{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T01:57:41Z","timestamp":1792634261234,"version":"4.5.0"},"reference-count":48,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004846","name":"Beijing University of Chinese Medicine","doi-asserted-by":"publisher","award":["DZMG-QNGG0010"],"award-info":[{"award-number":["DZMG-QNGG0010"]}],"id":[{"id":"10.13039\/501100004846","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":[[2025,4]]},"DOI":"10.1016\/j.wneu.2024.123630","type":"journal-article","created":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T07:27:54Z","timestamp":1741246074000},"page":"123630","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"special_numbering":"C","title":["Mid-Term Outcomes of Screw Loosening in Lumbar Dynamic Stabilization with Polyetheretherketone Rods versus Titanium Rods: A Minimum 4-Year Follow-Up"],"prefix":"10.1016","volume":"196","author":[{"given":"Guozheng","family":"Jiang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiawei","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luchun","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianbin","family":"Guan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zeyu","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ningning","family":"Feng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziye","family":"Qiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukun","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Qu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Xiong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongdong","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xing","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2024.123630_bib1","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1097\/BRS.0000000000002534","article-title":"Lumbar interbody fusion: a historical overview and a future perspective","volume":"43","author":"de Kunder","year":"2018","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2024.123630_bib2","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1007\/s00586-015-3768-6","article-title":"Pedicle screw loosening: a clinically relevant complication?","volume":"24","author":"Galbusera","year":"2015","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2024.123630_bib3","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1007\/s00068-013-0310-6","article-title":"Reduced loosening rate and loss of correction following posterior stabilization with or without PMMA augmentation of pedicle screws in vertebral fractures in the elderly","volume":"39","author":"El","year":"2013","journal-title":"Eur J Trauma Emerg Surg"},{"key":"10.1016\/j.wneu.2024.123630_bib4","doi-asserted-by":"crossref","first-page":"1938","DOI":"10.1097\/01.brs.0000137069.88904.03","article-title":"Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature","volume":"29","author":"Park","year":"2004","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2024.123630_bib5","doi-asserted-by":"crossref","first-page":"1094","DOI":"10.1097\/BRS.0b013e3181a105fc","article-title":"Surgery for low back pain: a review of the evidence for an American pain society clinical practice guideline","volume":"34","author":"Chou","year":"2009","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2024.123630_bib6","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.spinee.2012.11.014","article-title":"Comparison of the biomechanical effect of pedicle-based dynamic stabilization: a study using finite element analysis","volume":"13","author":"Jahng","year":"2013","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2024.123630_bib7","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1111\/os.12742","article-title":"Comparison of the pull-out strength between a novel micro-dynamic pedicle screw and a traditional pedicle screw in lumbar spine","volume":"12","author":"Qian","year":"2020","journal-title":"Orthop Surg"},{"key":"10.1016\/j.wneu.2024.123630_bib8","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1186\/s12891-023-06137-y","article-title":"Correlation between surgical segment mobility and paravertebral muscle fatty infiltration of upper adjacent segment in single-segment LDD patients: retrospective study at a minimum 2 years' follow-up","volume":"24","author":"Guan","year":"2023","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.wneu.2024.123630_bib9","doi-asserted-by":"crossref","first-page":"1951","DOI":"10.1007\/s00586-011-1917-0","article-title":"Adjacent segment degeneration after instrumented posterolateral lumbar fusion: a prospective cohort study with a minimum five-year