{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T10:48:39Z","timestamp":1776941319741,"version":"3.51.4"},"reference-count":39,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","license":[{"start":{"date-parts":[[2022,10,1]],"date-time":"2022-10-01T00:00:00Z","timestamp":1664582400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Fusion is the standard of treatment for degenerative lumbar symptomatic instabilities. Dynamic stabilization is a potential alternative, with the aim of reducing pathological motion. Potential advantages are a reduction of surgical complexity and morbidity. The aim of this study was to assess whether dynamic stabilization is associated with a higher degree of functional improvement while reducing surgical complexity and thereby surgical duration and perioperative complications in comparison with lumbar fusion.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>This was a multicenter, double-blind, prospective, randomized, 2-arm superiority trial. Patients with symptomatic mono- or bisegmental lumbar degenerative disease with or without stenosis and instability were randomized 1:1 to instrumented fusion or pedicle-based dynamic stabilization. Patients underwent either rigid internal fixation and interbody fusion or pedicle-based dynamic stabilization. The primary endpoint was the Oswestry Disability Index (ODI) score, and secondary endpoints were pain, health-related quality of life, and patient satisfaction at 24 months.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>Of 293 patients randomized to fusion or dynamic stabilization, 269 were available for analysis. The duration of surgery was significantly shorter for dynamic stabilization versus fusion, and the blood loss was significantly less for dynamic stabilization (380 ml vs 506 ml). Assessment of primary and secondary outcome parameters revealed no significant differences between groups. There were no differences in the incidence of adverse events.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Dynamic pedicle-based stabilization can achieve similar clinical outcome as fusion in the treatment of lumbar degenerative instabilities. Secondary failures are not different between groups. However, dynamic stabilization is less complex than fusion and is a feasible alternative.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2022.2.spine21525","type":"journal-article","created":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T17:50:46Z","timestamp":1650995446000},"page":"515-524","source":"Crossref","is-referenced-by-count":10,"title":["Lumbar dynamic pedicle-based stabilization versus fusion in degenerative disease: a multicenter, double-blind, prospective, randomized controlled trial"],"prefix":"10.3171","volume":"37","author":[{"given":"Bernhard","family":"Meyer","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Klinikum rechts der Isar, Technische Universit\u00e4t M\u00fcnchen, Germany;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudius","family":"Thom\u00e9","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Universit\u00e4tsklinikum Innsbruck, Austria;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Vajkoczy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Charit\u00e9 Universit\u00e4tsmedizin Berlin, Germany;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Kehl","sequence":"additional","affiliation":[{"name":"Institute for Medical Informatics, Statistics and Epidemiology, Technische Universit\u00e4t M\u00fcnchen, Germany;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Dodel","sequence":"additional","affiliation":[{"name":"Department of Geriatric Medicine, Universit\u00e4t Duisburg-Essen, Geriatriezentrum Haus Berge, Essen, Germany; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Ringel","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Klinikum rechts der Isar, Technische Universit\u00e4t M\u00fcnchen, Germany;"},{"name":"Department of Neurosurgery, University Medical Center