- Mode-Specific Association Between Tri-Cortical Pedicle Screws and Proximal Junctional Kyphosis in Adult Spinal Deformity: A Propensity Score-Matched Cohort Study. [Journal Article]Spine (Phila Pa 1976). 2026 Sep 29. [Online ahead of print]S
- CONCLUSIONS: TPS fixation was associated with a lower incidence of radiographic PJK after ASD surgery. Mode-specific analysis suggested fewer Type 2 PJK events with TPS fixation, supporting mode-specific radiographic assessment and further evaluation of TPS as a proximal fixation strategy.
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- Evaluating the Relationship Between Hospital Price Markup and Outcomes After Anterior Cervical Discectomy and Fusion. [Journal Article]Spine (Phila Pa 1976). 2026 Sep 29. [Online ahead of print]S
- CONCLUSIONS: Among patients undergoing elective ACDF, treatment at high-markup hospitals was independently associated with worse postoperative outcomes despite greater expenditure. These findings challenge the assumption that higher-cost care confers higher quality and have important implications for spine surgery healthcare policy.
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- The Lower Lordotic Arch More Precisely Predicts Pelvic Positioning for Adult Spinal Deformity Patients with an Aligned T4-L1-Hip Axis. [Journal Article]Spine (Phila Pa 1976). 2026 Sep 24. [Online ahead of print]S
- CONCLUSIONS: LLA and SS were correlated pre-and postoperatively for all patients. Correlation strength and predictive ability was superior for patients with aligned T4-L1-hip axes, highlighting the importance of proper alignment of the arches cranial to the LLA. Focusing on the LLA and T4-L1-hip axis should be a priority for surgical planning to optimize prediction of SS (and thus elimination of pathologic pelvic retroversion) after LLA modification regardless of fusion length or Roussouly curve type.
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- Comorbidity-Specific Risk of Revision Following Single-Level Degenerative Spinal Fusion (2010-2023): US Cohort Study Among Over 399K Patients. [Journal Article]Spine (Phila Pa 1976). 2026 Sep 28. [Online ahead of print]S
- CONCLUSIONS: In this national cohort of patients, osteoporosis, anaemia, depression, and substance-related disorders emerged as significant predictors of non-infectious revision within two years. Hypertension and type 2 diabetes conferred more modest risks for mechanical failure. These findings support the integration of comorbidity-informed risk stratification into preoperative planning and highlight the potential optimization to minimize revisions and enhance clinical outcomes.
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- Letter to the Editor Regarding "Explainable Machine Learning for Perioperative Risk Stratification of Radiographic Adjacent Segment Degeneration After Short-Segment Lumbar Fusion". [Letter]Spine (Phila Pa 1976). 2026 Sep 24. [Online ahead of print]S
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- Regarding "Prospective, Multicenter Study of Two-Level Cervical Arthroplasty With a PEEK-On-Ceramic Cervical Total Disc Replacement: Five-Year Follow-Up". [Journal Article]Spine (Phila Pa 1976). 2026 Sep 24. [Online ahead of print]S
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- Effect Modifiers of the Association Between Physical Activities and Subsequent Low Back Pain Flares. [Journal Article]Spine (Phila Pa 1976). 2026 Sep 24. [Online ahead of print]S
- CONCLUSIONS: Concurrent biomechanical actions were generally associated with greater activity-flare risk. Work-relatedness and analgesic administration did not modify activity-flare associations. These findings provide the first epidemiologic evidence that contextual factors, and not solely the type of activity, may influence activity-associated LBP flare risk for some activities.
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- Prognostic value of the Epidural Spinal Cord Compression scale, Revised Tokuhashi, and Spine Instability Neoplastic Scores in primary stereotactic body radiotherapy for spinal bone metastases. [Journal Article]J Neurosurg Spine. 2026 Sep 25; :1-10. [Online ahead of print]JN
- CONCLUSIONS: Primary SBRT for SBMs provided durable LC with acceptable toxicity. Although the ESCC grade, SINS, and rTS offered moderate prognostic utility, an integrated multivariable model incorporating tumor, anatomical, and clinical factors demonstrated superior predictive accuracy. Comprehensive risk stratification may refine patient selection and optimize SBRT strategies.
