{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T13:08:31Z","timestamp":1771074511829,"version":"3.50.1"},"reference-count":41,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Patients with workers\u2019 compensation (WC) claims are reported to demonstrate poorer surgical outcomes after lumbar spine surgery. However, outcomes after anterior cervical discectomy and fusion (ACDF) in WC patients remain debatable. The authors aimed to compare outcomes between a propensity score\u2013matched population of WC and non-WC patients who underwent ACDF.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>Patients who underwent 1- to 4-level ACDF were retrospectively reviewed from the prospectively maintained Quality Outcomes Database (QOD). After propensity score matching, 1-year patient satisfaction, physical disability (Neck Disability Index [NDI]), pain (visual analog scale [VAS]), EQ-5D, and return to work were compared between WC and non-WC cohorts.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>A total of 9957 patients were included (9610 non-WC and 347 WC patients). Patients in the WC cohort were significantly younger (50 \u00b1 9.1 vs 56 \u00b1 11.4 years, p &lt; 0.001), less educated, and were more frequently male, non-Caucasian, and active smokers (29.1% vs 18.1%, p &lt; 0.001), with greater baseline VAS and NDI scores and poorer quality of life (p &lt; 0.001). One-year postoperative improvements in VAS, NDI, EQ-5D, and return-to-work rates and satisfaction were all significantly worse for WC compared with non-WC patients. After adjusting for baseline differences via propensity score matching, WC versus non-WC patients continued to demonstrate worse 3- and 12-month VAS neck pain and NDI (p = 0.010), satisfaction (\u03c7<jats:sup>2<\/jats:sup> = 4.03, p = 0.045), and delayed return to work (9.3 vs 5.7 weeks, p &lt; 0.001).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>WC status was associated with greater 1-year residual disability and axial pain along with delayed return to work, without any difference in quality of life despite having fewer comorbidities and being a younger population. Further studies are needed to determine the societal impact that WC claims have on healthcare delivery in the setting of ACDF.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2023.6.spine23217","type":"journal-article","created":{"date-parts":[[2023,7,22]],"date-time":"2023-07-22T15:54:26Z","timestamp":1690041266000},"page":"822-830","source":"Crossref","is-referenced-by-count":4,"title":["Effect of workers\u2019 compensation status on pain, disability, quality of life, and return to work after anterior cervical discectomy and fusion: a 1-year propensity score\u2013matched analysis"],"prefix":"10.3171","volume":"39","author":[{"given":"Ummey","family":"Hani","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Carolina Neurosurgery & Spine Associates, Charlotte, North Carolina;"},{"name":"SpineFirst, Charlotte, North Carolina; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steve H.","family":"Monk","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Carolina Neurosurgery & Spine Associates, Charlotte, North Carolina;"},{"name":"SpineFirst, Charlotte, North Carolina; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Pfortmiller","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Carolina Neurosurgery & Spine Associates, Charlotte, North Carolina;"},{"name":"SpineFirst, Charlotte, North Carolina; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerry","family":"Stanley","sequence":"additional","affiliation":[{"name":"Harvard MedTech, Las Vegas, Nevada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul K.","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Carolina Neurosurgery & Spine Associates, Charlotte, North Carolina;"},{"name":"SpineFirst, Charlotte, North Carolina; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael A.","family":"Bohl","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Carolina