{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T10:40:32Z","timestamp":1783161632995,"version":"3.54.6"},"reference-count":36,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>The aim of this study was to investigate the impact of collagen matrix on reconstructive material selection and postoperative complications in endoscopic endonasal skull base surgery.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>The authors retrospectively reviewed the data of consecutive patients who underwent purely endoscopic endonasal skull base surgery from January 2015 to March 2023. Intraoperative CSF leakage was classified according to the Esposito grade, and skull base repair was tailored to the leakage grade. The patients were divided into two groups: before (group A) and after (group B) collagen matrix implementation. The rates of autologous graft harvesting (fat, fascia, and nasoseptal flap), postoperative CSF leakage, and donor-site complications were compared between the two groups.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>In total, 270 patients were included. Group A included 159 patients and group B included 111 patients. There were no differences in patient characteristics, including age, pathology, and Esposito grade, between the two groups. The overall fat usage rate was significantly higher in group A (63.5%) than in group B (39.6%) (p = 0.0001), and the fascia usage rate was also significantly higher in group A (25.8%) than in group B (4.5%) (p &lt; 0.0001). The nasoseptal flap usage rate did not differ between group A (32.7%) and group B (30.6%) (p = 0.79). Postoperative CSF leakage was similar between the two groups (0.63% in group A vs 1.8% in group B, p = 0.57), and the overall rate of CSF leakage was 1.1%. Donor-site complications occurred in 3 patients in group A, including 1 abdominal hematoma, 1 delayed abdominal infection, and 1 fluid collection after fascia lata harvesting.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Collagen matrix implementation significantly decreased autologous graft harvesting without increasing postoperative CSF leakage, contributing to less invasive surgery.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2023.12.jns231406","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T16:55:38Z","timestamp":1713286538000},"page":"204-211","source":"Crossref","is-referenced-by-count":2,"title":["Impact of collagen matrix on reconstructive material selection and postoperative complications in endoscopic endonasal skull base surgery"],"prefix":"10.3171","volume":"141","author":[{"given":"Masahiro","family":"Tanji","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Oishi","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noritaka","family":"Sano","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukinori","family":"Terada","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahiro","family":"Kikuchi","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head and Neck Surgery, Kyoto University Graduate School of Medicine, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head and Neck Surgery, Kyoto University Graduate School of Medicine, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatsunori","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head and Neck Surgery, Kyoto University Graduate School of Medicine, Kyoto;"},{"name":"Department of Otorhinolaryngology, Shimane University Faculty of Medicine, Shimane;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mami","family":"Matsunaga","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head and Neck Surgery, Kyoto University Graduate School of Medicine, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fumihiko","family":"Kuwata","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head and Neck Surgery, Kyoto University Graduate School of Medicine, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Kitada","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head and Neck Surgery, Kyoto University Graduate School of Medicine, Kyoto;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaru","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head and Neck Surgery, Kyoto University Graduate School of Medicine, Kyoto;"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yohei","family":"Mineharu","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susumu","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"},{"name":"Stroke