follow-up","volume":"20","author":"Anandjiwala","year":"2011","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2024.123630_bib10","doi-asserted-by":"crossref","DOI":"10.1155\/2013\/753470","article-title":"Dynamic stabilization for challenging lumbar degenerative diseases of the spine: a review of the literature","volume":"2013","author":"Kaner","year":"2013","journal-title":"Adv Orthop"},{"key":"10.1016\/j.wneu.2024.123630_bib11","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1186\/s12891-016-0913-2","article-title":"Non-fusion procedure using PEEK rod systems for lumbar degenerative diseases: clinical experience with a 2-year follow-up","volume":"17","author":"Huang","year":"2016","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.wneu.2024.123630_bib12","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1177\/2192568221996692","article-title":"Evaluating screw stability after pedicle screw fixation with PEEK rods","volume":"13","author":"Wu","year":"2023","journal-title":"Glob Spine J"},{"key":"10.1016\/j.wneu.2024.123630_bib13","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1186\/s13018-023-03817-2","article-title":"Polyetheretherketone (PEEK) rods versus titanium rods for posterior lumbar fusion surgery: a systematic review and meta-analysis","volume":"18","author":"Li","year":"2023","journal-title":"J\u00a0Orthop Surg Res"},{"key":"10.1016\/j.wneu.2024.123630_bib14","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1097\/BRS.0b013e31816b1eff","article-title":"Clinical course and significance of the clear zone around the pedicle screws in the lumbar degenerative disease","volume":"33","author":"Tokuhashi","year":"2008","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2024.123630_bib15","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/j.spinee.2018.06.345","article-title":"Value of standard radiographs, computed tomography, and magnetic resonance imaging of the lumbar spine in detection of intraoperatively confirmed pedicle screw loosening-a prospective clinical trial","volume":"19","author":"Spirig","year":"2019","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2024.123630_bib16","doi-asserted-by":"crossref","first-page":"E10","DOI":"10.3171\/2020.5.FOCUS20249","article-title":"Hounsfield units of the vertebral body and pedicle as predictors of pedicle screw loosening after degenerative lumbar spine surgery","volume":"49","author":"Xu","year":"2020","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2024.123630_bib17","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1007\/BF01676569","article-title":"Pedicle screw fixation in spinal disorders: a European view","volume":"6","author":"Boos","year":"1997","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2024.123630_bib18","doi-asserted-by":"crossref","first-page":"700","DOI":"10.3171\/spi.2005.2.6.0700","article-title":"Guidelines for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 12: pedicle screw fixation as an adjunct to posterolateral fusion for low-back pain","volume":"2","author":"Resnick","year":"2005","journal-title":"J\u00a0Neurosurg Spine"},{"key":"10.1016\/j.wneu.2024.123630_bib19","first-page":"1760","article-title":"The incidence of screw failure in fenestrated polyaxial pedicle screws vs. Conventional pedicle screws in the treatment of adolescent idiopathic scoliosis (AIS)","volume":"13","author":"Velluto","year":"2024","journal-title":"J\u00a0Clin Med"},{"key":"10.1016\/j.wneu.2024.123630_bib20","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1097\/BRS.0000000000004577","article-title":"Vertebral bone quality score as a predictor of pedicle screw loosening following surgery for degenerative lumbar disease","volume":"48","author":"Li","year":"2023","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2024.123630_bib21","doi-asserted-by":"crossref","first-page":"1443","DOI":"10.1016\/j.spinee.2024.04.020","article-title":"S1 vertebral bone quality score independently predicts pedicle screw loosening following surgery in patients with adult degenerative scoliosis","volume":"24","author":"Li","year":"2024","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2024.123630_bib22","doi-asserted-by":"crossref","DOI":"10.1115\/1.4004862","article-title":"Biomechanical assessment of a PEEK rod system for semi-rigid fixation of lumbar fusion constructs","volume":"133","author":"Gornet","year":"2011","journal-title":"J\u00a0Biomech Eng"},{"key":"10.1016\/j.wneu.2024.123630_bib23","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/s12891-021-04895-1","article-title":"Hybrid surgery with PEEK rods for lumbar degenerative diseases: