine as site of upper instrumented vertebra","volume":"36","author":"Fujimori","year":"2014","journal-title":"Neurosurg Focus"},{"issue":"Suppl 1","key":"10.1016\/j.jocn.2025.111391_b0050","doi-asserted-by":"crossref","first-page":"S121","DOI":"10.1007\/s00586-014-3391-y","article-title":"Maintenance of radiographic correction at 2 years following lumbar pedicle subtraction osteotomy is superior with upper thoracic compared with thoracolumbar junction upper instrumented vertebra","volume":"24","author":"Scheer","year":"2015","journal-title":"Eur Spine J"},{"issue":"24","key":"10.1016\/j.jocn.2025.111391_b0055","doi-asserted-by":"crossref","first-page":"7722","DOI":"10.3390\/jcm13247722","article-title":"Comparative analysis of outcomes in adult spinal deformity patients with proximal junctional kyphosis or failure initially fused to upper versus lower thoracic spine","volume":"13","author":"Onafowokan","year":"2024","journal-title":"J Clin Med"},{"issue":"12","key":"10.1016\/j.jocn.2025.111391_b0060","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1097\/BRS.0b013e318271319c","article-title":"Incidence, mode, and location of acute proximal junctional failures after surgical treatment of adult spinal deformity","volume":"38","author":"Hostin","year":"2013","journal-title":"Spine"},{"issue":"10","key":"10.1016\/j.jocn.2025.111391_b0065","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1097\/BRS.0b013e3182376414","article-title":"Does a long-fusion \u201cT3-sacrum\u201d portend a worse outcome than a short-fusion \u201cT10-sacrum\u201d in primary surgery for adult scoliosis?","volume":"37","author":"O\u02bcShaughnessy","year":"2012","journal-title":"Spine"},{"issue":"13","key":"10.1016\/j.jocn.2025.111391_b0070","doi-asserted-by":"crossref","first-page":"E795","DOI":"10.1097\/BRS.0000000000000339","article-title":"Upper thoracic versus lower thoracic upper instrumented vertebrae endpoints have similar outcomes and complications in adult scoliosis","volume":"39","author":"Kim","year":"2014","journal-title":"Spine"},{"issue":"4","key":"10.1016\/j.jocn.2025.111391_b0075","doi-asserted-by":"crossref","first-page":"600","DOI":"10.3171\/2019.9.SPINE19557","article-title":"Upper-thoracic versus lower-thoracic upper instrumented vertebra in adult spinal deformity patients undergoing fusion to the pelvis: surgical decision-making and patient outcomes","volume":"32","author":"Daniels","year":"2019","journal-title":"J Neurosurg Spine"},{"issue":"7","key":"10.1016\/j.jocn.2025.111391_b0080","doi-asserted-by":"crossref","first-page":"2742","DOI":"10.1007\/s00586-024-08206-9","article-title":"A guide to selecting upper thoracic versus lower thoracic uppermost instrumented vertebra in adult spinal deformity correction","volume":"33","author":"Kumar","year":"2024","journal-title":"Eur Spine J"},{"issue":"6","key":"10.1016\/j.jocn.2025.111391_b0085","doi-asserted-by":"crossref","first-page":"761","DOI":"10.3171\/2021.2.SPINE201938","article-title":"Global coronal decompensation and adult spinal deformity surgery: comparison of upper-thoracic versus lower-thoracic proximal fixation for long fusions","volume":"35","author":"Buell","year":"2021","journal-title":"J Neurosurg Spine"},{"issue":"2","key":"10.1016\/j.jocn.2025.111391_b0090","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1227\/NEU.0000000000001240","article-title":"Different risk factors of proximal junctional kyphosis and proximal junctional failure following long instrumented fusion to the sacrum for adult spinal deformity: survivorship analysis of 160 patients","volume":"80","author":"Park","year":"2017","journal-title":"Neurosurgery"},{"issue":"32","key":"10.1016\/j.jocn.2025.111391_b0095","doi-asserted-by":"crossref","first-page":"e4443","DOI":"10.1097\/MD.0000000000004443","article-title":"Incidence and risk factors for the progression of proximal junctional kyphosis in degenerative lumbar scoliosis following long instrumented posterior spinal fusion","volume":"95","author":"Wang","year":"2016","journal-title":"Medicine (Baltimore)"},{"issue":"15","key":"10.1016\/j.jocn.2025.111391_b0100","doi-asserted-by":"crossref","first-page":"E950","DOI":"10.1097\/BRS.0000000000003452","article-title":"Preoperative and postoperative sitting