Mainz, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"_","family":"_","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"_","family":"_","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Ringel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Behr","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haiko","family":"Pape","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Putzier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Schuerings","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudius","family":"Thom\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Hartmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Vajkoczy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Czabanka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veit","family":"Rohde","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kajetan","family":"von Eckardstein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfgang","family":"B\u00f6rm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Zausinger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rafael","family":"Sambale","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Stoffel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Richter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirko","family":"Arp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Bostelmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frerk","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fritz","family":"Weber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Schulte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uwe","family":"Spetzger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"M\u00fcller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rainer","family":"Wirtz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Dodel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janis","family":"Evers","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Andr\u00e9","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfred","family":"Zollner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viktoria","family":"Kehl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"8","key":"b1","series-title":"J Spinal Disord Tech","doi-asserted-by":"publisher","first-page":"E439","DOI":"10.1097\/BSD.0000000000000092","article-title":"Clinical outcomes and complications after pedicle-anchored dynamic or hybrid lumbar spine stabilization: a systematic literature review","volume":"28","author":"Prud\u2019homme M","year":"2015","unstructured":"Prud\u2019homme M, Barrios C, Rouch P, Charles YP, Steib JP, Skalli W. Clinical outcomes and complications after pedicle-anchored dynamic or hybrid lumbar spine stabilization: a systematic literature review. J Spinal Disord Tech. 2015;28(8):E439\u2013E448.10.1097\/BSD.0000000000000092"},{"key":"b2","series-title":"Adv Tech Stand Neurosurg","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1007\/978-3-319-01830-0_6","article-title":"Pedicle-based non-fusion stabilization devices: a critical review and appraisal of current evidence","volume":"41","author":"Obernauer J","year":"2014","unstructured":"Obernauer J, Kavakebi P, Quirbach S, Thom\u00e9 C. Pedicle-based non-fusion stabilization devices: a critical review and appraisal of current evidence. Adv Tech Stand Neurosurg. 2014;41:131\u2013142.2430992310.1007\/978-3-319-01830-0_6"},{"issue":"2","key":"b3","series-title":"Turk Neurosurg","first-page":"205","article-title":"Dynamic stabilization of the spine: a new classification system","volume":"20","author":"Kaner T","year":"2010","unstructured":"Kaner T, Sasani M, Oktenoglu T, Ozer AF. Dynamic stabilization of the spine: a new classification system. Turk Neurosurg. 2010;20(2):205\u2013215.20401848"},{"issue":"2","key":"b4","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"151","DOI":"10.3171\/2011.3.SPINE0969","article-title":"Nonfusion stabilization of the degenerative lumbar spine","volume":"15","author":"Maleci A","year":"2011","unstructured":"Maleci A, Sambale RD, Schiavone M, Lamp F, \u00d6zer F, von Strempel A. Nonfusion stabilization of the degenerative lumbar spine. J Neurosurg Spine. 