{"id":"https://openalex.org/W7128917815","doi":"https://doi.org/10.1177/21925682261426935","title":"Clinical Outcomes of Patients Who Underwent Palliative Surgery for Spinal Metastases With and Without a History of Radiation: A Multicenter Registry Study","display_name":"Clinical Outcomes of Patients Who Underwent Palliative Surgery for Spinal Metastases With and Without a History of Radiation: A Multicenter Registry Study","publication_year":2026,"publication_date":"2026-02-14","ids":{"openalex":"https://openalex.org/W7128917815","doi":"https://doi.org/10.1177/21925682261426935","pmid":"https://pubmed.ncbi.nlm.nih.gov/41689497","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12906389"},"language":"en","primary_location":{"id":"doi:10.1177/21925682261426935","doi":"https://doi.org/10.1177/21925682261426935","is_oa":true,"landing_page_url":"https://doi.org/10.1177/21925682261426935","pdf_url":null,"source":{"id":"https://openalex.org/S2739034459","display_name":"Global Spine Journal","issn_l":"2192-5682","issn":["2192-5682","2192-5690"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"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":"Global Spine Journal","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://doi.org/10.1177/21925682261426935","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5101630349","display_name":"Ichiro Kawamura","orcid":"https://orcid.org/0000-0002-0694-493X","observed_orcids":["https://orcid.org/0000-0002-0694-493X"]},"institutions":[{"id":"https://openalex.org/I107139324","display_name":"Kagoshima University","ror":"https://ror.org/03ss88z23","country_code":"JP","type":"education","lineage":["https://openalex.org/I107139324"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ichiro Kawamura","raw_affiliation_strings":["Graduate School of Medical and Dental Sciences, Kagoshima University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Medical and Dental Sciences, Kagoshima University","institution_ids":["https://openalex.org/I107139324"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090012873","display_name":"Hiroyuki Tominaga","orcid":"https://orcid.org/0000-0001-8701-2343","observed_orcids":["https://orcid.org/0000-0001-8701-2343"]},"institutions":[{"id":"https://openalex.org/I107139324","display_name":"Kagoshima University","ror":"https://ror.org/03ss88z23","country_code":"JP","type":"education","lineage":["https://openalex.org/I107139324"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Hiroyuki Tominaga","raw_affiliation_strings":["Graduate School of Medical and Dental Sciences, Kagoshima University"],"raw_orcid":"https://orcid.org/0000-0001-8701-2343","affiliations":[{"raw_affiliation_string":"Graduate School of Medical and Dental Sciences, Kagoshima University","institution_ids":["https://openalex.org/I107139324"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109068621","display_name":"Hirofumi Shimada","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I107139324","display_name":"Kagoshima University","ror":"https://ror.org/03ss88z23","country_code":"JP","type":"education","lineage":["https://openalex.org/I107139324"]},{"id":"https://openalex.org/I4210122300","display_name":"Kagoshima City Hospital","ror":"https://ror.org/02r946p38","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210122300"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hirofumi Shimada","raw_affiliation_strings":["Graduate School of Medical and Dental Sciences, Kagoshima University","Kagoshima City Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Medical and Dental Sciences, Kagoshima University","institution_ids":["https://openalex.org/I107139324"]},{"raw_affiliation_string":"Kagoshima City Hospital","institution_ids":["https://openalex.org/I4210122300"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058220906","display_name":"Hiromi Sasaki","orcid":"https://orcid.org/0000-0002-6288-6340","observed_orcids":["https://orcid.org/0000-0002-6288-6340"]},"institutions":[{"id":"https://openalex.org/I107139324","display_name":"Kagoshima University","ror":"https://ror.org/03ss88z23","country_code":"JP","type":"education","lineage":["https://openalex.org/I107139324"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hiromi Sasaki","raw_affiliation_strings":["Graduate School of Medical and Dental Sciences, Kagoshima University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Medical and Dental Sciences, Kagoshima University","institution_ids":["https://openalex.org/I107139324"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102866332","display_name":"Noboru Taniguchi","orcid":"https://orcid.org/0000-0002-1391-144X","observed_orcids":["https://orcid.org/0000-0002-1391-144X"]},"institutions":[{"id":"https://openalex.org/I107139324","display_name":"Kagoshima University","ror":"https://ror.org/03ss88z23","country_code":"JP","type":"education","lineage":["https://openalex.org/I107139324"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Noboru Taniguchi","raw_affiliation_strings":["Graduate School of Medical and Dental Sciences, Kagoshima University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Medical and Dental Sciences, Kagoshima University","institution_ids":["https://openalex.org/I107139324"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063113480","display_name":"Yuki Shiratani","orcid":"https://orcid.org/0000-0003-4832-6491","observed_orcids":["https://orcid.org/0000-0003-4832-6491"]},"institutions":[{"id":"https://openalex.org/I159385669","display_name":"Chiba University","ror":"https://ror.org/01hjzeq58","country_code":"JP","type":"education","lineage":["https://openalex.org/I159385669"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yuki Shiratani","raw_affiliation_strings":["Graduate School of Medicine, Chiba University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Medicine, Chiba University","institution_ids":["https://openalex.org/I159385669"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038894052","display_name":"Akinobu Suzuki","orcid":"https://orcid.org/0000-0003-4800-9226","observed_orcids":["https://orcid.org/0000-0003-4800-9226"]},"institutions":[{"id":"https://openalex.org/I4387152983","display_name":"Osaka Metropolitan University","ror":"https://ror.org/01hvx5h04","country_code":"JP","type":"education","lineage":["https://openalex.org/I4387152983"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akinobu