{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T06:21:07Z","timestamp":1794291667302,"version":"4.9.0"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T00:00:00Z","timestamp":1788566400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005795","name":"Linkou Chang Gung Memorial Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005795","id-type":"DOI","asserted-by":"publisher"},{"id":"https:\/\/ror.org\/02dnn6q67","id-type":"ROR","asserted-by":"crossref"}]}],"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":[[2026,11]]},"DOI":"10.1016\/j.wneu.2026.125319","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T18:03:25Z","timestamp":1789495405000},"page":"125319","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Pedicle Involvement Is Associated with Preoperative Neurological Deficit in Metastatic Spinal Cord Compression: A Single-Institution Cohort Study"],"prefix":"10.1016","volume":"215","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7309-2802","authenticated-orcid":false,"given":"Wei-Hsiang","family":"Lin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng-Yu","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9130-3274","authenticated-orcid":false,"given":"Sheng-Han","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong-Kai","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo-An","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tzu-Chin","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuan-Hung","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan-Po","family":"Kang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0001-9401","authenticated-orcid":false,"given":"Shin-Nan","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6789-4211","authenticated-orcid":false,"given":"Ying-Ching","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Jen","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2026.125319_bib1","doi-asserted-by":"crossref","first-page":"542","DOI":"10.7861\/clinmedicine.14-5-542","article-title":"Metastatic spinal cord compression: a rare but important complication of cancer","volume":"14","author":"Robson","year":"2014","journal-title":"Clin Med (Lond)"},{"key":"10.1016\/j.wneu.2026.125319_bib2","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.a2538","article-title":"Diagnosis and management of patients at risk of or with metastatic spinal cord compression: summary of NICE guidance","volume":"337","author":"White","year":"2008","journal-title":"BMJ"},{"key":"10.1016\/j.wneu.2026.125319_bib3","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1016\/j.nec.2004.04.018","article-title":"Metastatic spine disease: epidemiology, pathophysiology, and evaluation of patients","volume":"15","author":"Perrin","year":"2004","journal-title":"Neurosurg Clin N Am"},{"key":"10.1016\/j.wneu.2026.125319_bib4","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbo.2022.100446","article-title":"Epidemiology of spinal metastases, metastatic epidural spinal cord compression and pathologic vertebral compression fractures in patients with solid tumors: a systematic review","volume":"35","author":"Van den Brande","year":"2022","journal-title":"J Bone Oncol"},{"key":"10.1016\/j.wneu.2026.125319_bib5","doi-asserted-by":"crossref","first-page":"3308","DOI":"10.1200\/JCO.2005.11.940","article-title":"Radiation therapy alone for spinal cord compression","volume":"23","author":"Kwok","year":"2005","journal-title":"J Clin Oncol"},{"key":"10.1016\/j.wneu.2026.125319_bib6","doi-asserted-by":"crossref","DOI":"10.1177\/03000605221091665","article-title":"Spinal metastasis: narrative reviews of the current evidence and treatment modalities","volume":"50","author":"Jaipanya","year":"2022","journal-title":"J Int Med Res"},{"key":"10.1016\/j.wneu.2026.125319_bib7","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1007\/BF01402610","article-title":"Metastatic spinal cord compression in 398 patients","volume":"107","author":"Bach","year":"1990","journal-title":"Acta Neurochir (Wien)"},{"key":"10.1016\/j.wneu.2026.125319_bib8","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1016\/S0360-3016(99)00333-8","article-title":"Prognostic factors in metastatic spinal cord compression","volume":"46","author":"Helweg-Larsen","year":"2000","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.wneu.2026.125319_bib9","doi-asserted-by":"crossref","first-page":"E1221","DOI":"10.1097\/BRS.0b013e3181e16ae2","article-title":"A novel classification system for spinal