{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:43:37Z","timestamp":1792784617411,"version":"4.5.0"},"reference-count":44,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100001809","name":"Natural Science Foundation of China","doi-asserted-by":"publisher","award":["2017JJ3489"],"award-info":[{"award-number":["2017JJ3489"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011790","name":"Xiangya Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011790","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002822","name":"Central South University","doi-asserted-by":"publisher","award":["2017Q16"],"award-info":[{"award-number":["2017Q16"]}],"id":[{"id":"10.13039\/501100002822","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011790","name":"Xiangya Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011790","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Key Research and Development Project of Hunan Province","award":["2017SK2062"],"award-info":[{"award-number":["2017SK2062"]}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2020,3]]},"DOI":"10.1016\/j.wneu.2019.11.072","type":"journal-article","created":{"date-parts":[[2019,11,19]],"date-time":"2019-11-19T21:34:45Z","timestamp":1574199285000},"page":"e116-e125","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"special_numbering":"C","title":["Debridement and Interbody Graft Using Titanium Mesh Cage, Posterior Monosegmental Instrumentation, and Fusion in the Surgical Treatment of Monosegmental Lumbar or Lumbosacral Pyogenic Vertebral Osteomyelitis via a Posterior-Only Approach"],"prefix":"10.1016","volume":"135","author":[{"given":"Hong-Qi","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Xiang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian-Huang","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2019.11.072_bib1","first-page":"343","article-title":"Pyogenic osteomyelitis of the spine: an analysis and discussion of 102 cases","volume":"18","author":"Kuklowski","year":"1936","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.wneu.2019.11.072_bib2","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1086\/340102","article-title":"Vertebral osteomyelitis: long term outcome of 253 patients from seven Cleveland-area hospitals","volume":"34","author":"McHenry","year":"2002","journal-title":"Clin Infect Dis"},{"key":"10.1016\/j.wneu.2019.11.072_bib3","first-page":"284","article-title":"Treatment of hematogenous pyogenic vertebral osteomyelitis with anterior debridement and primary bone grafting","volume":"14","author":"Emery","year":"1989","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2019.11.072_bib4","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1097\/00003086-199108000-00021","article-title":"Pyogenic vertebral osteomyelitis with paralysis: prognosis and treatment","volume":"269","author":"Liebergall","year":"1991","journal-title":"Clin Orthop"},{"key":"10.1016\/j.wneu.2019.11.072_bib5","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1097\/00003086-199103000-00019","article-title":"Analysis of 61 cases of vertebral osteomyelitis","volume":"264","author":"Patzakis","year":"1991","journal-title":"Clin Orthop"},{"key":"10.1016\/j.wneu.2019.11.072_bib6","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1097\/00007632-198606000-00003","article-title":"Vertebral osteomyelitis: the surgical management of neurologic complications","volume":"11","author":"Abramovitz","year":"1986","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2019.11.072_bib7","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1097\/01.bsd.0000203945.03922.f6","article-title":"Single-stage treatment of pyogenic spinal infection with titanium mesh cages","volume":"19","author":"Kuklo","year":"2006","journal-title":"J\u00a0Spinal Disord Tech"},{"key":"10.1016\/j.wneu.2019.11.072_bib8","doi-asserted-by":"crossref","first-page":"E275","DOI":"10.1097\/01.brs.0000261034.83395.7f","article-title":"Treatment of vertebral osteomyelitis by radical debridement and stabilization by radical debridement and stabilization using titanium mesh cages","volume":"32","author":"Ruf","year":"2007","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2019.11.072_bib9","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1097\/01.brs.0000215049.08622.9d","article-title":"Anterior surgery with insertion of titanium mesh cage and posterior instrumented fusion performed sequentially on the same day under one anesthesia for septic spondylitis of thoracolumbar spine: is the use of titanium mesh cages safe?","volume":"31","author":"Korovessis","year":"2006","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2019.11.072_bib10","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/01.blo.0000203449.51769.7f","article-title":"One-stage combined surgery with mesh cages for treatment of septic spondylitis","volume":"444","author":"Korovessis","year":"2006","journal-title":"Clin Orthop Relat Res"},{"key":"10.1016\/j.wneu.2019.11.072_bib11","doi-asserted-by":"crossref","first-page":"1668","DOI":"10.1097\/00007632-200007010-00010","article-title":"Hematogenous pyogenic infections and their management","volume":"25","author":"Hadjipavlou","year":"2000","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2019.11.072_bib12","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.jvs.2009.01.007","article-title":"The role of the vascular surgeon in anterior retroperitoneal spine exposure: preservation of open surgical training","volume":"50","author":"Chiriano","year":"2009","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.wneu.2019.11.072_bib13","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1007\/s00381-016-3152-9","article-title":"One-stage