{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:17:39Z","timestamp":1793830659607,"version":"4.6.1"},"reference-count":43,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100010098","name":"Shanghai Association for Science and Technology","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010098","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"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":[[2023,1]]},"DOI":"10.1016\/j.wneu.2022.10.014","type":"journal-article","created":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T21:57:13Z","timestamp":1665179833000},"page":"e40-e50","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"special_numbering":"C","title":["Association Between the Cervical Extensor Musculature and the Demographic Features, Symptoms, and Sagittal Balance in Patients with Multilevel Cervical Spondylotic Myelopathy"],"prefix":"10.1016","volume":"169","author":[{"given":"Yifei","family":"Gu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinquan","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenchao","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhanchao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinwei","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2022.10.014_bib1","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1177\/1073858412467377","article-title":"Cervical spondylotic myelopathy: the clinical phenomenon and the current pathobiology of an increasingly prevalent and devastating disorder","volume":"19","author":"Kalsi-Ryan","year":"2013","journal-title":"Neuroscientist"},{"key":"10.1016\/j.wneu.2022.10.014_bib2","doi-asserted-by":"crossref","first-page":"1543","DOI":"10.1007\/s00256-012-1388-3","article-title":"The epidemiology of cervical spondylotic myelopathy","volume":"41","author":"Northover","year":"2012","journal-title":"Skeletal Radiol"},{"key":"10.1016\/j.wneu.2022.10.014_bib3","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1097\/BRS.0000000000001704","article-title":"Association between paraspinal muscle morphology, clinical symptoms, and functional status in patients with degenerative cervical myelopathy","volume":"42","author":"Fortin","year":"2017","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2022.10.014_bib4","doi-asserted-by":"crossref","first-page":"E206","DOI":"10.1097\/BSD.0000000000000789","article-title":"The impact of cervical spinal muscle degeneration on cervical sagittal balance and spinal degenerative disorders","volume":"32","author":"Tamai","year":"2019","journal-title":"Clin Spine Surg"},{"key":"10.1016\/j.wneu.2022.10.014_bib5","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1097\/BRS.0000000000001704","article-title":"Association between paraspinal muscle morphology, clinical symptoms, and functional status in patients with degenerative cervical myelopathy","volume":"42","author":"Fortin","year":"2017","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2022.10.014_bib6","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1016\/j.math.2013.05.009","article-title":"Function and structure of the deep cervical extensor muscles in patients with neck pain","volume":"18","author":"Schomacher","year":"2013","journal-title":"Man Ther"},{"key":"10.1016\/j.wneu.2022.10.014_bib7","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.math.2015.11.006","article-title":"Does muscle morphology change in chronic neck pain patients? - A systematic review","volume":"22","author":"De Pauw","year":"2016","journal-title":"Man Ther"},{"key":"10.1016\/j.wneu.2022.10.014_bib8","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1097\/BSD.0000000000000742","article-title":"Fatty infiltration of cervical spine extensor musculature: is there a relationship with cervical sagittal balance?","volume":"31","author":"Passias","year":"2018","journal-title":"Clin Spine Surg"},{"key":"10.1016\/j.wneu.2022.10.014_bib9","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1097\/BSD.0b013e3181a1a73e","article-title":"Neck muscle strength before and after cervical laminoplasty: relation to axial symptoms","volume":"23","author":"Fujibayashi","year":"2010","journal-title":"J\u00a0Spinal Disord Tech"},{"key":"10.1016\/j.wneu.2022.10.014_bib10","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.wneu.2016.08.104","article-title":"Relation of deep paraspinal muscles' cross-sectional area of the cervical spine and Bone union in anterior cervical decompression and Fusion: a retrospective study","volume":"96","author":"Choi","year":"2016","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2022.10.014_bib11","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1177\/2192568220935108","article-title":"Higher paraspinal muscle density effect on outcomes after anterior cervical discectomy and fusion","volume":"11","author":"Pinter","year":"2021","journal-title":"Glob Spine J"},{"key":"10.1016\/j.wneu.2022.10.014_bib12","doi-asserted-by":"crossref","first-page":"E342","DOI":"10.1097\/BSD.0000000000000657","article-title":"The impact of Sarcopenia on cervical spine sagittal alignment after cervical laminoplasty","volume":"31","author":"Koshimizu","year":"2018","journal-title":"Clin Spine Surg"},{"key":"10.1016\/j.wneu.2022.10.014_bib13","doi-asserted-by":"crossref","first-page":"2720","DOI":"10.1007\/s00586-018-5726-6","article-title":"Importance of the preoperative cross-sectional area of the semispinalis cervicis as a risk factor for loss of lordosis after laminoplasty in patients with cervical spondylotic