{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T00:27:34Z","timestamp":1793665654881,"version":"4.5.1"},"reference-count":50,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cervical spinal cord injury (CSCI) without fracture or dislocation (CSCIWFD) frequently results in significant male sexual dysfunction, yet comprehensive studies on recovery patterns and predictive factors remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study evaluated 187 male CSCIWFD patients treated with posterior laminoplasty, with serial assessments at 3-month, 2-year, and final follow-up (median 57\u00a0months). Neurological function was assessed using the American Spinal Injury Association (ASIA) Impairment Scale, while sexual function was quantified through validated measures: the International Index of Erectile Function-5 (IIEF-5), the Premature Ejaculation Diagnostic Tool (PEDT), and the International Spinal Cord Injury Male Sexual Function (ISCI-MSF) Basic Data Set. Comprehensive radiographic evaluation included minimal Torg\u2013Pavlov ratio (TPR\n                      <jats:sub>min<\/jats:sub>\n                      ), median Torg\u2013Pavlov ratio (TPR\n                      <jats:sub>median<\/jats:sub>\n                      ), spinal cord compression rate, and magnetic resonance imaging-based high cord signals (HCS). Demographic and perioperative variables (age, body mass index, preoperative hemoglobin, injury-to-surgery interval, operative duration, and blood loss) were systematically analyzed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Significant sexual dysfunction was prevalent at baseline (97.3% erectile dysfunction; 86.6% ejaculatory disorders). By 2-year follow-up, erectile function improved substantially (mean IIEF-5: 10.24 to 16.20,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;\u00a00.05), with 72.7% achieving normal or mild-affected erectile function (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;\u00a00.05). Ejaculatory control normalized in 87.7% of cases at the 2-year follow up (mean PEDT: 10.73 to 4.54,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;\u00a00.05). Significant global improvements in ISCI-MSF Basic Data Set were observed over the 2-year follow-up (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;\u00a00.001 all comparisons). Strong correlations emerged between recovery and preoperative ASIA grade (\u03c1\u00a0=\u00a0\u2212\u00a00.700 to \u22120.754), time-to-surgery (\u03c1\u00a0=\u00a0\u2212\u00a00.402 to \u22120.372), HCS (\u03c1\u00a0=\u00a0\u2212\u00a00.325 to \u22120.341), TPR\n                      <jats:sub>min<\/jats:sub>\n                      (\u03c1\u00a0=\u00a00.716 to 0.772), TPR\n                      <jats:sub>median<\/jats:sub>\n                      (\u03c1\u00a0=\u00a00.690 to 0.746), and cord compression rate (\u03c1\u00a0=\u00a0\u2212\u00a00.707 to \u22120.752) (all\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;\u00a00.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      CSCI without fracture or dislocation leads to profound sexual dysfunction. Poorer outcomes correlate with delayed surgical decompression, higher ASIA impairment grades, lower TPR\n                      <jats:sub>min<\/jats:sub>\n                      and TPR\n                      <jats:sub>median<\/jats:sub>\n                      , and radiographic evidence of HCS or spinal cord compression. These findings highlight the potential value of integrating neuroimaging biomarkers and psychosexual evaluation into rehabilitation strategies.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/js9.0000000000004875","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T10:00:25Z","timestamp":1769594425000},"page":"11828-11839","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Multidimensional predictive factor analysis of sexual function prognosis in male patients following cord injury without fracture or dislocation"],"prefix":"10.1097","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-5881-0270","authenticated-orcid":false,"given":"Xiuzhi","family":"Li","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Peking University Third Hospital, Beijing, People\u2019s Republic of China"},{"name":"Beijing Key Laboratory of Spinal Disease Research, Beijing, People\u2019s Republic of China"},{"name":"Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Peking University Third Hospital, Beijing, People\u2019s Republic of China"},{"name":"Beijing Key Laboratory of Spinal Disease Research, Beijing, People\u2019s Republic of