{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T05:00:04Z","timestamp":1775278804190,"version":"3.50.1"},"reference-count":17,"publisher":"Japan Neurosurgical Society","issue":"0","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,12,31]]},"DOI":"10.2176\/jns-nmc.2025-0401","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T22:15:18Z","timestamp":1774995318000},"page":"135-140","source":"Crossref","is-referenced-by-count":0,"title":["Regression of Lumbar Ossification of the Ligamentum Flavum after Indirect Decompression via Full-endoscopic Trans-Kambin's Triangle Lumbar Interbody Fusion: A 3-year Case Report"],"prefix":"10.2176","volume":"13","author":[{"given":"Van Tuan","family":"NGUYEN","sequence":"first","affiliation":[{"name":"Department of Orthopedics, Tokushima University Graduate School, Institute of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayuki","family":"KITAHARA","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tokushima University Graduate School, Institute of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuji","family":"NAGAO","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tokushima University Graduate School, Institute of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takafumi","family":"OHSHIMA","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tokushima University Graduate School, Institute of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoto","family":"ONO","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tokushima University Graduate School, Institute of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saori","family":"SOEDA","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tokushima University Graduate School, Institute of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"TAKEUCHI","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tokushima University Graduate School, Institute of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroaki","family":"MANABE","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tokushima University Graduate School, Institute of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masatoshi","family":"MORIMOTO","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tokushima University Graduate School, Institute of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumitake","family":"TEZUKA","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tokushima University Graduate School, Institute of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"KAGEYAMA","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tokushima University Graduate School, Institute of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junzo","family":"FUJITANI","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tokushima University Graduate School, Institute of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koichi","family":"SAIRYO","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Tokushima University Graduate School, Institute of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"971","reference":[{"key":"1","doi-asserted-by":"publisher","unstructured":"1) Tong T, Wang F, Miao D, et al. Piezo1 involves in intracellular osteogenic transformation signal to promote the ossification of ligamentum flavum. Biochem Biophys Res Commun. 2023;662:114-8. doi: 10.1016\/j.bbrc.2023.04.025","DOI":"10.1016\/j.bbrc.2023.04.025"},{"key":"2","doi-asserted-by":"publisher","unstructured":"2) Rahimizadeh A, Soufiani H, Amirzadeh M, et al. Ossification of the ligamentum flavum of the lumbar spine in Caucasians: case series. J Spine Neurosurg. 2017;6 (5):283. doi: 10.4172\/2325-9701.1000283","DOI":"10.4172\/2325-9701.1000283"},{"key":"3","doi-asserted-by":"publisher","unstructured":"3) Hirabayashi S. Ossification of the ligamentum flavum. Spine Surg Relat Res. 2017;1 (4):158-63. doi: 10.22603\/ssrr.1.2016-0031","DOI":"10.22603\/ssrr.1.2016-0031"},{"key":"4","doi-asserted-by":"publisher","unstructured":"4) Liu J, Chen Y, Shan X, et al. Investigation of the biomarkers involved in ectopic ossification: the shared mechanism in ossification of the spinal ligament. Front Genet. 2022;13:991834. doi: 10.3389\/fgene.2022.991834","DOI":"10.3389\/fgene.2022.991834"},{"key":"5","doi-asserted-by":"publisher","unstructured":"5) Asanuma S, Miura K, Funayama T, et al. Early recurrence of thoracic ossification of the ligamentum flavum after posterior decompression surgery: a case report. Cureus. 