{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T15:07:41Z","timestamp":1789139261711,"version":"build-2803163510"},"reference-count":20,"publisher":"Scientific Scholar","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T00:00:00Z","timestamp":1748649600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedics"],"published-print":{"date-parts":[[2025,10]]},"DOI":"10.1016\/j.jor.2025.05.056","type":"journal-article","created":{"date-parts":[[2025,5,30]],"date-time":"2025-05-30T16:00:12Z","timestamp":1748620812000},"page":"171-174","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"special_numbering":"C","title":["A decade-long trends in ligamentum flavum hypertrophy among spinal stenosis patients: A comparative analysis of incidence and patterns"],"prefix":"10.25259","volume":"68","author":[{"given":"Waleed","family":"Albishi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed N.","family":"Alhuqbani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar A.","family":"Aldosar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zyad A.","family":"Aldosari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1577-358X","authenticated-orcid":false,"given":"Sara","family":"Alhomaidhi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6034-9739","authenticated-orcid":false,"given":"Abdulrahman","family":"Alaseem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8087-8195","authenticated-orcid":false,"given":"Waleed","family":"Awwad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","reference":[{"issue":"17","key":"10.1016\/j.jor.2025.05.056_bib1","doi-asserted-by":"crossref","first-page":"1688","DOI":"10.1001\/jama.2022.5921","article-title":"Diagnosis and management of lumbar spinal stenosis: a review","volume":"327","author":"Katz","year":"2022","journal-title":"JAMA"},{"key":"10.1016\/j.jor.2025.05.056_bib2","article-title":"Management of lumbar spinal stenosis","volume":"352","author":"Lurie","year":"2016","journal-title":"Bmj"},{"key":"10.1016\/j.jor.2025.05.056_bib3","series-title":"Disclosure: Ricardo Cruz Declares No Relevant Financial Relationships with Ineligible Companies","article-title":"Lumbar Spinal Stenosis. StatPearls. Treasure Island (FL) companies. Disclosure: sunil Munakomi declares no relevant financial relationships with ineligible companies","author":"Wu","year":"2025"},{"issue":"11","key":"10.1016\/j.jor.2025.05.056_bib4","doi-asserted-by":"crossref","first-page":"E340","DOI":"10.1097\/01.brs.0000263407.25009.6e","article-title":"Lumbar ligamentum flavum hypertrophy is due to accumulation of inflammation-related scar tissue","volume":"32","author":"Sairyo","year":"2007","journal-title":"Spine (Phila Pa 1976)"},{"issue":"2","key":"10.1016\/j.jor.2025.05.056_bib5","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/j.ncl.2007.01.003","article-title":"Lumbar spinal stenosis","volume":"25","author":"Chad","year":"2007","journal-title":"Neurol Clin"},{"issue":"12","key":"10.1016\/j.jor.2025.05.056_bib6","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 (Phila Pa 1976)"},{"issue":"7","key":"10.1016\/j.jor.2025.05.056_bib7","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1038\/s12276-023-01023-y","article-title":"Decorin: a potential therapeutic candidate for ligamentum flavum hypertrophy by antagonizing TGF-\u03b21","volume":"55","author":"Wang","year":"2023","journal-title":"Exp Mol Med"},{"key":"10.1016\/j.jor.2025.05.056_bib8","doi-asserted-by":"crossref","DOI":"10.12659\/MSM.947508","article-title":"Inflammatory biomarkers in smokers: implications for ligamentum flavum hypertrophy","volume":"31","author":"\u00c7etin","year":"2025","journal-title":"Med Sci Monit"},{"issue":"11","key":"10.1016\/j.jor.2025.05.056_bib9","doi-asserted-by":"crossref","DOI":"10.1016\/j.jsps.2024.102192","article-title":"A systematic review of obesity burden in Saudi Arabia: prevalence and associated co-morbidities","volume":"32","author":"Al-Omar","year":"2024","journal-title":"Saudi Pharm J"},{"issue":"1","key":"10.1016\/j.jor.2025.05.056_bib10","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1186\/s12889-024-18107-7","article-title":"The