Neurosurgery & Spine Associates, Charlotte, North Carolina;"},{"name":"SpineFirst, Charlotte, North Carolina; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher M.","family":"Holland","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Carolina Neurosurgery & Spine Associates, Charlotte, North Carolina;"},{"name":"SpineFirst, Charlotte, North Carolina; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew J.","family":"McGirt","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Carolina Neurosurgery & Spine Associates, Charlotte, North Carolina;"},{"name":"SpineFirst, Charlotte, North Carolina; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"10159","key":"b1","series-title":"Lancet","first-page":"1789","article-title":"Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017","volume":"392","author":"GBD 2017 Disease and Injury Incidence and Prevalence Collaborators","year":"2018","unstructured":"GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1789\u20131858."},{"issue":"11","key":"b2","series-title":"Int J Environ Res Public Health","first-page":"6165","article-title":"Does workers\u2019 compensation status affect outcomes after lumbar spine surgery? A systematic review and meta-analysis","volume":"18","author":"Russo F","year":"2021","unstructured":"Russo F, De Salvatore S, Ambrosio L,  Does workers\u2019 compensation status affect outcomes after lumbar spine surgery? A systematic review and meta-analysis. Int J Environ Res Public Health. 2021;18(11):6165."},{"key":"b3","first-page":"183","article-title":"Public insurance systems: a comparison of cause-based and disability-based income support systems","author":"Lippel K","year":"2013","unstructured":"Lippel K, L\u00f6tters F. Public insurance systems: a comparison of cause-based and disability-based income support systems. In: Loisel P, Anema JR, eds. Handbook of Work Disability. Springer;2013:183\u2013203."},{"issue":"5","key":"b4","series-title":"J Shoulder Elbow Surg","first-page":"875","article-title":"Inferior outcomes and higher complication rates after shoulder arthroplasty in workers\u2019 compensation patients","volume":"28","author":"Cvetanovich GL","year":"2019","unstructured":"Cvetanovich GL, Savin DD, Frank RM,  Inferior outcomes and higher complication rates after shoulder arthroplasty in workers\u2019 compensation patients. J Shoulder Elbow Surg. 2019;28(5):875\u2013881."},{"issue":"9","key":"b5","series-title":"J Shoulder Elbow Surg","first-page":"1783","article-title":"The impact of workers\u2019 compensation on recovery after biceps tenodesis","volume":"29","author":"Wagner ER","year":"2020","unstructured":"Wagner ER, Woodmass JM, Chang MJ, Welp KM, Higgins LD, Warner JJP. The impact of workers\u2019 compensation on recovery after biceps tenodesis. J Shoulder Elbow Surg. 2020;29(9):1783\u20131788."},{"issue":"6","key":"b6","series-title":"Arthrosc Sports Med Rehabil","first-page":"e771","article-title":"Open versus arthroscopic treatment of chronic lateral epicondylitis and worker\u2019s compensation","volume":"2","author":"Bhandari L","year":"2020","unstructured":"Bhandari L, Bouri F, Ozyurekoglu T. Open versus arthroscopic treatment of chronic lateral epicondylitis and worker\u2019s compensation. Arthrosc Sports Med Rehabil. 2020;2(6):e771\u2013e778."},{"issue":"4","key":"b7","series-title":"J Spinal Disord","first-page":"277","article-title":"Results of elective lumbar discectomy for patients involved in the workers\u2019 compensation system","volume":"11","author":"Klekamp J","year":"1998","unstructured":"Klekamp J, McCarty E, Spengler DM. Results of elective lumbar discectomy for patients involved in the workers\u2019 compensation system. J Spinal Disord. 1998;11(4):277\u2013282."},{"issue":"20","key":"b8","series-title":"Spine (Phila Pa 1976)","first-page":"2429","article-title":"Anterior lumbar interbody fusion. A minimum 10-year follow-up","volume":"22","author":"Penta M","year":"1997","unstructured":"Penta M, Fraser RD. Anterior lumbar interbody fusion. A minimum 10-year follow-up. Spine (Phila Pa 1976). 