Suzuki","raw_affiliation_strings":["Osaka Metropolitan University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Osaka Metropolitan University","institution_ids":["https://openalex.org/I4387152983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024742369","display_name":"Hidetomi Terai","orcid":"https://orcid.org/0000-0001-9183-3363","observed_orcids":["https://orcid.org/0000-0001-9183-3363"]},"institutions":[{"id":"https://openalex.org/I4387152983","display_name":"Osaka Metropolitan University","ror":"https://ror.org/01hvx5h04","country_code":"JP","type":"education","lineage":["https://openalex.org/I4387152983"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hidetomi Terai","raw_affiliation_strings":["Osaka Metropolitan University"],"raw_orcid":"https://orcid.org/0000-0001-9183-3363","affiliations":[{"raw_affiliation_string":"Osaka Metropolitan University","institution_ids":["https://openalex.org/I4387152983"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059141413","display_name":"Takaki Shimizu","orcid":"https://orcid.org/0000-0001-7681-0593","observed_orcids":["https://orcid.org/0000-0001-7681-0593"]},"institutions":[{"id":"https://openalex.org/I10091056","display_name":"Kanazawa University","ror":"https://ror.org/02hwp6a56","country_code":"JP","type":"education","lineage":["https://openalex.org/I10091056"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takaki Shimizu","raw_affiliation_strings":["Graduate School of Medical Sciences, Kanazawa University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Medical Sciences, Kanazawa University","institution_ids":["https://openalex.org/I10091056"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035062633","display_name":"Kenichiro Kakutani","orcid":"https://orcid.org/0000-0002-4006-037X","observed_orcids":["https://orcid.org/0000-0002-4006-037X"]},"institutions":[{"id":"https://openalex.org/I65837984","display_name":"Kobe University","ror":"https://ror.org/03tgsfw79","country_code":"JP","type":"education","lineage":["https://openalex.org/I65837984"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kenichiro Kakutani","raw_affiliation_strings":["Kobe University Graduate School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kobe University Graduate School of Medicine","institution_ids":["https://openalex.org/I65837984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019082203","display_name":"Yutaro Kanda","orcid":"https://orcid.org/0000-0001-5538-5516","observed_orcids":["https://orcid.org/0000-0001-5538-5516"]},"institutions":[{"id":"https://openalex.org/I65837984","display_name":"Kobe University","ror":"https://ror.org/03tgsfw79","country_code":"JP","type":"education","lineage":["https://openalex.org/I65837984"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yutaro Kanda","raw_affiliation_strings":["Kobe University Graduate School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kobe University Graduate School of Medicine","institution_ids":["https://openalex.org/I65837984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058814867","display_name":"Masayuki Ishihara","orcid":"https://orcid.org/0000-0001-6062-6767","observed_orcids":["https://orcid.org/0000-0001-6062-6767"]},"institutions":[{"id":"https://openalex.org/I4405284950","display_name":"Kansai Medical University Hospital","ror":"https://ror.org/04gpc9445","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405284950"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masayuki Ishihara","raw_affiliation_strings":["Kansai Medical University Hospital"],"raw_orcid":"https://orcid.org/0000-0001-6062-6767","affiliations":[{"raw_affiliation_string":"Kansai Medical University Hospital","institution_ids":["https://openalex.org/I4405284950"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078394594","display_name":"Masaaki Paku","orcid":"https://orcid.org/0000-0002-7564-7293","observed_orcids":["https://orcid.org/0000-0002-7564-7293"]},"institutions":[{"id":"https://openalex.org/I4405284950","display_name":"Kansai Medical University Hospital","ror":"https://ror.org/04gpc9445","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405284950"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masaaki Paku","raw_affiliation_strings":["Kansai Medical University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kansai Medical University Hospital","institution_ids":["https://openalex.org/I4405284950"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123468073","display_name":"Yohei Takahashi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I203951103","display_name":"Keio University","ror":"https://ror.org/02kn6nx58","country_code":"JP","type":"education","lineage":["https://openalex.org/I203951103"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yohei Takahashi","raw_affiliation_strings":["Keio University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Keio University","institution_ids":["https://openalex.org/I203951103"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082245481","display_name":"Toru Funayama","orcid":"https://orcid.org/0000-0002-7325-4357","observed_orcids":["https://orcid.org/0000-0002-7325-4357"]},"institutions":[{"id":"https://openalex.org/I146399215","display_name":"University of Tsukuba","ror":"https://ror.org/02956yf07","country_code":"JP","type":"education","lineage":["https://openalex.org/I146399215"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Toru Funayama","raw_affiliation_strings":["University of Tsukuba"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Tsukuba","institution_ids":["https://openalex.org/I146399215"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102739835","display_name":"Kousei Miura","orcid":"https://orcid.org/0000-0001-7826-184X","observed_orcids":["https://orcid.org/0000-0001-7826-184X"]},"institutions":[{"id":"https://openalex.org/I146399215","display_name":"University of Tsukuba","ror":"https://ror.org/02956yf07","country_code":"JP","type":"education","lineage":["https://openalex.org/I146399215"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kousei Miura","raw_affiliation_strings":["University of Tsukuba"],"raw_orcid":"https://orcid.org/0000-0001-7826-184X","affiliations":[{"raw_affiliation_string":"University of Tsukuba","institution_ids":["https://openalex.org/I146399215"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055241123","display_name":"Eiki