China"},{"name":"Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zengzhen","family":"Cui","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Peking University Third Hospital, Beijing, People\u2019s Republic of China"},{"name":"Beijing Key Laboratory of Spinal Disease Research, Beijing, People\u2019s Republic of China"},{"name":"Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuliang","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Peking University Third Hospital, Beijing, People\u2019s Republic of China"},{"name":"Beijing Key Laboratory of Spinal Disease Research, Beijing, People\u2019s Republic of China"},{"name":"Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liangyu","family":"Bai","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Peking University Third Hospital, Beijing, People\u2019s Republic of China"},{"name":"Beijing Key Laboratory of Spinal Disease Research, Beijing, People\u2019s Republic of China"},{"name":"Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhuoqi","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Peking University Third Hospital, Beijing, People\u2019s Republic of China"},{"name":"Beijing Key Laboratory of Spinal Disease Research, Beijing, People\u2019s Republic of China"},{"name":"Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gao","family":"Si","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Peking University Third Hospital, Beijing, People\u2019s Republic of China"},{"name":"Beijing Key Laboratory of Spinal Disease Research, Beijing, People\u2019s Republic of China"},{"name":"Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4620-9136","authenticated-orcid":false,"given":"Yang","family":"Lv","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Peking University Third Hospital, Beijing, People\u2019s Republic of China"},{"name":"Beijing Key Laboratory of Spinal Disease Research, Beijing, People\u2019s Republic of China"},{"name":"Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, People\u2019s Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,23]]},"reference":[{"key":"R1-20261102","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1186\/s12891-024-08055-z","article-title":"Case characteristics and surgical efficacy in elderly patients over 65 years of age with cervical spinal cord injury without fracture and dislocation: a retrospective study","volume":"25","author":"Feng","year":"2024","journal-title":"BMC Musculoskelet Disord"},{"key":"R2-20261102","doi-asserted-by":"crossref","first-page":"283\u201392","DOI":"10.1097\/BRS.0000000000001176","article-title":"Pediatric cervical spine and spinal cord injury: a national database study","volume":"41","author":"Shin","year":"2016","journal-title":"Spine (Phila Pa 1976)"},{"key":"R3-20261102","doi-asserted-by":"crossref","first-page":"2228\u201331","DOI":"10.1007\/s00586-013-2865-7","article-title":"Clinical relationship between cervical spinal canal stenosis and traumatic cervical spinal cord injury without major fracture or dislocation","volume":"22","author":"Takao","year":"2013","journal-title":"Eur Spine J"},{"key":"R4-20261102","doi-asserted-by":"crossref","first-page":"536\u201342","DOI":"10.4184\/asj.2016.10.3.536","article-title":"Clinical influence of cervical spinal canal stenosis on neurological outcome after traumatic cervical spinal cord injury without major fracture or dislocation","volume":"10","author":"Takao","year":"2016","journal-title":"Asian Spine J"},{"key":"R5-20261102","doi-asserted-by":"crossref","first-page":"187\u201390","DOI":"10.4103\/0972-5229.27861","article-title":"Spinal cord injury without radiographic abnormality","volume":"10","author":"Bharati","year":"2006","journal-title":"Indian J Crit Care Med"},{"key":"R6-20261102","doi-asserted-by":"crossref","first-page":"124\u201332","DOI":"10.1016\/j.jams.2018.05.002","article-title":"Spinal cord injury: how could acupuncture help?","volume":"11","author":"Fan","year":"2018","journal-title":"J Acupunct Meridian Stud"},{"key":"R7-20261102","doi-asserted-by":"crossref","first-page":"551\u201362","DOI":"10.1016\/S1474-4422(22)00036-9","article-title":"Approach and management to patients with neurological disorders reporting sexual dysfunction","volume":"21","author":"Hentzen","year":"2022","journal-title":"Lancet Neurol"},{"key":"R8-20261102","doi-asserted-by":"crossref","first-page":"1985","DOI":"10.3390\/jpm12121985","article-title":"Intimacy, and reproductive health after spinal cord injury","volume":"12","author":"Zizzo","year":"2022","journal-title":"J Pers