prevalence of sedentary behavior among university students in Saudi Arabia","volume":"24","author":"Alahmadi","year":"2024","journal-title":"BMC Public Health"},{"key":"10.1016\/j.jor.2025.05.056_bib11","series-title":"Saudi Arabia, Health Data Overview for the Kingdom of","year":"2023"},{"issue":"3","key":"10.1016\/j.jor.2025.05.056_bib12","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1007\/s00586-004-0782-5","article-title":"Morphological changes of the ligamentum flavum as a cause of nerve root compression","volume":"14","author":"Okuda","year":"2005","journal-title":"Eur Spine J"},{"issue":"1","key":"10.1016\/j.jor.2025.05.056_bib13","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-021-02818-7","article-title":"Hypertrophy of the ligamentum flavum in lumbar spinal canal stenosis is associated with abnormal accumulation of specific lipids","volume":"11","author":"Yamada","year":"2021","journal-title":"Sci Rep"},{"issue":"5","key":"10.1016\/j.jor.2025.05.056_bib14","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1007\/s00586-009-0919-7","article-title":"The narrowing of the lumbar spinal canal during loaded MRI: the effects of the disc and ligamentum flavum","volume":"18","author":"Hansson","year":"2009","journal-title":"Eur Spine J"},{"issue":"8","key":"10.1016\/j.jor.2025.05.056_bib15","doi-asserted-by":"crossref","DOI":"10.1097\/BRS.0000000000002392","article-title":"Idiopathic spinal epidural fat accumulation is associated with hyperlipidemia","volume":"43","author":"Ishihara","year":"2018","journal-title":"Spine"},{"issue":"5","key":"10.1016\/j.jor.2025.05.056_bib16","doi-asserted-by":"crossref","first-page":"481","DOI":"10.15537\/smj.2021.42.5.20200676","article-title":"Prevalence and reasons of increased type 2 diabetes in gulf cooperation council countries","volume":"42","author":"Aljulifi","year":"2021","journal-title":"Saudi Med J"},{"issue":"23","key":"10.1016\/j.jor.2025.05.056_bib17","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 (Phila Pa 1976)"},{"issue":"7","key":"10.1016\/j.jor.2025.05.056_bib18","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1002\/jor.23130","article-title":"Decreased elastic fibers and increased proteoglycans in the ligamentum flavum of patients with lumbar spinal canal stenosis","volume":"34","author":"Yabe","year":"2016","journal-title":"J Orthop Res"},{"key":"10.1016\/j.jor.2025.05.056_bib19","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.ijsu.2017.02.056","article-title":"Decompression and coflex interlaminar stabilisation compared with conventional surgical procedures for lumbar spinal stenosis: a systematic review and meta-analysis","volume":"40","author":"Li","year":"2017","journal-title":"Int J Surg"},{"issue":"2","key":"10.1016\/j.jor.2025.05.056_bib20","doi-asserted-by":"crossref","first-page":"174","DOI":"10.3171\/2013.4.SPINE12636","volume":"19","author":"Davis","year":"2013","journal-title":"J Neurosurg Spine"}],"container-title":["Journal of Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0972978X25002028?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0972978X25002028?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T14:10:19Z","timestamp":1789135819000},"score":1,"resource":{"primary":{"URL":"https:\/\/jortho.org\/a-decade-long-trends-in-ligamentum-flavum-hypertrophy-among-spinal-stenosis-patients-a-comparative-analysis-of-incidence-and-patterns\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":20,"alternative-id":["S0972978X25002028"],"URL":"https:\/\/doi.org\/10.1016\/j.jor.2025.05.056","relation":{},"ISSN":["0972-978X"],"issn-type":[{"value":"0972-978X","type":"print"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A decade-long trends in ligamentum flavum hypertrophy among spinal stenosis patients: A comparative analysis of incidence and patterns","name":"articletitle","label":"Article Title"},{"value":"Journal of Orthopaedics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jor.2025.05.056","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier B.V. on behalf of Professor P K Surendran Memorial Education Foundation.","name":"copyright","label":"Copyright"}]}}