Shirasawa","orcid":"https://orcid.org/0000-0002-6983-6522","observed_orcids":["https://orcid.org/0000-0002-6983-6522"]},"institutions":[{"id":"https://openalex.org/I64189623","display_name":"Kitasato University","ror":"https://ror.org/00f2txz25","country_code":"JP","type":"education","lineage":["https://openalex.org/I64189623"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Eiki Shirasawa","raw_affiliation_strings":["Kitasato University School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kitasato University School of Medicine","institution_ids":["https://openalex.org/I64189623"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081393135","display_name":"Hirokazu Inoue","orcid":"https://orcid.org/0000-0001-8420-6724","observed_orcids":["https://orcid.org/0000-0001-8420-6724"]},"institutions":[{"id":"https://openalex.org/I4210153031","display_name":"Jichi Medical University Hospital","ror":"https://ror.org/04at0zw32","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210153031"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hirokazu Inoue","raw_affiliation_strings":["Jichi Medical University Hospital"],"raw_orcid":"https://orcid.org/0000-0001-8420-6724","affiliations":[{"raw_affiliation_string":"Jichi Medical University Hospital","institution_ids":["https://openalex.org/I4210153031"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5049693558","display_name":"Atsushi Kimura","orcid":"https://orcid.org/0000-0003-4948-1792","observed_orcids":["https://orcid.org/0000-0003-4948-1792"]},"institutions":[{"id":"https://openalex.org/I146500386","display_name":"Jichi Medical University","ror":"https://ror.org/010hz0g26","country_code":"JP","type":"education","lineage":["https://openalex.org/I146500386"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Atsushi Kimura","raw_affiliation_strings":["Jichi Medical University"],"raw_orcid":"https://orcid.org/0000-0003-4948-1792","affiliations":[{"raw_affiliation_string":"Jichi Medical University","institution_ids":["https://openalex.org/I146500386"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048152160","display_name":"Takuya Iimura","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takuya Iimura","raw_affiliation_strings":["Dokkyo Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dokkyo Medical University","institution_ids":["https://openalex.org/I78274823"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063390444","display_name":"Hiroshi Moridaira","orcid":"https://orcid.org/0000-0002-9544-0636","observed_orcids":["https://orcid.org/0000-0002-9544-0636"]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hiroshi Moridaira","raw_affiliation_strings":["Dokkyo Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Dokkyo Medical University","institution_ids":["https://openalex.org/I78274823"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004393979","display_name":"Hideaki Nakajima","orcid":"https://orcid.org/0000-0001-8260-7401","observed_orcids":["https://orcid.org/0000-0001-8260-7401"]},"institutions":[{"id":"https://openalex.org/I111966504","display_name":"University of Fukui","ror":"https://ror.org/00msqp585","country_code":"JP","type":"education","lineage":["https://openalex.org/I111966504"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hideaki Nakajima","raw_affiliation_strings":["University of Fukui Faculty of Medical Sciences"],"raw_orcid":"https://orcid.org/0000-0001-8260-7401","affiliations":[{"raw_affiliation_string":"University of Fukui Faculty of Medical Sciences","institution_ids":["https://openalex.org/I111966504"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103458385","display_name":"Shuji Watanabe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I111966504","display_name":"University of Fukui","ror":"https://ror.org/00msqp585","country_code":"JP","type":"education","lineage":["https://openalex.org/I111966504"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shuji Watanabe","raw_affiliation_strings":["University of Fukui Faculty of Medical Sciences"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Fukui Faculty of Medical Sciences","institution_ids":["https://openalex.org/I111966504"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038213232","display_name":"Koji Akeda","orcid":"https://orcid.org/0000-0001-9468-9387","observed_orcids":["https://orcid.org/0000-0001-9468-9387"]},"institutions":[{"id":"https://openalex.org/I178574317","display_name":"Mie University","ror":"https://ror.org/01529vy56","country_code":"JP","type":"education","lineage":["https://openalex.org/I178574317"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Koji Akeda","raw_affiliation_strings":["Mie University Graduate School of Medicine"],"raw_orcid":"https://orcid.org/0000-0001-9468-9387","affiliations":[{"raw_affiliation_string":"Mie University Graduate School of Medicine","institution_ids":["https://openalex.org/I178574317"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090835827","display_name":"Norihiko Takegami","orcid":"https://orcid.org/0000-0002-4677-3450","observed_orcids":["https://orcid.org/0000-0002-4677-3450"]},"institutions":[{"id":"https://openalex.org/I178574317","display_name":"Mie University","ror":"https://ror.org/01529vy56","country_code":"JP","type":"education","lineage":["https://openalex.org/I178574317"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Norihiko Takegami","raw_affiliation_strings":["Mie University Graduate School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mie University Graduate School of Medicine","institution_ids":["https://openalex.org/I178574317"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123033339","display_name":"Kazuo Nakanishi","orcid":"https://orcid.org/0000-0002-5479-581X","observed_orcids":["https://orcid.org/0000-0002-5479-581X"]},"institutions":[{"id":"https://openalex.org/I189996419","display_name":"Kawasaki Medical School","ror":"https://ror.org/059z11218","country_code":"JP","type":"education","lineage":["https://openalex.org/I189996419"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kazuo Nakanishi","raw_affiliation_strings":["Kawasaki Medical School"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kawasaki Medical School","institution_ids":["https://openalex.org/I189996419"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051183355","display_name":"Hirokatsu