Med"},{"key":"R9-20261102","doi-asserted-by":"crossref","first-page":"e34892","DOI":"10.1097\/MD.0000000000034892","article-title":"Efficacy of surgical treatment and conservative treatment for cervical spinal cord injury without fracture and dislocation in adults: a meta-analysis","volume":"102","author":"Chen","year":"2023","journal-title":"Medicine (Baltimore)"},{"key":"R10-20261102","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1186\/s13018-019-1487-0","article-title":"Early and short-segment anterior spinal fusion for cervical spinal cord injury without fracture and dislocation can achieve more significant neurological recovery: a retrospective study based on the current medical system in southern China","volume":"14","author":"Mu","year":"2019","journal-title":"J Orthop Surg Res"},{"key":"R11-20261102","first-page":"87\u201391","article-title":"Analysis of the efficacy of mNGF combined with ACDF surgery in the treatment of cervical spinal cord injury without fracture and dislocation","volume":"5","author":"Baicheng","year":"2022","journal-title":"Int J Orthop Res"},{"key":"R12-20261102","doi-asserted-by":"crossref","first-page":"117\u201326","DOI":"10.1016\/S1474-4422(20)30406-3","article-title":"The influence of timing of surgical decompression for acute spinal cord injury: a pooled analysis of individual patient data","volume":"20","author":"Badhiwala","year":"2021","journal-title":"Lancet Neurol"},{"key":"R13-20261102","doi-asserted-by":"crossref","first-page":"548\u201353","DOI":"10.1038\/sc.2009.179","article-title":"Outcome of decompression surgery for cervical spinal cord injury without bone and disc injury in patients with spinal cord compression: a multicenter prospective study","volume":"48","author":"Kawano","year":"2010","journal-title":"Spinal Cord"},{"key":"R14-20261102","doi-asserted-by":"crossref","first-page":"62\u201379","DOI":"10.1111\/bjhp.12612","article-title":"Exploring the psychosexual impact and disclosure experiences of women testing positive for high-risk cervical human papillomavirus","volume":"28","author":"Bennett","year":"2023","journal-title":"Br J Health Psychol"},{"key":"R15-20261102","first-page":"100081","article-title":"STROCSS group, revised strengthening the reporting of cohort, cross-sectional and case-control studies in surgery (STROCSS) guideline: an update for the age of Artificial Intelligence","volume":"10","author":"RiazA","year":"2025","journal-title":"Premier J Sci"},{"key":"R16-20261102","doi-asserted-by":"crossref","first-page":"85\u201396","DOI":"10.1097\/00003086-197506000-00011","article-title":"Biomechanical analysis of clinical stability in the cervical spine","volume":"109","author":"White","year":"1975","journal-title":"Clin Orthop Relat Res"},{"key":"R17-20261102","doi-asserted-by":"crossref","first-page":"693\u201399","DOI":"10.1097\/00007632-198310000-00003","article-title":"Expansive open-door laminoplasty for cervical spinal stenotic myelopathy","volume":"8","author":"Hirabayashi","year":"1983","journal-title":"Spine (Phila Pa 1976)"},{"key":"R18-20261102","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1186\/s13018-025-05587-5","article-title":"Effect and prognosis of thoracolumbar fracture combined with incomplete spinal cord injury on male sexual function","volume":"20","author":"Gao","year":"2025","journal-title":"J Orthop Surg Res"},{"key":"R19-20261102","first-page":"795\u201398","article-title":"International spinal cord injury male sexual function basic data set","volume":"49","author":"Alexander","year":"2011","journal-title":"Spinal Cord"},{"key":"R20-20261102","first-page":"605\u201312","article-title":"The Torg-Pavlov ratio for the prediction of acute spinal cord injury after a minor trauma to the cervical spine","volume":"13","author":"Aebli","year":"2013","journal-title":"Spine J"},{"key":"R21-20261102","doi-asserted-by":"crossref","first-page":"E396","DOI":"10.1097\/BRS.0b013e3181c6dbc4","article-title":"Magnetic resonance T2 image signal intensity ratio and clinical manifestation predict prognosis after surgical intervention for cervical spondylotic myelopathy","volume":"35","author":"Zhang","year":"2010","journal-title":"Spine (Phila Pa 1976)"},{"key":"R22-20261102","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s11934-018-0806-z","article-title":"Management of erectile dysfunction and infertility in the male spinal cord injury patient","volume":"19","author":"Fenstermaker","year":"2018","journal-title":"Curr Urol