{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T18:11:33Z","timestamp":1789495893923,"version":"build-2803163510"},"reference-count":76,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2005,7]]},"abstract":"\n \n Object<\/jats:italic>\n <\/jats:title>\n The effects of selective dorsal rhizotomy (SDR) procedures on the hip joints of children with spastic cerebral palsy (CP) are not well described. This study was performed to determine the incidence of hip subluxation in children with CP who underwent SDR at a single institution.<\/jats:p>\n <\/jats:sec>\n \n \n Methods<\/jats:italic>\n <\/jats:title>\n The study group comprised 82 patients (164 hip joints) with a mean follow up of 3.9 years. Forty-four patients had spastic diplegia (53.6%), 35 had spastic quadriplegia (42.7%), two had spastic triplegia (2.4%), and one had spastic hemiplegia (1.2%). The mean patient age at SDR was 5.2 \u00b1 2.4 years. Preoperative and postoperative hip radiographs were reviewed and the femoral head center edge (CE) angles were recorded. The mean pre- and postoperative right CE angles were 14.1 and 17.2\u00b0, respectively, and those of the left were 13.6 and 15.1\u00b0, respectively. Considering a change in CE angle greater than 5\u00b0 as clinically significant, 72 hips (43.5%) remained unchanged, 63 (38.4%) improved, and 29 (17.7%) worsened. Of a number of preoperative variables, including age at time of surgery, Gross Motor Function Classification System (GMFCS) level, ambulatory status, extent of hip subluxation, preoperative scoliosis, and asymmetry of hip subluxation, only GMFCS level was associated with worsening of hip subluxation.<\/jats:p>\n <\/jats:sec>\n \n \n Conclusions<\/jats:italic>\n <\/jats:title>\n Selective dorsal rhizotomy is more likely to have a positive effect or no effect on hip joint subluxation rather than to have a negative effect. More severe involvement, as measured using the GMFCS, may predispose to worsening of hip subluxation after SDR.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/ped.2005.103.1.0010","type":"journal-article","created":{"date-parts":[[2010,8,27]],"date-time":"2010-08-27T06:01:30Z","timestamp":1282888890000},"page":"10-16","source":"Crossref","is-referenced-by-count":9,"title":["Hip joint subluxation after selective dorsal rhizotomy for spastic cerebral palsy"],"prefix":"10.3171","volume":"103","author":[{"given":"Tufan","family":"Hicdonmez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Steinbok","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Beauchamp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonita","family":"Sawatzky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1159\/000120640","article-title":"Complications with selective posterior rhizotomy.","volume":"18","author":"Abbott","year":"1992"},{"key":"b2","series-title":"J Child Neurol","doi-asserted-by":"publisher","first-page":"S36","DOI":"10.1177\/0883073896011001S06","article-title":"Sensory rhizotomy for the treatment of childhood spasticity.","volume":"11","author":"Abbott","year":"1996"},{"key":"b3","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1007\/BF00271889","article-title":"Selective posterior rhizotomy for the treatment of spasticity: a review.","volume":"5","author":"Abbott","year":"1989"},{"key":"b4","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1007\/BF00272116","article-title":"Selective posterior rhizotomy: a long-term follow-up study.","volume":"5","author":"Arens","year":"1989"},{"key":"b5","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1097\/01241398-199301000-00007","article-title":"Long-term follow-up of hip subluxation in cerebral palsy patients.","volume":"13","author":"Bagg","year":"1993"},{"key":"b6","series-title":"Am J Occup Ther","doi-asserted-by":"publisher","first-page":"704","DOI":"10.5014\/ajot.47.8.704","article-title":"Improvement in upper extremity function and trunk control after selective posterior rhizotomy.","volume":"47","author":"Beck","year":"1993"},{"key":"b7","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1097\/01241398-198705000-00004","article-title":"The fate of the nonoperated hip in cerebral palsy.","volume":"7","author":"Carr","year":"1987"},{"key":"b8","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1097\/01241398-199801000-00014","article-title":"Orthopedic procedures after