{"id":"https://openalex.org/W4285809402","doi":"https://doi.org/10.1097/brs.0000000000004400","title":"Postoperative Sagittal Balance Has Only a Limited Role in the Development of Adjacent Segment Disease After Lumbar Spine Fusion for Degenerative Lumbar Spine Disorders: A Subanalysis of the 10-year Follow-up Study","display_name":"Postoperative Sagittal Balance Has Only a Limited Role in the Development of Adjacent Segment Disease After Lumbar Spine Fusion for Degenerative Lumbar Spine Disorders: A Subanalysis of the 10-year Follow-up Study","publication_year":2022,"publication_date":"2022-07-01","ids":{"openalex":"https://openalex.org/W4285809402","doi":"https://doi.org/10.1097/brs.0000000000004400"},"language":"en","primary_location":{"id":"doi:10.1097/brs.0000000000004400","doi":"https://doi.org/10.1097/brs.0000000000004400","is_oa":true,"landing_page_url":"https://doi.org/10.1097/brs.0000000000004400","pdf_url":null,"source":{"id":"https://openalex.org/S4026894","display_name":"Spine","issn_l":"0362-2436","issn":["0362-2436","1528-1159"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-3","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Spine","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1097/brs.0000000000004400","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5010712693","display_name":"Leevi A. Toivonen","orcid":"https://orcid.org/0000-0003-1195-913X","observed_orcids":["https://orcid.org/0000-0003-1195-913X"]},"institutions":[{"id":"https://openalex.org/I4210126318","display_name":"Tampere University Hospital","ror":"https://ror.org/02hvt5f17","country_code":"FI","type":"healthcare","lineage":["https://openalex.org/I4210126318"]},{"id":"https://openalex.org/I4387153886","display_name":"University of Tampere","ror":"https://ror.org/05p6qqk79","country_code":"FI","type":"education","lineage":["https://openalex.org/I166825849","https://openalex.org/I4387153886"]}],"countries":["FI"],"is_corresponding":true,"raw_author_name":"Leevi A. Toivonen","raw_affiliation_strings":["Department of Orthopaedics and Trauma, Faculty of Medicine and Life Sciences and Tampere University Hospital, University of Tampere, Tampere, Finland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics and Trauma, Faculty of Medicine and Life Sciences and Tampere University Hospital, University of Tampere, Tampere, Finland","institution_ids":["https://openalex.org/I4210126318","https://openalex.org/I4387153886"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026689267","display_name":"Heikki M\u00e4ntym\u00e4ki","orcid":"https://orcid.org/0000-0001-9399-0936","observed_orcids":["https://orcid.org/0000-0001-9399-0936"]},"institutions":[{"id":"https://openalex.org/I4210126318","display_name":"Tampere University Hospital","ror":"https://ror.org/02hvt5f17","country_code":"FI","type":"healthcare","lineage":["https://openalex.org/I4210126318"]},{"id":"https://openalex.org/I4387153886","display_name":"University of Tampere","ror":"https://ror.org/05p6qqk79","country_code":"FI","type":"education","lineage":["https://openalex.org/I166825849","https://openalex.org/I4387153886"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Heikki M\u00e4ntym\u00e4ki","raw_affiliation_strings":["Department of Orthopaedics and Trauma, Faculty of Medicine and Life Sciences and Tampere University Hospital, University of Tampere, Tampere, Finland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics and Trauma, Faculty of Medicine and Life Sciences and Tampere University Hospital, University of Tampere, Tampere, Finland","institution_ids":["https://openalex.org/I4210126318","https://openalex.org/I4387153886"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080909344","display_name":"ARJA H. H\u00c4KKINEN","orcid":"https://orcid.org/0000-0002-5779-1259","observed_orcids":["https://orcid.org/0000-0002-5779-1259"]},"institutions":[{"id":"https://openalex.org/I94722563","display_name":"University of Jyv\u00e4skyl\u00e4","ror":"https://ror.org/05n3dz165","country_code":"FI","type":"education","lineage":["https://openalex.org/I94722563"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Arja H\u00e4kkinen","raw_affiliation_strings":["Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4, Jyv\u00e4skyl\u00e4, Finland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4, Jyv\u00e4skyl\u00e4, Finland","institution_ids":["https://openalex.org/I94722563"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5030022003","display_name":"Hannu