a 2-year follow-up study","volume":"23","author":"Zhao","year":"2022","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.wneu.2024.123630_bib24","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1186\/s13018-017-0543-x","article-title":"A\u00a0study to compare the efficacy of polyether ether ketone rod device with titanium devices in posterior spinal fusion in a canine model","volume":"12","author":"Wang","year":"2017","journal-title":"J\u00a0Orthop Surg Res"},{"key":"10.1016\/j.wneu.2024.123630_bib25","doi-asserted-by":"crossref","DOI":"10.1088\/1748-6041\/3\/4\/044101","article-title":"Comparison of the load-sharing characteristics between pedicle-based dynamic and rigid rod devices","volume":"3","author":"Ahn","year":"2008","journal-title":"Biomed Mater"},{"key":"10.1016\/j.wneu.2024.123630_bib26","article-title":"Biomechanical investigation between rigid and semirigid posterolateral fixation during daily activities: geometrically parametric poroelastic finite element analyses","volume":"9","author":"Nikkhoo","year":"2021","journal-title":"Front Bioeng Biotechnol"},{"key":"10.1016\/j.wneu.2024.123630_bib27","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.spinee.2012.12.009","article-title":"Update on the evidence for adjacent segment degeneration and disease","volume":"13","author":"Helgeson","year":"2013","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2024.123630_bib28","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1007\/s00264-018-4241-z","article-title":"Adjacent segment degeneration after fusion spinal surgery-a systematic review","volume":"43","author":"Hashimoto","year":"2019","journal-title":"Int Orthop"},{"key":"10.1016\/j.wneu.2024.123630_bib29","doi-asserted-by":"crossref","first-page":"E1384","DOI":"10.1097\/BRS.0000000000002710","article-title":"Adjacent segment disease after single segment posterior lumbar interbody fusion for degenerative spondylolisthesis: minimum 10 Years follow-up","volume":"43","author":"Okuda","year":"2018","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2024.123630_bib30","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2023.1146893","article-title":"Radiological outcomes of PEEK rods in patients with lumbar degenerative diseases: a minimum 5-year follow-up","volume":"10","author":"Huang","year":"2023","journal-title":"Front Surg"},{"key":"10.1016\/j.wneu.2024.123630_bib31","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1186\/s12877-024-04736-5","article-title":"Effects of high-intensity training on fatty infiltration in paraspinal muscles in elderly males with osteosarcopenia - the randomized controlled FrOST study","volume":"24","author":"Kircher","year":"2024","journal-title":"BMC Geriatr"},{"key":"10.1016\/j.wneu.2024.123630_bib32","doi-asserted-by":"crossref","DOI":"10.3171\/2015.10.FOCUS15432","article-title":"Complications associated with the Dynesys dynamic stabilization system: a comprehensive review of the literature","volume":"40","author":"Pham","year":"2016","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2024.123630_bib33","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1186\/s12893-023-01943-6","article-title":"Medium and long-term radiographic and clinical outcomes of Dynesys dynamic stabilization versus instrumented fusion for degenerative lumbar spine diseases","volume":"23","author":"Zhou","year":"2023","journal-title":"BMC Surg"},{"key":"10.1016\/j.wneu.2024.123630_bib34","doi-asserted-by":"crossref","first-page":"E7","DOI":"10.3171\/2015.10.FOCUS15426","article-title":"Dynamic stabilization using the Dynesys system versus posterior lumbar interbody fusion for the treatment of degenerative lumbar spinal disease: a clinical and radiological outcomes-based meta-analysis","volume":"40","author":"Lee","year":"2016","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2024.123630_bib35","doi-asserted-by":"crossref","first-page":"1430","DOI":"10.1017\/S1431927612013281","article-title":"Centrosome fine ultrastructure of the osteocyte mechanosensitive primary cilium","volume":"18","author":"Uzbekov","year":"2012","journal-title":"Microsc Microanal"},{"key":"10.1016\/j.wneu.2024.123630_bib36","doi-asserted-by":"crossref","DOI":"10.1016\/j.abb.2020.108594","article-title":"Osteocytes promote osteoclastogenesis via autophagy-mediated RANKL secretion under mechanical compressive force","volume":"694","author":"Li","year":"2020","journal-title":"Arch Biochem Biophys"},{"key":"10.1016\/j.wneu.2024.123630_bib37","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1097\/01.brs.0000154649.55589.bf","article-title":"A\u00a0stronger