Sawada","orcid":"https://orcid.org/0009-0003-0552-8031","observed_orcids":["https://orcid.org/0009-0003-0552-8031"]},"institutions":[{"id":"https://openalex.org/I104946051","display_name":"Nihon University","ror":"https://ror.org/05jk51a88","country_code":"JP","type":"education","lineage":["https://openalex.org/I104946051"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hirokatsu Sawada","raw_affiliation_strings":["Nihon University School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nihon University School of Medicine","institution_ids":["https://openalex.org/I104946051"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123464099","display_name":"Koji Matsumoto","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I104946051","display_name":"Nihon University","ror":"https://ror.org/05jk51a88","country_code":"JP","type":"education","lineage":["https://openalex.org/I104946051"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Koji Matsumoto","raw_affiliation_strings":["Nihon University School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nihon University School of Medicine","institution_ids":["https://openalex.org/I104946051"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018492979","display_name":"Masahiro Funaba","orcid":"https://orcid.org/0000-0002-8006-2230","observed_orcids":["https://orcid.org/0000-0002-8006-2230"]},"institutions":[{"id":"https://openalex.org/I173915773","display_name":"Yamaguchi University","ror":"https://ror.org/03cxys317","country_code":"JP","type":"education","lineage":["https://openalex.org/I173915773"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masahiro Funaba","raw_affiliation_strings":["Yamaguchi University Graduate School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Yamaguchi University Graduate School of Medicine","institution_ids":["https://openalex.org/I173915773"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066634981","display_name":"Hidenori Suzuki","orcid":"https://orcid.org/0000-0002-3156-0591","observed_orcids":["https://orcid.org/0000-0002-3156-0591"]},"institutions":[{"id":"https://openalex.org/I173915773","display_name":"Yamaguchi University","ror":"https://ror.org/03cxys317","country_code":"JP","type":"education","lineage":["https://openalex.org/I173915773"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hidenori Suzuki","raw_affiliation_strings":["Yamaguchi University Graduate School of Medicine"],"raw_orcid":"https://orcid.org/0000-0002-3156-0591","affiliations":[{"raw_affiliation_string":"Yamaguchi University Graduate School of Medicine","institution_ids":["https://openalex.org/I173915773"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022399260","display_name":"Haruki Funao","orcid":"https://orcid.org/0000-0001-8192-8342","observed_orcids":["https://orcid.org/0000-0001-8192-8342"]},"institutions":[{"id":"https://openalex.org/I4405284280","display_name":"International University of Health and Welfare Narita Hospital","ror":"https://ror.org/03979n059","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4405284280"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Haruki Funao","raw_affiliation_strings":["International University of Health and Welfare Narita Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"International University of Health and Welfare Narita Hospital","institution_ids":["https://openalex.org/I4405284280"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008756582","display_name":"Tsutomu Oshigiri","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I141882310","display_name":"Sapporo Medical University","ror":"https://ror.org/01h7cca57","country_code":"JP","type":"education","lineage":["https://openalex.org/I141882310"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tsutomu Oshigiri","raw_affiliation_strings":["Sapporo Medical University School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sapporo Medical University School of Medicine","institution_ids":["https://openalex.org/I141882310"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082684643","display_name":"Takashi Hirai","orcid":"https://orcid.org/0000-0001-6200-0100","observed_orcids":["https://orcid.org/0000-0001-6200-0100"]},"institutions":[{"id":"https://openalex.org/I4400009020","display_name":"Institute of Science Tokyo","ror":"https://ror.org/05dqf9946","country_code":"JP","type":"education","lineage":["https://openalex.org/I4400009020"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takashi Hirai","raw_affiliation_strings":["Institute of Science Tokyo"],"raw_orcid":"https://orcid.org/0000-0001-6200-0100","affiliations":[{"raw_affiliation_string":"Institute of Science Tokyo","institution_ids":["https://openalex.org/I4400009020"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032366635","display_name":"Bungo Otsuki","orcid":"https://orcid.org/0000-0002-4749-7830","observed_orcids":["https://orcid.org/0000-0002-4749-7830"]},"institutions":[{"id":"https://openalex.org/I4210150196","display_name":"Kyoto University Hospital","ror":"https://ror.org/04k6gr834","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210150196"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Bungo Otsuki","raw_affiliation_strings":["Kyoto University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kyoto University Hospital","institution_ids":["https://openalex.org/I4210150196"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020503679","display_name":"Kazu Kobayakawa","orcid":"https://orcid.org/0000-0002-7444-0661","observed_orcids":["https://orcid.org/0000-0002-7444-0661"]},"institutions":[{"id":"https://openalex.org/I135598925","display_name":"Kyushu University","ror":"https://ror.org/00p4k0j84","country_code":"JP","type":"education","lineage":["https://openalex.org/I135598925"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kazu Kobayakawa","raw_affiliation_strings":["Graduate School of Medical Sciences, Kyushu University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Medical Sciences, Kyushu University","institution_ids":["https://openalex.org/I135598925"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060788429","display_name":"Koji Uotani","orcid":"https://orcid.org/0000-0002-5594-1292","observed_orcids":["https://orcid.org/0000-0002-5594-1292"]},"institutions":[{"id":"https://openalex.org/I4210100185","display_name":"Okayama University Hospital","ror":"https://ror.org/019tepx80","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210100185"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Koji