Rep"},{"key":"R23-20261102","doi-asserted-by":"crossref","first-page":"310\u201315","DOI":"10.1111\/j.1743-6109.2011.02450.x","article-title":"Neurophysiology of erection and ejaculation","volume":"8","author":"Giuliano","year":"2011","journal-title":"J Sex Med"},{"key":"R24-20261102","doi-asserted-by":"crossref","first-page":"139\u201365","DOI":"10.1111\/j.1439-0272.2009.00969.x","article-title":"Erectile function and male reproduction in men with spinal cord injury: a review","volume":"42","author":"Dimitriadis","year":"2010","journal-title":"Andrologia"},{"key":"R25-20261102","doi-asserted-by":"crossref","first-page":"33\u201336","DOI":"10.1097\/01.brs.0000192726.53415.bf","article-title":"Improvement of sexual function in male patients treated surgically for cervical spondylotic myelopathy","volume":"31","author":"He","year":"2006","journal-title":"Spine (Phila Pa 1976)"},{"key":"R26-20261102","doi-asserted-by":"crossref","first-page":"247\u201351","DOI":"10.1016\/j.juro.2006.08.059","article-title":"The effects of spinal cord injury on psychogenic sexual arousal in males","volume":"177","author":"Sipski","year":"2007","journal-title":"J Urol"},{"key":"R27-20261102","doi-asserted-by":"crossref","first-page":"106\u201315","DOI":"10.1007\/s11930-016-0067-0","article-title":"Sexual function after spinal cord injury: innervation, assessment, and treatment","volume":"8","author":"Steadman","year":"2016","journal-title":"Curr Sex Health Rep"},{"key":"R28-20261102","doi-asserted-by":"crossref","first-page":"111\u201319","DOI":"10.1002\/ca.22655","article-title":"Comprehensive review of the anatomy and physiology of male ejaculation: premature ejaculation is not a disease","volume":"29","author":"Puppo","year":"2016","journal-title":"Clin Anat"},{"key":"R29-20261102","doi-asserted-by":"crossref","first-page":"2981\u201392","DOI":"10.1007\/s10508-020-01753-4","article-title":"Anxiousness and distractibility strengthen mediated associations between men\u2019s penis appearance concerns, spectatoring, and sexual difficulties: a preregistered study","volume":"49","author":"Wyatt","year":"2020","journal-title":"Arch Sex Behav"},{"key":"R30-20261102","doi-asserted-by":"crossref","first-page":"659\u201380","DOI":"10.1038\/s41585-022-00639-5","article-title":"Current and emerging treatment options for premature ejaculation","volume":"19","author":"Gul","year":"2022","journal-title":"Nat Rev Urol"},{"key":"R31-20261102","doi-asserted-by":"crossref","first-page":"103\u201312","DOI":"10.1111\/jcpp.12617","article-title":"Hypervigilance-avoidance in children with anxiety disorders: magnetoencephalographic evidence","volume":"58","author":"Wessing","year":"2017","journal-title":"J Child Psychol Psychiatr"},{"key":"R32-20261102","doi-asserted-by":"crossref","first-page":"3\u201323","DOI":"10.1080\/00926239708404413","article-title":"Premature ejaculation: a psychophysiological review","volume":"23","author":"Metz","year":"1997","journal-title":"J Sex Marital Ther"},{"key":"R33-20261102","doi-asserted-by":"crossref","first-page":"497\u2013504","DOI":"10.3171\/2014.1.SPINE13246","article-title":"Five-year clinical and radiological results of combined anteroposterior stabilization of thoracolumbar fractures","volume":"20","author":"Schnake","year":"2014","journal-title":"J Neurosurg Spine"},{"key":"R34-20261102","doi-asserted-by":"crossref","first-page":"162\u201372","DOI":"10.1038\/nrurol.2010.7","article-title":"Treatment of infertility in men with spinal cord injury","volume":"7","author":"Brackett","year":"2010","journal-title":"Nat Rev Urol"},{"key":"R35-20261102","doi-asserted-by":"crossref","first-page":"62\u201375","DOI":"10.3171\/2016.6.SPINE16343","article-title":"Effects of early surgical decompression on functional and histological outcomes after severe experimental thoracic spinal cord injury","volume":"26","author":"Jalan","year":"2017","journal-title":"J Neurosurg Spine"},{"key":"R36-20261102","doi-asserted-by":"crossref","first-page":"E995","DOI":"10.1097\/BRS.0000000000001517","article-title":"Timing of surgery in spinal cord injury","volume":"41","author":"Tecle","year":"2016","journal-title":"Spine (Phila Pa 1976)"},{"key":"R37-20261102","first-page":"173\u201393","article-title":"The histopathology of severe graded compression in lower thoracic spinal cord segment of rat, evaluated at late post-injury phase","volume":"42","author":"Fedorova","year":"2022","journal-title":"Cell Mol Neurobiol"},{"key":"R38-20261102","doi-asserted-by":"crossref","first-page":"111472","DOI":"10.1016\/j.injury.2024.111472","article-title":"Management of traumatic spinal cord injury: a