{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T23:35:10Z","timestamp":1769729710225,"version":"3.49.0"},"reference-count":44,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2024,7,15]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Dynesys dynamic stabilization (DDS) is an alternative to surgical fusion for the operative management of degenerative lumbar spondylosis. Compared to rigid instrumentation and fusion, DDS is purported to preserve a higher degree of spinal range of motion and reduce the risk of developing adjacent segment disease (ASD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 60-year-old female presented with severe back pain and bilateral leg pain, which had progressed over the prior 4 years. Nine years earlier, she had undergone DDS system implantation at L5\u2013S1 for lumbar stenosis and spondylosis. Repeat imaging revealed an unintended fusion at the index level (L5\u2013S1) and ASD causing severe lateral recess stenosis at L4\u20135. She underwent DDS system removal, decompression at L4\u20135, and extension of the fusion to L4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Although DDS has been marketed as a motion-preserving system that avoids fusion and reduces the risk of ASD, unintended index-level fusion and ASD can still occur after DDS system surgery. These potential complications should be assessed when determining the optimal primary surgical treatment for patients with lumbar degenerative disc disease.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24179\">https:\/\/thejns.org\/doi\/10.3171\/CASE24179<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24179","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T02:50:44Z","timestamp":1721011844000},"source":"Crossref","is-referenced-by-count":0,"title":["Index-level fusion and adjacent segment disease following dynamic stabilization for lumbar degenerative disc disease: illustrative case"],"prefix":"10.3171","volume":"8","author":[{"given":"Kathleen R","family":"Ran","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tej D","family":"Azad","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bhavya","family":"Pahwa","sequence":"additional","affiliation":[{"name":"University College of Medical Sciences, GTB Hospital, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lydia J","family":"Bernhardt","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Bydon","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"8","key":"bib1","series-title":"Glob Spine J","first-page":"1676","article-title":"Lumbar fusion surgery for patients with back pain and degenerative disc disease: an observational study from the Canadian spine outcomes and research network","volume":"12","author":"Evaniew","year":"2022","unstructured":"Evaniew NSwamy GJacobs WB, et al. Lumbar fusion surgery for patients with back pain and degenerative disc disease: an observational study from the Canadian spine outcomes and research network. Glob Spine J. 2022;12(8):1676-1686."},{"issue":"23","key":"bib2","series-title":"Spine (Phila Pa 1976).","first-page":"2521","article-title":"2001 Volvo Award Winner in Clinical Studies: Lumbar fusion versus nonsurgical treatment for chronic low back pain: a multicenter randomized controlled trial from the Swedish Lumbar Spine Study Group.","volume":"26","author":"Fritzell","year":"2001","unstructured":"Fritzell PHagg OWessberg PNordwall A, Swedish Lumbar Spine Study Group.2001 Volvo Award Winner in Clinical Studies: Lumbar fusion versus nonsurgical treatment for chronic low back pain: a multicenter randomized controlled trial from the Swedish Lumbar Spine Study Group.Spine (Phila Pa 1976).2001;26(23):2521-2534."},{"issue":"2","key":"bib3","series-title":"J Neurosurg Spine","first-page":"260","article-title":"Randomized controlled trials for degenerative lumbar spondylolisthesis: which patients benefit from lumbar fusion?","volume":"26","author":"Ghogawala","year":"2017","unstructured":"Ghogawala ZResnick DKGlassman SDDziura JShaffrey CIMummaneni PV. Randomized controlled trials for degenerative lumbar spondylolisthesis: which patients benefit from lumbar fusion?J Neurosurg Spine. 