radiographs for adult spinal deformity surgery: upper instrumented vertebra selection using sitting C2 plumb line distance to prevent proximal junctional kyphosis","volume":"45","author":"Yoshida","year":"2020","journal-title":"Spine"},{"issue":"2","key":"10.1016\/j.jocn.2025.111391_b0105","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1097\/BRS.0000000000004126","article-title":"Preoperative radiographic evaluation of thoracic flexibility and compensation for adult spinal deformity surgery. How to select optimal upper instrumented vertebra to prevent proximal junctional kyphosis","volume":"47","author":"Ohba","year":"2022","journal-title":"Spine"},{"issue":"4","key":"10.1016\/j.jocn.2025.111391_b0110","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1007\/s00586-019-06245-1","article-title":"Flexibility of thoracic kyphosis affects postoperative sagittal alignment in adult patients with spinal deformity","volume":"29","author":"Decker","year":"2020","journal-title":"Eur Spine J"},{"issue":"15","key":"10.1016\/j.jocn.2025.111391_b0115","doi-asserted-by":"crossref","first-page":"1044","DOI":"10.1097\/BRS.0000000000002514","article-title":"Functional limitations due to stiffness after long-level spinal instrumented fusion surgery to correct lumbar degenerative flat back","volume":"43","author":"Choi","year":"2018","journal-title":"Spine"},{"issue":"2","key":"10.1016\/j.jocn.2025.111391_b0120","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.spinee.2012.10.014","article-title":"Lumbar stiffness as a collateral outcome of spinal arthrodesis: a preliminary clinical study","volume":"13","author":"Hart","year":"2013","journal-title":"Spine J"},{"issue":"17","key":"10.1016\/j.jocn.2025.111391_b0125","doi-asserted-by":"crossref","first-page":"1338","DOI":"10.1097\/BRS.0000000000000968","article-title":"Which daily functions are most affected by stiffness following total lumbar fusion: comparison of upper thoracic and thoracolumbar proximal endpoints","volume":"40","author":"Sciubba","year":"2015","journal-title":"Spine"},{"issue":"3","key":"10.1016\/j.jocn.2025.111391_b0130","doi-asserted-by":"crossref","first-page":"360","DOI":"10.3171\/2013.5.SPINE12737","article-title":"Proximal junctional kyphosis and clinical outcomes in adult spinal deformity surgery with fusion from the thoracic spine to the sacrum: a comparison of proximal and distal upper instrumented vertebrae","volume":"19","author":"Ha","year":"2013","journal-title":"J Neurosurg Spine"},{"issue":"2","key":"10.1016\/j.jocn.2025.111391_b0135","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1097\/BRS.0000000000000682","article-title":"Validation of an administrative coding algorithm for classifying surgical indication and operative features of spine surgery","volume":"40","author":"Kazberouk","year":"2015","journal-title":"Spine"},{"issue":"5","key":"10.1016\/j.jocn.2025.111391_b0140","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1097\/01.BRS.0000048671.17249.4F","article-title":"Procedural coding of spinal surgeries (CPT-4 versus ICD-9-CM) and decisions regarding standards: a multicenter study","volume":"28","author":"Faciszewski","year":"2003","journal-title":"Spine"}],"container-title":["Journal of Clinical Neuroscience"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0967586825003649?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0967586825003649?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,8,18]],"date-time":"2025-08-18T05:51:19Z","timestamp":1755496279000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0967586825003649"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":28,"alternative-id":["S0967586825003649"],"URL":"https:\/\/doi.org\/10.1016\/j.jocn.2025.111391","relation":{},"ISSN":["0967-5868"],"issn-type":[{"type":"print","value":"0967-5868"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Similar reoperation rates in upper versus lower thoracic to pelvis instrumentation: an analysis of 7,300 patients utilizing a national administrative database","name":"articletitle","label":"Article Title"},{"value":"Journal of Clinical Neuroscience","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jocn.2025.111391","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"111391"}}