Support Center, Kyoto University Hospital, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiki","family":"Arakawa","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"3","key":"b1","series-title":"J Neurosurg","first-page":"861","article-title":"Evolution of the graded repair of CSF leaks and skull base defects in endonasal endoscopic tumor surgery: trends in repair failure and meningitis rates in 509 patients","volume":"130","author":"Conger A","year":"2018","unstructured":"Conger A, Zhao F, Wang X,  Evolution of the graded repair of CSF leaks and skull base defects in endonasal endoscopic tumor surgery: trends in repair failure and meningitis rates in 509 patients. J Neurosurg. 2018;130(3):861\u2013875."},{"issue":"4","key":"b2","series-title":"Br J Neurosurg","first-page":"436","article-title":"Reconstruction strategies for intraoperative CSF leak in endoscopic endonasal skull base surgery: systematic review and meta-analysis","volume":"36","author":"Cai X","year":"2022","unstructured":"Cai X, Yang J, Zhu J,  Reconstruction strategies for intraoperative CSF leak in endoscopic endonasal skull base surgery: systematic review and meta-analysis. Br J Neurosurg. 2022;36(4):436\u2013446."},{"issue":"4","key":"b3","series-title":"Acta Neurochir (Wien)","first-page":"807","article-title":"Challenging reconstructive techniques for skull base defect following endoscopic endonasal approaches","volume":"153","author":"Kong DS","year":"2011","unstructured":"Kong DS, Kim HY, Kim SH,  Challenging reconstructive techniques for skull base defect following endoscopic endonasal approaches. Acta Neurochir (Wien). 2011;153(4):807\u2013813."},{"issue":"6","key":"b4","series-title":"J Neurosurg","first-page":"1544","article-title":"Endoscopic endonasal skull base surgery: analysis of complications in the authors\u2019 initial 800 patients","volume":"114","author":"Kassam AB","year":"2011","unstructured":"Kassam AB, Prevedello DM, Carrau RL,  Endoscopic endonasal skull base surgery: analysis of complications in the authors\u2019 initial 800 patients. J Neurosurg. 2011;114(6):1544\u20131568."},{"issue":"1","key":"b5","series-title":"J Clin Neurosci","first-page":"48","article-title":"Risk factors for postoperative cerebrospinal fluid leak and meningitis after expanded endoscopic endonasal surgery","volume":"22","author":"Ivan ME","year":"2015","unstructured":"Ivan ME, Iorgulescu JB, El-Sayed I,  Risk factors for postoperative cerebrospinal fluid leak and meningitis after expanded endoscopic endonasal surgery. J Clin Neurosci. 2015;22(1):48\u201354."},{"issue":"4","key":"b6","series-title":"J Neurosurg","first-page":"1066","article-title":"Risk factors associated with postoperative cerebrospinal fluid leak after endoscopic endonasal skull base surgery","volume":"128","author":"Fraser S","year":"2018","unstructured":"Fraser S, Gardner PA, Koutourousiou M,  Risk factors associated with postoperative cerebrospinal fluid leak after endoscopic endonasal skull base surgery. J Neurosurg. 2018;128(4):1066\u20131071."},{"issue":"2","key":"b7","series-title":"J Neurol Surg B Skull Base","first-page":"177","article-title":"An algorithm for sellar reconstruction following the endoscopic endonasal approach: a review of 300 consecutive cases","volume":"79","author":"Kuan EC","year":"2018","unstructured":"Kuan EC, Yoo F, Patel PB, Su BM, Bergsneider M, Wang MB. An algorithm for sellar reconstruction following the endoscopic endonasal approach: a review of 300 consecutive cases. J Neurol Surg B Skull Base. 2018;79(2):177\u2013183."},{"issue":"1","key":"b8","series-title":"J Korean Neurosurg Soc","first-page":"36","article-title":"Modified graded repair of cerebrospinal fluid leaks in endoscopic endonasal transsphenoidal surgery","volume":"58","author":"Park JH","year":"2015","unstructured":"Park JH, Choi JH, Kim YI, Kim SW, Hong YK. Modified graded repair of cerebrospinal fluid leaks in endoscopic endonasal transsphenoidal surgery. J Korean Neurosurg Soc. 2015;58(1):36\u201342."},{"issue":"5","key":"b9","series-title":"Pituitary","first-page":"698","article-title":"Skull base repair following endonasal pituitary and skull base tumour resection: a systematic review","volume":"24","author":"Khan DZ","year":"2021","unstructured":"Khan DZ, Ali AMS, Koh CH,  Skull base repair following endonasal pituitary and skull base tumour resection: a systematic review. Pituitary. 