instability in neoplastic disease","volume":"35","author":"Fisher","year":"2010","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2026.125319_bib10","article-title":"Symptomatic spinal metastasis: a systematic literature review","volume":"12","author":"Nater","year":"2017","journal-title":"PLoS One"},{"key":"10.1016\/j.wneu.2026.125319_bib11","doi-asserted-by":"crossref","first-page":"e278","DOI":"10.1016\/j.wneu.2018.04.188","article-title":"Prognostic factors of ambulatory status for patients with metastatic spinal cord compression: a systematic review and meta-analysis","volume":"116","author":"Liu","year":"2018","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2026.125319_bib12","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1007\/s00586-012-2635-y","article-title":"Effect of timing of surgery on neurological outcome and survival in metastatic spinal cord compression","volume":"22","author":"Quraishi","year":"2013","journal-title":"Eur Spine J"},{"key":"10.1016\/j.wneu.2026.125319_bib13","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1016\/S0140-6736(05)66954-1","article-title":"Direct decompressive surgical resection in spinal cord compression caused by metastatic cancer: a randomised trial","volume":"366","author":"Patchell","year":"2005","journal-title":"Lancet"},{"issue":"Suppl 20","key":"10.1016\/j.wneu.2026.125319_bib14","doi-asserted-by":"crossref","first-page":"S224","DOI":"10.1097\/BRS.0000000000001827","article-title":"Predicting neurologic recovery after surgery in patients with deficits secondary to MESCC: systematic review","volume":"41","author":"Laufer","year":"2016","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.wneu.2026.125319_bib34","first-page":"399","article-title":"Prediction of survival prognosis after surgery in patients with symptomatic MESCC from non-small cell lung cancer","volume":"14","author":"Lei","year":"2014","journal-title":"BMC Cancer"},{"key":"10.1016\/j.wneu.2026.125319_bib15","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1038\/ncpneuro0116","article-title":"Surgery insight: current management of epidural spinal cord compression from metastatic spine disease","volume":"2","author":"Witham","year":"2006","journal-title":"Nat Clin Pract Neurol"},{"key":"10.1016\/j.wneu.2026.125319_bib16","doi-asserted-by":"crossref","first-page":"287","DOI":"10.3171\/spi.2004.1.3.0287","article-title":"Single-stage posterolateral transpedicular approach for resection of epidural metastatic spine tumors: results in 140 patients","volume":"1","author":"Wang","year":"2004","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.wneu.2026.125319_bib17","doi-asserted-by":"crossref","first-page":"211","DOI":"10.3171\/jns.1996.85.2.0211","article-title":"Single-stage posterior vertebrectomy and replacement combined with posterior instrumentation for spinal metastasis","volume":"85","author":"Akeyson","year":"1996","journal-title":"J Neurosurg"},{"key":"10.1016\/j.wneu.2026.125319_bib18","first-page":"25","article-title":"Use of pedicle screw fixation in the management of malignant spinal disease","volume":"94","author":"Fourney","year":"2001","journal-title":"J Neurosurg"},{"key":"10.1016\/j.wneu.2026.125319_bib24","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1097\/MS9.0000000000004382","article-title":"Advancements in metastatic spinal cord compression treatment: a narrative review","volume":"88","author":"Patel","year":"2026","journal-title":"Ann Med Surg (Lond)"},{"key":"10.1016\/j.wneu.2026.125319_bib19","doi-asserted-by":"crossref","first-page":"4987","DOI":"10.21873\/anticanres.12817","article-title":"Metastatic spinal cord compression: unraveling the diagnostic and therapeutic challenges","volume":"38","author":"Boussios","year":"2018","journal-title":"Anticancer Res"},{"key":"10.1016\/j.wneu.2026.125319_bib20","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1148\/radiographics.11.2.2028061","article-title":"Detection of vertebral metastases: comparison between MR imaging and bone scintigraphy","volume":"11","author":"Algra","year":"1991","journal-title":"Radiographics"},{"key":"10.1016\/j.wneu.2026.125319_bib21","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1016\/j.ejrad.2007.11.039","article-title":"Detection of osseous metastases of the spine: comparison of high resolution multi-detector-CT with MRI","volume":"69","author":"Buhmann Kirchhoff","year":"2009","journal-title":"Eur J