2017;26(2):260-266."},{"issue":"17","key":"bib4","series-title":"Spine","first-page":"1938","article-title":"Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature","volume":"29","author":"Park","year":"2004","unstructured":"Park PGarton HJGala VCHoff JTMcGillicuddy JE. Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature. Spine(Phila PA 1976). 2004;29(17):1938-1944."},{"issue":"5","key":"bib5","series-title":"J Orthop Sci","first-page":"490","article-title":"Adjacent segment stenosis after lumbar fusion requiring second operation","volume":"10","author":"Aiki","year":"2005","unstructured":"Aiki HOhwada OKobayashi H, et al. Adjacent segment stenosis after lumbar fusion requiring second operation. J Orthop Sci. 2005;10(5):490-495."},{"issue":"7","key":"bib6","series-title":"J Bone Joint Surg Am","first-page":"1497","article-title":"Adjacent segment degeneration in the lumbar spine","volume":"86","author":"Ghiselli","year":"2004","unstructured":"Ghiselli GWang JCBhatia NNHsu WKDawson EG. Adjacent segment degeneration in the lumbar spine. J Bone Joint Surg Am. 2004;86(7):1497-1503."},{"issue":"11","key":"bib7","series-title":"Eur Spine J","first-page":"1637","article-title":"Risk factors for adjacent segment disease after lumbar fusion","volume":"18","author":"Lee","year":"2009","unstructured":"Lee CSHwang CJLee SW, et al. Risk factors for adjacent segment disease after lumbar fusion. Eur Spine J. 2009;18(11):1637-1643."},{"issue":"2","key":"bib8","series-title":"Neurosurgery","first-page":"192","article-title":"Incidence of adjacent segment disease requiring reoperation after lumbar laminectomy without fusion: a study of 398 patients","volume":"78","author":"Bydon","year":"2016","unstructured":"Bydon MMacki MDe la Garza-Ramos R, et al. Incidence of adjacent segment disease requiring reoperation after lumbar laminectomy without fusion: a study of 398 patients. Neurosurgery. 2016;78(2):192-199."},{"issue":"11","key":"bib9","series-title":"Eur Spine J","first-page":"1940","article-title":"Adjacent segment degenerative disease: is it due to disease progression or a fusion-associated phenomenon? Comparison between segments adjacent to the fused and non-fused segments","volume":"20","author":"Song","year":"2011","unstructured":"Song KJChoi BWJeon TSLee KBChang H. Adjacent segment degenerative disease: is it due to disease progression or a fusion-associated phenomenon? Comparison between segments adjacent to the fused and non-fused segments. Eur Spine J. 2011;20(11):1940-1945."},{"issue":"suppl 2","key":"bib10","series-title":"Eur Spine J","first-page":"S170","article-title":"The dynamic neutralization system for the spine: a multi-center study of a novel non-fusion system","volume":"11","author":"Stoll","year":"2002","unstructured":"Stoll TMDubois GSchwarzenbach O. The dynamic neutralization system for the spine: a multi-center study of a novel non-fusion system. Eur Spine J. 2002;11(suppl 2):S170-S178."},{"issue":"2","key":"bib11","series-title":"Turk Neurosurg","first-page":"190","article-title":"Dynamic stabilization of the lumbar spine using the Dynesys\u00ae system","volume":"30","author":"Akyoldas","year":"2020","unstructured":"Akyoldas GCevik OMSuzer TSasani MOktenoglu TOzer AF. Dynamic stabilization of the lumbar spine using the Dynesys\u00ae system. Turk Neurosurg. 2020;30(2):190-193."},{"issue":"1","key":"bib12","series-title":"J Orthop Surg Res","first-page":"99","article-title":"The influence of L4\u2013S1 Dynesys\u00ae dynamic stabilization versus fusion on lumbar motion and its relationship with lumbar degeneration: a retrospective study","volume":"12","author":"Zhang","year":"2017","unstructured":"Zhang CWang LHou T, et al. The influence of L4\u2013S1 Dynesys\u00ae dynamic stabilization versus fusion on lumbar motion and its relationship with lumbar degeneration: a retrospective study. J Orthop Surg Res. 2017;12(1):99."