{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:42:16Z","timestamp":1787506936834,"version":"build-2736575974"},"reference-count":104,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>Degenerative lumbar scoliosis, or de novo degenerative lumbar scoliosis, can result in spinal canal stenosis, which is often accompanied by disabling symptoms. When surgically treated, a single-level laminectomy is performed and short-segment posterior instrumentation is placed to restore stability. However, the effects of laminectomy on spinal stability and the necessity of placing posterior instrumentation are unknown. Therefore, the aim of this study was to assess the stability of lumbar spines with degenerative scoliosis, characterized by the range of motion (ROM) and neutral zone (NZ) stiffness, after laminectomy and placement of posterior instrumentation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Ten lumbar cadaveric spines (T12\u2013L5) with a Cobb angle \u2265 10\u00b0 and an apex on L3 were included. Three loading cycles were applied per direction, from \u22124 Nm to 4 Nm in flexion\/extension (FE), lateral bending (LB), and axial rotation (AR). Biomechanical evaluation was performed on the native spines and after subsequent L3 laminectomy and the placement of posterior L2\u20134 titanium rods and pedicle screws. Nonparametric and parametric tests were used to analyze the effects of laminectomy and posterior instrumentation on NZ stiffness and ROM, respectively, both on an individual segment\u2019s motion and on the entire spine section. Spearman\u2019s rank correlation coefficient was used to study the correlation between disc degeneration and spinal stability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>The laminectomy increased ROM by 9.5% in FE (p = 0.04) and 4.6% in LB (p = 0.01). For NZ stiffness, the laminectomy produced no significant effects. Posterior instrumentation resulted in a decrease in ROM in all loading directions (\u221222.2%, \u221224.4%, and \u221217.6% for FE, LB, and AR, respectively; all p &lt; 0.05) and an increase in NZ stiffness (+44.7%, +51.7%, and +35.2% for FE, LB, and AR, respectively; all p &lt; 0.05). The same changes were seen in the individual segments around the apex, while the adjacent, untreated segments were mostly unaffected. Intervertebral disc degeneration was found to be positively correlated to decreased ROM and increased NZ stiffness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Laminectomy in lumbar spines with degenerative scoliosis did not result in severe spinal instability, whereas posterior instrumentation resulted in a rigid construct. Also, prior to surgery, the spines already had lower ROM and higher NZ stiffness in comparison to values shown in earlier studies on nonscoliotic spines of the same age. Hence, the authors question the clinical need for posterior instrumentation to avoid instability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2019.2.focus1911","type":"journal-article","created":{"date-parts":[[2019,5,3]],"date-time":"2019-05-03T18:49:13Z","timestamp":1556909353000},"page":"E15","source":"Crossref","is-referenced-by-count":16,"title":["The biomechanical effect of single-level laminectomy and posterior instrumentation on spinal stability in degenerative lumbar scoliosis: a human cadaveric study"],"prefix":"10.3171","volume":"46","author":[{"given":"Christine M. E.","family":"Rustenburg","sequence":"first","affiliation":[{"name":"Amsterdam Movement Sciences, Department of Orthopaedic Surgery, Amsterdam UMC, Amsterdam;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayf S. A.","family":"Faraj","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Radboud UMC, Nijmegen;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roderick M.","family":"Holewijn","sequence":"additional","affiliation":[{"name":"Department of Radiology, OLVG, Amsterdam;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Idsart","family":"Kingma","sequence":"additional","affiliation":[{"name":"Amsterdam Movement Sciences, Faculty of Movement Sciences, Vrije Universiteit, Amsterdam; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barend J.","family":"van Royen","sequence":"additional","affiliation":[{"name":"Amsterdam