Kautiainen","orcid":"https://orcid.org/0000-0003-0786-0858","observed_orcids":["https://orcid.org/0000-0003-0786-0858"]},"institutions":[{"id":"https://openalex.org/I4210092991","display_name":"Kuopio University Hospital","ror":"https://ror.org/00fqdfs68","country_code":"FI","type":"healthcare","lineage":["https://openalex.org/I4210092991","https://openalex.org/I4405278559"]},{"id":"https://openalex.org/I4210165462","display_name":"Folkh\u00e4lsans Forskningscentrum","ror":"https://ror.org/05xznzw56","country_code":"FI","type":"government","lineage":["https://openalex.org/I4210165462"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Hannu Kautiainen","raw_affiliation_strings":["Primary Health Care Unit, Kuopio University Hospital, Kuopio, Finland; Folkh\u00e4lsan Research Center, Helsinki, Finland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Primary Health Care Unit, Kuopio University Hospital, Kuopio, Finland; Folkh\u00e4lsan Research Center, Helsinki, Finland","institution_ids":["https://openalex.org/I4210092991","https://openalex.org/I4210165462"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5033852802","display_name":"Marko Henrik Neva","orcid":"https://orcid.org/0000-0002-5500-0003","observed_orcids":["https://orcid.org/0000-0002-5500-0003"]},"institutions":[{"id":"https://openalex.org/I4210126318","display_name":"Tampere University Hospital","ror":"https://ror.org/02hvt5f17","country_code":"FI","type":"healthcare","lineage":["https://openalex.org/I4210126318"]},{"id":"https://openalex.org/I4387153886","display_name":"University of Tampere","ror":"https://ror.org/05p6qqk79","country_code":"FI","type":"education","lineage":["https://openalex.org/I166825849","https://openalex.org/I4387153886"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Marko H. Neva","raw_affiliation_strings":["Department of Orthopaedics and Trauma, Faculty of Medicine and Life Sciences and Tampere University Hospital, University of Tampere, Tampere, Finland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics and Trauma, Faculty of Medicine and Life Sciences and Tampere University Hospital, University of Tampere, Tampere, Finland","institution_ids":["https://openalex.org/I4210126318","https://openalex.org/I4387153886"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5010712693"],"corresponding_institution_ids":["https://openalex.org/I4210126318","https://openalex.org/I4387153886"],"apc_list":null,"apc_paid":null,"fwci":2.9738,"has_fulltext":false,"cited_by_count":26,"citation_normalized_percentile":{"value":0.92227286,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":98,"max":99},"biblio":{"volume":"47","issue":"19","first_page":"1357","last_page":"1361"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.9818999767303467,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"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/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.9818999767303467,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"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":0.01640000008046627,"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/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.0010999999940395355,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/adjacent-segment-disease","display_name":"adjacent segment disease","score":0.9259999990463257},{"id":"https://openalex.org/keywords/sagittal-balance","display_name":"sagittal balance","score":0.7879999876022339},{"id":"https://openalex.org/keywords/lumbar-fusion","display_name":"lumbar fusion","score":0.9710000157356262},{"id":"https://openalex.org/keywords/lumbar-degenerative-disease","display_name":"lumbar degenerative disease","score":0.9679999947547913},{"id":"https://openalex.org/keywords/spinal-stenosis","display_name":"spinal stenosis","score":0.8640000224113464},{"id":"https://openalex.org/keywords/spondylolisthesis","display_name":"spondylolisthesis","score":0.9950000047683716},{"id":"https://openalex.org/keywords/pelvic-incidence","display_name":"pelvic incidence","score":0.6980000138282776},{"id":"https://openalex.org/keywords/lumbar-lordosis","display_name":"lumbar lordosis","score":0.9779999852180481},{"id":"https://openalex.org/keywords/spinal-mobility","display_name":"spinal mobility","score":0.625},{"id":"https://openalex.org/keywords/sagittal-alignment","display_name":"sagittal