Uotani","raw_affiliation_strings":["Okayama University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Okayama University Hospital","institution_ids":["https://openalex.org/I4210100185"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102956389","display_name":"Hiroaki Manabe","orcid":"https://orcid.org/0000-0002-8979-5860","observed_orcids":["https://orcid.org/0000-0002-8979-5860"]},"institutions":[{"id":"https://openalex.org/I922474255","display_name":"Tokushima University","ror":"https://ror.org/044vy1d05","country_code":"JP","type":"education","lineage":["https://openalex.org/I922474255"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hiroaki Manabe","raw_affiliation_strings":["Tokushima University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tokushima University","institution_ids":["https://openalex.org/I922474255"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084942377","display_name":"Shinji Tanishima","orcid":"https://orcid.org/0000-0002-8137-4658","observed_orcids":["https://orcid.org/0000-0002-8137-4658","https://orcid.org/0000-0002-9154-6425"]},"institutions":[{"id":"https://openalex.org/I4588055","display_name":"Tottori University","ror":"https://ror.org/024yc3q36","country_code":"JP","type":"education","lineage":["https://openalex.org/I4588055"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shinji Tanishima","raw_affiliation_strings":["School of Medicine, Faculty of Medicine, Tottori University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, Faculty of Medicine, Tottori University","institution_ids":["https://openalex.org/I4588055"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026510958","display_name":"Ko Hashimoto","orcid":"https://orcid.org/0000-0002-9644-054X","observed_orcids":["https://orcid.org/0000-0002-9644-054X"]},"institutions":[{"id":"https://openalex.org/I201537933","display_name":"Tohoku University","ror":"https://ror.org/01dq60k83","country_code":"JP","type":"education","lineage":["https://openalex.org/I201537933"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ko Hashimoto","raw_affiliation_strings":["Tohoku University Graduate School of Medicine"],"raw_orcid":"https://orcid.org/0000-0002-9644-054X","affiliations":[{"raw_affiliation_string":"Tohoku University Graduate School of Medicine","institution_ids":["https://openalex.org/I201537933"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023481166","display_name":"Chizuo Iwai","orcid":"https://orcid.org/0000-0002-4352-351X","observed_orcids":["https://orcid.org/0000-0002-4352-351X"]},"institutions":[{"id":"https://openalex.org/I4210105815","display_name":"Gifu University Hospital","ror":"https://ror.org/01kqdxr19","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210105815"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Chizuo Iwai","raw_affiliation_strings":["Gifu University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Gifu University Hospital","institution_ids":["https://openalex.org/I4210105815"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088804555","display_name":"Daisuke Yamabe","orcid":"https://orcid.org/0000-0002-6769-716X","observed_orcids":["https://orcid.org/0000-0002-6769-716X"]},"institutions":[{"id":"https://openalex.org/I180680657","display_name":"Iwate Medical University","ror":"https://ror.org/04cybtr86","country_code":"JP","type":"education","lineage":["https://openalex.org/I180680657"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Daisuke Yamabe","raw_affiliation_strings":["Iwate Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Iwate Medical University","institution_ids":["https://openalex.org/I180680657"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002053406","display_name":"Akihiko Hiyama","orcid":"https://orcid.org/0000-0002-2474-9118","observed_orcids":["https://orcid.org/0000-0002-2474-9118"]},"institutions":[{"id":"https://openalex.org/I1314466530","display_name":"Tokai University","ror":"https://ror.org/01p7qe739","country_code":"JP","type":"education","lineage":["https://openalex.org/I1314466530"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akihiko Hiyama","raw_affiliation_strings":["Tokai University School of Medicine"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tokai University School of Medicine","institution_ids":["https://openalex.org/I1314466530"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077792133","display_name":"Shoji Seki","orcid":"https://orcid.org/0000-0001-9930-5100","observed_orcids":["https://orcid.org/0000-0001-9930-5100"]},"institutions":[{"id":"https://openalex.org/I42766147","display_name":"University of Toyama","ror":"https://ror.org/0445phv87","country_code":"JP","type":"education","lineage":["https://openalex.org/I42766147"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shoji Seki","raw_affiliation_strings":["University of Toyama"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Toyama","institution_ids":["https://openalex.org/I42766147"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101462224","display_name":"Yuta Goto","orcid":"https://orcid.org/0000-0001-7245-0551","observed_orcids":["https://orcid.org/0000-0001-7245-0551"]},"institutions":[{"id":"https://openalex.org/I33858575","display_name":"Nagoya City University","ror":"https://ror.org/04wn7wc95","country_code":"JP","type":"education","lineage":["https://openalex.org/I33858575"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yuta Goto","raw_affiliation_strings":["Nagoya City University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nagoya City University","institution_ids":["https://openalex.org/I33858575"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002663695","display_name":"Masashi Miyazaki","orcid":"https://orcid.org/0000-0002-1661-6817","observed_orcids":["https://orcid.org/0000-0002-1661-6817"]},"institutions":[{"id":"https://openalex.org/I188815454","display_name":"Oita University","ror":"https://ror.org/01nyv7k26","country_code":"JP","type":"education","lineage":["https://openalex.org/I188815454"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masashi Miyazaki","raw_affiliation_strings":["Oita University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Oita University","institution_ids":["https://openalex.org/I188815454"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008958828","display_name":"Kazuyuki