current concepts review of contemporary and future treatment","volume":"55","author":"Baroudi","year":"2024","journal-title":"Injury"},{"key":"R39-20261102","doi-asserted-by":"crossref","first-page":"E18","DOI":"10.3171\/2016.5.FOCUS16141","article-title":"Intraoperative neurophysiological mapping and monitoring in spinal tumor surgery: sirens or indispensable tools?","volume":"41","author":"Scibilia","year":"2016","journal-title":"Neurosurg Focus"},{"key":"R40-20261102","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.ajog.2024.01.001","article-title":"Pelvic floor muscle training as treatment for female sexual dysfunction: a systematic review and meta-analysis","volume":"231","author":"Jorge","year":"2024","journal-title":"Am J Obstet Gynecol"},{"key":"R41-20261102","doi-asserted-by":"crossref","first-page":"687\u2013700","DOI":"10.1007\/s11195-022-09758-8","article-title":"Sexual and reproductive health experiences, knowledge and associations: a neglected issue among adults with spinal cord injury in Sri Lanka","volume":"40","author":"Gowinnage","year":"2022","journal-title":"Sex Disabil"},{"key":"R42-20261102","first-page":"12\u201320","article-title":"Views and attitudes towards sexual functioning in men living with spinal cord injury in Kerala, South India","volume":"21","author":"Sunilkumar","year":"2015","journal-title":"Indian J Palliat Care"},{"key":"R43-20261102","doi-asserted-by":"crossref","first-page":"3541\u201348","DOI":"10.1111\/jocn.12449","article-title":"SI-SRH\u201d - a new model to manage sexual health following a spinal cord injury: our experience","volume":"22","author":"Hartshorn","year":"2013","journal-title":"J Clin Nurs"},{"key":"R44-20261102","doi-asserted-by":"crossref","first-page":"jrm00298","DOI":"10.2340\/jrm.v54.1413","article-title":"Supporting sexual functioning and satisfaction during rehabilitation after spinal cord injury: barriers and facilitators identified by healthcare professionals","volume":"54","author":"Barrett","year":"2022","journal-title":"J Rehabil Med"},{"key":"R45-20261102","doi-asserted-by":"crossref","first-page":"e12977","DOI":"10.1111\/ijn.12977","article-title":"Talking about post-injury sexual functioning: the views of people with spinal cord injuries-A qualitative interview study","volume":"28","author":"Nevin","year":"2022","journal-title":"Int J Nurs Pract"},{"key":"R46-20261102","doi-asserted-by":"crossref","first-page":"343\u201357","DOI":"10.3233\/NRE-172202","article-title":"Sexual concerns after spinal cord injury: an update on management","volume":"41","author":"Alexander","year":"2017","journal-title":"NeuroRehabilitation"},{"key":"R47-20261102","doi-asserted-by":"crossref","first-page":"103832","DOI":"10.1016\/j.nicl.2025.103832","article-title":"Cervical spinal cord MRI in ALS individuals: a systematic review and meta-analysis","volume":"47","author":"Yazdanian","year":"2025","journal-title":"Neuroimage Clin"},{"key":"R48-20261102","doi-asserted-by":"crossref","first-page":"2621","DOI":"10.3390\/biomedicines10102621","article-title":"Clinical and research MRI techniques for assessing spinal cord integrity in degenerative cervical myelopathy-a scoping review","volume":"10","author":"He","year":"2022","journal-title":"Biomedicines"},{"key":"R49-20261102","first-page":"2684\u2013700","article-title":"Cervical spine models for biomechanical research","volume":"23","author":"Panjabi","year":"1998","journal-title":"Spine (Phila Pa 1976)"},{"key":"R50-20261102","doi-asserted-by":"crossref","first-page":"101114","DOI":"10.1016\/j.yfrne.2023.101114","article-title":"Post-finasteride syndrome and post-ssri sexual dysfunction: two clinical conditions apparently distant, but very close","volume":"72","author":"Giatti","year":"2024","journal-title":"Front Neuroendocrinol"}],"container-title":["International Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/JS9.0000000000004875","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T00:00:36Z","timestamp":1793664036000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/JS9.0000000000004875"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,23]]},"references-count":50,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/js9.0000000000004875","relation":{},"ISSN":["1743-9159","1743-9191"],"issn-type":[{"value":"1743-9159","type":"electronic"},{"value":"1743-9191","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1,23]]},"assertion":[{"value":"2025-09-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-18","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}