{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:05:07Z","timestamp":1782864307933,"version":"3.54.5"},"reference-count":20,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T00:00:00Z","timestamp":1711929600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Around 40% of cancer patients present with spinal metastases (SM), the lumbar spine being the second most involved site (15%\u201330%) after the thoracic (60%\u201380%). Since the development of separation surgery, minimally invasive surgery (MIS) has increasingly been applied to approach SM, mirroring benefits yielded in the degenerative realm. Moreover, preoperative embolization potentially enhances local control for certain radioresistant histologies. Carbon fiber\u2013reinforced PEEK hardware reduces image artifact, facilitating more accurate follow-up and radiotherapeutic planning. Additionally, short-segment cement-augmented constructs may be beneficial to decrease surgical morbidity and operative risk in this population. The authors present a lumbar spinal metastasis treated with MIS techniques.<\/jats:p>\n                  <jats:p>\n                    The video can be found here:\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/stream.cadmore.media\/r10.3171\/2024.1.FOCVID23222\">https:\/\/stream.cadmore.media\/r10.3171\/2024.1.FOCVID23222<\/jats:ext-link>\n                  <\/jats:p>","DOI":"10.3171\/2024.1.focvid23222","type":"journal-article","created":{"date-parts":[[2024,4,1]],"date-time":"2024-04-01T03:00:39Z","timestamp":1711940439000},"page":"V11","source":"Crossref","is-referenced-by-count":6,"title":["MIS technique for separation surgery in lumbar spine metastatic disease"],"prefix":"10.3171","volume":"10","author":[{"given":"Vicente de Paulo","family":"Martins Coelho Junior","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joravar S.","family":"Dhaliwal","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vikram B.","family":"Chakravarthy","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2 suppl","key":"b1","series-title":"Global Spine J","first-page":"79S","article-title":"The role of minimal access surgery in the treatment of spinal metastatic tumors","volume":"10","author":"Barzilai O","year":"2020","unstructured":"Barzilai O, Bilsky MH, Laufer I. The role of minimal access surgery in the treatment of spinal metastatic tumors. Global Spine J. 2020;10(2 suppl):79S\u201387S."},{"issue":"4","key":"b2","series-title":"Neurosurg Focus","first-page":"E2","article-title":"Percutaneous surgery for treatment of epidural spinal cord compression and spinal instability: technical note","volume":"41","author":"Tatsui CE","year":"2016","unstructured":"Tatsui CE, Belsuzarri TAB, Oro M,  Percutaneous surgery for treatment of epidural spinal cord compression and spinal instability: technical note. Neurosurg Focus. 2016;41(4):E2."},{"issue":"6","key":"b3","series-title":"Neurosurgery","first-page":"757","article-title":"State of the art treatment of spinal metastatic disease","volume":"82","author":"Barzilai O","year":"2018","unstructured":"Barzilai O, Fisher CG, Bilsky MH. State of the art treatment of spinal metastatic disease. Neurosurgery. 2018;82(6):757\u2013769."},{"issue":"2","key":"b4","series-title":"Neurosurgery","first-page":"320","article-title":"Neoadjuvant arterial embolization of spine metastases associated with improved local control in patients receiving surgical decompression and stereotactic body radiotherapy","volume":"93","author":"Damante MA Jr","year":"2023","unstructured":"Damante MA Jr, Gibbs D, Dibs K,  Neoadjuvant arterial embolization of spine metastases associated with improved local control in patients receiving surgical decompression and stereotactic body radiotherapy. Neurosurgery. 2023;93(2):320\u2013329."},{"issue":"4","key":"b5","series-title":"Neurosurg Clin N Am","first-page":"491","article-title":"Minimally invasive approaches to vertebral column and spinal cord tumors","volume":"17","author":"O\u2019Toole JE","year":"2006","unstructured":"O\u2019Toole JE, Eichholz KM, Fessler RG. Minimally invasive approaches to vertebral column and spinal cord tumors. Neurosurg Clin N Am. 2006;17(4):491\u2013506."},{"issue":"1","key":"b6","series-title":"J Neurosurg Spine","first-page":"19","article-title":"Minimally invasive decompression and stabilization for the management of thoracolumbar spine metastasis","volume":"17","author":"Zairi F","year":"2012","unstructured":"Zairi F, Arikat A, Allaoui M, Marinho P, Assaker R. Minimally invasive decompression and stabilization for the management of thoracolumbar spine metastasis. J Neurosurg Spine. 2012;17(1):19\u201323."},{"issue":"5","key":"b7","series-title":"Neurosurg Focus","first-page":"E11","article-title":"Short-segment cement-augmented fixation in open separation surgery of metastatic epidural spinal cord compression: initial experience","volume":"50","author":"Newman WC","year":"2021","unstructured":"Newman WC, Amin AG, Villavieja J, Laufer I, Bilsky MH, Barzilai O. Short-segment cement-augmented fixation in open separation surgery of metastatic epidural spinal cord compression: initial experience. Neurosurg Focus. 2021;50(5):E11."},{"key":"b8","series-title":"World Neurosurg","first-page":"13","article-title":"The use of carbon fiber-reinforced instrumentation in patients with spinal oncologic tumors: a systematic review of literature and future directions","volume":"173","author":"Perez-Roman RJ","year":"2023","unstructured":"Perez-Roman RJ, Boddu JV, Bashti M,  The use of carbon fiber-reinforced instrumentation in patients with spinal oncologic tumors: a systematic review of literature and future directions. 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