Movement Sciences, Department of Orthopaedic Surgery, Amsterdam UMC, Amsterdam;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnita","family":"Stadhouder","sequence":"additional","affiliation":[{"name":"Amsterdam Movement Sciences, Department of Orthopaedic Surgery, Amsterdam UMC, Amsterdam;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaj S.","family":"Emanuel","sequence":"additional","affiliation":[{"name":"Amsterdam Movement Sciences, Department of Orthopaedic Surgery, Amsterdam UMC, Amsterdam;"},{"name":"Department of Orthopaedic Surgery, Maastricht UMC+, Maastricht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Eur Spine J","first-page":"925","article-title":"The adult scoliosis","volume":"14","author":"Aebi M","year":"2005","unstructured":"Aebi M: The adult scoliosis. 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Global Spine J 5:39\u201348, 201525649753"},{"key":"b4","series-title":"J Biomech","first-page":"187","article-title":"Effects of repetitive movement on range of motion and stiffness around the neutral orientation of the human lumbar spine","volume":"46","author":"Bisschop A","year":"2013","unstructured":"Bisschop A, Kingma I, Bleys RLAW, Paul CPL, van der Veen AJ, van Royen BJ, : Effects of repetitive movement on range of motion and stiffness around the neutral orientation of the human lumbar spine. J Biomech 46:187\u2013191, 201323159163"},{"key":"b5","series-title":"Eur Spine J","first-page":"530","article-title":"The impact of bone mineral density and disc degeneration on shear strength and stiffness of the lumbar spine following laminectomy","volume":"21","author":"Bisschop A","year":"2012","unstructured":"Bisschop A, Mullender MG, Kingma I, Jiya TU, van der Veen AJ, Roos JC, : The impact of bone mineral density and disc degeneration on shear strength and stiffness of the lumbar spine following laminectomy. Eur Spine J 21:530\u2013536, 201221863461"},{"key":"b6","series-title":"Eur Spine J","first-page":"1785","article-title":"Torsion biomechanics of the spine following lumbar laminectomy: a human cadaver study","volume":"22","author":"Bisschop A","year":"2013","unstructured":"Bisschop A, van Die\u00ebn JH, Kingma I, van der Veen AJ, Jiya TU, Mullender MG, : Torsion biomechanics of the spine following lumbar laminectomy: a human cadaver study. Eur Spine J 22:1785\u20131793, 201323460462"},{"key":"b7","series-title":"Clin Biomech (Bristol, Avon)","first-page":"912","article-title":"Single level lumbar laminectomy alters segmental biomechanical behavior without affecting adjacent segments","volume":"29","author":"Bisschop A","year":"2014","unstructured":"Bisschop A, van Engelen SJPM, Kingma I, Holewijn RM, Stadhouder A, van der Veen AJ, : Single level lumbar laminectomy alters segmental biomechanical behavior without affecting adjacent segments. Clin Biomech (Bristol, Avon) 29:912\u2013917, 201425028214"},{"key":"b8","series-title":"Eur Spine J","first-page":"2640","article-title":"Which factors prognosticate spinal instability following lumbar laminectomy?","volume":"21","author":"Bisschop A","year":"2012","unstructured":"Bisschop A, van Royen BJ, Mullender MG, Paul CPL, Kingma I, Jiya TU, : Which factors prognosticate spinal instability following lumbar laminectomy? 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Asian Spine J 8:371\u2013381, 201424967054"},{"key":"b14","series-title":"Spine (Phila Pa 1976)","first-page":"2232","article-title":"Complications in posterior fusion and instrumentation for degenerative lumbar scoliosis","volume":"32","author":"Cho KJ","year":"2007","unstructured":"Cho KJ, Suk SI, Park SR, Kim JH, Kim SS, Choi WK, : Complications in posterior fusion and instrumentation for degenerative lumbar scoliosis. Spine (Phila Pa 1976) 32:2232\u20132237, 200717873816"},{"key":"b15","series-title":"J Neurosurg Spine","first-page":"402","article-title":"Effects of age on perioperative complications of extensive multilevel thoracolumbar spinal fusion surgery","volume":"12","author":"Cloyd JM","year":"2010","unstructured":"Cloyd JM, Acosta FL Jr, Cloyd C, Ames CP: Effects of age on perioperative complications of extensive multilevel thoracolumbar spinal fusion surgery. 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