{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T18:46:31Z","timestamp":1789757191671,"version":"4.0.1"},"reference-count":22,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T00:00:00Z","timestamp":1622505600000},"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","thespinejournalonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Spine Journal"],"published-print":{"date-parts":[[2021,6]]},"DOI":"10.1016\/j.spinee.2021.01.009","type":"journal-article","created":{"date-parts":[[2021,1,13]],"date-time":"2021-01-13T22:43:07Z","timestamp":1610577787000},"page":"955-962","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"title":["Pathomechanism and prevention of further surgery after posterior decompression for lumbar spinal canal stenosis in patients with diffuse idiopathic skeletal hyperostosis"],"prefix":"10.1016","volume":"21","author":[{"given":"Hideaki","family":"Nakajima","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuji","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuya","family":"Honjoh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arisa","family":"Kubota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akihiko","family":"Matsumine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.spinee.2021.01.009_bib0001","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1016\/j.joca.2012.06.018","article-title":"Prevalence of symptomatic lumbar spinal stenosis and its association with physical performance in a population-based cohort in Japan: the Wakayama Spine Study","volume":"20","author":"Ishimoto","year":"2012","journal-title":"Osteoarthr Cartil"},{"key":"10.1016\/j.spinee.2021.01.009_bib0002","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1007\/s00776-013-0455-5","article-title":"Prevalence of lumbar spinal stenosis, using the diagnostic support tool, and correlated factors in Japan: a population-based study","volume":"18","author":"Yabuki","year":"2013","journal-title":"J Orthop Sci"},{"key":"10.1016\/j.spinee.2021.01.009_bib0003","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1148\/119.3.559","article-title":"Radiographic and pathologic features of spinal involvement in diffuse idiopathic skeletal hyperostosis (DISH)","volume":"119","author":"Resnick","year":"1976","journal-title":"Radiology"},{"key":"10.1016\/j.spinee.2021.01.009_bib0004","doi-asserted-by":"crossref","first-page":"1668","DOI":"10.1097\/BRS.0000000000001643","article-title":"Prevalence, concomitance, and distribution of ossification of the spinal ligaments: results of whole spine CT scans in 1500 Japanese patients","volume":"41","author":"Fujimori","year":"2016","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.spinee.2021.01.009_bib0005","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1007\/s00774-014-0583-9","article-title":"Prevalence of diffuse idiopathic skeletal hyperostosis (DISH) of the whole spine and its association with lumbar spondylosis and knee osteoarthritis: the ROAD study","volume":"33","author":"Kagotani","year":"2015","journal-title":"J Bone Miner Metab"},{"key":"10.1016\/j.spinee.2021.01.009_bib0006","doi-asserted-by":"crossref","first-page":"E1474","DOI":"10.1097\/BRS.0000000000002752","article-title":"Regional differences in diffuse idiopathic skeletal hyperostosis: a retrospective cohort study from Sweden and Japan","volume":"43","author":"Hirasawa","year":"2018","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.spinee.2021.01.009_bib0007","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/s00774-017-0901-0","article-title":"Diffuse idiopathic skeletal hyperostosis is associated with lumbar spinal stenosis requiring surgery","volume":"37","author":"Yamada","year":"2019","journal-title":"J Bone Miner Metab"},{"key":"10.1016\/j.spinee.2021.01.009_bib0008","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1016\/j.jos.2019.08.010","article-title":"Lumbar spinal canal stenosis in patients with diffuse idiopathic skeletal hyperostosis: surgical outcomes after posterior decompression surgery without spinal instrumentation","volume":"24","author":"Okada","year":"2019","journal-title":"J Orthop Sci"},{"key":"10.1016\/j.spinee.2021.01.009_bib0009","doi-asserted-by":"crossref","first-page":"2514","DOI":"10.1007\/s00586-014-3603-5","article-title":"Diffuse idiopathic skeletal hyperostosis (DISH) is a risk factor for further surgery in short segment lumbar interbody fusion","volume":"24","author":"Otsuki","year":"2015","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2021.01.009_bib0010","doi-asserted-by":"crossref","first-page":"957","DOI":"10.1016\/j.jos.2019.09.003","article-title":"Outcomes of lumbar decompression surgery in patients with diffuse idiopathic skeletal hyperostosis (DISH)","volume":"24","author":"Otsuki","year":"2019","journal-title":"J Orthop Sci"},{"key":"10.1016\/j.spinee.2021.01.009_bib0011","doi-asserted-by":"crossref","first-page":"1446","DOI":"10.1097\/BRS.0000000000002618","article-title":"Diffuse idiopathic skeletal hyperostosis extended to the lumbar segment is a risk factor of reoperation in patients treated surgically for lumbar