{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T04:25:44Z","timestamp":1793679944821,"version":"4.5.1"},"reference-count":39,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"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":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Endoscopic cervical decompression (ECD) has emerged as a minimally invasive alternative to open cervical decompression, but large-scale comparative data evaluating short-term safety and long-term reoperation remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was performed using the TriNetX Global Collaborative Network for adults undergoing endoscopic or open cervical decompression. Thirty-day medical, surgical, and healthcare utilization outcomes were evaluated. Time-to-fusion was analyzed with Kaplan\u2013Meier curves and Cox proportional hazards ratios.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After matching, 17\u00a0251 ECD patients were included in each cohort. Thirty-day medical (2.8% vs 3.0%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.31) and surgical complications (1.8% vs 1.9%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.20) were similar. Hospital readmission occurred less frequently after ECD (2.8% vs 3.9%; RR 0.72, 95% CI 0.64-0.80;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), while ED visits were comparable (3.3% vs 3.3%; RR 0.99, 95% CI 0.88-1.11;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.83). Long-term outcomes showed a significant elevation in subsequent cervical fusion after ECD from 1 to 5\u00a0years (log-rank\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). At 1\u00a0year, fusion occurred in 4.2% of ECD patients vs 2.7% of open patients (HR 1.55, 95% CI 1.37-1.75;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). At 5\u00a0years, cumulative fusion incidence reached 5.9% vs 3.9% (HR 1.48, 95% CI 1.34-1.64;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). In a contemporary-era sensitivity analysis (2021-2024), findings remained directionally consistent at 1 and 2\u00a0years, although statistical significance was not reached.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ECD offers comparable perioperative safety and lower readmission but carries a higher long-term risk of subsequent cervical fusion, highlighting the importance of counseling patients regarding potential reoperation risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682261449159","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T10:02:22Z","timestamp":1777543342000},"page":"3951-3960","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Long-Term Risk of Subsequent Cervical Fusion After Endoscopic Versus Open Cervical Decompression"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9681-4695","authenticated-orcid":false,"given":"Ryan","family":"Wang","sequence":"first","affiliation":[{"name":"Rosalind Franklin University"},{"name":"University of Illinois Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Rasheed","sequence":"additional","affiliation":[{"name":"Rosalind Franklin University"},{"name":"University of Illinois Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Zeng","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander T.","family":"Hong","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Cho","sequence":"additional","affiliation":[{"name":"University of Southern California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4710-1688","authenticated-orcid":false,"given":"Syed I.","family":"Khalid","sequence":"additional","affiliation":[{"name":"University of Illinois Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6931-6095","authenticated-orcid":false,"given":"Ankit I.","family":"Mehta","sequence":"additional","affiliation":[{"name":"University of Illinois Chicago"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.3171\/2009.3.SPINE08720"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/brs.0b013e31816c8b67"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.52312\/jdrs.2024.1820"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/117.2.325"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2014.02.032"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620x.80b1.0800019"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2010.10.023"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200708000-00005"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2007.6.3.198"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1600-x"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2003.98.3.0230"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2019.07.98"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","unstructured":"Jung J Lee SW Kim D et al. 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