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- Erratum. Subaxial cervical spine fractures in ankylosing spondylitis: management and outcomes from a 10-year population-based cohort. [Journal Article]J Neurosurg Spine. 2026 Sep 25; :1. [Online ahead of print]JN
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- Mechanical complication patterns following cervical and cervicothoracic junction en bloc spondylectomy of primary spinal tumors: a single-institution decade of experience. [Journal Article]J Neurosurg Spine. 2026 Sep 25; :1-11. [Online ahead of print]JN
- CONCLUSIONS: Mechanical complications occurred in 15% of cervical/CTJ spondylectomies, with a notable proportion involving anterior column failure. Although underpowered for definitive predictors, this exploratory analysis identified several risk signals: limited proximal fixation, small-diameter 2-rod constructs, and cobalt-chromium rod usage that may inform CTJ-specific reconstruction strategies. These findings support exploring the impact of robust proximal fixation, biologically supported anterior reconstruction, bone-health optimization, and long-term surveillance on mechanical complications in CTJ en bloc spondylectomy of primary spinal tumors.
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- Association of CT-Based Body Composition Phenotypes With Lumbar Degenerative Disease Characteristics: A Two-Center Cross-Sectional Study. [Journal Article]Spine (Phila Pa 1976). 2026 Sep 22. [Online ahead of print]S
- CONCLUSIONS: Body composition-based phenotypes are significantly associated with lumbar degenerative features, reflecting the synergistic and antagonistic interplay between fat distribution and muscle status. These phenotypes demonstrate superior stratification performance for lumbar degenerative disease compared with conventional BMI.
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- Sagittal Alignment in Adolescent Idiopathic Scoliosis with Major Thoracic Curvesss: Pelvic Incidence and Its Influences on Lumbar Lordosis and Thoracic Kyphosis. [Journal Article]Spine (Phila Pa 1976). 2026 Sep 21. [Online ahead of print]S
- CONCLUSIONS: PI significantly influences PLL, but not DLL in AIS patients with major thoracic curves. Although DLL constitutes the majority of LL, it remains relatively constant across varying PI. Increasing PI is associated with reduced TK, primarily driven by a decrease in DTK. These findings highlight the importance of individual PI in planning sagittal rod contouring, as patients with higher PI may require greater proximal lumbar contouring to achieve their native sagittal profile.
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- ACDF vs PCDF vs Laminoplasty for Multilevel Cervical Myelopathy: A Systematic Review and Meta-Analysis. [Journal Article]Spine (Phila Pa 1976). 2026 Sep 21. [Online ahead of print]S
- CONCLUSIONS: ACDF, PCDF, and laminoplasty demonstrated similar neurological recovery for multilevel CSM. Procedure-specific differences in cervical range of motion, length of stay, and complication profiles support approach selection guided by preoperative alignment and patient-specific concerns.
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- Perioperative Aspirin Continuation Is Not Associated With Increased Surgical Morbidity Following Minimally Invasive Anterior-to-Psoas Lumbar Fusion: A Propensity-Matched Analysis. [Journal Article]Spine (Phila Pa 1976). 2026 Sep 16. [Online ahead of print]S
- CONCLUSIONS: Perioperative continuation of low-dose aspirin in appropriately selected patients undergoing MIS-ATP lumbar fusion was not associated with increased surgical morbidity or postoperative complications, supporting an individualized, approach-specific approach to perioperative antiplatelet management.
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- Response to Letter to the Editor regarding "Long-Term Mechanical Complications After Lumbar Fusion in Patients Receiving Tirzepatide vs Other GLP-1 Receptor Agonists". [Letter]Spine (Phila Pa 1976). 2026 Sep 16. [Online ahead of print]S
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