{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:15:00Z","timestamp":1777929300766,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100008127","name":"DePuy Synthes Spine","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100008127","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While there is a clear trend towards less invasive spinal procedures in recent years, determining what specifically constitutes minimally invasive surgery (MIS) for spinal fusion procedures can be challenging as published definitions are heterogeneous and address only select factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To utilize a Delphi Consensus Panel (DCP) process to build consensus among panelists regarding the definition of MIS for spinal fusion and define a consensus around best practices for adopting MIS technologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>DCP is a widely accepted method of qualitative data collection and analysis used for generating consensus from panel members. The DCP consisted of 2 online questionnaires completed by 11 expert panelists. Round 1 included 7 multiple choice demographics and 11 open-ended questions. Round 1 responses were analyzed to inform the development of statements for further assessment in Round 2. Round 2 included 93 closed-ended, 5-point Likert scale questions and 11 open-ended questions. Consensus was defined as agreement among at least 8 out of 11 panelists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Consensus was reached on 56 out of 93 statements regarding spinal fusion and\/or fixation procedures. There was a high degree of consensus around the role of reduced tissue trauma, patient recovery time, hospital length of stay, and post-operative pain for MIS spinal fusion procedures compared to open procedures; and the value of various technologies in performing MIS spinal fusion procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A consistent definition of what constitutes MIS for spinal fusion may help drive consistency across surgeons, facilities, and payers to define clinical and economic implications for these approaches.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536251391508","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T18:04:35Z","timestamp":1761761075000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Spinal surgeon delphi panel to gain consensus on minimally invasive surgery definitions for spinal fusion"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4252-274X","authenticated-orcid":false,"given":"Dawn","family":"Bowden","sequence":"first","affiliation":[{"name":"Scientific Affairs, J&J Innovative Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5208-3077","authenticated-orcid":false,"given":"Michelle","family":"Costa","sequence":"additional","affiliation":[{"name":"Health Economics Market Access, J&J MedTech"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5299-6247","authenticated-orcid":false,"given":"Daryll C.","family":"Dykes","sequence":"additional","affiliation":[{"name":"Medical & Scientific Affairs, J&J MedTech"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.05.071"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2020.0384"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.scrs.2012.10.003"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1757-7861.2010.00086.x"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.08.030"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.06.094"},{"issue":"8","key":"e_1_3_4_8_2","first-page":"S39","article-title":"Breaking through the \u201cGlass Ceiling\u201d of minimally invasive spine surgery","volume":"41","author":"Phillips FM","year":"2016","unstructured":"Phillips FM, Cheng I, Rampersaud YR, et al. Breaking through the \u201cGlass Ceiling\u201d of minimally invasive spine surgery. Spine (Phila Pa 1976) 2016; 41(Suppl 8): S39\u2013S43.","journal-title":"Spine (Phila Pa 1976)"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.esas.2011.06.002"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-019-09560-8"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1269904"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0b013e318220be32"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.5662\/wjm.v11.i4.116"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0040-1625(96)00094-7"},{"key":"e_1_3_4_15_2","first-page":"305","article-title":"Delphi panels: research design, procedures, advantages, and challenges","volume":"11","author":"Avella JR","year":"2016","unstructured":"Avella JR. Delphi panels: research design, procedures, advantages, and challenges. Int J Dr Stud 2016; 11: 305\u2013321.","journal-title":"Int J Dr Stud"},{"key":"e_1_3_4_16_2","first-page":"598","article-title":"The Delphi method","volume":"22","author":"Iqbal S","year":"2009","unstructured":"Iqbal S, Pipon-Young L. The Delphi method. Psychol 2009; 22: 598\u2013601.","journal-title":"Psychol"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.3109\/9781420013962-36"},{"key":"e_1_3_4_18_2","unstructured":"OrthoInfo. Minimally invasive spine surgery. Available at: https:\/\/orthoinfo.aaos.org\/en\/treatment\/minimally-invasive-spine-surgery\/ (Accessed October 2025)."},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2021.07.004"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/2192568220910711"},{"key":"e_1_3_4_21_2","unstructured":"Minimally invasive spine surgery. OrthoInfo (website from the American academy of orthopaedic surgeons). Available at: https:\/\/orthoinfo.aaos.org\/ (Accessed April 2023)."},{"key":"e_1_3_4_22_2","volume-title":"Minimally invasive spine surgery","unstructured":"Minimally invasive spine surgery. Johns Hopkins Medicine (website). Available at: https:\/\/www.hopkinsmedicine.org\/ (Accessed, April 2023)."},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000002471"},{"key":"e_1_3_4_24_2","unstructured":"3 benefits of minimally invasive surgery at an ASC. Riverview Ambulatory Surgical Center (website). Available at: https:\/\/www.riverviewasc.com\/ (Accessed: April 2023)."},{"key":"e_1_3_4_25_2","unstructured":"Can minimally invasive surgery at an ASC reduce time away from work? Mackinaw Surgery Center (website). Available at: https:\/\/mackinawsurgerycenter.com\/ (Accessed: April 2023)."},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2022.03.129"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-5170-9"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536251391508","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10225536251391508","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10225536251391508","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:32:32Z","timestamp":1777678352000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10225536251391508"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1177\/10225536251391508"],"URL":"https:\/\/doi.org\/10.1177\/10225536251391508","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"article-number":"10225536251391508"}}