{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:03:45Z","timestamp":1777658625712,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T00:00:00Z","timestamp":1752451200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T00:00:00Z","timestamp":1752451200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective study using the MarketScan database.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study sought to investigate: (1) real-world surgical management, and (2) 5-year all-cause reoperation rates after index surgical treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients 18 \u2013 65\u00a0years old with 2-year minimum follow-up undergoing single-level lumbar decompression were included. Patients were stratified based on the presence of spondylolisthesis (+LISTH) and arthrodesis (+FUSION) during the index procedure. Those undergoing multi-level, endoscopic, revision, corpectomy\/transpedicular, and thoracic\/cervical decompression were excluded, as were those with infectious, traumatic, or neoplastic etiologies. The time elapsed between primary and any revision surgery was determined. Follow-up was terminated at 5\u00a0years post-operatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 86\u00a0708 adult patients undergoing single-level lumbar decompression were included. Spondylolisthesis was observed in 10.8%. Of + LISTH, 90.7% underwent additional arthrodesis. Of -LISTH, 89.8% underwent decompression alone. Among + LISTH, at 5-year post-operatively, 15.2% vs 20.3% of patients with +FUSION vs -FUSION had undergone surgical revision involving the lumbar spine (aHR 0.76,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.009). Conversely, among those without spondylolisthesis (-LISTH), 17.6% vs 17.6% of those with +FUSION vs -FUSION had undergone revision at 5-year (aHR 0.94,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.116). In the -LISTH group, patients demonstrated higher occurrence of revision over 2 \u2013 5\u00a0years (aHR 1.43,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0001) among patients treated with additional arthrodesis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this retrospective cohort study of patients undergoing surgical treatment for single-level lumbar stenosis, patients with spondylolisthesis who underwent arthrodesis with decompression had lower revision rates at 5-year follow-up.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682251360656","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T08:55:54Z","timestamp":1752483354000},"page":"912-917","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["All Cause 5-Year Revision Rates of Patients with Surgically Treated Lumbar Stenosis with and Without Instrumented Arthrodesis"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1743-7693","authenticated-orcid":false,"given":"Wesley M.","family":"Durand","sequence":"first","affiliation":[{"name":"The Johns Hopkins Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yesha","family":"Parekh","sequence":"additional","affiliation":[{"name":"The Johns Hopkins Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew H.","family":"Kim","sequence":"additional","affiliation":[{"name":"The Johns Hopkins Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hamid","family":"Hassanzadeh","sequence":"additional","affiliation":[{"name":"The Johns Hopkins Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9983-3365","authenticated-orcid":false,"given":"Amit","family":"Jain","sequence":"additional","affiliation":[{"name":"The Johns Hopkins Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,7,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-022-07507-1"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa070302"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1508788"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3171\/2020.9.SPINE201082"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1513721"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3171\/2018.8.SPINE17913"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.11.001"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2017.07.245"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa2100990"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173060-00002"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198504000-00018"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199903150-00012"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199306060-00001"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.01.275"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-017-5142-3"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-008-0739-1"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2015.11.055"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.3171\/2021.6.SPINE2144"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000254104.55716.46"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01292"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2013.06.069"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199507000-00009"}],"container-title":["Global Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682251360656","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21925682251360656","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21925682251360656","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:16:24Z","timestamp":1777446984000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21925682251360656"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,14]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/21925682251360656"],"URL":"https:\/\/doi.org\/10.1177\/21925682251360656","relation":{},"ISSN":["2192-5682","2192-5690"],"issn-type":[{"value":"2192-5682","type":"print"},{"value":"2192-5690","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,14]]}}}