1997;22(20):2429\u20132434."},{"key":"b9","series-title":"World Neurosurg","first-page":"680","article-title":"Worker\u2019s compensation status and outcomes following anterior lumbar interbody fusion: prospective observational study","volume":"103","author":"Phan K","year":"2017","unstructured":"Phan K, Davies S, Rao PJ, Mobbs RJ. Worker\u2019s compensation status and outcomes following anterior lumbar interbody fusion: prospective observational study. World Neurosurg. 2017;103:680\u2013685."},{"issue":"12","key":"b10","series-title":"Spine J","first-page":"2564","article-title":"Association between compensation status and outcomes in spine surgery: a meta-analysis of 31 studies","volume":"15","author":"Cheriyan T","year":"2015","unstructured":"Cheriyan T, Harris B, Cheriyan J,  Association between compensation status and outcomes in spine surgery: a meta-analysis of 31 studies. Spine J. 2015;15(12):2564\u20132573."},{"issue":"1","key":"b11","series-title":"J Neurosurg Spine","first-page":"47","article-title":"Effect of workers\u2019 compensation status on pain, disability, quality of life, and return to work after lumbar spine surgery: a 1-year propensity-matched analysis","volume":"39","author":"Hani U","year":"2023","unstructured":"Hani U, Monk SH, Pfortmiller D,  Effect of workers\u2019 compensation status on pain, disability, quality of life, and return to work after lumbar spine surgery: a 1-year propensity-matched analysis. J Neurosurg Spine. 2023;39(1):47\u201357."},{"issue":"12","key":"b12","series-title":"Spine (Phila Pa 1976)","first-page":"948","article-title":"The impact of worker\u2019s compensation claims on outcomes and costs following an anterior cervical discectomy and fusion","volume":"40","author":"Tabaraee E","year":"2015","unstructured":"Tabaraee E, Ahn J, Bohl DD, Elboghdady IM, Aboushaala K, Singh K. The impact of worker\u2019s compensation claims on outcomes and costs following an anterior cervical discectomy and fusion. Spine (Phila Pa 1976). 2015;40(12):948\u2013953."},{"issue":"2","key":"b13","series-title":"J Occup Health","first-page":"114","article-title":"Associations between prevalence of self-reported musculoskeletal symptoms of the spine and biopsychosocial factors among office workers","volume":"51","author":"Janwantanakul P","year":"2009","unstructured":"Janwantanakul P, Pensri P, Jiamjarasrangsi W, Sinsongsook T. Associations between prevalence of self-reported musculoskeletal symptoms of the spine and biopsychosocial factors among office workers. J Occup Health. 2009;51(2):114\u2013122."},{"issue":"11","key":"b14","series-title":"J Occup Environ Med","first-page":"1206","article-title":"The role of depression and chronic pain conditions in absenteeism: results from a national epidemiologic survey","volume":"49","author":"Munce SE","year":"2007","unstructured":"Munce SE, Stansfeld SA, Blackmore ER, Stewart DE. The role of depression and chronic pain conditions in absenteeism: results from a national epidemiologic survey. J Occup Environ Med. 2007;49(11):1206\u20131211."},{"issue":"7","key":"b15","series-title":"Ann Rheum Dis","first-page":"1309","article-title":"The global burden of neck pain: estimates from the global burden of disease 2010 study","volume":"73","author":"Hoy D","year":"2014","unstructured":"Hoy D, March L, Woolf A,  The global burden of neck pain: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(7):1309\u20131315."},{"issue":"3","key":"b16","series-title":"Spine (Phila Pa 1976)","first-page":"155","article-title":"Anterior cervical discectomy and fusion in the ambulatory surgery center versus inpatient setting: one-year cost-utility analysis","volume":"48","author":"Monk SH","year":"2023","unstructured":"Monk SH, Hani U, Pfortmiller D,  Anterior cervical discectomy and fusion in the ambulatory surgery center versus inpatient setting: one-year cost-utility analysis. Spine (Phila Pa 1976). 2023;48(3):155\u2013163."