alignment","score":0.5120000243186951}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9543899297714233},{"id":"https://openalex.org/C2776623965","wikidata":"https://www.wikidata.org/wiki/Q973524","display_name":"Spondylolisthesis","level":3,"score":0.7327767610549927},{"id":"https://openalex.org/C178910020","wikidata":"https://www.wikidata.org/wiki/Q2211994","display_name":"Sagittal plane","level":2,"score":0.6545590162277222},{"id":"https://openalex.org/C2778051963","wikidata":"https://www.wikidata.org/wiki/Q11773731","display_name":"Degenerative disc disease","level":3,"score":0.6462993621826172},{"id":"https://openalex.org/C2780901121","wikidata":"https://www.wikidata.org/wiki/Q744305","display_name":"Lordosis","level":3,"score":0.6425921320915222},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.6114048361778259},{"id":"https://openalex.org/C2777427615","wikidata":"https://www.wikidata.org/wiki/Q954257","display_name":"Degenerative disease","level":3,"score":0.555204451084137},{"id":"https://openalex.org/C2780375110","wikidata":"https://www.wikidata.org/wiki/Q770609","display_name":"Spinal fusion","level":2,"score":0.5524232387542725},{"id":"https://openalex.org/C2780175798","wikidata":"https://www.wikidata.org/wiki/Q1478321","display_name":"Spinal stenosis","level":3,"score":0.5149405598640442},{"id":"https://openalex.org/C207103383","wikidata":"https://www.wikidata.org/wiki/Q3930246","display_name":"Hazard ratio","level":3,"score":0.5014815330505371},{"id":"https://openalex.org/C2781438226","wikidata":"https://www.wikidata.org/wiki/Q7577457","display_name":"Spinal disease","level":3,"score":0.4520735740661621},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.44018441438674927},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.4183866083621979},{"id":"https://openalex.org/C2909079248","wikidata":"https://www.wikidata.org/wiki/Q954257","display_name":"Degenerative Disorder","level":3,"score":0.4156104624271393},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.3943127989768982},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.3805757164955139},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.2343050241470337},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.1870051622390747},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.1853751838207245},{"id":"https://openalex.org/C2779281540","wikidata":"https://www.wikidata.org/wiki/Q5062122","display_name":"Central nervous system disease","level":2,"score":0.14212897419929504}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1097/brs.0000000000004400","doi":"https://doi.org/10.1097/brs.0000000000004400","is_oa":true,"landing_page_url":"https://doi.org/10.1097/brs.0000000000004400","pdf_url":null,"source":{"id":"https://openalex.org/S4026894","display_name":"Spine","issn_l":"0362-2436","issn":["0362-2436","1528-1159"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-3","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Spine","raw_type":"journal-article"},{"id":"pmh:oai:jyx.jyu.fi:123456789/83810","doi":null,"is_oa":true,"landing_page_url":"http://urn.fi/URN:NBN:fi:jyu-202211075113","pdf_url":null,"source":{"id":"https://openalex.org/S4306400563","display_name":"Jyv\u00e4skyl\u00e4 University Digital Archive (University of Jyv\u00e4skyl\u00e4)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I94722563","host_organization_name":"University of Jyv\u00e4skyl\u00e4","host_organization_lineage":["https://openalex.org/I94722563"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"research article"},{"id":"pmh:oai:trepo.tuni.fi:10024/224256","doi":null,"is_oa":true,"landing_page_url":"https://trepo.tuni.fi/handle/10024/224256","pdf_url":null,"source":{"id":"https://openalex.org/S4306401860","display_name":"Tampere University Institutional Repository (Tampere University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I150589677","host_organization_name":"Tampere University of Applied Sciences","host_organization_lineage":["https://openalex.org/I150589677"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"publishedVersion"}],"best_oa_location":{"id":"doi:10.1097/brs.0000000000004400","doi":"https://doi.org/10.1097/brs.0000000000004400","is_oa":true,"landing_page_url":"https://doi.org/10.1097/brs.0000000000004400","pdf_url":null,"source":{"id":"https://openalex.org/S4026894","display_name":"Spine","issn_l":"0362-2436","issn":["0362-2436","1528-1159"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","jufo-3","ki-jl-2","medline","norway-2"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Spine","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"display_name":"No