posterior focus debridement, interbody grafts, and posterior instrumentation and fusion in the surgical treatment of thoracolumbar spinal tuberculosis with kyphosis in children: a preliminary report","volume":"32","author":"Wang","year":"2016","journal-title":"Childs Nerv Syst"},{"key":"10.1016\/j.wneu.2019.11.072_bib14","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.injury.2016.12.025","article-title":"Debridement, interbody graft using titanium mesh cages, posterior instrumentation and fusion in the surgical treatment of multilevel noncontiguous spinal tuberculosis in elderly patients via a posterior-only","volume":"48","author":"Wang","year":"2017","journal-title":"Injury"},{"key":"10.1016\/j.wneu.2019.11.072_bib15","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1007\/s00381-010-1319-3","article-title":"One-stage posterior focus debridement, fusion, and instrumentation in the surgical treatment of cervicothoracic spinal tuberculosis with kyphosis in children: a preliminary report","volume":"27","author":"Zhang","year":"2011","journal-title":"Childs Nerv Syst"},{"key":"10.1016\/j.wneu.2019.11.072_bib16","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1007\/s00264-016-3161-z","article-title":"One-stage posterior focus debridement, interbody graft using titanium mesh cages, posterior instrumentation and fusion in the surgical treatment of lumbo-sacral spinal tuberculosis in the aged","volume":"40","author":"Wang","year":"2016","journal-title":"Int Orthop"},{"key":"10.1016\/j.wneu.2019.11.072_bib17","first-page":"249","article-title":"Adjacent segment disease after spine fusion and instrumentation","volume":"27","author":"Qiu","year":"2005","journal-title":"Zhongguo Yi Xue Ke Xue Yuan Xue Bao"},{"key":"10.1016\/j.wneu.2019.11.072_bib18","doi-asserted-by":"crossref","first-page":"874","DOI":"10.2106\/00004623-199706000-00011","article-title":"Pyogenic vertebral osteomyelitis","volume":"79","author":"Carragee","year":"1997","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"suppl 3","key":"10.1016\/j.wneu.2019.11.072_bib19","first-page":"iii11","article-title":"Spondylodiscitis: update on diagnosis and management","volume":"65","author":"Gouliouris","year":"2010","journal-title":"J\u00a0Antimicrob Chemother"},{"key":"10.1016\/j.wneu.2019.11.072_bib20","first-page":"313","article-title":"Increasing incidence of pyogenic spondylodiscitis: a 14-year population-based study","volume":"68","author":"Kehrer","year":"2014","journal-title":"J\u00a0Infect"},{"key":"10.1016\/j.wneu.2019.11.072_bib21","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1016\/j.semarthrit.2011.04.002","article-title":"Changing trends in the epidemiology of pyogenic vertebral osteomyelitis: the impact of cases with no microbiologic diagnosis","volume":"41","author":"Lora-Tamayo","year":"2011","journal-title":"Semin Arthritis Rheum"},{"key":"10.1016\/j.wneu.2019.11.072_bib22","first-page":"1","article-title":"Single-stage autogenous bone grafting and internal fixation in the surgical management of pyogenic discitis and vertebral osteomyelitis","volume":"95","author":"Przybylski","year":"2001","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2019.11.072_bib23","doi-asserted-by":"crossref","first-page":"21","DOI":"10.3340\/jkns.2014.56.1.21","article-title":"Microbiology and epidemiology of infectious spinal disease","volume":"56","author":"Jeong","year":"2014","journal-title":"J\u00a0Korean Neurosurg Soc"},{"key":"10.1016\/j.wneu.2019.11.072_bib24","first-page":"401","article-title":"Infectious spondylodiscitis","volume":"56","author":"Cottle","year":"2008","journal-title":"J\u00a0Infect"},{"key":"10.1016\/j.wneu.2019.11.072_bib25","first-page":"26","article-title":"Biopsy for suspected spondylodiscitis","volume":"16","author":"Gasbarrini","year":"2012","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"10.1016\/j.wneu.2019.11.072_bib26","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1007\/s15010-009-9340-8","article-title":"A\u00a0seven-year prospective study on spondylodiscitis: epidemiological and microbiological features","volume":"38","author":"D'Agostino","year":"2010","journal-title":"Infection"},{"key":"10.1016\/j.wneu.2019.11.072_bib27","doi-asserted-by":"crossref","first-page":"E1096","DOI":"10.1097\/BRS.0b013e3181e04dd3","article-title":"A\u00a0comparative study of pyogenic and tuberculous spondylodiscitis","volume":"35","author":"Kim","year":"2010","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2019.11.072_bib28","doi-asserted-by":"crossref","first-page":"1027","DOI":"10.1007\/s00586-008-0661-6","article-title":"Anterior instrumentation for the treatment of pyogenic vertebral osteomyelitis of thoracic and lumbar spine","volume":"17","author":"Dai","year":"2008","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2019.11.072_bib29","doi-asserted-by":"crossref","first-page":"7700","DOI":"10.1128\/AAC.01516-15","article-title":"Susceptibility pattern of microorganisms isolated by percutaneous needle biopsy in nonbacteremic pyogenic vertebral osteomyelitis","volume":"59","author":"Desoutter","year":"2015","journal-title":"Antimicrob Agents Chemother"},{"key":"10.1016\/j.wneu.2019.11.072_bib30","doi-asserted-by":"crossref","first-page":"27","DOI":"10.14245\/kjs.2017.14.2.27","article-title":"Pyogenic vertebral osteomyelitis: clinical features, diagnosis, and treatment","volume":"14","author":"Kwon","year":"2017","journal-title":"Korean J