},{"issue":"6","key":"b17","series-title":"J Neurosurg Spine","first-page":"835","article-title":"Predictors of patient satisfaction following 1- or 2-level anterior cervical discectomy and fusion: insights from the Quality Outcomes Database","volume":"31","author":"Asher AL","year":"2019","unstructured":"Asher AL, Devin CJ, Kerezoudis P,  Predictors of patient satisfaction following 1- or 2-level anterior cervical discectomy and fusion: insights from the Quality Outcomes Database. J Neurosurg Spine. 2019;31(6):835\u2013843."},{"issue":"1","key":"b18","series-title":"Neurosurg Focus","first-page":"E6","article-title":"The National Neurosurgery Quality and Outcomes Database (N2QOD): general overview and pilot-year project description","volume":"34","author":"McGirt MJ","year":"2013","unstructured":"McGirt MJ, Speroff T, Dittus RS, Harrell FE Jr, Asher AL. The National Neurosurgery Quality and Outcomes Database (N2QOD): general overview and pilot-year project description. Neurosurg Focus. 2013;34(1):E6."},{"issue":"3","key":"b19","series-title":"Spine (Phila Pa 1976)","first-page":"E162","article-title":"Comparison of Patient Reported Outcome Measurement Information System with Neck Disability Index and Visual Analog Scale in patients with neck pain","volume":"44","author":"Moses MJ","year":"2019","unstructured":"Moses MJ, Tishelman JC, Stekas N,  Comparison of Patient Reported Outcome Measurement Information System with Neck Disability Index and Visual Analog Scale in patients with neck pain. Spine (Phila Pa 1976). 2019;44(3):E162\u2013E167."},{"issue":"22","key":"b20","series-title":"Spine (Phila Pa 1976)","first-page":"2940","article-title":"The Oswestry Disability Index","volume":"25","author":"Fairbank JC","year":"2000","unstructured":"Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine (Phila Pa 1976). 2000;25(22):2940\u20132952."},{"key":"b21","series-title":"Clin Neurol Neurosurg","first-page":"22","article-title":"Long-term quality of life after posterior cervical foraminotomy for radiculopathy","volume":"142","author":"Faught RW","year":"2016","unstructured":"Faught RW, Church EW, Halpern CH,  Long-term quality of life after posterior cervical foraminotomy for radiculopathy. Clin Neurol Neurosurg. 2016;142:22\u201325."},{"issue":"2","key":"b22","series-title":"Clin Occup Environ Med","first-page":"v","article-title":"Workers\u2019 compensation: a historical review and description of a legal and social insurance system","volume":"4","author":"Kiselica D","year":"2004","unstructured":"Kiselica D, Sibson B, Green-McKenzie J. Workers\u2019 compensation: a historical review and description of a legal and social insurance system. Clin Occup Environ Med. 2004;4(2):v,237\u2013247."},{"issue":"7","key":"b23","series-title":"Spine J","first-page":"1325","article-title":"A primer for workers\u2019 compensation","volume":"14","author":"Bible JE","year":"2014","unstructured":"Bible JE, Spengler DM, Mir HR. A primer for workers\u2019 compensation. Spine J. 2014;14(7):1325\u20131331."},{"issue":"3","key":"b24","series-title":"Am J Ind Med","first-page":"245","article-title":"Workers\u2019 compensation: poor quality health care and the growing disability problem in the United States","volume":"58","author":"Franklin GM","year":"2015","unstructured":"Franklin GM, Wickizer TM, Coe NB, Fulton-Kehoe D. Workers\u2019 compensation: poor quality health care and the growing disability problem in the United States. Am J Ind Med. 2015;58(3):245\u2013251."},{"issue":"9","key":"b25","series-title":"J Am Med Assoc","first-page":"865","article-title":"Survey of one hundred cases of whiplash injury after settlement of litigation","volume":"162","author":"Gotten N","year":"1956","unstructured":"Gotten N. Survey of one hundred cases of whiplash injury after settlement of litigation. J Am Med Assoc. 1956;162(9):865\u2013867."