{"id":"https://openalex.org/W3019147409","doi":"https://doi.org/10.3340/jkns.2020.0039","title":"Retethering : A Neurosurgical Viewpoint","display_name":"Retethering : A Neurosurgical Viewpoint","publication_year":2020,"publication_date":"2020-04-27","ids":{"openalex":"https://openalex.org/W3019147409","doi":"https://doi.org/10.3340/jkns.2020.0039","mag":"3019147409","pmid":"https://pubmed.ncbi.nlm.nih.gov/32336063","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/7218204"},"language":"en","primary_location":{"id":"doi:10.3340/jkns.2020.0039","doi":"https://doi.org/10.3340/jkns.2020.0039","is_oa":true,"landing_page_url":"https://doi.org/10.3340/jkns.2020.0039","pdf_url":"https://www.jkns.or.kr/upload/pdf/jkns-2020-0039.pdf","source":{"id":"https://openalex.org/S205682708","display_name":"Journal of Korean Neurosurgical Society","issn_l":"1225-8245","issn":["1225-8245","1598-7876","2005-3711"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","kci-registered","norway-1","oarl","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310319484","host_organization_name":"Korean Neurosurgical Society","host_organization_lineage":["https://openalex.org/P4310319484"],"host_organization_lineage_names":["Korean Neurosurgical Society"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Korean Neurosurgical Society","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.jkns.or.kr/upload/pdf/jkns-2020-0039.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5039468735","display_name":"Ji Yeoun Lee","orcid":"https://orcid.org/0000-0003-0464-7605","observed_orcids":["https://orcid.org/0000-0003-0464-7605","https://orcid.org/0009-0001-8363-0475"]},"institutions":[{"id":"https://openalex.org/I139264467","display_name":"Seoul National University","ror":"https://ror.org/04h9pn542","country_code":"KR","type":"education","lineage":["https://openalex.org/I139264467"]},{"id":"https://openalex.org/I4210104532","display_name":"Seoul National University Children's Hospital","ror":"https://ror.org/01ks0bt75","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I139264467","https://openalex.org/I2802835388","https://openalex.org/I4210104532"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Ji Yeoun Lee","raw_affiliation_strings":["Department of Anatomy, Seoul National University College of Medicine, Seoul, Korea","Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea"],"raw_orcid":"https://orcid.org/0000-0003-0464-7605","affiliations":[{"raw_affiliation_string":"Department of Anatomy, Seoul National University College of Medicine, Seoul, Korea","institution_ids":["https://openalex.org/I139264467"]},{"raw_affiliation_string":"Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea","institution_ids":["https://openalex.org/I139264467","https://openalex.org/I4210104532"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5033045118","display_name":"Kyung Hyun Kim","orcid":"https://orcid.org/0000-0002-8238-2043","observed_orcids":["https://orcid.org/0000-0002-8238-2043"]},"institutions":[{"id":"https://openalex.org/I139264467","display_name":"Seoul National University","ror":"https://ror.org/04h9pn542","country_code":"KR","type":"education","lineage":["https://openalex.org/I139264467"]},{"id":"https://openalex.org/I4210104532","display_name":"Seoul National University Children's Hospital","ror":"https://ror.org/01ks0bt75","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I139264467","https://openalex.org/I2802835388","https://openalex.org/I4210104532"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Kyung Hyun Kim","raw_affiliation_strings":["Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea"],"raw_orcid":"https://orcid.org/0000-0002-8238-2043","affiliations":[{"raw_affiliation_string":"Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea","institution_ids":["https://openalex.org/I139264467","https://openalex.org/I4210104532"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049117692","display_name":"Kwanjin Park","orcid":"https://orcid.org/0000-0002-8926-3047","observed_orcids":["https://orcid.org/0000-0002-8926-3047"]},"institutions":[{"id":"https://openalex.org/I4210104532","display_name":"Seoul National University Children's