{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T05:29:12Z","timestamp":1786512552016,"version":"build-2736575974"},"reference-count":33,"publisher":"The Korean Spinal Neurosurgery Society","issue":"3","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"funder":[{"DOI":"10.13039\/501100009399","name":"Peking University Third Hospital","doi-asserted-by":"publisher","award":["BYSYZD2022023"],"award-info":[{"award-number":["BYSYZD2022023"]}],"id":[{"id":"10.13039\/501100009399","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009399","name":"Peking University Third Hospital","doi-asserted-by":"publisher","award":["Y73504-10"],"award-info":[{"award-number":["Y73504-10"]}],"id":[{"id":"10.13039\/501100009399","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["e-neurospine.org"],"crossmark-restriction":true},"short-container-title":["NS"],"published-print":{"date-parts":[[2026,7,31]]},"abstract":"<jats:p>Objective: To compare perioperative burden, hardware outcomes, and oncologic control between sagittal vertebral resection (SVR) and total vertebral resection (TVR) for thoracolumbar tumors, and to propose a practical framework for SVR surgical decision making.Methods: Clinical data, operative parameters, and follow-up outcomes were retrospectively analyzed. To address baseline imbalances in tumor volume and preoperative embolization, a 1:1 propensity score matching was performed based on 5 critical covariates, resulting in a matched cohort of 78 patients (39 per group). Groups were compared using Student t-test or Mann-Whitney U-test for continuous variables and chi-square\/Fisher exact test for categorical variables.Results: In the total cohort (39 SVR vs. 84 TVR), SVR significantly reduced blood loss (median 1,200 mL vs. 1,500 mL, p=0.016), transfusion (800 mL vs. 1,200 mL, p&lt;0.001), complication rate (51.3% vs. 77.4%, p=0.004), and hospital stay (13.7 days vs. 19.0 days, p=0.012). Bilateral nerve root sacrifice was less frequent in SVR (41.0% vs. 69.0%, p&lt;0.001). Negative surgical margins (71.8% vs. 73.8%, p=0.814) and local recurrence (12.8% vs. 13.1%, p=0.965) were comparable. Postmatching analysis (n=78) confirmed that even after balancing for tumor volume and embolization, the SVR group maintained significant advantages in blood loss (p=0.035) and operation time (p=0.041). Hardware failure occurred in 3 TVR patients (3.6%) but in none after SVR.Conclusion: SVR significantly reduces perioperative morbidity while maintaining comparable oncologic outcomes relative to TVR. The superiority of SVR remains robust after propensity score adjustment for tumor complexity. By formalizing a type-based surgical decision-making framework, this study provides practical guidance for when and how SVR may be safely adopted as a standardized alternative to TVR in appropriately selected thoracolumbar tumors.<\/jats:p>","DOI":"10.14245\/ns.26520256.0128","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:15:42Z","timestamp":1785402942000},"page":"740-753","update-policy":"https:\/\/doi.org\/10.14245\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Decision Making and Outcomes of Sagittal Vertebral Resection: A Head-to-Head Comparison With Total Vertebral Resection"],"prefix":"10.14245","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4441-2763","authenticated-orcid":true,"given":"Panpan","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Beijing Key Laboratory of Spinal Disease Research, Peking University Third Hospital, Haidian District, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7741-0947","authenticated-orcid":true,"given":"Peilin","family":"Hua","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Beijing Key Laboratory of Spinal Disease Research, Peking University Third Hospital, Haidian District, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2718-4108","authenticated-orcid":true,"given":"Hua","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Beijing Key Laboratory of Spinal Disease Research, Peking University Third Hospital, Haidian District, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8648-1647","authenticated-orcid":true,"given":"Ben","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Beijing Key Laboratory of Spinal Disease Research, Peking University Third Hospital, Haidian District, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0371-9216","authenticated-orcid":true,"given":"Yanchao","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Beijing Key Laboratory of Spinal Disease Research, Peking University Third Hospital, Haidian District, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8140-0361","authenticated-orcid":true,"given":"Feng","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Beijing Key Laboratory of Spinal Disease Research, Peking University Third Hospital, Haidian District, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongjun","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Beijing Key Laboratory of Spinal Disease Research, Peking University Third Hospital, Haidian District, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5355","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2003.15.5.7","type":"journal-article"},{"key":"ref2","first-page":"324","type":"journal-article","volume-title":"Total <italic>en bloc<\/italic> spondylectomy. 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