Watanabe","orcid":"https://orcid.org/0000-0003-0286-2440","observed_orcids":["https://orcid.org/0000-0003-0286-2440"]},"institutions":[{"id":"https://openalex.org/I130830085","display_name":"Fukushima Medical University","ror":"https://ror.org/012eh0r35","country_code":"JP","type":"education","lineage":["https://openalex.org/I130830085"]},{"id":"https://openalex.org/I203951103","display_name":"Keio University","ror":"https://ror.org/02kn6nx58","country_code":"JP","type":"education","lineage":["https://openalex.org/I203951103"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kazuyuki Watanabe","raw_affiliation_strings":["Fukushima Medical University School of Medicine","Keio University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fukushima Medical University School of Medicine","institution_ids":["https://openalex.org/I130830085"]},{"raw_affiliation_string":"Keio University","institution_ids":["https://openalex.org/I203951103"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042955953","display_name":"Toshio Nakamae","orcid":"https://orcid.org/0000-0002-9790-3884","observed_orcids":["https://orcid.org/0000-0002-9790-3884"]},"institutions":[{"id":"https://openalex.org/I113306721","display_name":"Hiroshima University","ror":"https://ror.org/03t78wx29","country_code":"JP","type":"education","lineage":["https://openalex.org/I113306721"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Toshio Nakamae","raw_affiliation_strings":["Graduate School of Biomedical and Health Sciences, Hiroshima University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Biomedical and Health Sciences, Hiroshima University","institution_ids":["https://openalex.org/I113306721"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001669387","display_name":"Takashi Kaito","orcid":"https://orcid.org/0000-0003-4882-2997","observed_orcids":["https://orcid.org/0000-0003-4882-2997"]},"institutions":[{"id":"https://openalex.org/I98285908","display_name":"The University of Osaka","ror":"https://ror.org/035t8zc32","country_code":"JP","type":"education","lineage":["https://openalex.org/I98285908"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takashi Kaito","raw_affiliation_strings":["Osaka University Graduate School of Medicine"],"raw_orcid":"https://orcid.org/0000-0003-4882-2997","affiliations":[{"raw_affiliation_string":"Osaka University Graduate School of Medicine","institution_ids":["https://openalex.org/I98285908"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050378955","display_name":"Hiroaki Nakashima","orcid":"https://orcid.org/0000-0002-0039-9678","observed_orcids":["https://orcid.org/0000-0002-0039-9678"]},"institutions":[{"id":"https://openalex.org/I60134161","display_name":"Nagoya University","ror":"https://ror.org/04chrp450","country_code":"JP","type":"education","lineage":["https://openalex.org/I60134161"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hiroaki Nakashima","raw_affiliation_strings":["Nagoya University Graduate School of Medicine"],"raw_orcid":"https://orcid.org/0000-0002-0039-9678","affiliations":[{"raw_affiliation_string":"Nagoya University Graduate School of Medicine","institution_ids":["https://openalex.org/I60134161"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015074593","display_name":"Narihito Nagoshi","orcid":"https://orcid.org/0000-0001-8267-5789","observed_orcids":["https://orcid.org/0000-0001-8267-5789","https://orcid.org/0000-0003-2865-3655"]},"institutions":[{"id":"https://openalex.org/I203951103","display_name":"Keio University","ror":"https://ror.org/02kn6nx58","country_code":"JP","type":"education","lineage":["https://openalex.org/I203951103"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Narihito Nagoshi","raw_affiliation_strings":["Keio University"],"raw_orcid":"https://orcid.org/0000-0001-8267-5789","affiliations":[{"raw_affiliation_string":"Keio University","institution_ids":["https://openalex.org/I203951103"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044294774","display_name":"Satoshi Kato","orcid":"https://orcid.org/0000-0003-4762-5932","observed_orcids":["https://orcid.org/0000-0003-4762-5932"]},"institutions":[{"id":"https://openalex.org/I10091056","display_name":"Kanazawa University","ror":"https://ror.org/02hwp6a56","country_code":"JP","type":"education","lineage":["https://openalex.org/I10091056"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Satoshi Kato","raw_affiliation_strings":["Graduate School of Medical Sciences, Kanazawa University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Medical Sciences, Kanazawa University","institution_ids":["https://openalex.org/I10091056"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002089857","display_name":"Shiro Imagama","orcid":"https://orcid.org/0000-0002-6951-8575","observed_orcids":["https://orcid.org/0000-0002-6951-8575"]},"institutions":[{"id":"https://openalex.org/I60134161","display_name":"Nagoya University","ror":"https://ror.org/04chrp450","country_code":"JP","type":"education","lineage":["https://openalex.org/I60134161"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shiro Imagama","raw_affiliation_strings":["Nagoya University Graduate School of Medicine"],"raw_orcid":"https://orcid.org/0000-0002-6951-8575","affiliations":[{"raw_affiliation_string":"Nagoya University Graduate School of Medicine","institution_ids":["https://openalex.org/I60134161"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123016223","display_name":"Kota Watanabe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I130830085","display_name":"Fukushima Medical University","ror":"https://ror.org/012eh0r35","country_code":"JP","type":"education","lineage":["https://openalex.org/I130830085"]},{"id":"https://openalex.org/I203951103","display_name":"Keio University","ror":"https://ror.org/02kn6nx58","country_code":"JP","type":"education","lineage":["https://openalex.org/I203951103"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kota Watanabe","raw_affiliation_strings":["Fukushima Medical University School of Medicine","Keio University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Fukushima Medical University School of Medicine","institution_ids":["https://openalex.org/I130830085"]},{"raw_affiliation_string":"Keio University","institution_ids":["https://openalex.org/I203951103"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5121263789","display_name":"Gen