2011;15(2):151\u2013158.2156865010.3171\/2011.3.SPINE0969"},{"issue":"1","key":"b5","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1016\/j.spinee.2018.05.025","article-title":"Reoperation rates and risk factors for revision 4 years after dynamic stabilization of the lumbar spine","volume":"19","author":"Rienm\u00fcller AC","year":"2019","unstructured":"Rienm\u00fcller AC, Krieg SM, Schmidt FA, Meyer EL, Meyer B. Reoperation rates and risk factors for revision 4 years after dynamic stabilization of the lumbar spine. Spine J. 2019;19(1):113\u2013120.2988616210.1016\/j.spinee.2018.05.025"},{"issue":"5","key":"b6","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1007\/s00701-009-0583-z","article-title":"Pedicle screw-based dynamic stabilization of the thoracolumbar spine with the Cosmic-system: a prospective observation","volume":"152","author":"Stoffel M","year":"2010","unstructured":"Stoffel M, Behr M, Reinke A, St\u00fcer C, Ringel F, Meyer B. Pedicle screw-based dynamic stabilization of the thoracolumbar spine with the Cosmic-system: a prospective observation. Acta Neurochir (Wien). 2010;152(5):835\u2013843.10.1007\/s00701-009-0583-z"},{"issue":"7","key":"b7","series-title":"Clin Spine Surg","doi-asserted-by":"publisher","first-page":"E347","DOI":"10.1097\/BSD.0000000000000659","article-title":"Comparison of decompression, decompression plus fusion, and decompression plus stabilization for degenerative spondylolisthesis: a prospective, randomized study","volume":"31","author":"Inose H","year":"2018","unstructured":"Inose H, Kato T, Yuasa M,  Comparison of decompression, decompression plus fusion, and decompression plus stabilization for degenerative spondylolisthesis: a prospective, randomized study. Clin Spine Surg. 2018;31(7):E347\u2013E352.2987787210.1097\/BSD.0000000000000659"},{"issue":"10","key":"b8","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"1478","DOI":"10.1007\/s00586-009-1052-3","article-title":"Non-fusion instrumentation of the lumbar spine with a hinged pedicle screw rod system: an in vitro experiment","volume":"18","author":"Schmoelz W","year":"2009","unstructured":"Schmoelz W, Onder U, Martin A, von Strempel A. Non-fusion instrumentation of the lumbar spine with a hinged pedicle screw rod system: an in vitro experiment. Eur Spine J. 2009;18(10):1478\u20131485.10.1007\/s00586-009-1052-3"},{"issue":"21","key":"b9","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2206","DOI":"10.1097\/00007632-199911010-00006","article-title":"Stability analysis of an enhanced load sharing posterior fixation device and its equivalent conventional device in a calf spine model","volume":"24","author":"Scifert JL","year":"1999","unstructured":"Scifert JL, Sairyo K, Goel VK,  Stability analysis of an enhanced load sharing posterior fixation device and its equivalent conventional device in a calf spine model. Spine (Phila Pa 1976). 1999;24(21):2206\u20132213.10.1097\/00007632-199911010-00006"},{"issue":"1","key":"b10","series-title":"Coluna\/Columna","first-page":"27","article-title":"Non-fusion stabilization of the lumbar spine in the case of degenerative diseases with a dynamic pedicle screw rod","volume":"5","author":"von Strempel A","year":"2006","unstructured":"von Strempel A, Stoss C, Moosmann D, Martin A. Non-fusion stabilization of the lumbar spine in the case of degenerative diseases with a dynamic pedicle screw rod. Coluna\/Columna. 2006;5(1):27\u201334."},{"issue":"4","key":"b11","series-title":"Value Health","doi-asserted-by":"publisher","first-page":"539","DOI":"10.1111\/j.1524-4733.2007.00301.x","article-title":"German recommendations on health economic evaluation: third and updated version of the Hanover Consensus","volume":"11","author":"Graf von der Schulenburg  JM","year":"2008","unstructured":"Graf von der Schulenburg  JM, Greiner W, Jost F,  German recommendations on health economic evaluation: third and updated version of the Hanover Consensus. Value Health. 