stenosis","volume":"43","author":"Yamada","year":"2018","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.spinee.2021.01.009_bib0012","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/S0049-0172(98)80041-3","article-title":"Comprehensive radiographic evaluation of diffuse idiopathic skeletal hyperostosis: development and interrater reliability of a scoring system","volume":"28","author":"Mata","year":"1998","journal-title":"Semin Arthritis Rheum"},{"key":"10.1016\/j.spinee.2021.01.009_bib0013","doi-asserted-by":"crossref","first-page":"51","DOI":"10.3171\/2010.9.SPINE09933","article-title":"Reduced postoperative wound pain after lumbar spinous process-splitting laminectomy for lumbar canal stenosis: a randomized controlled study","volume":"14","author":"Watanabe","year":"2011","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.spinee.2021.01.009_bib0014","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1038\/bmt.2012.244","article-title":"Investigation of the freely available easy-to-use software 'EZR' for medical statistics","volume":"48","author":"Kanda","year":"2013","journal-title":"Bone Marrow Transplant"},{"key":"10.1016\/j.spinee.2021.01.009_bib0015","doi-asserted-by":"crossref","first-page":"1979","DOI":"10.2106\/JBJS.J.01292","article-title":"Revision surgery following operations for lumbar stenosis","volume":"93","author":"Deyo","year":"2011","journal-title":"J Bone Joint Surg Am"},{"key":"10.1016\/j.spinee.2021.01.009_bib0016","doi-asserted-by":"crossref","first-page":"1230","DOI":"10.1016\/j.spinee.2013.06.069","article-title":"Reoperation rate after surgery for lumbar spinal stenosis without spondylolisthesis: a nationwide cohort study","volume":"13","author":"Kim","year":"2013","journal-title":"Spine J"},{"key":"10.1016\/j.spinee.2021.01.009_bib0017","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1007\/s00586-014-3479-4","article-title":"Reoperation rates after fenestration for lumbar spinal canal stenosis: a 20-year period survival function method analysis","volume":"24","author":"Aizawa","year":"2015","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2021.01.009_bib0018","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/j.semarthrit.2011.01.001","article-title":"Osteoporotic Fractures in Men (MrOS) Study Group. Diffuse idiopathic skeletal hyperostosis and its relation to back pain among older men: the MrOS Study","volume":"41","author":"Holton","year":"2011","journal-title":"Semin Arthritis Rheum"},{"key":"10.1016\/j.spinee.2021.01.009_bib0019","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1186\/s12891-016-0942-x","article-title":"A numerical study to determine the effect of ligament stiffness on kinematics of the lumbar spine during flexion","volume":"17","author":"Putzer","year":"2016","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.spinee.2021.01.009_bib0020","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1186\/s12891-018-2086-7","article-title":"Morphology of intervertebral disc ruptures evaluated by vacuum phenomenon using multi-detector computed tomography: association with lumbar disc degeneration and canal stenosis","volume":"19","author":"Murata","year":"2018","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.spinee.2021.01.009_bib0021","doi-asserted-by":"crossref","first-page":"236","DOI":"10.3171\/2019.2.SPINE181309","article-title":"Outcome of unilateral versus standard open midline approach for bilateral decompression in lumbar spinal stenosis: is \u201cover the top\u201d really better? A Swiss prospective multicenter cohort study","volume":"31","author":"Ulrich","year":"2019","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.spinee.2021.01.009_bib0022","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1302\/0301-620X.100B4.BJJ-2017-0917.R1","article-title":"Minimally invasive spinal decompression for degenerative lumbar spondylolisthesis and stenosis maintains stability and may avoid the need for fusion","volume":"100-B","author":"Minamide","year":"2018","journal-title":"Bone Joint J"}],"container-title":["The Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943021000176?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943021000176?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:33:58Z","timestamp":1761514438000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1529943021000176"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":22,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["S1529943021000176"],"URL":"https:\/\/doi.org\/10.1016\/j.spinee.2021.01.009","relation":{},"ISSN":["1529-9430"],"issn-type":[{"value":"1529-9430","type":"print"}],"subject":[],"published":{"date-parts":[[2021,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Pathomechanism and prevention of further surgery after posterior decompression for lumbar spinal canal stenosis in patients with diffuse idiopathic skeletal hyperostosis","name":"articletitle","label":"Article Title"},{"value":"The Spine Journal","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.spinee.2021.01.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}