},{"issue":"5","key":"b26","series-title":"Acta Orthop Scand","first-page":"392","article-title":"The natural history of severe cervical disc degeneration","volume":"43","author":"DePalma AF","year":"1972","unstructured":"DePalma AF, Rothman RH, Levitt RL, Hammond NL III. The natural history of severe cervical disc degeneration. Acta Orthop Scand. 1972;43(5):392\u2013396."},{"issue":"3","key":"b27","series-title":"J Bone Joint Surg Am","first-page":"525","article-title":"Relief of pain by anterior cervical-spine fusion for spondylosis. A report of sixty-five patients","volume":"55","author":"White AA III","year":"1973","unstructured":"White AA III, Southwick WO, Deponte RJ, Gainor JW, Hardy R. Relief of pain by anterior cervical-spine fusion for spondylosis. A report of sixty-five patients. J Bone Joint Surg Am. 1973;55(3):525\u2013534."},{"issue":"10 suppl","key":"b28","series-title":"Spine (Phila Pa 1976)","first-page":"S427","article-title":"Modified Smith-Robinson procedure for anterior cervical discectomy and fusion","volume":"17","author":"Brodke DS","year":"1992","unstructured":"Brodke DS, Zdeblick TA. Modified Smith-Robinson procedure for anterior cervical discectomy and fusion. Spine (Phila Pa 1976). 1992;17(10 suppl):S427\u2013S430."},{"issue":"9","key":"b29","series-title":"J Bone Joint Surg Am","first-page":"1298","article-title":"Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Long-term follow-up of one hundred and twenty-two patients","volume":"75","author":"Bohlman HH","year":"1993","unstructured":"Bohlman HH, Emery SE, Goodfellow DB, Jones PK. Robinson anterior cervical discectomy and arthrodesis for cervical radiculopathy. Long-term follow-up of one hundred and twenty-two patients. J Bone Joint Surg Am. 1993;75(9):1298\u20131307."},{"issue":"6","key":"b30","series-title":"Spine J","first-page":"408","article-title":"Comparing outcomes of anterior cervical discectomy and fusion in workman\u2019s versus non-workman\u2019s compensation population","volume":"2","author":"Goldberg EJ","year":"2002","unstructured":"Goldberg EJ, Singh K, Van U, Garretson R, An HS. Comparing outcomes of anterior cervical discectomy and fusion in workman\u2019s versus non-workman\u2019s compensation population. Spine J. 2002;2(6):408\u2013414."},{"issue":"3","key":"b31","series-title":"Neurosurgery","first-page":"322","article-title":"Workers\u2019 compensation association with clinical outcomes after anterior cervical diskectomy and fusion","volume":"90","author":"Cha EDK","year":"2022","unstructured":"Cha EDK, Lynch CP, Jacob KC,  Workers\u2019 compensation association with clinical outcomes after anterior cervical diskectomy and fusion. Neurosurgery. 2022;90(3):322\u2013328."},{"issue":"9","key":"b32","series-title":"Spine (Phila Pa 1976)","first-page":"860","article-title":"The efficacy of anterior cervical plating in the management of symptomatic pseudoarthrosis of the cervical spine","volume":"24","author":"Tribus CB","year":"1999","unstructured":"Tribus CB, Corteen DP, Zdeblick TA. The efficacy of anterior cervical plating in the management of symptomatic pseudoarthrosis of the cervical spine. Spine (Phila Pa 1976). 1999;24(9):860\u2013864."},{"issue":"3","key":"b33","series-title":"Pain","first-page":"462","article-title":"Race and socioeconomic differences in post-settlement outcomes for African American and Caucasian Workers\u2019 Compensation claimants with low back injuries","volume":"114","author":"Chibnall JT","year":"2005","unstructured":"Chibnall JT, Tait RC, Andresen EM, Hadler NM. Race and socioeconomic differences in post-settlement outcomes for African American and Caucasian Workers\u2019 Compensation claimants with low back injuries. Pain. 2005;114(3):462\u2013472."},{"issue":"5","key":"b34","series-title":"J Bone Joint Surg Am","first-page":"668","article-title":"Impact of smoking on the outcome of anterior cervical arthrodesis with interbody or strut-grafting","volume":"83","author":"Hilibrand AS","year":"2001","unstructured":"Hilibrand AS, Fye MA, Emery SE, Palumbo MA, Bohlman HH. Impact of smoking on the outcome of anterior cervical arthrodesis with interbody or strut-grafting. J Bone Joint Surg Am. 2001;83(5):668\u2013673."