2008;11(4):539\u2013544.1819440810.1111\/j.1524-4733.2007.00301.x"},{"issue":"11","key":"b12","series-title":"J Neurol","doi-asserted-by":"publisher","first-page":"2376","DOI":"10.1007\/s00415-012-6509-3","article-title":"Prevalence, utilization, and costs of antiepileptic drugs for epilepsy in Germany\u2014a nationwide population-based study in children and adults","volume":"259","author":"Hamer HM","year":"2012","unstructured":"Hamer HM, Dodel R, Strzelczyk A,  Prevalence, utilization, and costs of antiepileptic drugs for epilepsy in Germany\u2014a nationwide population-based study in children and adults. J Neurol. 2012;259(11):2376\u20132384.2254429610.1007\/s00415-012-6509-3"},{"issue":"5","key":"b13","series-title":"Muscle Nerve","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1002\/mus.26315","article-title":"Costs of illness in chronic inflammatory demyelinating polyneuropathy in Germany","volume":"58","author":"Mengel D","year":"2018","unstructured":"Mengel D, Fraune L, Sommer N,  Costs of illness in chronic inflammatory demyelinating polyneuropathy in Germany. Muscle Nerve. 2018;58(5):681\u2013687.3007368310.1002\/mus.26315"},{"issue":"5","key":"b14","series-title":"J Neurosurg Sci","doi-asserted-by":"publisher","first-page":"503","DOI":"10.23736\/S0390-5616.19.04647-2","article-title":"Elective lumbar fusion in the United States: national trends in inpatient complications and cost from 2002-2014","volume":"65","author":"Deng H","year":"2021","unstructured":"Deng H, Yue JK, Ordaz A, Suen CG, Sing DC. Elective lumbar fusion in the United States: national trends in inpatient complications and cost from 2002-2014. J Neurosurg Sci. 2021;65(5):503\u2013512.3094205210.23736\/S0390-5616.19.04647-2"},{"issue":"5","key":"b15","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1097\/BRS.0000000000002822","article-title":"Trends in lumbar fusion procedure rates and associated hospital costs for degenerative spinal diseases in the United States, 2004 to 2015","volume":"44","author":"Martin BI","year":"2019","unstructured":"Martin BI, Mirza SK, Spina N, Spiker WR, Lawrence B, Brodke DS. Trends in lumbar fusion procedure rates and associated hospital costs for degenerative spinal diseases in the United States, 2004 to 2015. Spine (Phila Pa 1976). 2019;44(5):369\u2013376.10.1097\/BRS.0000000000002822"},{"issue":"2","key":"b16","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1007\/s00586-016-4683-1","article-title":"The effectiveness of decompression alone compared with additional fusion for lumbar spinal stenosis with degenerative spondylolisthesis: a pragmatic comparative non-inferiority observational study from the Norwegian Registry for Spine Surgery","volume":"26","author":"Austevoll IM","year":"2017","unstructured":"Austevoll IM, Gjestad R, Brox JI,  The effectiveness of decompression alone compared with additional fusion for lumbar spinal stenosis with degenerative spondylolisthesis: a pragmatic comparative non-inferiority observational study from the Norwegian Registry for Spine Surgery. Eur Spine J. 2017;26(2):404\u2013413.2742127610.1007\/s00586-016-4683-1"},{"issue":"4","key":"b17","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"340","DOI":"10.3171\/2013.1.SPINE12537","article-title":"Radiographic predictors of delayed instability following decompression without fusion for degenerative grade I lumbar spondylolisthesis","volume":"18","author":"Blumenthal C","year":"2013","unstructured":"Blumenthal C, Curran J, Benzel EC,  Radiographic predictors of delayed instability following decompression without fusion for degenerative grade I lumbar spondylolisthesis. J Neurosurg Spine. 