Hospital","ror":"https://ror.org/01ks0bt75","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I139264467","https://openalex.org/I2802835388","https://openalex.org/I4210104532"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Kwanjin Park","raw_affiliation_strings":["Division of Pediatric Urology, Seoul National University Children's Hospital, Seoul, Korea"],"raw_orcid":"https://orcid.org/0000-0002-8926-3047","affiliations":[{"raw_affiliation_string":"Division of Pediatric Urology, Seoul National University Children's Hospital, Seoul, Korea","institution_ids":["https://openalex.org/I4210104532"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5031856641","display_name":"Kyu\u2010Chang Wang","orcid":"https://orcid.org/0000-0001-7440-6650","observed_orcids":["https://orcid.org/0000-0001-7440-6650"]},"institutions":[{"id":"https://openalex.org/I139264467","display_name":"Seoul National University","ror":"https://ror.org/04h9pn542","country_code":"KR","type":"education","lineage":["https://openalex.org/I139264467"]},{"id":"https://openalex.org/I4210104532","display_name":"Seoul National University Children's Hospital","ror":"https://ror.org/01ks0bt75","country_code":"KR","type":"healthcare","lineage":["https://openalex.org/I139264467","https://openalex.org/I2802835388","https://openalex.org/I4210104532"]}],"countries":["KR"],"is_corresponding":true,"raw_author_name":"Kyu-Chang Wang","raw_affiliation_strings":["Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea"],"raw_orcid":"https://orcid.org/0000-0001-7440-6650","affiliations":[{"raw_affiliation_string":"Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, Seoul, Korea","institution_ids":["https://openalex.org/I139264467","https://openalex.org/I4210104532"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5031856641"],"corresponding_institution_ids":["https://openalex.org/I139264467","https://openalex.org/I4210104532"],"apc_list":{"value":300,"currency":"USD","value_usd":300},"apc_paid":{"value":300,"currency":"USD","value_usd":300},"fwci":2.0325,"has_fulltext":true,"cited_by_count":30,"citation_normalized_percentile":{"value":0.88327479,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":96,"max":98},"biblio":{"volume":"63","issue":"3","first_page":"346","last_page":"357"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11833","display_name":"Spinal Dysraphism and Malformations","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11833","display_name":"Spinal Dysraphism and Malformations","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11030","display_name":"Scoliosis diagnosis and treatment","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10925","display_name":"Spinal Cord Injury Research","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/retethering","display_name":"retethering","score":0.9319999814033508},{"id":"https://openalex.org/keywords/spinal-dysraphism","display_name":"spinal dysraphism","score":0.8479999899864197},{"id":"https://openalex.org/keywords/tethered-cord-syndrome","display_name":"tethered cord syndrome","score":0.7620000243186951},{"id":"https://openalex.org/keywords/untethering-surgery","display_name":"untethering surgery","score":0.7239999771118164},{"id":"https://openalex.org/keywords/postoperative-neurological-deterioration","display_name":"postoperative neurological deterioration","score":0.8500000238418579},{"id":"https://openalex.org/keywords/spinal-deformity","display_name":"spinal deformity","score":0.6520000100135803},{"id":"https://openalex.org/keywords/spasticity","display_name":"spasticity","score":0.8320000171661377},{"id":"https://openalex.org/keywords/surgical-complications","display_name":"surgical complications","score":0.5960000157356262},{"id":"https://openalex.org/keywords/pediatric-neurosurgery","display_name":"pediatric neurosurgery","score":0.5490000247955322}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8972846865653992},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.6420198678970337},{"id":"https://openalex.org/C2779012798","wikidata":"https://www.wikidata.org/wiki/Q117060","display_name":"Spasticity","level":2,"score":0.5809866786003113},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.40355584025382996},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.1959744691848755},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.3340/jkns.2020.0039","doi":"https://doi.org/10.3340/jkns.2020.0039","is_oa":true,"landing_page_url":"https://doi.org/10.3340/jkns.2020.0039","pdf_url":"https://www.jkns.or.kr/upload/pdf/jkns-2020-0039.pdf","source":{"id":"https://openalex.org/S205682708","display_name":"Journal