Spine Surgery: Clinical Advances and Future Directions

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

Deadline for manuscript submissions: 30 May 2025 | Viewed by 1012

Special Issue Editors


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Guest Editor
Department of Spine Center, SNU Seoul Hospital, Gonghangdae-ro 237, Gangseo-gu, Seoul 08703, Republic of Korea
Interests: spine surgery; back pain; spine; spinal surgery; spinal cord injury; orthopedic surgery; endoscopic spine surgery
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
Department of Neurosurgery, Guro Hospital, Korea University Medical Center 148, Gurodong-ro, Guro-gu, Seoul 08308, Republic of Korea
Interests: spine surgery; back pain; spine; spinal surgery; spinal cord injury; neurosurgery; endoscopic spine surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In recent years, the field of spine surgery has witnessed remarkable advancements that have transformed clinical practices and patient outcomes. This Special Issue aims to gather cutting-edge research and insights from experts in the field to explore the latest trends, challenges, and innovations in spine surgery.

Topics of Interest:

We welcome original research articles and reviews that address, but are not limited to, the following areas:

  • Minimally Invasive Techniques: Innovations in surgical approaches that reduce recovery times and improve patient outcomes.
  • Robotics and Navigation: The integration of robotic systems and navigation technologies in spine surgery.
  • Biologics and Regenerative Medicine: The role of stem cell therapy, PRP, and other biologic treatments in spinal disorders.
  • 3D Printing Applications: Custom implants and their impact on surgical planning and patient care.
  • AI and Machine Learning: The potential of artificial intelligence in enhancing surgical decision-making and patient management.
  • Telemedicine in Spine Care: The role of telehealth in preoperative assessments and postoperative follow-ups.
  • Enhanced Recovery Protocols: Strategies for optimizing patient recovery and reducing hospital stays.
  • Long-term Outcomes and Patient Quality of Life: Research on the long-term effects of various surgical techniques and their impact on patients' lives.
  • Development in endoscopy in spine surgery: Research on uniportal or biportal endoscopic spine surgery and applications.

Dr. Seung-kook Kim
Prof. Dr. Eun-Sang Kim
Guest Editors

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Keywords

  • spine surgery
  • back pain
  • endoscopic spine surgery
  • cage implantation
  • neck pain

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Published Papers (1 paper)

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Research

16 pages, 4606 KiB  
Article
Comparison of Open Microscopic and Biportal Endoscopic Approaches in Multi-Level Posterior Cervical Foraminotomy: Radiological and Clinical Outcomes
by Hyung Rae Lee, Jae Min Park, In-Hee Kim, Jun-Hyun Kim and Jae-Hyuk Yang
J. Clin. Med. 2025, 14(1), 164; https://doi.org/10.3390/jcm14010164 - 30 Dec 2024
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Abstract
Background/Objectives: This study compares clinical and radiological outcomes of open microscopic posterior cervical foraminotomy (PCF) and biportal endoscopic spine surgery (BESS) PCF in multi-level cases. While BESS PCF is effective in single-level surgeries, its role in multi-level procedures remains unclear. Methods: This [...] Read more.
Background/Objectives: This study compares clinical and radiological outcomes of open microscopic posterior cervical foraminotomy (PCF) and biportal endoscopic spine surgery (BESS) PCF in multi-level cases. While BESS PCF is effective in single-level surgeries, its role in multi-level procedures remains unclear. Methods: This retrospective cohort study included 60 patients treated for cervical radiculopathy from 2016 to 2023, divided into two groups, open microscopic PCF (Group M, n = 30) and BESS PCF (Group B, n = 30). Clinical outcomes were assessed using visual analogue scale (VAS) scores for neck and arm pain and the neck disability index (NDI). Radiological parameters included cervical angle, segmental angle, range of motion (ROM), and the extent of facetectomy. Results: Both groups showed improvement in the arm pain VAS and the NDI. However, Group B exhibited significantly better neck pain on the VAS at the final follow-up (p = 0.03). Radiologically, Group B maintained lordotic cervical and segmental angles postoperatively, while Group M showed kyphotic changes (p < 0.01). Segmental ROM was larger in Group M, indicating greater instability (p < 0.01). Group B had less extensive facetectomy while achieving comparable foraminal enlargement. Operative time was longer for Group B (p < 0.001). Conclusions: BESS PCF preserves cervical stability and reduces postoperative neck pain compared to open microscopic PCF in multi-level procedures. Despite longer operative times, its benefits in minimizing instability make it a promising option for treating multi-level cervical radiculopathy. Further research with long-term follow-up is recommended. Full article
(This article belongs to the Special Issue Spine Surgery: Clinical Advances and Future Directions)
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