2021;24(5):698\u2013713."},{"issue":"6","key":"b10","series-title":"Oper Neurosurg (Hagerstown)","first-page":"667","article-title":"Abdominal fat graft for sellar reconstruction: retrospective outcomes review and technical note","volume":"16","author":"Roca E","year":"2019","unstructured":"Roca E, Penn DL, Safain MG, Burke WT, Castlen JP, Laws ER. Abdominal fat graft for sellar reconstruction: retrospective outcomes review and technical note. Oper Neurosurg (Hagerstown). 2019;16(6):667\u2013674."},{"issue":"6","key":"b11","series-title":"Neurosurg Focus","first-page":"E7","article-title":"Surgical nuances for nasoseptal flap reconstruction of cranial base defects with high-flow cerebrospinal fluid leaks after endoscopic skull base surgery","volume":"32","author":"Liu JK","year":"2012","unstructured":"Liu JK, Schmidt RF, Choudhry OJ, Shukla PA, Eloy JA. Surgical nuances for nasoseptal flap reconstruction of cranial base defects with high-flow cerebrospinal fluid leaks after endoscopic skull base surgery. Neurosurg Focus. 2012;32(6):E7."},{"issue":"10","key":"b12","series-title":"Laryngoscope","first-page":"1882","article-title":"A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap","volume":"116","author":"Hadad G","year":"2006","unstructured":"Hadad G, Bassagasteguy L, Carrau RL,  A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap. Laryngoscope. 2006;116(10):1882\u20131886."},{"issue":"4","key":"b13","series-title":"J Craniofac Surg","first-page":"e303","article-title":"Fascia lata harvesting: the donor site closure morbidity","volume":"30","author":"Giovannetti F","year":"2019","unstructured":"Giovannetti F, Barbera G, Priore P, Pucci R, Della Monaca M, Valentini V. Fascia lata harvesting: the donor site closure morbidity. J Craniofac Surg. 2019;30(4):e303\u2013e306."},{"issue":"6","key":"b14","series-title":"Am J Obstet Gynecol","first-page":"1354","article-title":"Harvesting autologous fascia lata for pelvic reconstructive surgery: techniques and morbidity","volume":"185","author":"Walter AJ","year":"2001","unstructured":"Walter AJ, Hentz JG, Magrina JF, Cornella JL. Harvesting autologous fascia lata for pelvic reconstructive surgery: techniques and morbidity. Am J Obstet Gynecol. 2001;185(6):1354\u20131359."},{"issue":"1","key":"b15","series-title":"J Neurosurg","first-page":"45","article-title":"Collagen matrix duraplasty for cranial and spinal surgery: a clinical and imaging study","volume":"106","author":"Narotam PK","year":"2007","unstructured":"Narotam PK, Reddy K, Fewer D, Qiao F, Nathoo N. Collagen matrix duraplasty for cranial and spinal surgery: a clinical and imaging study. J Neurosurg. 2007;106(1):45\u201351."},{"issue":"2","key":"b16","series-title":"J Neurosurg","first-page":"215","article-title":"Efficacy and safety of a collagen matrix for cranial and spinal dural reconstruction using different fixation techniques","volume":"109","author":"Stendel R","year":"2008","unstructured":"Stendel R, Danne M, Fiss I,  Efficacy and safety of a collagen matrix for cranial and spinal dural reconstruction using different fixation techniques. J Neurosurg. 2008;109(2):215\u2013221."},{"issue":"3","key":"b17","series-title":"J Neurosurg","first-page":"714","article-title":"Non-watertight dural reconstruction in meningioma surgery: results in 439 consecutive patients and a review of the literature. Clinical article","volume":"114","author":"Sade B","year":"2011","unstructured":"Sade B, Oya S, Lee JH. Non-watertight dural reconstruction in meningioma surgery: results in 439 consecutive patients and a review of the literature. Clinical article. J Neurosurg. 2011;114(3):714\u2013718."},{"issue":"1 suppl 1","key":"b18","series-title":"Neurosurgery","first-page":"ONS176","article-title":"Collagen matrix in decompressive hemicraniectomy","volume":"63","author":"Horaczek JA","year":"2008","unstructured":"Horaczek JA, Zierski J, Graewe A. Collagen matrix in decompressive hemicraniectomy. Neurosurgery. 2008;63(1 suppl 1):ONS176\u2013ONS181."},{"issue":"4 suppl 2","key":"b19","series-title":"Oper Neurosurg (Hagerstown)","first-page":"295","article-title":"Graded repair of cranial base defects and cerebrospinal fluid leaks in transsphenoidal surgery","volume":"60","author":"Esposito F","year":"2007","unstructured":"Esposito F, Dusick JR, Fatemi N, Kelly DF. Graded repair of cranial base defects and cerebrospinal fluid leaks in transsphenoidal surgery. Oper Neurosurg (Hagerstown). 