Inoue","orcid":"https://orcid.org/0000-0001-6500-9004","observed_orcids":["https://orcid.org/0000-0001-6500-9004"]},"institutions":[{"id":"https://openalex.org/I64189623","display_name":"Kitasato University","ror":"https://ror.org/00f2txz25","country_code":"JP","type":"education","lineage":["https://openalex.org/I64189623"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Gen Inoue","raw_affiliation_strings":["Kitasato University School of Medicine"],"raw_orcid":"https://orcid.org/0000-0001-6500-9004","affiliations":[{"raw_affiliation_string":"Kitasato University School of Medicine","institution_ids":["https://openalex.org/I64189623"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5022362986","display_name":"Takeo Furuya","orcid":"https://orcid.org/0000-0002-5378-940X","observed_orcids":["https://orcid.org/0000-0002-5378-940X"]},"institutions":[{"id":"https://openalex.org/I159385669","display_name":"Chiba University","ror":"https://ror.org/01hjzeq58","country_code":"JP","type":"education","lineage":["https://openalex.org/I159385669"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takeo Furuya","raw_affiliation_strings":["Graduate School of Medicine, Chiba University"],"raw_orcid":"https://orcid.org/0000-0002-5378-940X","affiliations":[{"raw_affiliation_string":"Graduate School of Medicine, Chiba University","institution_ids":["https://openalex.org/I159385669"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":37,"corresponding_author_ids":["https://openalex.org/A5090012873"],"corresponding_institution_ids":["https://openalex.org/I107139324"],"apc_list":{"value":2650,"currency":"USD","value_usd":2650},"apc_paid":{"value":2650,"currency":"USD","value_usd":2650},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"7","first_page":"3201","last_page":"3211"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12108","display_name":"Management of metastatic bone disease","score":1.0,"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"}},"topics":[{"id":"https://openalex.org/T12108","display_name":"Management of metastatic bone disease","score":1.0,"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/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":9.999999747378752e-05,"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/T11381","display_name":"Infectious Diseases and Tuberculosis","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"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/spinal-metastases","display_name":"spinal metastases","score":0.9980000257492065},{"id":"https://openalex.org/keywords/palliative-surgery","display_name":"palliative surgery","score":0.8840000033378601},{"id":"https://openalex.org/keywords/timing-of-radiotherapy","display_name":"timing of radiotherapy","score":0.9480000138282776},{"id":"https://openalex.org/keywords/preoperative-radiotherapy","display_name":"preoperative radiotherapy","score":0.9919999837875366},{"id":"https://openalex.org/keywords/postoperative-radiotherapy","display_name":"postoperative radiotherapy","score":0.9980000257492065},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.6069999933242798},{"id":"https://openalex.org/keywords/postoperative-wound-complications","display_name":"postoperative wound complications","score":0.7129999995231628},{"id":"https://openalex.org/keywords/functional-outcome","display_name":"functional outcome","score":0.5619999766349792},{"id":"https://openalex.org/keywords/pain","display_name":"pain","score":0.5640000104904175},{"id":"https://openalex.org/keywords/hypoesthesia","display_name":"numbness","score":0.9559999704360962},{"id":"https://openalex.org/keywords/opioid-use","display_name":"opioid use","score":0.8180000185966492}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9901999831199646},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.699400007724762},{"id":"https://openalex.org/C3019907485","wikidata":"https://www.wikidata.org/wiki/Q60790240","display_name":"Palliative surgery","level":2,"score":0.5128999948501587},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5005000233650208},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.4449999928474426},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4221000075340271},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.4212000072002411},{"id":"https://openalex.org/C2994186709","wikidata":"https://www.wikidata.org/wiki/Q29483","display_name":"Palliative care","level":2,"score":0.40630000829696655},{"id":"https://openalex.org/C2777722626","wikidata":"https://www.wikidata.org/wiki/Q2902695","display_name":"Preoperative care","level":2,"score":0.3537999987602234},{"id":"https://openalex.org/C2994102832","wikidata":"https://www.wikidata.org/wiki/Q81938","display_name":"Postoperative pain","level":2,"score":0.3490999937057495},{"id":"https://openalex.org/C2994406423","wikidata":"https://www.wikidata.org/wiki/Q188449","display_name":"Spinal surgery","level":2,"score":0.3458000123500824},{"id":"https://openalex.org/C2992435398","wikidata":"https://www.wikidata.org/wiki/Q6934595","display_name":"Multicenter study","level":3,"score":0.31679999828338623},{"id":"https://openalex.org/C2776501849","wikidata":"https://www.wikidata.org/wiki/Q5781808","display_name":"Back pain","level":3,"score":0.3098999857902527},{"id":"https://openalex.org/C2781312054","wikidata":"https://www.wikidata.org/wiki/Q5354947","display_name":"Elective surgery","level":2,"score":0.3089999854564667},{"id":"https://openalex.org/C535046627","wikidata":"https://www.wikidata.org/wiki/Q30612","display_name":"Clinical trial","level":2,"score":0.30790001153945923},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.3075999915599823},{"id":"https://openalex.org/C17923572","wikidata":"https://www.wikidata.org/wiki/Q7250160","display_name":"Propensity score matching","level":2,"score":0.2858000099658966},{"id":"https://openalex.org/C2780140570","wikidata":"https://www.wikidata.org/wiki/Q3545481","display_name":"Surgical oncology","level":2,"score":0.28380000591278076},{"id":"https://openalex.org/C2781063702","wikidata":"https://www.wikidata.org/wiki/Q427523","display_name":"Opioid","level":3,"score":0.27410000562667847},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.26249998807907104},{"id":"https://openalex.org/C3018023364","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Significant difference","level":2,"score":0.2615000009536743},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.2563999891281128},{"id":"https://openalex.org/C195910791","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Medical