{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T00:15:05Z","timestamp":1770682505027,"version":"3.49.0"},"reference-count":6,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nA downward penetrating endplate screw (PES) technique combined with caudal anchor screws inserted in the upward direction under O-arm navigation (i.e., crossing screw technique) avoided screw backout and proximal junctional kyphosis (PJK) in three patients with osteoporotic vertebral body fractures and diffuse idiopathic skeletal hyperostosis (DISH).<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nThe PES techniques were utilized for patients with T12 (one patient) and L1 (two patients) spontaneous fusion across the targeted vertebrae, with minimal damage to the involved endplates\/intervertebral discs. The average number of instrumented vertebrae was 5.3.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nThere were no perioperative complications over the mean follow-up period of 28.7 months; no screw loosening, and no PJK.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThe PES technique prevented screw backout, and PJK in three patients with lumbar osteoporotic vertebral fractures and DISH.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_762_2022","type":"journal-article","created":{"date-parts":[[2022,9,23]],"date-time":"2022-09-23T08:59:11Z","timestamp":1663923551000},"page":"436","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Downward penetrating endplate screw technique under O-arm navigation posterior fusion in patients with osteoporotic vertebral body fractures associated with diffuse idiopathic skeletal hyperostosis"],"prefix":"10.25259","volume":"13","author":[{"given":"Daimon","family":"Shiraishi","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Inazawa Municipal Hospital, Inazawa City, Nagoya, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Inazawa Municipal Hospital, Inazawa City, Nagoya, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ishii","family":"Motonori","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Inazawa Municipal Hospital, Inazawa City, Nagoya, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Nishimura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahito","family":"Hara","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Aichi Medical University, Nagakute, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuta","family":"Saito","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Nagoya University Graduate School of Medicine, Nagoya, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masakazu","family":"Takayasu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Inazawa Municipal Hospital, Inazawa City, Nagoya, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2022,9,23]]},"reference":[{"key":"10.25259\/SNI_762_2022\/ref-1","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1097\/00007632-199403001-00011","article-title":"Pedicular transvertebral screw of lumbosacral 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