2013;18(4):340\u2013346.10.3171\/2013.1.SPINE12537"},{"issue":"15","key":"b18","series-title":"N Engl J Med","doi-asserted-by":"publisher","first-page":"1413","DOI":"10.1056\/NEJMoa1513721","article-title":"A randomized, controlled trial of fusion surgery for lumbar spinal stenosis","volume":"374","author":"F\u00f6rsth P","year":"2016","unstructured":"F\u00f6rsth P, \u00d3lafsson G, Carlsson T,  A randomized, controlled trial of fusion surgery for lumbar spinal stenosis. N Engl J Med. 2016;374(15):1413\u20131423.2707406610.1056\/NEJMoa1513721"},{"issue":"15","key":"b19","series-title":"N Engl J Med","doi-asserted-by":"publisher","first-page":"1424","DOI":"10.1056\/NEJMoa1508788","article-title":"Laminectomy plus fusion versus laminectomy alone for lumbar spondylolisthesis","volume":"374","author":"Ghogawala Z","year":"2016","unstructured":"Ghogawala Z, Dziura J, Butler WE,  Laminectomy plus fusion versus laminectomy alone for lumbar spondylolisthesis. N Engl J Med. 2016;374(15):1424\u20131434.2707406710.1056\/NEJMoa1508788"},{"issue":"10","key":"b20","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"1633","DOI":"10.1016\/j.spinee.2019.06.003","article-title":"Decompression alone vs. decompression plus fusion for claudication secondary to lumbar spinal stenosis","volume":"19","author":"Thomas K","year":"2019","unstructured":"Thomas K, Faris P, McIntosh G,  Decompression alone vs. decompression plus fusion for claudication secondary to lumbar spinal stenosis. Spine J. 2019;19(10):1633\u20131639.3119513310.1016\/j.spinee.2019.06.003"},{"issue":"1","key":"b21","series-title":"Global Spine J","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1177\/2192568217712494","article-title":"Lumbar interbody fusions for degenerative spondylolisthesis: review of techniques, indications, and outcomes","volume":"9","author":"Spiker WR","year":"2019","unstructured":"Spiker WR, Goz V, Brodke DS. Lumbar interbody fusions for degenerative spondylolisthesis: review of techniques, indications, and outcomes. Global Spine J. 2019;9(1):77\u201384.3077521210.1177\/2192568217712494"},{"issue":"12","key":"b22","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"1960","DOI":"10.1016\/j.spinee.2019.07.014","article-title":"Fusion technique does not affect short-term patient-reported outcomes for lumbar degenerative disease","volume":"19","author":"Divi SN","year":"2019","unstructured":"Divi SN, Schroeder GD, Goyal DKC,  Fusion technique does not affect short-term patient-reported outcomes for lumbar degenerative disease. Spine J. 2019;19(12):1960\u20131968.10.1016\/j.spinee.2019.07.014"},{"issue":"20","key":"b23","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"2253","DOI":"10.1097\/BRS.0b013e31814b2d8e","article-title":"Adjacent segment disease followinglumbar\/thoracolumbar fusion with pedicle screw instrumentation: a minimum 5-year follow-up","volume":"32","author":"Cheh G","year":"2007","unstructured":"Cheh G, Bridwell KH, Lenke LG,  Adjacent segment disease followinglumbar\/thoracolumbar fusion with pedicle screw instrumentation: a minimum 5-year follow-up. Spine (Phila Pa 1976). 2007;32(20):2253\u20132257.10.1097\/BRS.0b013e31814b2d8e"},{"issue":"7","key":"b24","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"1497","DOI":"10.2106\/00004623-200407000-00020","article-title":"Adjacent segment degeneration in the lumbar spine","volume":"86","author":"Ghiselli G","year":"2004","unstructured":"Ghiselli G, Wang JC, Bhatia NN, Hsu WK, Dawson EG. Adjacent segment degeneration in the lumbar spine. J Bone Joint Surg Am. 2004;86(7):1497\u20131503.1525209910.2106\/00004623-200407000-00020"},{"issue":"3","key":"b25","series-title":"Clin Orthop Surg","doi-asserted-by":"publisher","first-page":"140","DOI":"10.4055\/cios.2010.2.3.140","article-title":"Survival and prognostic analysis of adjacent segments after spinal fusion","volume":"2","author":"Ahn DK","year":"2010","unstructured":"Ahn DK, Park HS, Choi DJ, Kim KS, Yang SJ. Survival and prognostic analysis of adjacent segments after spinal fusion. Clin Orthop Surg. 2010;2(3):140\u2013147.2080858410.4055\/cios.2010.2.3.140"},{"issue":"15","key":"b26","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E878","DOI":"10.1097\/BRS.0000000000000388","article-title":"Kinematic and mechanical comparisons of lumbar hybrid fixation using Dynesys and Cosmic systems","volume":"39","author":"Chien CY","year":"2014","unstructured":"Chien CY, Kuo YJ, Lin SC, Chuang WH, Luh YP. Kinematic and mechanical comparisons of lumbar hybrid fixation using Dynesys and Cosmic systems. Spine (Phila Pa 1976). 