record","level":2,"score":0.2549999952316284}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1177/21925682261426935","doi":"https://doi.org/10.1177/21925682261426935","is_oa":true,"landing_page_url":"https://doi.org/10.1177/21925682261426935","pdf_url":null,"source":{"id":"https://openalex.org/S2739034459","display_name":"Global Spine Journal","issn_l":"2192-5682","issn":["2192-5682","2192-5690"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"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":"Global Spine Journal","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:12906389","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12906389/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12906389/pdf/","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-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Spine J","raw_type":"Text"},{"id":"pmid:41689497","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/41689497","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":"Global spine journal","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:aec63d0dd9d2451ca110d0cee3b438b6","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/aec63d0dd9d2451ca110d0cee3b438b6","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Global Spine Journal, Vol 16 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1177/21925682261426935","doi":"https://doi.org/10.1177/21925682261426935","is_oa":true,"landing_page_url":"https://doi.org/10.1177/21925682261426935","pdf_url":null,"source":{"id":"https://openalex.org/S2739034459","display_name":"Global Spine Journal","issn_l":"2192-5682","issn":["2192-5682","2192-5690"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"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":"Global Spine Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7128917815.pdf","grobid_xml":"https://content.openalex.org/works/W7128917815.grobid-xml"},"referenced_works_count":41,"referenced_works":["https://openalex.org/W1513373964","https://openalex.org/W1946825180","https://openalex.org/W1990419918","https://openalex.org/W1993630128","https://openalex.org/W1999564328","https://openalex.org/W2000445173","https://openalex.org/W2002004149","https://openalex.org/W2007255205","https://openalex.org/W2009202244","https://openalex.org/W2019582591","https://openalex.org/W2036229096","https://openalex.org/W2049234953","https://openalex.org/W2056563105","https://openalex.org/W2070877679","https://openalex.org/W2077675867","https://openalex.org/W2104302044","https://openalex.org/W2107890915","https://openalex.org/W2138156952","https://openalex.org/W2141547599","https://openalex.org/W2169061127","https://openalex.org/W2252887828","https://openalex.org/W2538627554","https://openalex.org/W2563922069","https://openalex.org/W2591721588","https://openalex.org/W2605178884","https://openalex.org/W2800418351","https://openalex.org/W2987351765","https://openalex.org/W2997297991","https://openalex.org/W3008785879","https://openalex.org/W3035809038","https://openalex.org/W3167396950","https://openalex.org/W3205778739","https://openalex.org/W4207033552","https://openalex.org/W4210318422","https://openalex.org/W4307264559","https://openalex.org/W4312233715","https://openalex.org/W4383878588","https://openalex.org/W4403902585","https://openalex.org/W4404136896","https://openalex.org/W4407193231","https://openalex.org/W4412722723"],"related_works":["https://openalex.org/W4395469207","https://openalex.org/W4386021840","https://openalex.org/W4398146581","https://openalex.org/W3035809038","https://openalex.org/W4398140386","https://openalex.org/W4410601200","https://openalex.org/W4410310109","https://openalex.org/W4252049423","https://openalex.org/W2131947207","https://openalex.org/W4400161411"],"abstract_inverted_index":{"Study":[0],"DesignA":[1],"multicenter":[2],"retrospective":[3],"cohort":[4],"study":[5,31],"using":[6],"prospectively":[7],"collected":[8],"data.ObjectivesRadiotherapy":[9],"(RT)":[10],"is":[11],"the":[12,19,33,56,86,89,116,131,141,161,167,187,207,227,240],"standard":[13],"treatment":[14],"for":[15],"spinal":[16,52],"metastases;":[17],"however,":[18,151],"optimal":[20],"timing":[21],"of":[22,36,210,243],"RT":[23,41,72,118,121,133,143,163,169,212,229],"in":[24,130,140,148,154,160,166,176,193,199,213,226],"patients":[25,44,50,91,200,214],"requiring":[26],"surgery":[27,38,61,182],"remains":[28,218],"unclear.":[29],"This":[30],"compared":[32,84],"clinical":[34,208],"outcomes":[35,82,112,146],"palliative":[37,60,181],"according":[39],"to":[40,55],"timing.MethodsAmong":[42],"413":[43],"screened":[45],"across":[46],"35":[47],"centers,":[48],"146":[49,90],"with":[51,171,215,237],"metastases":[53],"limited":[54,241],"spine":[57],"who":[58,201],"underwent":[59],"were":[62,65,83,113,137,158,197,223],"included.":[63],"Patients":[64],"classified":[66],"into":[67],"three":[68,87,188],"groups":[69],"based":[70],"on":[71],"timing:":[73],"preoperative":[74,132,142,168,205,211,228],"RT,":[75,77,206],"postoperative":[76,97,110,117],"and":[78,109,119,156,195],"no":[79,102,120],"RT.":[80],"Short-term":[81],"among":[85,186],"groups.ResultsOf":[88],"(preoperative":[92],"RT:":[93,98,103],"n":[94,99,104],"=":[95,100,105],"42;":[96],"59;":[101],"45),":[106],"baseline":[107],"characteristics":[108],"functional":[111],"comparable":[114,185],"between":[115],"groups.":[122,189],"Preoperative":[123],"opioid":[124],"use":[125],"was":[126,183],"significantly":[127],"more":[128,138,224],"frequent":[129,225],"group.":[134,144],"Postoperative":[135,220],"complications":[136,222],"common":[139],"Functional":[145],"improved":[147],"all":[149],"groups;":[150],"greater":[152,191],"improvements":[153,192],"pain":[155,194],"numbness":[157,177,196],"observed":[159,198],"nonpreoperative":[162],"group":[164],"than":[165],"group,":[170,230],"a":[172],"significant":[173],"difference":[174],"noted":[175],"improvement.ConclusionsPostoperative":[178],"recovery":[179],"after":[180],"largely":[184],"Although":[190],"did":[202],"not":[203],"receive":[204],"impact":[209],"mechanical":[216],"instability":[217],"uncertain.":[219],"wound":[221],"but":[231],"these":[232],"findings":[233],"should":[234],"be":[235],"interpreted":[236],"cautiously":[238],"given":[239],"number":[242],"events.":[244]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-02-15T00:00:00"}