rhizotomy.","volume":"18","author":"Carroll","year":"1998"},{"key":"b9","series-title":"Dev Med Child Neurol","first-page":"3","article-title":"The hip in cerebral palsy.","volume":"37","author":"Cornell","year":"1995"},{"key":"b10","series-title":"Acta Neurochir Suppl","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1007\/978-3-7091-8592-6_57","article-title":"Long-term results of posterior functional rhizotomy.","volume":"30","author":"Fasano","year":"1980"},{"key":"b11","series-title":"Acta Orthop Scand","doi-asserted-by":"publisher","first-page":"403","DOI":"10.3109\/17453677608988709","article-title":"The CE angle of normal hips.","volume":"47","author":"Fredensborg","year":"1976"},{"key":"b12","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1097\/01241398-199107000-00014","article-title":"Rapid progression of hip subluxation in cerebral palsy after selective posterior rhizotomy.","volume":"11","author":"Greene","year":"1991"},{"key":"b13","series-title":"Clin Radiol","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1016\/S0009-9260(77)80099-8","article-title":"The radiology of the hip joints and pelvis in cerebral palsy.","volume":"28","author":"Griffiths","year":"1977"},{"key":"b14","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"567","DOI":"10.3171\/jns.1995.82.4.0567","article-title":"Changes in hip migration after selective dorsal rhizotomy for spastic quadriplegia in cerebral palsy.","volume":"82","author":"Heim","year":"1995"},{"key":"b15","series-title":"Stereotact Funct Neurosurg","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1159\/000099885","article-title":"Selective dorsal rhizotomy in children with cerebral palsy. Results in 18 cases at one year postoperatively.","volume":"69","author":"Hodgkinson","year":"1997"},{"key":"b16","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1097\/01241398-198609000-00001","article-title":"Hip dislocation and subluxation in cerebral palsy.","volume":"6","author":"Lonstein","year":"1986"},{"key":"b17","series-title":"Dev Med Child Neurol","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1017\/S0012162201001608","article-title":"Selective dorsal rhizotomy: meta-analysis of three randomized controlled trials.","volume":"44","author":"McLaughlin","year":"2002"},{"key":"b18","series-title":"Dev Med Child Neurol","first-page":"755","article-title":"The role of selective dorsal rhizotomy in cerebral palsy: critical evaluation of a prospective clinical series.","volume":"36","author":"McLaughlin","year":"1994"},{"key":"b19","series-title":"Dev Med Child Neurol","first-page":"449","article-title":"Age and migration percentage as risk factors for progression in spastic hip disease.","volume":"37","author":"Miller","year":"1995"},{"key":"b20","series-title":"Phys Ther","doi-asserted-by":"publisher","first-page":"974","DOI":"10.1093\/ptj\/80.10.974","article-title":"Validation of a model of gross motor function for children with cerebral palsy.","volume":"80","author":"Palisano","year":"2000"},{"key":"b21","series-title":"Clin Neurosurg","first-page":"422","article-title":"Selective dorsal rhizotomy: an excellent therapeutic option for spastic cerebral palsy.","volume":"47","author":"Park","year":"2000"},{"key":"b22","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1159\/000120763","article-title":"Effects of selective dorsal rhizotomy for spastic diplegia on hip migration in cerebral palsy.","volume":"20","author":"Park","year":"1994"},{"key":"b23","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1097\/01241398-200209000-00017","article-title":"Hip displacement in spastic cerebral palsy: repeatability of radiologic measurement.","volume":"22","author":"Parrott","year":"2002"},{"key":"b24","series-title":"S Afr Med J","first-page":"119","article-title":"Selective posterior rhizotomy for the relief of spasticity in cerebral palsy.","volume":"62","author":"Peacock","year":"1982"},{"key":"b25","series-title":"J Child Neurol","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1177\/088307389100600219","article-title":"Selective posterior rhizotomy: further comments.","volume":"6","author":"Peacock","year":"1991"},{"key":"b26","series-title":"Acta Orthop Scand Suppl","first-page":"1","article-title":"The stability of the hip in children. A radiological study of the results of muscle surgery in cerebral