of Korean Neurosurgical Society","issn_l":"1225-8245","issn":["1225-8245","1598-7876","2005-3711"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","kci-registered","norway-1","oarl","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310319484","host_organization_name":"Korean Neurosurgical Society","host_organization_lineage":["https://openalex.org/P4310319484"],"host_organization_lineage_names":["Korean Neurosurgical Society"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Korean Neurosurgical Society","raw_type":"journal-article"},{"id":"pmid:32336063","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32336063","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Korean Neurosurgical Society","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:7218204","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC7218204/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Korean Neurosurg Soc","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.3340/jkns.2020.0039","doi":"https://doi.org/10.3340/jkns.2020.0039","is_oa":true,"landing_page_url":"https://doi.org/10.3340/jkns.2020.0039","pdf_url":"https://www.jkns.or.kr/upload/pdf/jkns-2020-0039.pdf","source":{"id":"https://openalex.org/S205682708","display_name":"Journal of Korean Neurosurgical Society","issn_l":"1225-8245","issn":["1225-8245","1598-7876","2005-3711"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","kci-registered","norway-1","oarl","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310319484","host_organization_name":"Korean Neurosurgical Society","host_organization_lineage":["https://openalex.org/P4310319484"],"host_organization_lineage_names":["Korean Neurosurgical Society"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Korean Neurosurgical Society","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9789000153541565,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G1146173355","display_name":null,"funder_award_id":"NRF-2018R1A5A2025964","funder_id":"https://openalex.org/F4320322030","funder_display_name":"Ministry of Science, ICT and Future Planning"},{"id":"https://openalex.org/G4667741093","display_name":null,"funder_award_id":"2018R1A5A2025964","funder_id":"https://openalex.org/F4320322120","funder_display_name":"National Research Foundation of Korea"},{"id":"https://openalex.org/G6270453753","display_name":null,"funder_award_id":"2018R1A5A2025964","funder_id":"https://openalex.org/F4320322030","funder_display_name":"Ministry of Science, ICT and Future Planning"},{"id":"https://openalex.org/G851897794","display_name":null,"funder_award_id":"NRF- 2018R1A5A2025964","funder_id":"https://openalex.org/F4320322120","funder_display_name":"National Research Foundation of Korea"}],"funders":[{"id":"https://openalex.org/F4320320671","display_name":"National Research Foundation","ror":"https://ror.org/05s0g1g46"},{"id":"https://openalex.org/F4320322030","display_name":"Ministry of Science, ICT and Future Planning","ror":"https://ror.org/032e49973"},{"id":"https://openalex.org/F4320322120","display_name":"National Research Foundation of Korea","ror":"https://ror.org/013aysd81"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3019147409.pdf","grobid_xml":"https://content.openalex.org/works/W3019147409.grobid-xml"},"referenced_works_count":47,"referenced_works":["https://openalex.org/W1483053854","https://openalex.org/W1530452637","https://openalex.org/W1542480162","https://openalex.org/W1583086418","https://openalex.org/W1584813988","https://openalex.org/W1794762322","https://openalex.org/W1920683496","https://openalex.org/W1964278261","https://openalex.org/W1970866321","https://openalex.org/W1972807189","https://openalex.org/W1976740260","https://openalex.org/W1982219623","https://openalex.org/W1982930512","https://openalex.org/W1988360795","https://openalex.org/W1988841491","https://openalex.org/W1989955935","https://openalex.org/W2001782724","https://openalex.org/W2011568182","https://openalex.org/W2030608876","https://openalex.org/W2038683589","https://openalex.org/W2040191871","https://openalex.org/W2040578515","https://openalex.org/W2053465606","https