2007;60(4 suppl 2):295\u2013304."},{"issue":"5","key":"b20","series-title":"Laryngoscope","first-page":"990","article-title":"Nasoseptal \"rescue\" flap: a novel modification of the nasoseptal flap technique for pituitary surgery","volume":"121","author":"Rivera-Serrano CM","year":"2011","unstructured":"Rivera-Serrano CM, Snyderman CH, Gardner P,  Nasoseptal \"rescue\" flap: a novel modification of the nasoseptal flap technique for pituitary surgery. Laryngoscope. 2011;121(5):990\u2013993."},{"issue":"1","key":"b21","series-title":"J Neurosurg","first-page":"135","article-title":"Surgical implementation and efficacy of endoscopic endonasal extradural posterior clinoidectomy","volume":"133","author":"Ohata H","year":"2019","unstructured":"Ohata H, Goto T, Nagm A,  Surgical implementation and efficacy of endoscopic endonasal extradural posterior clinoidectomy. J Neurosurg. 2019;133(1):135\u2013143."},{"issue":"9","key":"b22","series-title":"Acta Neurochir (Wien)","first-page":"2395","article-title":"Double collagen matrix grafting for dural closure in microvascular decompression: an alternative use of autologous fascial grafting","volume":"163","author":"Inoue T","year":"2021","unstructured":"Inoue T, Shitara S, Shima A, Goto Y, Fukushima T. Double collagen matrix grafting for dural closure in microvascular decompression: an alternative use of autologous fascial grafting. Acta Neurochir (Wien). 2021;163(9):2395\u20132401."},{"key":"b23","series-title":"Surg Neurol Int","first-page":"461","article-title":"The collagen matrix dural substitute graft prevents postoperative cerebrospinal fluid leakage after ventriculoperitoneal shunt surgery in patients aged <1 year","volume":"13","author":"Sato M","year":"2022","unstructured":"Sato M, Oyoshi T, Iwamoto H,  The collagen matrix dural substitute graft prevents postoperative cerebrospinal fluid leakage after ventriculoperitoneal shunt surgery in patients aged <1 year. Surg Neurol Int. 2022;13:461."},{"issue":"1","key":"b24","series-title":"NMC Case Rep J","first-page":"201","article-title":"Endoscopic-assisted duraplasty with collagen matrix for growing skull fracture: a case report","volume":"8","author":"Kozaki Y","year":"2021","unstructured":"Kozaki Y, Nonaka M, Miki K, Tanaka H, Abe H, Inoue T. Endoscopic-assisted duraplasty with collagen matrix for growing skull fracture: a case report. NMC Case Rep J. 2021;8(1):201\u2013206."},{"issue":"3","key":"b25","series-title":"J Neurol Surg B Skull Base","first-page":"275","article-title":"Sellar diaphragm reconstruction with TachoSil during endoscopic endonasal surgery: technical note","volume":"81","author":"Jim\u00e9nez Zapata HD","year":"2020","unstructured":"Jim\u00e9nez Zapata HD, Rodr\u00edguez Berrocal V, Vior Fern\u00e1ndez C, S\u00e1nchez FM, Garc\u00eda Fern\u00e1ndez A. Sellar diaphragm reconstruction with TachoSil during endoscopic endonasal surgery: technical note. J Neurol Surg B Skull Base. 2020;81(3):275\u2013279."},{"issue":"2","key":"b26","series-title":"Surg Neurol","first-page":"144","article-title":"Use of equine collagen foil as dura mater substitute in endoscopic endonasal transsphenoidal surgery","volume":"65","author":"Cappabianca P","year":"2006","unstructured":"Cappabianca P, Esposito F, Cavallo LM,  Use of equine collagen foil as dura mater substitute in endoscopic endonasal transsphenoidal surgery. Surg Neurol. 2006;65(2):144\u2013149."},{"issue":"4","key":"b27","series-title":"Neurol Med Chir (Tokyo)","first-page":"203","article-title":"Modified shoelace dural closure with collagen matrix in extended transsphenoidal surgery","volume":"62","author":"Nagata Y","year":"2022","unstructured":"Nagata Y, Takeuchi K, Sasaki H,  Modified shoelace dural closure with collagen matrix in extended transsphenoidal surgery. Neurol Med Chir (Tokyo). 2022;62(4):203\u2013208."},{"issue":"6","key":"b28","series-title":"Br J Neurosurg","first-page":"635","article-title":"Experimental evaluation of collagen sponge as a dural graft","volume":"7","author":"Narotam PK","year":"1993","unstructured":"Narotam PK, Van Dellen JR, Bhoola K, Raidoo D. Experimental evaluation of collagen sponge as a dural graft. Br J Neurosurg. 1993;7(6):635\u2013641."