palsy.","volume":"184","author":"Reimers","year":"1980"},{"key":"b27","series-title":"AJR Am J Roentgenol","doi-asserted-by":"publisher","first-page":"1219","DOI":"10.2214\/ajr.146.6.1219","article-title":"Hip changes in spastic cerebral palsy.","volume":"146","author":"Sauser","year":"1986"},{"key":"b28","series-title":"Arch Dis Child","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1136\/adc.76.4.381","article-title":"Surveillance measures of the hips of children with bilateral cerebral palsy.","volume":"76","author":"Scrutton","year":"1997"},{"key":"b29","series-title":"Dev Med Child Neurol","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1017\/S0012162201001086","article-title":"Hip dysplasia in bilateral cerebral palsy: incidence and natural history in children aged 18 months to 5 years.","volume":"43","author":"Scrutton","year":"2001"},{"key":"b30","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"776","DOI":"10.1097\/01241398-200011000-00015","article-title":"Effectiveness of femoral varus osteotomy in patients with cerebral palsy.","volume":"20","author":"Settecerri","year":"2000"},{"key":"b31","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/PL00013722","article-title":"Outcomes after selective dorsal rhizotomy for spastic cerebral palsy.","volume":"17","author":"Steinbok","year":"2001"},{"key":"b32","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"18","DOI":"10.3171\/jns.1995.83.1.0018","article-title":"Relationship of intraoperative electrophysiological criteria to outcome after selective functional posterior rhizotomy.","volume":"83","author":"Steinbok","year":"1995"},{"key":"b33","series-title":"Pediatr Neurosurg","first-page":"42","article-title":"Comparison of motor outcomes after selective dorsal rhizotomy with and without preoperative intensified physiotherapy in children with spastic diplegic cerebral palsy.","volume":"36","author":"Steinbok","year":"2002"},{"key":"b34","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1159\/000120639","article-title":"Selective functional posterior rhizotomy for treatment of spastic cerebral palsy in children. Review of 50 consecutive cases.","volume":"18","author":"Steinbok","year":"1992"},{"key":"b35","series-title":"Dev Med Child Neurol","first-page":"178","article-title":"A randomized clinical trial to compare selective posterior rhizotomy plus physiotherapy with physiotherapy alone in children with spastic diplegic cerebral palsy.","volume":"39","author":"Steinbok","year":"1997"},{"key":"b36","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1159\/000028668","article-title":"Complications after selective posterior rhizotomy for spasticity in children with cerebral palsy.","volume":"28","author":"Steinbok","year":"1998"},{"key":"b37","series-title":"Dev Med Child Neurol","first-page":"5","article-title":"The natural history of the hip in cerebral palsy following selective posterior rhizotomy.","volume":"32","author":"Stempien","year":"1990"},{"key":"b38","series-title":"Int Orthop","first-page":"105","article-title":"The anatomy of the dysplastic hip in cerebral palsy related to prognosis and treatment.","volume":"9","author":"Vidal","year":"1985"},{"key":"b1","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1159\/000120640","article-title":"Complications with selective posterior rhizotomy.","volume":"18","author":"Abbott","year":"1992"},{"key":"b2","series-title":"J Child Neurol","doi-asserted-by":"publisher","first-page":"S36","DOI":"10.1177\/0883073896011001S06","article-title":"Sensory rhizotomy for the treatment of childhood spasticity.","volume":"11","author":"Abbott","year":"1996"},{"key":"b3","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1007\/BF00271889","article-title":"Selective posterior rhizotomy for the treatment of spasticity: a review.","volume":"5","author":"Abbott","year":"1989"},{"key":"b4","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1007\/BF00272116","article-title":"Selective posterior rhizotomy: a long-term follow-up study.","volume":"5","author":"Arens","year":"1989"},{"key":"b5","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1097\/01241398-199301000-00007","article-title":"Long-term follow-up of hip subluxation in cerebral palsy patients.","volume":"13","author":"Bagg","year":"1993"},{"key":"b6","series-title":"Am J Occup Ther","doi-asserted-by":"publisher","first-page":"704","DOI":"10.5014\/ajot.47.8.704","article-title":"Improvement