{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T17:01:53Z","timestamp":1790182913871,"version":"4.1.0"},"reference-count":9,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[1999,12]]},"abstract":"<jats:p>The goals of surgery for metastatic disease of the lumbosacral spine are to relieve compression of the thecal sac and nerve roots, to resect malignant tissue, and to create a stable reconstruction of the spine. Reconstruction of the lumbosacral junction, specifically the L-5 vertebral body, is particularly challenging because the biomechanical properties of this level differ from other areas of the spine.<\/jats:p>\n                  <jats:p>A 40-year-old woman with intraductal breast carcinoma that metastasized to the L-5 vertebral body presented with progressive low-back pain, right-sided L-5 radiculopathy, and weakness. Magnetic resonance imaging revealed a pathological fracture of the L-5 vertebral body with compression of the cauda equina. The L-5 posterior arch, both facet joints and pedicles, and the posterior third of the vertebral body were removed via a posterior approach. A pedicle screw fixation system was applied from L-4 to S-1. The patient was repositioned, and a transabdominal approach was used to resect the anterior two thirds of the L-5 body, which was reconstructed using an allograft bone strut. An interference bone screw was placed through the inferior aspect of the allograft and screwed into the body of S-1 to provide stability for the reconstructive graft.<\/jats:p>\n                  <jats:p>The patient's clinical recovery was excellent. She was ambulating without difficulty when seen at 19-month follow-up examination.<\/jats:p>\n                  <jats:p>Complete spondylectomy by using this novel fusion technique was efficacious in the treatment of metastatic disease to the vertebral column.<\/jats:p>","DOI":"10.3171\/foc.1999.7.6.6","type":"journal-article","created":{"date-parts":[[2008,1,24]],"date-time":"2008-01-24T06:50:48Z","timestamp":1201157448000},"page":"E5","source":"Crossref","is-referenced-by-count":33,"title":["Lumbosacral junction fixation and fusion after complete L-5 spondylectomy"],"prefix":"10.3171","volume":"7","author":[{"given":"Paul W.","family":"Detwiler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randall W.","family":"Porter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil R.","family":"Crawford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul J.","family":"Apostolides","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Curtis A.","family":"Dickman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"p_4","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199506000-00005"},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1984.61.1.0107"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199905000-00117"},{"key":"p_14","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199203000-00010"},{"key":"p_17","first-page":"473","author":"Clinical Management Philadelphia","year":"1990","journal-title":"WB Saunders"},{"key":"p_20","first-page":"380","author":"Philadelphia","year":"1990","journal-title":"WB Saunders"},{"key":"p_33","first-page":"438","author":"Management Philadelphia","year":"1990","journal-title":"WB Saunders"},{"key":"p_37","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1985.63.5.0676"},{"key":"p_39","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199702010-00018"}],"container-title":["Neurosurgical Focus"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/7\/6\/article-pE5.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/7\/6\/article-pE5.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/neurosurg-focus\/7\/6\/article-pE5.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T08:51:10Z","timestamp":1780131070000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/neurosurg-focus\/7\/6\/article-pE5.xml"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[1999,12]]},"references-count":9,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.3171\/foc.1999.7.6.6","relation":{},"ISSN":["1092-0684"],"issn-type":[{"value":"1092-0684","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,12]]}}}