Radiol"},{"key":"10.1016\/j.wneu.2026.125319_bib22","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1016\/j.hoc.2006.09.009","article-title":"Surgical approach to epidural spinal cord compression","volume":"20","author":"Bilsky","year":"2006","journal-title":"Hematol Oncol Clin North Am"},{"key":"10.1016\/j.wneu.2026.125319_bib35","doi-asserted-by":"crossref","first-page":"814","DOI":"10.1016\/j.spinee.2016.12.007","article-title":"New imaging characteristics for predicting postoperative neurological outcomes in patients with metastatic epidural spinal cord compression","volume":"17","author":"Lei","year":"2017","journal-title":"J Spine"},{"key":"10.1016\/j.wneu.2026.125319_bib25","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1302\/0301-620X.92B8.22296","article-title":"The surgical management of metastatic epidural compression of the spinal cord","volume":"92","author":"Quraishi","year":"2010","journal-title":"J Bone Joint Surg Br"},{"key":"10.1016\/j.wneu.2026.125319_bib23","doi-asserted-by":"crossref","first-page":"1036","DOI":"10.1097\/00007632-199705010-00020","article-title":"Primary bone tumors of the spine. Terminology and surgical staging","volume":"22","author":"Boriani","year":"1997","journal-title":"Spine"},{"key":"10.1016\/j.wneu.2026.125319_bib27","doi-asserted-by":"crossref","first-page":"193","DOI":"10.2340\/16501977-1782","article-title":"The corticospinal tract from the viewpoint of brain rehabilitation","volume":"46","author":"Jang","year":"2014","journal-title":"J Rehabil Med"},{"key":"10.1016\/j.wneu.2026.125319_bib28","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1002\/dneu.22455","article-title":"The corticospinal tract: evolution, development, and human disorders","volume":"77","author":"Welniarz","year":"2017","journal-title":"Dev Neurobiol"},{"key":"10.1016\/j.wneu.2026.125319_bib29","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/S0733-8619(02)00033-6","article-title":"Spinal cord compression","volume":"21","author":"Schiff","year":"2003","journal-title":"Neurol Clin"},{"key":"10.1016\/j.wneu.2026.125319_bib30","doi-asserted-by":"crossref","first-page":"238","DOI":"10.3171\/2011.4.SPINE10543","article-title":"Blood supply and vascular reactivity of the spinal cord under normal and pathological conditions","volume":"15","author":"Martirosyan","year":"2011","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.wneu.2026.125319_bib31","doi-asserted-by":"crossref","first-page":"1113","DOI":"10.1001\/archneur.63.8.1113","article-title":"Spinal cord ischemia: clinical and imaging patterns, pathogenesis, and outcomes in 27 patients","volume":"63","author":"Novy","year":"2006","journal-title":"Arch Neurol"},{"key":"10.1016\/j.wneu.2026.125319_bib32","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1007\/s00234-019-02207-y","article-title":"Artery of Adamkiewicz: a meta-analysis of anatomical characteristics","volume":"61","author":"Taterra","year":"2019","journal-title":"Neuroradiology"},{"key":"10.1016\/j.wneu.2026.125319_bib33","doi-asserted-by":"crossref","first-page":"E6","DOI":"10.3171\/2025.2.FOCUS24958","article-title":"Neurological decline due to a vascular etiology in patients with spine tumors: a patient series and cautionary tale","volume":"58","author":"Zuckerman","year":"2025","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2026.125319_bib26","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1097\/BSD.0b013e3180335bf7","article-title":"Single-stage posterolateral vertebrectomy for the management of metastatic disease of the thoracic and lumbar spine","volume":"20","author":"Street","year":"2007","journal-title":"J Spinal Disord Tech"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875026005358?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875026005358?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T05:21:30Z","timestamp":1794288090000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875026005358"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":35,"alternative-id":["S1878875026005358"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2026.125319","relation":{},"ISSN":["1878-8750"],"issn-type":[{"value":"1878-8750","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Pedicle Involvement Is Associated with Preoperative Neurological Deficit in Metastatic Spinal Cord Compression: A Single-Institution Cohort Study","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2026.125319","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"125319"}}