://openalex.org/W2060896665","https://openalex.org/W2070065706","https://openalex.org/W2083163861","https://openalex.org/W2083973269","https://openalex.org/W2095016448","https://openalex.org/W2097888429","https://openalex.org/W2102196229","https://openalex.org/W2113678668","https://openalex.org/W2123165123","https://openalex.org/W2129708751","https://openalex.org/W2137722492","https://openalex.org/W2139502704","https://openalex.org/W2147924713","https://openalex.org/W2150072056","https://openalex.org/W2170549005","https://openalex.org/W2603319644","https://openalex.org/W2743625004","https://openalex.org/W2765787579","https://openalex.org/W2790602462","https://openalex.org/W2794325151","https://openalex.org/W2798230717","https://openalex.org/W2895390694","https://openalex.org/W2907080390","https://openalex.org/W4240560579"],"related_works":["https://openalex.org/W4412924057","https://openalex.org/W7223502679","https://openalex.org/W4322758312","https://openalex.org/W2771047009","https://openalex.org/W2798230717","https://openalex.org/W2030608876","https://openalex.org/W7211992016","https://openalex.org/W1988360795","https://openalex.org/W4377141737","https://openalex.org/W2113678668"],"abstract_inverted_index":{"During":[0],"the":[1,44,48,59,86,89,144,163,184,227,235],"follow-up":[2],"period":[3],"after":[4,111],"surgery":[5,113,190,208],"for":[6,97],"spinal":[7,30,173],"dysraphism,":[8],"a":[9,138,192,210,219],"certain":[10,211],"portion":[11],"of":[12,50,56,61,64,68,93,117,123,141,149,157,162,166,213,221,226,241],"patients":[13],"show":[14],"neurological":[15],"deterioration":[16],"and":[17,29,33,79,91,104,114,121,147,152,232,239],"its":[18,69,80,105],"secondary":[19],"phenomena,":[20],"such":[21,171],"as":[22,172],"motor,":[23],"sensory":[24],"or":[25],"sphincter":[26],"changes,":[27],"foot":[28],"deformities,":[31],"pain,":[32],"spasticity.":[34],"These":[35],"clinical":[36,99,107],"manifestations":[37],"are":[38,243],"caused":[39],"by":[40,179],"tethering":[41],"effects":[42],"on":[43,88,206,234],"neural":[45],"structures":[46],"at":[47],"site":[49],"previous":[51],"operation.":[52],"The":[53,135,155],"widespread":[54],"recognition":[55],"retethering":[57,112,242],"drew":[58],"attention":[60],"medical":[62],"professionals":[63],"various":[65],"specialties":[66],"because":[67],"incidence,":[70,145],"which":[71],"is":[72,77,159,191,217],"not":[73],"low":[74],"when":[75],"surveillance":[76],"adequate,":[78],"progressive":[81],"nature.":[82],"This":[83],"article":[84],"reviews":[85],"literature":[87,136],"incidence":[90],"timing":[92],"deterioration,":[94],"predisposing":[95],"factors":[96,110],"retethering,":[98],"manifestations,":[100],"diagnosis,":[101,237],"surgical":[102,150,181],"treatment":[103,238],"complications,":[106],"outcomes,":[108],"prognostic":[109],"preventive":[115],"measures":[116],"retethering.":[118],"Current":[119],"practice":[120],"opinions":[122],"Seoul":[124],"National":[125],"University":[126],"Children's":[127],"Hospital":[128],"team":[129],"were":[130,176],"added":[131],"in":[132,209,246],"some":[133],"parts.":[134],"shows":[137],"wide":[139],"range":[140],"data":[142],"regarding":[143],"rate":[146],"degree":[148],"complications":[151],"long-term":[153],"outcomes.":[154],"method":[156],"prevention":[158,240],"still":[160],"one":[161],"main":[164,186],"topics":[165],"this":[167,247],"entity.":[168],"Although":[169],"alternatives":[170],"column":[174],"shortening":[175],"introduced,":[177],"re-untethering":[178,207],"conventional":[180],"methods":[182],"remains":[183],"current":[185],"management":[187],"tool.":[188],"Re-untethering":[189],"much":[193],"more":[194],"difficult":[195],"task":[196],"than":[197],"primary":[198],"untethering":[199],"surgery.":[200],"Updated":[201],"publications":[202],"include":[203],"strong":[204],"skepticism":[205],"group":[212],"patients,":[214],"though":[215],"it":[216],"from":[218],"minority":[220],"research":[222],"groups.":[223],"For":[224],"all":[225],"abovementioned":[228],"reasons,":[229],"new":[230],"information":[231],"ideas":[233],"early":[236],"critically":[244],"necessary":[245],"era.":[248]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":7},{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":5}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2020-05-01T00:00:00"}