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Spine Neurosurgery: Latest Advances and Prospects

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 682

Special Issue Editors


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Guest Editor
Department of Neurosurgery, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin-si, Republic of Korea
Interests: cervical spine diseases; cervical OPLL; cervical spondylotic myelopathy; cervical spine surgery; spinal surgery; spinal deformity

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Guest Editor
Department of Neurosurgery, Gangnam Severance Hospital, Yonsei University School of Medicine, Seoul, Republic of Korea
Interests: cervical spine surgery; spine deformity surgery; spinal degenerative conditions

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Guest Editor
Department of Neurosurgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
Interests: endoscopic spine surgery; minimally invasive spinal techniques; cervical disorders; lumbar spine disorders

Special Issue Information

Dear Colleagues,

Spine neurosurgery is rapidly advancing, with significant innovations in surgical techniques and a deeper understanding of complex spinal conditions. This Special Issue aims to showcase the latest developments in spinal diseases and surgical procedures, covering both traditional and cutting-edge interventions. Key topics include: Cervical Ossification of the Posterior Longitudinal Ligament (OPLL), with a focus on new management strategies; Degenerative Cervical Myelopathy (DCM), especially cervical spondylotic myelopathy, and the optimal surgical approaches; Endoscopic Spine Surgery, emphasizing its growing role in treating lumbar and cervical spine diseases; Minimally Invasive Spine Surgery (MISS), including new technologies and techniques; and Spinal Deformity Surgery, concentrating on cervical and lumbar deformities. The scope of this Special Issue includes emerging surgical techniques, advanced diagnostic tools, and improved patient outcomes. Contributions should reflect current research, address key challenges, and offer practical insights for spine surgeons. This issue will highlight multi-center collaboration, surgical decision-making, and personalized approaches in spine neurosurgery, aiming to lay the groundwork for future clinical advancements practices.

Prof. Dr. Jun Jae Shin
Dr. Bong Ju Moon
Dr. Chang Kyu Lee
Guest Editors

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Keywords

  • cervical spine
  • cervical myelopathy
  • ossification of the posterior longitudinal ligament (OPLL)
  • endoscopic spine surgery
  • minimally invasive spine surgery
  • spinal deformity

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Published Papers (1 paper)

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Research

15 pages, 3825 KB  
Article
Sagittal Alignment and Segmental Mobility After Cervical Intradural Extramedullary Tumor Surgery: A Comparative Analysis of Unilateral Hemilaminectomy and Laminotomy with Laminoplasty
by Jae Min Kim, Yong Eun Cho, Keun Su Kim, Hyun Jun Jang, Bong Ju Moon and Jun Jae Shin
J. Clin. Med. 2026, 15(7), 2672; https://doi.org/10.3390/jcm15072672 - 1 Apr 2026
Viewed by 451
Abstract
Objectives: In this retrospective comparative cohort study, we aimed to compare surgical efficiency, radiographic facet integrity, and postoperative alignment and mobility between unilateral hemilaminectomy (UL) and laminotomy with laminoplasty (LP) for cervical intradural extramedullary (IDEM) tumors. Methods: Thirty-eight patients (UL: 20; [...] Read more.
Objectives: In this retrospective comparative cohort study, we aimed to compare surgical efficiency, radiographic facet integrity, and postoperative alignment and mobility between unilateral hemilaminectomy (UL) and laminotomy with laminoplasty (LP) for cervical intradural extramedullary (IDEM) tumors. Methods: Thirty-eight patients (UL: 20; LP: 18) were retrospectively reviewed. Operative variables, tumor characteristics, extent of resection, radiographic facet joint violation (graded 1–4), and sagittal alignment parameters, including global and segmental range of motion (ROM), were evaluated at 1 year postoperatively. Propensity score matching was additionally performed to minimize potential baseline imbalance between groups. Results: The UL group had significantly shorter operative time (178.05 ± 61.89 vs. 276.06 ± 121.76 min, p = 0.003) and lower intraoperative blood loss (p < 0.001) than the LP group. Radiographic facet joint violation (Grade ≥ 2) occurred more frequently in the UL group (25.0% vs. 0%, p = 0.048) but was not associated with postoperative sagittal alignment changes or radiographic instability. Global cervical alignment remained in both groups, but the LP group showed a significantly greater reduction in segmental ROM at 1 year (−6.42 ± 8.29° vs. 0.06 ± 7.72°, p = 0.017). These findings were consistent in the propensity score–matched cohort. Conclusions: UL provides favorable operative efficiency and better preservation of segmental cervical mobility than LP, while maintaining comparable clinical and radiographic outcomes. Although radiographic facet joint violation was more frequent in the UL group, postoperative spinal stability was not compromised in this cohort. UL may serve as a safe and motion-preserving alternative in selected patients with cervical IDEM tumors. Full article
(This article belongs to the Special Issue Spine Neurosurgery: Latest Advances and Prospects)
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