myelopathy","volume":"27","author":"Lee","year":"2018","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2022.10.014_bib14","doi-asserted-by":"crossref","first-page":"472","DOI":"10.21037\/atm.2019.08.17","article-title":"Extensor muscle-preserving laminectomy in treating multilevel cervical spondylotic myelopathy compared with laminoplasty","volume":"7","author":"Yu","year":"2019","journal-title":"Ann Transl Med"},{"key":"10.1016\/j.wneu.2022.10.014_bib15","doi-asserted-by":"crossref","first-page":"e514","DOI":"10.1016\/j.wneu.2020.05.225","article-title":"Preservation of deep cervical extensor muscle volume: comparison between conventional open-door and muscle preserving laminoplasty approaches in the same patients","volume":"141","author":"Lee","year":"2020","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2022.10.014_bib16","doi-asserted-by":"crossref","first-page":"e0150608","DOI":"10.1371\/journal.pone.0150608","article-title":"Investigation of the differential contributions of superficial and deep muscles on cervical spinal loads with changing head postures","volume":"11","author":"Cheng","year":"2016","journal-title":"PLoS One"},{"key":"10.1016\/j.wneu.2022.10.014_bib17","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1186\/s12891-018-2074-y","article-title":"Towards defining muscular regions of interest from axial magnetic resonance imaging with anatomical cross-reference: part II - cervical spine musculature","volume":"19","author":"Elliott","year":"2018","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.wneu.2022.10.014_bib18","doi-asserted-by":"crossref","first-page":"e273","DOI":"10.1016\/j.wneu.2021.12.041","article-title":"Association between muscle morphology changes, cervical spine degeneration, and clinical features in patients with chronic nonspecific neck pain: a magnetic resonance imaging analysis","volume":"159","author":"Huang","year":"2022","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2022.10.014_bib19","doi-asserted-by":"crossref","first-page":"e166","DOI":"10.1016\/j.wneu.2019.09.162","article-title":"Morphologic characteristics of the deep cervical paraspinal muscles in patients with single-level cervical spondylotic myelopathy","volume":"134","author":"Hou","year":"2020","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2022.10.014_bib20","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1007\/s00586-011-1930-3","article-title":"Sagittal balance disorders in severe degenerative spine. Can we identify the compensatory mechanisms?","volume":"20","author":"Barrey","year":"2011","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2022.10.014_bib21","doi-asserted-by":"crossref","first-page":"88","DOI":"10.14444\/8198","article-title":"Anterior vs posterior approach in multilevel cervical spondylotic myelopathy: a Nationwide Propensity-Matched analysis of complications, outcomes, and Narcotic Use","volume":"16","author":"Nunna","year":"2022","journal-title":"Int J Spine Surg"},{"key":"10.1016\/j.wneu.2022.10.014_bib22","doi-asserted-by":"crossref","first-page":"108904","DOI":"10.1016\/j.ejrad.2020.108904","article-title":"Age- and gender-related variations of cervical muscle composition using chemical shift encoding-based water-fat MRI","volume":"125","author":"Burian","year":"2020","journal-title":"Eur J Radiol"},{"issue":"Suppl 1","key":"10.1016\/j.wneu.2022.10.014_bib23","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1007\/s00586-018-5462-y","article-title":"Which parameters are relevant in sagittal balance analysis of the cervical spine? A literature review","volume":"27","author":"Ling","year":"2018","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2022.10.014_bib24","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1093\/ageing\/afaa236","article-title":"The effect of ageing on presentation, management and outcomes in degenerative cervical myelopathy: a systematic review","volume":"50","author":"Grodzinski","year":"2021","journal-title":"Age Ageing"},{"key":"10.1016\/j.wneu.2022.10.014_bib25","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.clineuro.2017.06.019","article-title":"Surgical outcomes of laminoplasty for cervical spondylotic myelopathy in very elderly patients (older than 80 years): time from symptom onset to surgery and changes in spinal cord signal intensity on MRI","volume":"160","author":"Notani","year":"2017","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2022.10.014_bib26","doi-asserted-by":"crossref","first-page":"8810540","DOI":"10.1155\/2020\/8810540","article-title":"Cervical sagittal imbalance after cervical laminoplasty in elderly patients","volume":"2020","author":"Mun","year":"2020","journal-title":"Biomed Res Int"},{"issue":"Suppl 3","key":"10.1016\/j.wneu.2022.10.014_bib27","doi-asserted-by":"crossref","first-page":"S40","DOI":"10.1038\/sj.ejcn.1601024","article-title":"Sarcopenia and its implications for the elderly","volume":"54","author":"Roubenoff","year":"2000","journal-title":"Eur J Clin Nutr"},{"key":"10.1016\/j.wneu.2022.10.014_bib28","doi-asserted-by":"crossref","first-page":"317","DOI":"10.21053\/ceo.2018.01613","article-title":"Diagnosis of Sarcopenia in head and neck computed tomography: cervical muscle mass as a strong indicator of Sarcopenia","volume":"12","author":"Ufuk","year":"2019","journal-title":"Clin Exp Otorhinolaryngol"},{"key":"10.1016\/j.wneu.2022.10.014_bib29","doi-asserted-by":"crossref","first-page":"E342","DOI":"10.1097\/BSD.0000000000000657","article-title":"The impact of sarcopenia on cervical spine sagittal alignment after cervical laminoplasty","volume":"31","author":"Koshimizu","year":"2018","journal-title":"Clin Spine