2024;16 (5):e59429. doi: 10.7759\/cureus.59429","DOI":"10.7759\/cureus.59429"},{"key":"6","doi-asserted-by":"publisher","unstructured":"6) Nagesh M, Mishra A, Prabhuraj AR, et al. Predictive factors of poor surgical outcome in thoracic ossified ligamentum flavum: a multivariate analysis. Clin Neurol Neurosurg. 2025;250:108815. doi: 10.1016\/j.clineuro.2025.108815","DOI":"10.1016\/j.clineuro.2025.108815"},{"key":"7","doi-asserted-by":"publisher","unstructured":"7) Lee JJ, Shin DA, Yi S, et al. Effect of posterior instrumented fusion on three-dimensional volumetric growth of cervical ossification of the posterior longitudinal ligament: a multiple regression analysis. Spine J. 2018;18 (10):1779-86. doi: 10.1016\/j.spinee.2018.03.002","DOI":"10.1016\/j.spinee.2018.03.002"},{"key":"8","doi-asserted-by":"publisher","unstructured":"8) Nakashima H, Imagama S, Yoshii T, et al. Comparison of laminoplasty and posterior fusion surgery for cervical ossification of posterior longitudinal ligament. Sci Rep. 2022;12 (1):748. doi: 10.1038\/s41598-021-04727-1","DOI":"10.1038\/s41598-021-04727-1"},{"key":"9","doi-asserted-by":"publisher","unstructured":"9) Yoshihara H. Indirect decompression in spinal surgery. J Clin Neurosci. 2017;44:63-8. doi: 10.1016\/j.jocn.2017.06.061","DOI":"10.1016\/j.jocn.2017.06.061"},{"key":"10","doi-asserted-by":"publisher","unstructured":"10) Morimoto M, Tamaki S, Ogawa T, et al. Advantages of full-endoscopic trans-Kambin&apos;s triangle lumbar interbody fusion for degenerative spondylolisthesis: illustrative cases. NMC Case Rep J. 2023;10:87-92. doi: 10.2176\/jns-nmc.2022-0287","DOI":"10.2176\/jns-nmc.2022-0287"},{"key":"11","doi-asserted-by":"publisher","unstructured":"11) Ishihama Y, Morimoto M, Tezuka F, et al. Full-endoscopic trans-Kambin triangle lumbar interbody fusion: surgical technique and nomenclature. J Neurol Surg A Cent Eur Neurosurg. 2022;83 (4):308-13. doi: 10.1055\/s-0041-1730970","DOI":"10.1055\/s-0041-1730970"},{"key":"12","doi-asserted-by":"publisher","unstructured":"12) Sairyo K, Morimoto M, Yamashita K, et al. Full-endoscopic trans-Kambin&apos;s triangle lumbar interbody fusion: technique and review of literature. J Minim Invasive Spine Surg Tech. 2021;6 (suppl 1):S123-9. doi: 10.21182\/jmisst.2021.00108","DOI":"10.21182\/jmisst.2021.00108"},{"key":"13","doi-asserted-by":"publisher","unstructured":"13) Morimoto M, Wada K, Tamaki S, et al. Clinical outcome of full endoscopic trans Kambin&apos;s triangle lumbar interbody fusion: a systematic review. World Neurosurg. 2023;178:317-29. doi: 10.1016\/j.wneu.2023.07.026","DOI":"10.1016\/j.wneu.2023.07.026"},{"key":"14","doi-asserted-by":"publisher","unstructured":"14) Sairyo K, Morimoto M, Yamashita K, et al. Surgical technique and clinical benefits in full-endoscopic trans-Kambin triangle lumbar interbody fusion (KLIF): a review. J Musculoskelet Res. 2022;25 (2):2240006. doi: 10.1142\/S0218957722400061","DOI":"10.1142\/S0218957722400061"},{"key":"15","doi-asserted-by":"publisher","unstructured":"15) Ehioghae M, Lawlor MC, Mesfin A. Calcium pyrophosphate dihydrate of the ligamentum flavum in the cervical spine - a review of the literature. Surg Neurol Int. 2022;13:470. doi: 10.25259\/SNI_684_2022","DOI":"10.25259\/SNI_684_2022"},{"key":"16","doi-asserted-by":"publisher","unstructured":"16) Uchida K, Yayama T, Cai HX, et al. Ossification process involving the human thoracic ligamentum flavum: role of transcription factors. Arthritis Res Ther. 2011;13 (5):R144. doi: 10.1186\/ar3458","DOI":"10.1186\/ar3458"},{"key":"17","doi-asserted-by":"publisher","unstructured":"17) Kou Y, Chang J, Guan X, et al. Endoscopic lumbar interbody fusion and minimally invasive transforaminal lumbar interbody fusion for the treatment of lumbar degenerative diseases: a systematic review and meta-analysis. World Neurosurg. 2021;152:e352-68. doi: 10.1016\/j.wneu.2021.05.109","DOI":"10.1016\/j.wneu.2021.05.109"}],"container-title":["NMC Case Report Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/nmccrj\/13\/0\/13_2025-0401\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T04:15:37Z","timestamp":1775276137000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/nmccrj\/13\/0\/13_2025-0401\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12,31]]},"references-count":17,"journal-issue":{"issue":"0","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.2176\/jns-nmc.2025-0401","relation":{},"ISSN":["2188-4226"],"issn-type":[{"value":"2188-4226","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,12,31]]},"article-number":"2025-0401"}}