in upper extremity function and trunk control after selective posterior rhizotomy.","volume":"47","author":"Beck","year":"1993"},{"key":"b7","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1097\/01241398-198705000-00004","article-title":"The fate of the nonoperated hip in cerebral palsy.","volume":"7","author":"Carr","year":"1987"},{"key":"b8","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1097\/01241398-199801000-00014","article-title":"Orthopedic procedures after rhizotomy.","volume":"18","author":"Carroll","year":"1998"},{"key":"b9","series-title":"Dev Med Child Neurol","first-page":"3","article-title":"The hip in cerebral palsy.","volume":"37","author":"Cornell","year":"1995"},{"key":"b10","series-title":"Acta Neurochir Suppl","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1007\/978-3-7091-8592-6_57","article-title":"Long-term results of posterior functional rhizotomy.","volume":"30","author":"Fasano","year":"1980"},{"key":"b11","series-title":"Acta Orthop Scand","doi-asserted-by":"publisher","first-page":"403","DOI":"10.3109\/17453677608988709","article-title":"The CE angle of normal hips.","volume":"47","author":"Fredensborg","year":"1976"},{"key":"b12","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1097\/01241398-199107000-00014","article-title":"Rapid progression of hip subluxation in cerebral palsy after selective posterior rhizotomy.","volume":"11","author":"Greene","year":"1991"},{"key":"b13","series-title":"Clin Radiol","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1016\/S0009-9260(77)80099-8","article-title":"The radiology of the hip joints and pelvis in cerebral palsy.","volume":"28","author":"Griffiths","year":"1977"},{"key":"b14","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"567","DOI":"10.3171\/jns.1995.82.4.0567","article-title":"Changes in hip migration after selective dorsal rhizotomy for spastic quadriplegia in cerebral palsy.","volume":"82","author":"Heim","year":"1995"},{"key":"b15","series-title":"Stereotact Funct Neurosurg","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1159\/000099885","article-title":"Selective dorsal rhizotomy in children with cerebral palsy. Results in 18 cases at one year postoperatively.","volume":"69","author":"Hodgkinson","year":"1997"},{"key":"b16","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1097\/01241398-198609000-00001","article-title":"Hip dislocation and subluxation in cerebral palsy.","volume":"6","author":"Lonstein","year":"1986"},{"key":"b17","series-title":"Dev Med Child Neurol","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1017\/S0012162201001608","article-title":"Selective dorsal rhizotomy: meta-analysis of three randomized controlled trials.","volume":"44","author":"McLaughlin","year":"2002"},{"key":"b18","series-title":"Dev Med Child Neurol","first-page":"755","article-title":"The role of selective dorsal rhizotomy in cerebral palsy: critical evaluation of a prospective clinical series.","volume":"36","author":"McLaughlin","year":"1994"},{"key":"b19","series-title":"Dev Med Child Neurol","first-page":"449","article-title":"Age and migration percentage as risk factors for progression in spastic hip disease.","volume":"37","author":"Miller","year":"1995"},{"key":"b20","series-title":"Phys Ther","doi-asserted-by":"publisher","first-page":"974","DOI":"10.1093\/ptj\/80.10.974","article-title":"Validation of a model of gross motor function for children with cerebral palsy.","volume":"80","author":"Palisano","year":"2000"},{"key":"b21","series-title":"Clin Neurosurg","first-page":"422","article-title":"Selective dorsal rhizotomy: an excellent therapeutic option for spastic cerebral palsy.","volume":"47","author":"Park","year":"2000"},{"key":"b22","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1159\/000120763","article-title":"Effects of selective dorsal rhizotomy for spastic diplegia on hip migration in cerebral palsy.","volume":"20","author":"Park","year":"1994"},{"key":"b23","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1097\/01241398-200209000-00017","article-title":"Hip displacement in spastic cerebral palsy: repeatability of radiologic measurement.","volume":"22","author":"Parrott","year":"2002"},{"key":"b24","series-title":"S Afr Med J","first-page":"119","article-title":"Selective posterior rhizotomy for the