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Clinical Advancements in Spine Surgery: Best Practices and Outcomes
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Clinical Advancements in Spine Surgery: Best Practices and Outcomes

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 20 September 2025 | Viewed by 692

Special Issue Editor

Prof. Dr. Mitsuru Yagi

E-Mail Website
Guest Editor
Department of Orthopedic Surgery, School of Medicine, International University of Health and Welfare, Narita 286-8520, Japan
Interests: spine and spinal cord disease; bioimaging; frailty; biomechanics

Special Issue Information

Dear Colleagues,

This Special Issue, titled “Clinical Advancements in Spine Surgery: Best Practices and Outcomes”, aims to provide an interdisciplinary platform for sharing cutting-edge research and innovative techniques in spinal surgery. Current clinical challenges revolve around refining surgical procedures, optimizing patient outcomes, and minimizing adverse events. By addressing gaps in perioperative care, rehabilitation, and long-term monitoring, this Special Issue seeks to foster the development of evidence-based treatment strategies that can be integrated into routine clinical practice. Core problems to be explored include the need for standardized approaches to complex spine conditions, technological integration into surgical workflows, and robust patient-reported outcome measurements.

The scope of this collection encompasses topics ranging from minimally invasive spine surgery techniques and novel biologics to the use of advanced imaging modalities, robotics, and computer-assisted navigation systems. Articles focusing on the integration of enhanced recovery after surgery (ERAS) protocols, patient-specific planning tools, and rigorous research methodologies are highly encouraged. The Special Issue also welcomes review articles, clinical trials, and meta-analyses that elucidate the impact of surgical interventions on functional recovery and healthcare resource utilization.

Mobilization efforts will include broad outreach to neurosurgeons, orthopedic surgeons, biomechanical engineers, rehabilitation specialists, and researchers, encouraging interdisciplinary collaboration and the dissemination of findings that will ultimately improve patient care in spine surgery.

Prof. Dr. Mitsuru Yagi
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • adult spinal deformity
  • scoliosis
  • frailty
  • biological age
  • big data analysis

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

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Review

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21 pages, 4894 KiB  
Review
Reoperation Strategy for Failure of Cervical Disc Arthroplasty at Index and Adjacent Levels
by Chae-Gwan Kong and Jong-Beom Park
J. Clin. Med. 2025, 14(6), 2038; https://doi.org/10.3390/jcm14062038 - 17 Mar 2025
Viewed by 409
Abstract
Cervical disc arthroplasty (CDA) is a motion-preserving alternative to anterior cervical discectomy and fusion (ACDF) for cervical degenerative disease, reducing adjacent segment degenerative disease (ASD). Despite its benefits, some patients experience CDA failure due to prosthesis-related complications, heterotopic ossification, segmental kyphosis, ASD, or [...] Read more.
Cervical disc arthroplasty (CDA) is a motion-preserving alternative to anterior cervical discectomy and fusion (ACDF) for cervical degenerative disease, reducing adjacent segment degenerative disease (ASD). Despite its benefits, some patients experience CDA failure due to prosthesis-related complications, heterotopic ossification, segmental kyphosis, ASD, or facet joint degeneration, necessitating revision surgery. Reoperation strategies depend on the failure mechanism, instability, sagittal malalignment, and neural compression. Anterior revision is suited for prosthesis failure, recurrent disc herniation, or ASD, enabling prosthesis removal, decompression, and fusion. In select cases, reimplantation may restore motion. Posterior approaches are preferred for facet degeneration, multilevel stenosis, or posterior hypertrophy, with options including foraminotomy, laminoplasty, or laminectomy and fusion. Complex cases may require combined anterior and posterior surgery for optimal decompression and stability. This narrative review outlines revision strategies, emphasizing biomechanical assessment, radiographic evaluation, and patient-specific considerations. Despite surgical challenges, meticulous planning and execution can optimize outcomes. Full article
(This article belongs to the Special Issue Clinical Advancements in Spine Surgery: Best Practices and Outcomes)
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Other

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12 pages, 5233 KiB  
Case Report
New Technique for S1 Nerve Root Transforaminal Percutaneous Fluoroscopically Guided Approach for Difficult Cases of Altered Anatomy
by Łukasz Kubaszewski, Adam Druszcz, Wojciech Łabędź, Zofia Kubaszewska and Mikołaj Dąbrowski
J. Clin. Med. 2025, 14(9), 3126; https://doi.org/10.3390/jcm14093126 - 30 Apr 2025
Viewed by 161
Abstract
Background: S1 nerve roots are difficult to approach during percutaneous procedures for the diagnostic and treatment procedures of low back pain with radicular symptoms. This is harder in older patients with obscure anatomies, due to the low bone density with overimposing degenerative changes [...] Read more.
Background: S1 nerve roots are difficult to approach during percutaneous procedures for the diagnostic and treatment procedures of low back pain with radicular symptoms. This is harder in older patients with obscure anatomies, due to the low bone density with overimposing degenerative changes in the facets and deformations. The otherwise straightforward procedure for the lumbar nerve roots, placing the needle in the proximity of the S1 under fluoroscopic guidance, becomes quite a challenge. Case presentation: In the proposed technique, the initial target for the needle is the lower part of the S1 facet in the convergent trajectory of the needle. After achieving contact with the bone the tip of the needle is moved caudally as, in proximity, it reaches the dorsal foramina of the S1/S2 segment—this is named “wandering to the hole”. The convergent trajectory of the needle ensures the success of the procedure with a minimal risk of intravenous drug administration, which is characteristic for the suprapedicular technique. Conclusions: The proposed technique is straightforward and reproducible due to the combination of the understanding of the surgical and radiological anatomy of this region, in spite of degenerative changes in the spine. Full article
(This article belongs to the Special Issue Clinical Advancements in Spine Surgery: Best Practices and Outcomes)
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