},{"issue":"3","key":"b29","series-title":"J Neurosurg","first-page":"406","article-title":"A clinicopathological study of collagen sponge as a dural graft in neurosurgery","volume":"82","author":"Narotam PK","year":"1995","unstructured":"Narotam PK, van Dellen JR, Bhoola KD. A clinicopathological study of collagen sponge as a dural graft in neurosurgery. J Neurosurg. 1995;82(3):406\u2013412."},{"issue":"11","key":"b30","series-title":"Acta Neurochir (Wien)","first-page":"2241","article-title":"Evaluation of efficacy and biocompatibility of a novel semisynthetic collagen matrix as a dural onlay graft in a large animal model","volume":"153","author":"Neulen A","year":"2011","unstructured":"Neulen A, Gutenberg A, Tak\u00e1cs I,  Evaluation of efficacy and biocompatibility of a novel semisynthetic collagen matrix as a dural onlay graft in a large animal model. Acta Neurochir (Wien). 2011;153(11):2241\u20132250."},{"issue":"3","key":"b31","series-title":"J Laryngol Otol","first-page":"214","article-title":"Collagen matrix as an inlay in endoscopic skull base reconstruction","volume":"132","author":"Oakley GM","year":"2018","unstructured":"Oakley GM, Christensen JM, Winder M,  Collagen matrix as an inlay in endoscopic skull base reconstruction. J Laryngol Otol. 2018;132(3):214\u2013223."},{"key":"b32","series-title":"Front Oncol","first-page":"906162","article-title":"Clinical impact of hydroxyapatite on the outcome of skull base reconstruction for intraoperative high-flow CSF leak: a propensity score matching analysis","volume":"12","author":"Lee SH","year":"2022","unstructured":"Lee SH, Ha CM, Hong SD,  Clinical impact of hydroxyapatite on the outcome of skull base reconstruction for intraoperative high-flow CSF leak: a propensity score matching analysis. Front Oncol. 2022;12:906162."},{"key":"b33","series-title":"World Neurosurg","first-page":"e451","article-title":"Graded reconstruction strategy using a multilayer technique without lumbar drainage after endoscopic endonasal surgery","volume":"158","author":"Ha CM","year":"2022","unstructured":"Ha CM, Hong SD, Choi JW,  Graded reconstruction strategy using a multilayer technique without lumbar drainage after endoscopic endonasal surgery. World Neurosurg. 2022;158:e451\u2013e458."},{"issue":"6","key":"b34","series-title":"Oper Neurosurg (Hagerstown)","first-page":"E573","article-title":"Collagen matrix with mucoperiosteum graft as an effective fatless flapless reconstruction after endoscopic pituitary adenoma resection","volume":"19","author":"Shahein M","year":"2020","unstructured":"Shahein M, Montaser AS, Barbero JMR,  Collagen matrix with mucoperiosteum graft as an effective fatless flapless reconstruction after endoscopic pituitary adenoma resection. Oper Neurosurg (Hagerstown). 2020;19(6):E573\u2013E580."},{"issue":"1","key":"b35","series-title":"Laryngoscope","first-page":"80","article-title":"Complications associated with the pedicled nasoseptal flap for skull base reconstruction","volume":"125","author":"Soudry E","year":"2015","unstructured":"Soudry E, Psaltis AJ, Lee KH, Vaezafshar R, Nayak JV, Hwang PH. Complications associated with the pedicled nasoseptal flap for skull base reconstruction. Laryngoscope. 2015;125(1):80\u201385."},{"issue":"2","key":"b36","series-title":"Auris Nasus Larynx","first-page":"227","article-title":"Long-term olfactory function outcomes after pituitary surgery by endoscopic endonasal transsphenoidal approach","volume":"47","author":"Kuwata F","year":"2020","unstructured":"Kuwata F, Kikuchi M, Ishikawa M,  Long-term olfactory function outcomes after pituitary surgery by endoscopic endonasal transsphenoidal approach. Auris Nasus Larynx. 2020;47(2):227\u2013232."}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/141\/1\/article-p204.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/141\/1\/article-p204.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/141\/1\/article-p204.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T11:47:33Z","timestamp":1732621653000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/141\/1\/article-p204.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,1]]},"references-count":36,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/2023.12.jns231406","relation":{},"ISSN":["0022-3085","1933-0693"],"issn-type":[{"value":"0022-3085","type":"print"},{"value":"1933-0693","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,1]]}}}