relief of spasticity in cerebral palsy.","volume":"62","author":"Peacock","year":"1982"},{"key":"b25","series-title":"J Child Neurol","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1177\/088307389100600219","article-title":"Selective posterior rhizotomy: further comments.","volume":"6","author":"Peacock","year":"1991"},{"key":"b26","series-title":"Acta Orthop Scand Suppl","first-page":"1","article-title":"The stability of the hip in children. A radiological study of the results of muscle surgery in cerebral palsy.","volume":"184","author":"Reimers","year":"1980"},{"key":"b27","series-title":"AJR Am J Roentgenol","doi-asserted-by":"publisher","first-page":"1219","DOI":"10.2214\/ajr.146.6.1219","article-title":"Hip changes in spastic cerebral palsy.","volume":"146","author":"Sauser","year":"1986"},{"key":"b28","series-title":"Arch Dis Child","doi-asserted-by":"publisher","first-page":"381","DOI":"10.1136\/adc.76.4.381","article-title":"Surveillance measures of the hips of children with bilateral cerebral palsy.","volume":"76","author":"Scrutton","year":"1997"},{"key":"b29","series-title":"Dev Med Child Neurol","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1017\/S0012162201001086","article-title":"Hip dysplasia in bilateral cerebral palsy: incidence and natural history in children aged 18 months to 5 years.","volume":"43","author":"Scrutton","year":"2001"},{"key":"b30","series-title":"J Pediatr Orthop","doi-asserted-by":"publisher","first-page":"776","DOI":"10.1097\/01241398-200011000-00015","article-title":"Effectiveness of femoral varus osteotomy in patients with cerebral palsy.","volume":"20","author":"Settecerri","year":"2000"},{"key":"b31","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/PL00013722","article-title":"Outcomes after selective dorsal rhizotomy for spastic cerebral palsy.","volume":"17","author":"Steinbok","year":"2001"},{"key":"b32","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"18","DOI":"10.3171\/jns.1995.83.1.0018","article-title":"Relationship of intraoperative electrophysiological criteria to outcome after selective functional posterior rhizotomy.","volume":"83","author":"Steinbok","year":"1995"},{"key":"b33","series-title":"Pediatr Neurosurg","first-page":"42","article-title":"Comparison of motor outcomes after selective dorsal rhizotomy with and without preoperative intensified physiotherapy in children with spastic diplegic cerebral palsy.","volume":"36","author":"Steinbok","year":"2002"},{"key":"b34","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1159\/000120639","article-title":"Selective functional posterior rhizotomy for treatment of spastic cerebral palsy in children. Review of 50 consecutive cases.","volume":"18","author":"Steinbok","year":"1992"},{"key":"b35","series-title":"Dev Med Child Neurol","first-page":"178","article-title":"A randomized clinical trial to compare selective posterior rhizotomy plus physiotherapy with physiotherapy alone in children with spastic diplegic cerebral palsy.","volume":"39","author":"Steinbok","year":"1997"},{"key":"b36","series-title":"Pediatr Neurosurg","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1159\/000028668","article-title":"Complications after selective posterior rhizotomy for spasticity in children with cerebral palsy.","volume":"28","author":"Steinbok","year":"1998"},{"key":"b37","series-title":"Dev Med Child Neurol","first-page":"5","article-title":"The natural history of the hip in cerebral palsy following selective posterior rhizotomy.","volume":"32","author":"Stempien","year":"1990"},{"key":"b38","series-title":"Int Orthop","first-page":"105","article-title":"The anatomy of the dysplastic hip in cerebral palsy related to prognosis and treatment.","volume":"9","author":"Vidal","year":"1985"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/103\/1\/article-p10.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/103\/1\/article-p10.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/103\/1\/article-p10.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T10:19:28Z","timestamp":1782209968000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/103\/1\/article-p10.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,7]]},"references-count":76,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/ped.2005.103.1.0010","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[2005,7]]}}}