Surg"},{"key":"10.1016\/j.wneu.2022.10.014_bib30","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.jocn.2018.03.028","article-title":"Fatty infiltration of the cervical multifidus musculature and their clinical correlates in spondylotic myelopathy","volume":"57","author":"Cloney","year":"2018","journal-title":"J\u00a0Clin Neurosci"},{"key":"10.1016\/j.wneu.2022.10.014_bib31","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1016\/j.jocn.2019.12.044","article-title":"Fatty infiltration of the cervical extensor musculature, cervical sagittal balance, and clinical outcomes: an analysis of operative adult cervical deformity patients","volume":"72","author":"Passias","year":"2020","journal-title":"J\u00a0Clin Neurosci"},{"key":"10.1016\/j.wneu.2022.10.014_bib32","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1152\/jappl.1991.71.2.644","article-title":"A\u00a0cross-sectional study of muscle strength and mass in 45- to 78-yr-old men and women","volume":"71","author":"Frontera","year":"1991","journal-title":"J\u00a0Appl Physiol (1985)"},{"key":"10.1016\/j.wneu.2022.10.014_bib33","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1007\/s00586-011-1774-x","article-title":"Cross-sectional area of posterior extensor muscles of the cervical spine in asymptomatic subjects: a 10-year longitudinal magnetic resonance imaging study","volume":"20","author":"Okada","year":"2011","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2022.10.014_bib34","doi-asserted-by":"crossref","first-page":"2220","DOI":"10.1097\/00007632-200110150-00013","article-title":"Extensor musculature of the cervical spine after laminoplasty: morphologic evaluation by coronal view of the magnetic resonance image","volume":"26","author":"Iizuka","year":"2001","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2022.10.014_bib35","doi-asserted-by":"crossref","first-page":"141","DOI":"10.3171\/2013.4.SPINE12838","article-title":"Cervical spine alignment, sagittal deformity, and clinical implications: a review","volume":"19","author":"Scheer","year":"2013","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2022.10.014_bib36","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1227\/NEU.0b013e31826100c9","article-title":"The impact of standing Regional cervical sagittal alignment on outcomes in posterior cervical Fusion surgery","volume":"71","author":"Tang","year":"2012","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2022.10.014_bib37","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1097\/BRS.0000000000001221","article-title":"Impact of cervical sagittal alignment parameters on neck disability","volume":"41","author":"Iyer","year":"2016","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2022.10.014_bib38","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1016\/j.spinee.2010.08.031","article-title":"The use of the T1 sagittal angle in predicting overall sagittal balance of the spine","volume":"10","author":"Knott","year":"2010","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2022.10.014_bib39","doi-asserted-by":"crossref","first-page":"E992","DOI":"10.1097\/BRS.0b013e3182972e1b","article-title":"T1 slope as a predictor of kyphotic alignment change after laminoplasty in patients with cervical myelopathy","volume":"38","author":"Kim","year":"2013","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2022.10.014_bib40","doi-asserted-by":"crossref","first-page":"E396","DOI":"10.1097\/BRS.0000000000001264","article-title":"Relationship between T1 slope and cervical alignment following multilevel posterior cervical fusion surgery: impact of T1 slope minus cervical lordosis","volume":"41","author":"Hyun","year":"2016","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2022.10.014_bib41","doi-asserted-by":"crossref","first-page":"1099","DOI":"10.1016\/j.spinee.2021.03.030","article-title":"Predictive effect of cervical spinal cord compression and corresponding segmental paravertebral muscle degeneration on the severity of symptoms in patients with cervical spondylotic myelopathy","volume":"21","author":"Lin","year":"2021","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2022.10.014_bib42","doi-asserted-by":"crossref","first-page":"1536","DOI":"10.1007\/s00586-012-2260-9","article-title":"Impact of deep extensor muscle-preserving approach on clinical outcome of laminoplasty for cervical spondylotic myelopathy: comparative cohort study","volume":"21","author":"Kotani","year":"2012","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2022.10.014_bib43","doi-asserted-by":"crossref","first-page":"2302","DOI":"10.1007\/s00586-016-4524-2","article-title":"Prevalence of axial symptoms after posterior cervical decompression: a meta-analysis","volume":"25","author":"Wang","year":"2016","journal-title":"Eur Spine J"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S187887502201419X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S187887502201419X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T09:14:28Z","timestamp":1761815668000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S187887502201419X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":43,"alternative-id":["S187887502201419X"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2022.10.014","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2023,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Association Between the Cervical Extensor Musculature and the Demographic Features, Symptoms, and Sagittal Balance in Patients with Multilevel Cervical Spondylotic Myelopathy","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2022.10.014","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}