},{"issue":"2","key":"bib13","series-title":"Acta Orthop Belg","first-page":"230","article-title":"Comparison of Dynesys posterior stabilization and posterior lumbar interbody fusion for spinal stenosis L4L5","volume":"78","author":"Yu","year":"2012","unstructured":"Yu SWYang SCMa CHWu CHYen CYTu YK. Comparison of Dynesys posterior stabilization and posterior lumbar interbody fusion for spinal stenosis L4L5. Acta Orthop Belg. 2012;78(2):230-239."},{"issue":"5","key":"bib14","series-title":"J Int Med Res","first-page":"1562","article-title":"Medium-term effects of Dynesys dynamic stabilization versus posterior lumbar interbody fusion for treatment of multisegmental lumbar degenerative disease","volume":"45","author":"Wu","year":"2017","unstructured":"Wu HPang QJiang G. Medium-term effects of Dynesys dynamic stabilization versus posterior lumbar interbody fusion for treatment of multisegmental lumbar degenerative disease. J Int Med Res. 2017;45(5):1562-1573."},{"issue":"3","key":"bib15","series-title":"Spine","first-page":"324","article-title":"Clinical experience with the Dynesys semirigid fixation system for the lumbar spine: surgical and patient-oriented outcome in 50 cases after an average of 2 years","volume":"30","author":"Grob","year":"2005","unstructured":"Grob DBenini AJunge AMannion AF. Clinical experience with the Dynesys semirigid fixation system for the lumbar spine: surgical and patient-oriented outcome in 50 cases after an average of 2 years. Spine. 2005;30(3):324-331."},{"issue":"1","key":"bib16","series-title":"PLOS ONE","first-page":"e0148071","article-title":"Comparison of the Dynesys dynamic stabilization system and posterior lumbar interbody fusion for lumbar degenerative disease","volume":"11","author":"Zhang","year":"2016","unstructured":"Zhang YShan JLLiu XMLi FGuan KSun TS. Comparison of the Dynesys dynamic stabilization system and posterior lumbar interbody fusion for lumbar degenerative disease. PLOS ONE. 2016;11(1):e0148071."},{"issue":"10","key":"bib17","series-title":"Arch Orthop Trauma Surg","first-page":"1361","article-title":"Multi-segmental lumbar spinal stenosis treated with Dynesys stabilization versus lumbar fusion in elderly patients: a retrospective study with a minimum of 5 years\u2019 follow-up","volume":"139","author":"Hu","year":"2019","unstructured":"Hu ASun CLiang YWang HLi XDong J. Multi-segmental lumbar spinal stenosis treated with Dynesys stabilization versus lumbar fusion in elderly patients: a retrospective study with a minimum of 5 years\u2019 follow-up. Arch Orthop Trauma Surg. 2019;139(10):1361-1368."},{"issue":"21","key":"bib18","series-title":"Chin Med J (Engl)","first-page":"2537","article-title":"Long-term outcome of Dynesys dynamic stabilization for lumbar spinal stenosis","volume":"131","author":"Zhang","year":"2018","unstructured":"Zhang YZhang ZCLi F, et al. Long-term outcome of Dynesys dynamic stabilization for lumbar spinal stenosis. Chin Med J (Engl). 2018;131(21):2537-2543."},{"issue":"3","key":"bib19","series-title":"Spine","first-page":"265","article-title":"Nonfusion does not prevent adjacent segment disease: Dynesys long-term outcomes with minimum five-year follow-up","volume":"41","author":"St-Pierre","year":"2016","unstructured":"St-Pierre GHJack ASiddiqui MMHenderson RLNataraj A. Nonfusion does not prevent adjacent segment disease: Dynesys long-term outcomes with minimum five-year follow-up. Spine. 2016;41(3):265-273."},{"issue":"3","key":"bib20","series-title":"J Neurosurg Spine","first-page":"353","article-title":"Unintended facet fusions after Dynesys dynamic stabilization in patients with spondylolisthesis","volume":"30","author":"Fay","year":"2018","unstructured":"Fay LYHuang WCChang CC, et al. Unintended facet fusions after Dynesys dynamic stabilization in patients with spondylolisthesis. J Neurosurg Spine. 