2014;39(15):E878\u2013E884.10.1097\/BRS.0000000000000388"},{"issue":"3","key":"b27","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"250","DOI":"10.3171\/2018.1.SPINE17993","article-title":"Radiological adjacent-segment degeneration in L4-5 spondylolisthesis: comparison between dynamic stabilization and minimally invasive transforaminal lumbar interbody fusion","volume":"29","author":"Kuo CH","year":"2018","unstructured":"Kuo CH, Huang WC, Wu JC,  Radiological adjacent-segment degeneration in L4-5 spondylolisthesis: comparison between dynamic stabilization and minimally invasive transforaminal lumbar interbody fusion. J Neurosurg Spine. 2018;29(3):250\u2013258.2985630610.3171\/2018.1.SPINE17993"},{"issue":"1","key":"b28","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E7","DOI":"10.3171\/2015.10.FOCUS15426","article-title":"Dynamic stabilization using the Dynesys system versus posterior lumbar interbody fusion for the treatment of degenerative lumbar spinal disease: a clinical and radiological outcomes-based meta-analysis","volume":"40","author":"Lee CH","year":"2016","unstructured":"Lee CH, Jahng TA, Hyun SJ,  Dynamic stabilization using the Dynesys system versus posterior lumbar interbody fusion for the treatment of degenerative lumbar spinal disease: a clinical and radiological outcomes-based meta-analysis. Neurosurg Focus. 2016;40(1):E7.2672158110.3171\/2015.10.FOCUS15426"},{"issue":"3","key":"b29","series-title":"J Neurol Surg A Cent Eur Neurosurg","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1055\/s-0037-1615264","article-title":"Dynamic posterior stabilization versus posterior lumbar intervertebral fusion: a matched cohort study based on the Spine Tango registry","volume":"79","author":"Bieri KS","year":"2018","unstructured":"Bieri KS, Goodwin K, Aghayev E, Riesner HJ, Greiner-Perth R. Dynamic posterior stabilization versus posterior lumbar intervertebral fusion: a matched cohort study based on the Spine Tango registry. J Neurol Surg A Cent Eur Neurosurg. 2018;79(3):224\u2013230.2934682810.1055\/s-0037-1615264"},{"issue":"8","key":"b30","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"2563","DOI":"10.1007\/s00586-016-4532-2","article-title":"Dynamic posterior stabilization for degenerative lumbar spine disease: a large consecutive case series with long-term follow-up by additional postal survey","volume":"25","author":"Greiner-Perth R","year":"2016","unstructured":"Greiner-Perth R, Sellhast N, Perler G, Dietrich D, Staub LP, R\u00f6der C. Dynamic posterior stabilization for degenerative lumbar spine disease: a large consecutive case series with long-term follow-up by additional postal survey. Eur Spine J. 2016;25(8):2563\u20132570.2702954110.1007\/s00586-016-4532-2"},{"issue":"2","key":"b31","series-title":"Neurosurg Rev","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1007\/s10143-016-0763-2","article-title":"Clinical and biomechanical researches of polyetheretherketone (PEEK) rods for semi-rigid lumbar fusion: a systematic review","volume":"41","author":"Li C","year":"2018","unstructured":"Li C, Liu L, Shi JY, Yan KZ, Shen WZ, Yang ZR. Clinical and biomechanical researches of polyetheretherketone (PEEK) rods for semi-rigid lumbar fusion: a systematic review. Neurosurg Rev. 2018;41(2):375\u2013389.2739267710.1007\/s10143-016-0763-2"},{"issue":"6","key":"b32","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E10","DOI":"10.3171\/2010.3.FOCUS1052","article-title":"Screw loosening in the Dynesys stabilization system: radiographic evidence and effect on outcomes","volume":"28","author":"Ko CC","year":"2010","unstructured":"Ko CC, Tsai HW, Huang WC,  Screw loosening in the Dynesys stabilization system: radiographic evidence and effect on outcomes. Neurosurg Focus. 