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Spine Surgery: Clinical Advances and Future Directions—2nd Edition

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

Deadline for manuscript submissions: 20 August 2026 | Viewed by 579

Editors


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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

E-Mail Website
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

Special Issue Information

Dear Colleagues,

Following the success of the first volume of this Special Issue (https://www.mdpi.com/si/218491), we decided to launch a second volume to discuss a greater number of relevant topics.

In recent years, the field of spinal 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 spinal 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 into spinal 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 spinal surgery and applications.

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

Manuscript Submission Information

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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-anonymized 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

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

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Published Papers (1 paper)

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Research

13 pages, 610 KB  
Article
Hidden Blood Loss in Full-Endoscopic Lumbar Decompression Compared with Biportal Endoscopic and Open Microscopic Surgery for Single-Segment Lumbar Stenosis
by Sung Cheol Park, Yongjung Kim, Sang Soo Eun and Hee Jung Son
J. Clin. Med. 2026, 15(10), 3926; https://doi.org/10.3390/jcm15103926 - 20 May 2026
Viewed by 303
Abstract
Background/Objectives: Accurate estimation of intraoperative blood loss in endoscopic spine surgery remains challenging because of continuous saline irrigation and blood infiltration into surrounding soft tissues and potential dead spaces. Hidden blood loss (HBL), resulting from extravasation into tissue compartments or hemolysis, may [...] Read more.
Background/Objectives: Accurate estimation of intraoperative blood loss in endoscopic spine surgery remains challenging because of continuous saline irrigation and blood infiltration into surrounding soft tissues and potential dead spaces. Hidden blood loss (HBL), resulting from extravasation into tissue compartments or hemolysis, may substantially increase total blood loss (TBL) and contribute to postoperative bleeding-related complications. This study aimed to compare HBL in full-endoscopic unilateral laminotomy with bilateral decompression (FE-ULBD) with that in biportal endoscopic ULBD (BE-ULBD) and open microscopic ULBD (OM-ULBD). Methods: A retrospective analysis was conducted of patients who underwent single-level FE-ULBD, BE-ULBD, or OM-ULBD for lumbar spinal stenosis (LSS) at a single institution. Data on perioperative characteristics, laboratory parameters, perioperative blood loss (TBL, HBL, and visible blood loss), and clinical outcomes were collected and compared. Univariate linear regression analyses were performed to identify factors associated with HBL in the FE-ULBD group. Results: A total of 93 patients were included, comprising 34 in the FE-ULBD group, 32 in the BE-ULBD group, and 27 in the OM-ULBD group. The FE-ULBD group demonstrated significantly lower TBL than both the BE-ULBD and OM-ULBD groups (493.20 ± 183.46 vs. 675.97 ± 192.02 vs. 822.94 ± 424.11 mL, p = 0.001 and p = 0.002, respectively). HBL in the FE-ULBD group was significantly lower than in the BE-ULBD group (390.48 [268.32–506.91] vs. 513.29 [437.96–633.36] mL, p = 0.012) and was numerically lower than in the OM-ULBD group without statistical significance (390.48 [268.32–506.91] vs. 516.38 [316.41–710.68] mL, p = 0.081). Male sex was the only variable significantly associated with increased HBL in the FE-ULBD group. Conclusions: FE-ULBD showed significantly lower TBL than BE-ULBD and OM-ULBD, and lower HBL than BE-ULBD. FE-ULBD may represent a feasible surgical option for single-level LSS, with the potential advantage of reduced perioperative blood loss while maintaining comparable clinical outcomes. Full article
(This article belongs to the Special Issue Spine Surgery: Clinical Advances and Future Directions—2nd Edition)
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