2018;30(3):353-361."},{"issue":"1","key":"bib21","series-title":"Neurosurg Focus","first-page":"E4","article-title":"Dynesys dynamic stabilization-related facet arthrodesis","volume":"40","author":"Fay","year":"2016","unstructured":"Fay LYChang PYWu JC, et al. Dynesys dynamic stabilization-related facet arthrodesis. Neurosurg Focus. 2016;40(1):E4."},{"issue":"1","key":"bib22","series-title":"Neurosurg Focus","first-page":"E2","article-title":"Complications associated with the Dynesys dynamic stabilization system: a comprehensive review of the literature","volume":"40","author":"Pham","year":"2016","unstructured":"Pham MHMehta VAPatel NN, et al. Complications associated with the Dynesys dynamic stabilization system: a comprehensive review of the literature. Neurosurg Focus. 2016;40(1):E2."},{"issue":"8","key":"bib1","series-title":"Glob Spine J","first-page":"1676","article-title":"Lumbar fusion surgery for patients with back pain and degenerative disc disease: an observational study from the Canadian spine outcomes and research network","volume":"12","author":"Evaniew","year":"2022","unstructured":"Evaniew NSwamy GJacobs WB, et al. Lumbar fusion surgery for patients with back pain and degenerative disc disease: an observational study from the Canadian spine outcomes and research network. Glob Spine J. 2022;12(8):1676-1686."},{"issue":"23","key":"bib2","series-title":"Spine (Phila Pa 1976).","first-page":"2521","article-title":"2001 Volvo Award Winner in Clinical Studies: Lumbar fusion versus nonsurgical treatment for chronic low back pain: a multicenter randomized controlled trial from the Swedish Lumbar Spine Study Group.","volume":"26","author":"Fritzell","year":"2001","unstructured":"Fritzell PHagg OWessberg PNordwall A, Swedish Lumbar Spine Study Group.2001 Volvo Award Winner in Clinical Studies: Lumbar fusion versus nonsurgical treatment for chronic low back pain: a multicenter randomized controlled trial from the Swedish Lumbar Spine Study Group.Spine (Phila Pa 1976).2001;26(23):2521-2534."},{"issue":"2","key":"bib3","series-title":"J Neurosurg Spine","first-page":"260","article-title":"Randomized controlled trials for degenerative lumbar spondylolisthesis: which patients benefit from lumbar fusion?","volume":"26","author":"Ghogawala","year":"2017","unstructured":"Ghogawala ZResnick DKGlassman SDDziura JShaffrey CIMummaneni PV. Randomized controlled trials for degenerative lumbar spondylolisthesis: which patients benefit from lumbar fusion?J Neurosurg Spine. 2017;26(2):260-266."},{"issue":"17","key":"bib4","series-title":"Spine","first-page":"1938","article-title":"Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature","volume":"29","author":"Park","year":"2004","unstructured":"Park PGarton HJGala VCHoff JTMcGillicuddy JE. Adjacent segment disease after lumbar or lumbosacral fusion: review of the literature. Spine(Phila PA 1976). 2004;29(17):1938-1944."},{"issue":"5","key":"bib5","series-title":"J Orthop Sci","first-page":"490","article-title":"Adjacent segment stenosis after lumbar fusion requiring second operation","volume":"10","author":"Aiki","year":"2005","unstructured":"Aiki HOhwada OKobayashi H, et al. Adjacent segment stenosis after lumbar fusion requiring second operation. J Orthop Sci. 2005;10(5):490-495."},{"issue":"7","key":"bib6","series-title":"J Bone Joint Surg Am","first-page":"1497","article-title":"Adjacent segment degeneration in the lumbar spine","volume":"86","author":"Ghiselli","year":"2004","unstructured":"Ghiselli GWang JCBhatia NNHsu WKDawson EG. Adjacent segment degeneration in the lumbar spine. J Bone Joint Surg Am. 2004;86(7):1497-1503."},{"issue":"11","key":"bib7","series-title":"Eur Spine J","first-page":"1637","article-title":"Risk factors for adjacent segment disease after lumbar fusion","volume":"18","author":"Lee","year":"2009","unstructured":"Lee CSHwang CJLee SW, et al. Risk factors for adjacent segment disease after lumbar fusion. Eur Spine J. 2009;18(11):1637-1643."