2010;28(6):E10.2056891610.3171\/2010.3.FOCUS1052"},{"key":"b33","series-title":"Biomed Res Int","doi-asserted-by":"publisher","first-page":"152435","DOI":"10.1155\/2015\/152435","article-title":"The effect of lumbar lordosis on screw loosening in Dynesys dynamic stabilization: four-year follow-up with computed tomography","volume":"2015","author":"Kuo CH","year":"2015","unstructured":"Kuo CH, Chang PY, Tu TH,  The effect of lumbar lordosis on screw loosening in Dynesys dynamic stabilization: four-year follow-up with computed tomography. Biomed Res Int. 2015;2015:152435.2677953210.1155\/2015\/152435"},{"issue":"18","key":"b34","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"E636","DOI":"10.1097\/BRS.0b013e31817d2435","article-title":"Minimum four-year follow-up of spinal stenosis with degenerative spondylolisthesis treated with decompression and dynamic stabilization","volume":"33","author":"Schaeren S","year":"2008","unstructured":"Schaeren S, Broger I, Jeanneret B. Minimum four-year follow-up of spinal stenosis with degenerative spondylolisthesis treated with decompression and dynamic stabilization. Spine (Phila Pa 1976). 2008;33(18):E636\u2013E642.10.1097\/BRS.0b013e31817d2435"},{"issue":"4","key":"b35","series-title":"Spine (Phila Pa 1976)","doi-asserted-by":"publisher","first-page":"442","DOI":"10.1097\/01.brs.0000200092.49001.6e","article-title":"Dynamic stabilization in addition to decompression for lumbar spinal stenosis with degenerative spondylolisthesis","volume":"31","author":"Schnake KJ","year":"2006","unstructured":"Schnake KJ, Schaeren S, Jeanneret B. Dynamic stabilization in addition to decompression for lumbar spinal stenosis with degenerative spondylolisthesis. Spine (Phila Pa 1976). 2006;31(4):442\u2013449.10.1097\/01.brs.0000200092.49001.6e"},{"issue":"1","key":"b36","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E4","DOI":"10.3171\/2015.10.FOCUS15404","article-title":"Dynesys dynamic stabilization-related facet arthrodesis","volume":"40","author":"Fay LY","year":"2016","unstructured":"Fay LY, Chang PY, Wu JC,  Dynesys dynamic stabilization-related facet arthrodesis. Neurosurg Focus. 2016;40(1):E4.2672157810.3171\/2015.10.FOCUS15404"},{"issue":"3","key":"b37","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"353","DOI":"10.3171\/2018.8.SPINE171328","article-title":"Unintended facet fusions after Dynesys dynamic stabilization in patients with spondylolisthesis","volume":"30","author":"Fay LY","year":"2018","unstructured":"Fay LY, Huang WC, Chang CC,  Unintended facet fusions after Dynesys dynamic stabilization in patients with spondylolisthesis. J Neurosurg Spine. 2018;30(3):353\u2013361.3054434710.3171\/2018.8.SPINE171328"},{"issue":"1","key":"b38","series-title":"J Neurosurg Spine","doi-asserted-by":"publisher","first-page":"23","DOI":"10.3171\/2014.4.SPINE14267","article-title":"Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 4: radiographic assessment of fusion status","volume":"21","author":"Choudhri TF","year":"2014","unstructured":"Choudhri TF, Mummaneni PV, Dhall SS,  Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 4: radiographic assessment of fusion status. J Neurosurg Spine. 2014;21(1):23\u201330.2498058110.3171\/2014.4.SPINE14267"},{"issue":"6","key":"b39","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"968","DOI":"10.1016\/j.spinee.2007.11.006","article-title":"Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales","volume":"8","author":"Copay AG","year":"2008","unstructured":"Copay AG, Glassman SD, Subach BR, Berven S, Schuler TC, Carreon LY. Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales. Spine J. 2008;8(6):968\u2013974.1820193710.1016\/j.spinee.2007.11.006"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/37\/4\/article-p515.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/37\/4\/article-p515.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/37\/4\/article-p515.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T20:09:46Z","timestamp":1681589386000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/37\/4\/article-p515.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,1]]},"references-count":39,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/2022.2.spine21525","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2022,10,1]]}}}