{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:06:42Z","timestamp":1784074002878,"version":"3.55.0"},"reference-count":32,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"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 Neurosurg Case Lessons"],"published-print":{"date-parts":[[2026,7,13]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Distraction fractures are unstable spinal injuries characterized by a horizontal fracture line through the vertebra, often occurring following deceleration mechanisms. Surgical management typically involves fixation and fusion to restore sagittal alignment. Minimally invasive approaches, including percutaneous pedicle screw fixation, have demonstrated reduced operative morbidity while achieving deformity correction comparable to that of open techniques. However, accurate rod contouring in percutaneous procedures remains technically challenging.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 61-year-old male presented with a three-column unstable T7 distraction fracture in the setting of diffuse idiopathic skeletal hyperostosis following a rear-end motor vehicle accident at low to moderate speeds. A T4\u201310 percutaneous pedicle screw fixation for fracture reduction and stabilization was performed. Preoperative CT images were formatted and printed at a 1:1 scale on a sheet of paper; cut along the fracture line, taped together to reduce the fracture, and photocopied; sterilely bagged; and used intraoperatively to guide rod bending prior to placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Using a 1:1 ratio paper printout of the patient\u2019s preoperative CT scan as an anatomical template, the authors appropriately performed intraoperative rod bending without additional adjustment of rod contour. This method offers a practical, cost-effective solution to improve the precision and efficiency of rod bending in percutaneous spinal fusion.<\/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\/CASE26257\">https:\/\/thejns.org\/doi\/10.3171\/CASE26257<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case26257","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:34Z","timestamp":1784073634000},"source":"Crossref","is-referenced-by-count":0,"title":["Paper template\u2013based intraoperative rod bending for percutaneous stabilization of thoracic extension-distraction fracture: illustrative case"],"prefix":"10.3171","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4324-9150","authenticated-orcid":true,"given":"Haiyue","family":"Jin","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of California, Irvine, Orange"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander M.","family":"Lopez","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, Irvine, Orange"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew C.","family":"Vivas","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, Los Angeles"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Y.","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, Irvine, Orange"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7905-3305","authenticated-orcid":true,"given":"Nitin N.","family":"Bhatia","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, Irvine, Orange, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Po","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, Irvine, Orange, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3575-2758","authenticated-orcid":true,"given":"Don Y.","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, Irvine, Orange, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohaib Z.","family":"Hashmi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, Irvine, Orange, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao-Hua","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, Irvine, Orange, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily S.","family":"Mills","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California, Irvine, Orange, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hansen","family":"Bow","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, Irvine, Orange"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"bib1","series-title":"Neurospine","first-page":"704","article-title":"Incidence and epidemiology of thoracolumbar spine fractures: WFNS Spine Committee recommendations","volume":"18","author":"Zileli","year":"2021","unstructured":"Zileli MSharif SFornari M.Incidence and epidemiology of thoracolumbar spine fractures: WFNS Spine Committee recommendations. Neurospine. 2021;18(4):704-712. doi:10.14245\/ns.2142418.209"},{"issue":"1","key":"bib2","series-title":"Neurosurgery","first-page":"2","article-title":"Congress of Neurological Surgeons systematic review and evidence-based guidelines on the evaluation and treatment of patients with thoracolumbar spine trauma: executive summary","volume":"84","author":"O\u2019Toole","year":"2019","unstructured":"O\u2019Toole JEKaiser MGAnderson PACongress of Neurological Surgeons systematic review and evidence-based guidelines on the evaluation and treatment of patients with thoracolumbar spine trauma: executive summary. 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Accessed June 8, 2026. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK536926\/"},{"issue":"2","key":"bib5","series-title":"J Emerg Med","first-page":"147","article-title":"Distracting injuries in patients with vertebral injuries","volume":"28","author":"Chang","year":"2005","unstructured":"Chang CHHolmes JFMower WRPanacek EA.Distracting injuries in patients with vertebral injuries. J Emerg Med. 2005;28(2):147-152. doi:10.1016\/j.jemermed.2004.10.010"},{"issue":"12","key":"bib6","series-title":"J Clin Neurosci","first-page":"1853","article-title":"Management of flexion distraction injuries to the thoracolumbar spine","volume":"22","author":"Lopez","year":"2015","unstructured":"Lopez AJScheer JKSmith ZADahdaleh NS.Management of flexion distraction injuries to the thoracolumbar spine. 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Indian J Orthop. 2023;57(9):1415-1422. doi:10.1007\/s43465-023-00911-9"},{"issue":"3","key":"bib14","series-title":"J Spine Surg","first-page":"591","article-title":"How good are we at rod bending?-a review of the literature and a case series of experienced pediatric and adult scoliosis surgeons","volume":"11","author":"Fakunle","year":"2025","unstructured":"Fakunle OO\u2019Laughlin KWaldorff EZhang CMagro MGoodwin R.How good are we at rod bending?-a review of the literature and a case series of experienced pediatric and adult scoliosis surgeons. 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Spine J. 2021;21(3):528-537. doi:10.1016\/j.spinee.2020.09.010"},{"issue":"1","key":"bib20","series-title":"J Orthop Surg Res","first-page":"574","article-title":"Use of the sagittal Cobb* angle to guide the rod bending in the treatment of thoracolumbar fractures: a retrospective clinical study","volume":"15","author":"Shi","year":"2020","unstructured":"Shi ZWang GJin ZUse of the sagittal Cobb* angle to guide the rod bending in the treatment of thoracolumbar fractures: a retrospective clinical study. J Orthop Surg Res. 2020;15(1):574. doi:10.1186\/s13018-020-02115-5"},{"issue":"6","key":"bib21","series-title":"Spine Deform","first-page":"395","article-title":"The effect of contouring on fatigue strength of spinal rods: is it okay to re-bend and which materials are best?","volume":"1","author":"Slivka","year":"2013","unstructured":"Slivka MAFan YKEck JC.The effect of contouring on fatigue strength of spinal rods: is it okay to re-bend and which materials are best? 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