},{"issue":"2","key":"bib8","series-title":"Neurosurgery","first-page":"192","article-title":"Incidence of adjacent segment disease requiring reoperation after lumbar laminectomy without fusion: a study of 398 patients","volume":"78","author":"Bydon","year":"2016","unstructured":"Bydon MMacki MDe la Garza-Ramos R, et al. Incidence of adjacent segment disease requiring reoperation after lumbar laminectomy without fusion: a study of 398 patients. Neurosurgery. 2016;78(2):192-199."},{"issue":"11","key":"bib9","series-title":"Eur Spine J","first-page":"1940","article-title":"Adjacent segment degenerative disease: is it due to disease progression or a fusion-associated phenomenon? Comparison between segments adjacent to the fused and non-fused segments","volume":"20","author":"Song","year":"2011","unstructured":"Song KJChoi BWJeon TSLee KBChang H. Adjacent segment degenerative disease: is it due to disease progression or a fusion-associated phenomenon? Comparison between segments adjacent to the fused and non-fused segments. Eur Spine J. 2011;20(11):1940-1945."},{"issue":"suppl 2","key":"bib10","series-title":"Eur Spine J","first-page":"S170","article-title":"The dynamic neutralization system for the spine: a multi-center study of a novel non-fusion system","volume":"11","author":"Stoll","year":"2002","unstructured":"Stoll TMDubois GSchwarzenbach O. The dynamic neutralization system for the spine: a multi-center study of a novel non-fusion system. Eur Spine J. 2002;11(suppl 2):S170-S178."},{"issue":"2","key":"bib11","series-title":"Turk Neurosurg","first-page":"190","article-title":"Dynamic stabilization of the lumbar spine using the Dynesys\u00ae system","volume":"30","author":"Akyoldas","year":"2020","unstructured":"Akyoldas GCevik OMSuzer TSasani MOktenoglu TOzer AF. Dynamic stabilization of the lumbar spine using the Dynesys\u00ae system. Turk Neurosurg. 2020;30(2):190-193."},{"issue":"1","key":"bib12","series-title":"J Orthop Surg Res","first-page":"99","article-title":"The influence of L4\u2013S1 Dynesys\u00ae dynamic stabilization versus fusion on lumbar motion and its relationship with lumbar degeneration: a retrospective study","volume":"12","author":"Zhang","year":"2017","unstructured":"Zhang CWang LHou T, et al. The influence of L4\u2013S1 Dynesys\u00ae dynamic stabilization versus fusion on lumbar motion and its relationship with lumbar degeneration: a retrospective study. J Orthop Surg Res. 2017;12(1):99."},{"issue":"2","key":"bib13","series-title":"Acta Orthop Belg","first-page":"230","article-title":"Comparison of Dynesys posterior stabilization and posterior lumbar interbody fusion for spinal stenosis L4L5","volume":"78","author":"Yu","year":"2012","unstructured":"Yu SWYang SCMa CHWu CHYen CYTu YK. Comparison of Dynesys posterior stabilization and posterior lumbar interbody fusion for spinal stenosis L4L5. Acta Orthop Belg. 2012;78(2):230-239."},{"issue":"5","key":"bib14","series-title":"J Int Med Res","first-page":"1562","article-title":"Medium-term effects of Dynesys dynamic stabilization versus posterior lumbar interbody fusion for treatment of multisegmental lumbar degenerative disease","volume":"45","author":"Wu","year":"2017","unstructured":"Wu HPang QJiang G. Medium-term effects of Dynesys dynamic stabilization versus posterior lumbar interbody fusion for treatment of multisegmental lumbar degenerative disease. J Int Med Res. 2017;45(5):1562-1573."},{"issue":"3","key":"bib15","series-title":"Spine","first-page":"324","article-title":"Clinical experience with the Dynesys semirigid fixation system for the lumbar spine: surgical and patient-oriented outcome in 50 cases after an average of 2 years","volume":"30","author":"Grob","year":"2005","unstructured":"Grob DBenini AJunge AMannion AF. Clinical experience with the Dynesys semirigid fixation system for the lumbar spine: surgical and patient-oriented outcome in 50 cases after an average of 2 years. Spine. 