bicortical sacral pedicle screw fixation through the S1 endplate: an in\u00a0vitro cyclic loading and pull-out force evaluation","volume":"30","author":"Luk","year":"2005","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2024.123630_bib38","doi-asserted-by":"crossref","first-page":"932","DOI":"10.1016\/j.spinee.2013.02.072","article-title":"Trabecular bone structure in lumbosacral transitional vertebrae: distribution and densities across sagittal vertebral body segments","volume":"13","author":"Mahato","year":"2013","journal-title":"Spine J"},{"key":"10.1016\/j.wneu.2024.123630_bib39","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1186\/s13018-024-04825-6","article-title":"Vertebral HU value and the pectoral muscle index based on chest CT can be used to opportunistically screen for osteoporosis","volume":"19","author":"Wang","year":"2024","journal-title":"J\u00a0Orthop Surg Res"},{"key":"10.1016\/j.wneu.2024.123630_bib40","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.1007\/s00198-024-07164-8","article-title":"Opportunistic use of lumbar computed tomography and magnetic resonance imaging for osteoporosis screening","volume":"28","author":"Pu","year":"2024","journal-title":"Osteoporos Int"},{"key":"10.1016\/j.wneu.2024.123630_bib41","article-title":"Prediction of lumbar pedicle screw loosening using Hounsfield units in computed tomography","volume":"20","author":"Shu","year":"2024","journal-title":"Curr Med Imaging"},{"key":"10.1016\/j.wneu.2024.123630_bib42","doi-asserted-by":"crossref","first-page":"1526","DOI":"10.1007\/s00330-022-09157-9","article-title":"The preoperative Hounsfield unit value at the position of the future screw insertion is a better predictor of screw loosening than other methods","volume":"33","author":"Li","year":"2023","journal-title":"Eur Radiol"},{"key":"10.1016\/j.wneu.2024.123630_bib43","doi-asserted-by":"crossref","first-page":"1722","DOI":"10.1097\/BRS.0000000000004995","article-title":"Preoperative Hounsfield units predict pedicle screw loosening in osteoporotic patients following short segment lumbar fusion","volume":"49","author":"Narayanan","year":"2024","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2024.123630_bib44","doi-asserted-by":"crossref","first-page":"712","DOI":"10.14245\/ns.2448184.092","article-title":"Prediction of screw loosening after dynamic pedicle screw fixation with lumbar polyetheretherketone rods using magnetic resonance imaging-based vertebral bone quality score","volume":"21","author":"Jiang","year":"2024","journal-title":"Neurospine"},{"key":"10.1016\/j.wneu.2024.123630_bib45","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.jbspin.2014.02.013","article-title":"Bone marrow fat","volume":"81","author":"Hardouin","year":"2014","journal-title":"Jt Bone Spine"},{"key":"10.1016\/j.wneu.2024.123630_bib46","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.bone.2019.03.038","article-title":"Inverse correlation between trabecular bone volume and bone marrow adipose tissue in rats treated with osteoanabolic agents","volume":"123","author":"Costa","year":"2019","journal-title":"Bone"},{"key":"10.1016\/j.wneu.2024.123630_bib47","doi-asserted-by":"crossref","first-page":"E239","DOI":"10.1097\/BRS.0000000000002813","article-title":"Measurement techniques and utility of Hounsfield unit values for assessment of bone quality prior to spinal instrumentation: a review of current literature","volume":"44","author":"Zaidi","year":"2019","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2024.123630_bib48","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1016\/j.spinee.2024.02.018","article-title":"Using advanced imaging to measure bone density, compression fracture risk, and risk for construct failure after spine surgery","volume":"24","author":"Agaronnik","year":"2024","journal-title":"Spine J"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875024020801?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875024020801?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T00:17:14Z","timestamp":1762561034000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875024020801"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":48,"alternative-id":["S1878875024020801"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2024.123630","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Mid-Term Outcomes of Screw Loosening in Lumbar Dynamic Stabilization with Polyetheretherketone Rods versus Titanium Rods: A Minimum 4-Year Follow-Up","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2024.123630","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"123630"}}