Spine"},{"key":"10.1016\/j.wneu.2019.11.072_bib31","doi-asserted-by":"crossref","first-page":"831","DOI":"10.3928\/01477447-20130523-33","article-title":"Anterior versus posterior fixation for the treatment of lumbar pyogenic vertebral osteomyelitis","volume":"36","author":"Si","year":"2013","journal-title":"Orthopedics"},{"key":"10.1016\/j.wneu.2019.11.072_bib32","doi-asserted-by":"crossref","first-page":"405","DOI":"10.3171\/SPI\/2008\/8\/5\/405","article-title":"Anterior debridement and fusion followed by posterior pedicle screw fixation in pyogenic spondylodiscitis: autologous iliac bone strut versus cage","volume":"8","author":"Pee","year":"2008","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2019.11.072_bib33","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1302\/0301-620X.89B9.18776","article-title":"Treatment of haematogenous pyogenic vertebral osteomyelitis by single-stage anterior debridement, grafting of the defect and posterior instrumentation","volume":"89","author":"Sundararaj","year":"2007","journal-title":"J\u00a0Bone Joint Surg Br"},{"key":"10.1016\/j.wneu.2019.11.072_bib34","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1007\/s00586-006-0251-4","article-title":"Surgical treatment of pyogenic vertebral osteomyelitis with spinal instrumentation","volume":"16","author":"Chen","year":"2007","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2019.11.072_bib35","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1016\/j.nec.2006.05.003","article-title":"Vertebral osteomyelitis","volume":"17","author":"Jaramillo-de la Torre","year":"2006","journal-title":"Neurosurg Clin North Am"},{"key":"10.1016\/j.wneu.2019.11.072_bib36","doi-asserted-by":"crossref","first-page":"710","DOI":"10.5312\/wjo.v8.i9.710","article-title":"Single-stage anterior debridement and reconstruction with tantalum mesh cage for complicated infectious spondylitis","volume":"8","author":"Yang","year":"2017","journal-title":"World J Orthop"},{"key":"10.1016\/j.wneu.2019.11.072_bib37","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1007\/s00586-012-2487-5","article-title":"Posterior instrumentation, anterior column reconstruction with single posterior approach for treatment of pyogenic osteomyelitis of thoracic and lumbar spine","volume":"22","author":"Gorensek","year":"2013","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2019.11.072_bib38","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1097\/00006123-199605000-00013","article-title":"Neurosurgical management of thoracic and lumbar vertebral osteomyelitis and discitis in adults: a review of 43 consecutive surgically treated patients","volume":"38","author":"Rath","year":"1996","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2019.11.072_bib39","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1097\/00003086-200205000-00011","article-title":"Treatment of tuberculosis of the spine with neurologic complications","volume":"398","author":"Jain","year":"2002","journal-title":"Clin Orthop Rel Res"},{"key":"10.1016\/j.wneu.2019.11.072_bib40","doi-asserted-by":"crossref","first-page":"E714","DOI":"10.1097\/BRS.0b013e3181d7ad1d","article-title":"Transpedicular fixation in management of thoracolumbar burst fractures: mono-segmental fixation versus short segment instrumentation","volume":"35","author":"Wei","year":"2010","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2019.11.072_bib41","doi-asserted-by":"crossref","first-page":"B90","DOI":"10.1016\/j.injury.2005.06.019","article-title":"Fractures of thoracolumbar spine: mono-segmental fixation","volume":"36","author":"Defino","year":"2005","journal-title":"Injury"},{"key":"10.1016\/j.wneu.2019.11.072_bib42","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/j.spinee.2004.01.004","article-title":"Preliminary results of staged anterior debridement and reconstruction using titanium mesh cages in the treatment of thoracolumbar vertebral osteomyelitis","volume":"4","author":"Fayazi","year":"2004","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2019.11.072_bib43","doi-asserted-by":"crossref","first-page":"1036","DOI":"10.1097\/01.BRS.0000061991.11489.7F","article-title":"Sagittal alignment after anterior debridement and fusion with or without additional posterior instrumentation in the treatment of pyogenic and tuberculous spondylodiscitis","volume":"28","author":"Klockner","year":"2003","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2019.11.072_bib44","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1097\/00024720-200402000-00010","article-title":"Radiologic stability of titanium mesh cages for anterior spinal reconstruction following thoracolumbar corpectomy","volume":"17","author":"Robertson","year":"2004","journal-title":"J\u00a0Spinal Disord Tech"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875019329109?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875019329109?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T08:36:22Z","timestamp":1761813382000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875019329109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":44,"alternative-id":["S1878875019329109"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2019.11.072","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2020,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Debridement and Interbody Graft Using Titanium Mesh Cage, Posterior Monosegmental Instrumentation, and Fusion in the Surgical Treatment of Monosegmental Lumbar or Lumbosacral Pyogenic Vertebral Osteomyelitis via a Posterior-Only Approach","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2019.11.072","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}