2005;30(3):324-331."},{"issue":"1","key":"bib16","series-title":"PLOS ONE","first-page":"e0148071","article-title":"Comparison of the Dynesys dynamic stabilization system and posterior lumbar interbody fusion for lumbar degenerative disease","volume":"11","author":"Zhang","year":"2016","unstructured":"Zhang YShan JLLiu XMLi FGuan KSun TS. Comparison of the Dynesys dynamic stabilization system and posterior lumbar interbody fusion for lumbar degenerative disease. PLOS ONE. 2016;11(1):e0148071."},{"issue":"10","key":"bib17","series-title":"Arch Orthop Trauma Surg","first-page":"1361","article-title":"Multi-segmental lumbar spinal stenosis treated with Dynesys stabilization versus lumbar fusion in elderly patients: a retrospective study with a minimum of 5 years\u2019 follow-up","volume":"139","author":"Hu","year":"2019","unstructured":"Hu ASun CLiang YWang HLi XDong J. Multi-segmental lumbar spinal stenosis treated with Dynesys stabilization versus lumbar fusion in elderly patients: a retrospective study with a minimum of 5 years\u2019 follow-up. Arch Orthop Trauma Surg. 2019;139(10):1361-1368."},{"issue":"21","key":"bib18","series-title":"Chin Med J (Engl)","first-page":"2537","article-title":"Long-term outcome of Dynesys dynamic stabilization for lumbar spinal stenosis","volume":"131","author":"Zhang","year":"2018","unstructured":"Zhang YZhang ZCLi F, et al. Long-term outcome of Dynesys dynamic stabilization for lumbar spinal stenosis. Chin Med J (Engl). 2018;131(21):2537-2543."},{"issue":"3","key":"bib19","series-title":"Spine","first-page":"265","article-title":"Nonfusion does not prevent adjacent segment disease: Dynesys long-term outcomes with minimum five-year follow-up","volume":"41","author":"St-Pierre","year":"2016","unstructured":"St-Pierre GHJack ASiddiqui MMHenderson RLNataraj A. Nonfusion does not prevent adjacent segment disease: Dynesys long-term outcomes with minimum five-year follow-up. Spine. 2016;41(3):265-273."},{"issue":"3","key":"bib20","series-title":"J Neurosurg Spine","first-page":"353","article-title":"Unintended facet fusions after Dynesys dynamic stabilization in patients with spondylolisthesis","volume":"30","author":"Fay","year":"2018","unstructured":"Fay LYHuang WCChang CC, et al. Unintended facet fusions after Dynesys dynamic stabilization in patients with spondylolisthesis. J Neurosurg Spine. 2018;30(3):353-361."},{"issue":"1","key":"bib21","series-title":"Neurosurg Focus","first-page":"E4","article-title":"Dynesys dynamic stabilization-related facet arthrodesis","volume":"40","author":"Fay","year":"2016","unstructured":"Fay LYChang PYWu JC, et al. Dynesys dynamic stabilization-related facet arthrodesis. Neurosurg Focus. 2016;40(1):E4."},{"issue":"1","key":"bib22","series-title":"Neurosurg Focus","first-page":"E2","article-title":"Complications associated with the Dynesys dynamic stabilization system: a comprehensive review of the literature","volume":"40","author":"Pham","year":"2016","unstructured":"Pham MHMehta VAPatel NN, et al. Complications associated with the Dynesys dynamic stabilization system: a comprehensive review of the literature. Neurosurg Focus. 2016;40(1):E2."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/3\/article-CASE24179.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/3\/article-CASE24179.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/8\/3\/article-CASE24179.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:55:21Z","timestamp":1769687721000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/8\/3\/article-CASE24179.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,15]]},"references-count":44,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.3171\/case24179","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,15]]}}}