poverty","score":0.5299999713897705,"id":"https://metadata.un.org/sdg/1"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320326518","display_name":"Tays","ror":"https://ror.org/02hvt5f17"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":25,"referenced_works":["https://openalex.org/W66035022","https://openalex.org/W1970054423","https://openalex.org/W2003571565","https://openalex.org/W2004667221","https://openalex.org/W2006463443","https://openalex.org/W2006596054","https://openalex.org/W2025922068","https://openalex.org/W2054306777","https://openalex.org/W2058989264","https://openalex.org/W2063619402","https://openalex.org/W2070228227","https://openalex.org/W2075821933","https://openalex.org/W2091008054","https://openalex.org/W2318219214","https://openalex.org/W2319960370","https://openalex.org/W2326089152","https://openalex.org/W2333807031","https://openalex.org/W2606206728","https://openalex.org/W2639781043","https://openalex.org/W2806103017","https://openalex.org/W2901121503","https://openalex.org/W3202109687","https://openalex.org/W4206166262","https://openalex.org/W4225836235","https://openalex.org/W6668055166"],"related_works":["https://openalex.org/W2278367387","https://openalex.org/W1979124120","https://openalex.org/W62928788","https://openalex.org/W2044321731","https://openalex.org/W4225836235","https://openalex.org/W1993167786","https://openalex.org/W2989287510","https://openalex.org/W2765394989","https://openalex.org/W2162402560","https://openalex.org/W2125831662"],"abstract_inverted_index":{"Study":[0],"Design.":[1],"Retrospective":[2],"additional":[3],"analysis":[4],"of":[5,40,58,66,80,122,153,177,181,201],"a":[6,215,219],"prospective":[7],"follow-up":[8],"study.":[9],"Objectives.":[10],"We":[11,135,187],"aimed":[12],"to":[13,148,197],"find":[14,138],"out":[15],"whether":[16],"poor":[17,140],"postoperative":[18,67,112,141],"sagittal":[19,68,113,211],"alignment":[20,114],"increases":[21],"revisions":[22,123,154,202,224],"for":[23,34,44,51,91,124,155,203,222,225,236],"adjacent":[24],"segment":[25,194],"disease":[26],"(ASD)":[27],"after":[28,49],"lumbar":[29,36,53],"spine":[30,37,54],"fusion":[31,172,193],"(LSF)":[32],"performed":[33],"degenerative":[35,52,230],"disease.":[38,55,232],"Summary":[39],"Background":[41],"Data.":[42],"Revisions":[43],"ASD":[45,59,125,226,237],"accumulate":[46],"over":[47],"time":[48],"LSF":[50,89],"The":[56,120],"etiology":[57],"is":[60],"considered":[61],"multifactorial.":[62],"Yet,":[63],"the":[64,107,139,151,175,178,192,199,223,234,240],"role":[65,217],"balance":[69,142,212],"in":[70],"this":[71],"process":[72],"remains":[73],"controversial.":[74],"Materials":[75],"and":[76,111,174],"Methods.":[77],"A":[78],"total":[79],"215":[81],"consecutive":[82],"patients":[83,228,243],"who":[84],"had":[85],"undergone":[86],"an":[87],"elective":[88],"surgery":[90],"spinal":[92,231,246],"stenosis":[93],"with":[94,229,244],"(80%)":[95],"or":[96],"without":[97],"(20%)":[98],"spondylolisthesis":[99],"were":[100,104,115],"analyzed.":[101],"Spinal":[102],"reoperations":[103],"collected":[105],"from":[106,117],"hospital":[108],"records.":[109],"Preoperative":[110],"evaluated":[116,127],"standing":[118],"radiographs.":[119],"risk":[121,152,200,220,235],"was":[126],"by":[128],"Cox":[129],"proportional":[130],"hazards":[131],"regression":[132],"models.":[133],"Results.":[134],"did":[136],"not":[137],"[pelvic":[143],"incidence\u2212lumbar":[144],"lordosis":[145],"(LL)":[146],">9\u00b0]":[147],"significantly":[149],"increase":[150],"ASD:":[156,204],"crude":[157],"hazard":[158],"ratio":[159],"(HR)=1.5":[160],"[95%":[161],"confidence":[162],"interval":[163],"(CI):":[164],"0.8\u20132.7],":[165],"adjusted":[166],"(by":[167],"age,":[168],"sex,":[169],"pelvic":[170],"incidence,":[171],"length,":[173],"level":[176],"caudal":[179],"end":[180],"fusion):":[182],"HR=1.7":[183],"(95%":[184,206],"CI:":[185,207],"0.9\u20133.3).":[186],"found":[188],"higher":[189],"LL":[190],"outside":[191],"(LL\u2212segmental":[195],"lordosis)":[196],"decrease":[198],"HR=0.9":[205],"0.9\u20131.0).":[208],"Conclusion.":[209],"Poor":[210],"has":[213],"only":[214],"limited":[216],"as":[218],"factor":[221],"among":[227,242],"However,":[233],"might":[238],"be":[239],"greatest":[241],"reduced":[245],"mobility.":[247]},"counts_by_year":[{"year":2026,"cited_by_count":5},{"year":2025,"cited_by_count":7},{"year":2024,"cited_by_count":8},{"year":2023,"cited_by_count":6}],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2025-10-10T00:00:00"}