},{"issue":"1","key":"b35","series-title":"J Occup Rehabil","first-page":"19","article-title":"Predicting work-related disability and medical cost outcomes: estimating injury severity scores from workers\u2019 compensation data","volume":"23","author":"Sears JM","year":"2013","unstructured":"Sears JM, Blanar L, Bowman SM, Adams D, Silverstein BA. Predicting work-related disability and medical cost outcomes: estimating injury severity scores from workers\u2019 compensation data. J Occup Rehabil. 2013;23(1):19\u201331."},{"issue":"4","key":"b36","series-title":"J Occup Rehabil","first-page":"742","article-title":"A new method to classify injury severity by diagnosis: validation using workers\u2019 compensation and trauma registry data","volume":"25","author":"Sears JM","year":"2015","unstructured":"Sears JM, Bowman SM, Rotert M, Hogg-Johnson S. A new method to classify injury severity by diagnosis: validation using workers\u2019 compensation and trauma registry data. J Occup Rehabil. 2015;25(4):742\u2013751."},{"issue":"22","key":"b37","series-title":"Spine (Phila Pa 1976)","first-page":"1775","article-title":"Chronic opioid therapy after lumbar fusion surgery for degenerative disc disease in a workers\u2019 compensation setting","volume":"40","author":"Anderson JT","year":"2015","unstructured":"Anderson JT, Haas AR, Percy R, Woods ST, Ahn UM, Ahn NU. Chronic opioid therapy after lumbar fusion surgery for degenerative disc disease in a workers\u2019 compensation setting. Spine (Phila Pa 1976). 2015;40(22):1775\u20131784."},{"key":"b38","series-title":"Clin Neurol Neurosurg","first-page":"41","article-title":"Predictors of reoperation-free survival following decompression-alone lumbar spine surgery for on-the-job injuries","volume":"135","author":"Kukreja S","year":"2015","unstructured":"Kukreja S, Kalakoti P, Ahmed O, Nanda A. Predictors of reoperation-free survival following decompression-alone lumbar spine surgery for on-the-job injuries. Clin Neurol Neurosurg. 2015;135:41\u201345."},{"key":"b39","series-title":"Workers Compensation Research Institute","article-title":"A primer on behavioral health care in workers\u2019 compensation","author":"Thumala V","unstructured":"Thumala V, Negrusa S. A primer on behavioral health care in workers\u2019 compensation. Workers Compensation Research Institute. August 16, 2022. Accessed June 28, 2023. https:\/\/www.wcrinet.org\/reports\/a-primer-on-behavioral-health-care-in-workers-compensation"},{"key":"b40","series-title":"Insurance Thought Leadership","article-title":"The best workers\u2019 comp claims teams","author":"Rousmaniere P","unstructured":"Rousmaniere P, Fikes R. The best workers\u2019 comp claims teams. Insurance Thought Leadership. August 8, 2018. Accessed June 28, 2023. https:\/\/www.insurancethoughtleadership.com\/commercial-lines\/best-workers-comp-claims-teams"},{"issue":"2","key":"b41","series-title":"Spine J","first-page":"263","article-title":"Lumbar surgery in work-related chronic low back pain: can a continuum of care enhance outcomes?","volume":"14","author":"Mayer TG","year":"2014","unstructured":"Mayer TG, Gatchel RJ, Brede E, Theodore BR. Lumbar surgery in work-related chronic low back pain: can a continuum of care enhance outcomes? Spine J. 2014;14(2):263\u2013273."}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/39\/6\/article-p822.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/39\/6\/article-p822.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/39\/6\/article-p822.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,6]],"date-time":"2024-12-06T13:14:19Z","timestamp":1733490859000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/39\/6\/article-p822.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,1]]},"references-count":41,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/2023.6.spine23217","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12,1]]}}}