{"id":"https://openalex.org/W7224453448","doi":"https://doi.org/10.3390/diagnostics16213576","title":"Transdiscal Versus Cement-Augmented Pedicle Screw Fixation for Thoracolumbar Fractures in Patients with Diffuse Idiopathic Skeletal Hyperostosis (DISH)","display_name":"Transdiscal Versus Cement-Augmented Pedicle Screw Fixation for Thoracolumbar Fractures in Patients with Diffuse Idiopathic Skeletal Hyperostosis (DISH)","publication_year":2026,"publication_date":"2026-10-29","ids":{"openalex":"https://openalex.org/W7224453448","doi":"https://doi.org/10.3390/diagnostics16213576"},"language":"en","primary_location":{"id":"doi:10.3390/diagnostics16213576","doi":"https://doi.org/10.3390/diagnostics16213576","is_oa":true,"landing_page_url":"https://doi.org/10.3390/diagnostics16213576","pdf_url":null,"source":{"id":"https://openalex.org/S4210172076","display_name":"Diagnostics","issn_l":"2075-4418","issn":["2075-4418"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diagnostics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.3390/diagnostics16213576","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5000683490","display_name":"Akiyoshi Miyamoto","orcid":"https://orcid.org/0009-0005-7587-6677","observed_orcids":["https://orcid.org/0009-0005-7587-6677"]},"institutions":[{"id":"https://openalex.org/I4210145491","display_name":"Okayama Rosai Hospital","ror":"https://ror.org/04cmadr83","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210145491"]},{"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":"Akiyoshi Miyamoto","raw_affiliation_strings":["Department of Orthopaedic Surgery, International University of Health and Welfare, Narita Hospital, Chiba 286-8520, Japan","Department of Orthopaedic Surgery, Okayama Rosai Hospital, 1-10-25 Chikk\u014d Midorimachi, Minami Ward, Okayama 702-8055, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, International University of Health and Welfare, Narita Hospital, Chiba 286-8520, Japan","institution_ids":["https://openalex.org/I4405284280"]},{"raw_affiliation_string":"Department of Orthopaedic Surgery, Okayama Rosai Hospital, 1-10-25 Chikk\u014d Midorimachi, Minami Ward, Okayama 702-8055, Japan","institution_ids":["https://openalex.org/I4210145491"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101699303","display_name":"Masato Tanaka","orcid":"https://orcid.org/0000-0001-6685-7451","observed_orcids":["https://orcid.org/0000-0001-6685-7451"]},"institutions":[{"id":"https://openalex.org/I4210145491","display_name":"Okayama Rosai Hospital","ror":"https://ror.org/04cmadr83","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210145491"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Masato Tanaka","raw_affiliation_strings":["Department of Orthopaedic Surgery, Okayama Rosai Hospital, 1-10-25 Chikk\u014d Midorimachi, Minami Ward, Okayama 702-8055, Japan"],"raw_orcid":"https://orcid.org/0000-0001-6685-7451","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Okayama Rosai Hospital, 1-10-25 Chikk\u014d Midorimachi, Minami Ward, Okayama 702-8055, Japan","institution_ids":["https://openalex.org/I4210145491"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023048591","display_name":"Ahmed Majid Heydar","orcid":"https://orcid.org/0000-0002-6907-7976","observed_orcids":["https://orcid.org/0000-0002-6907-7976"]},"institutions":[{"id":"https://openalex.org/I4210145491","display_name":"Okayama Rosai Hospital","ror":"https://ror.org/04cmadr83","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210145491"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ahmed Majid Heydar","raw_affiliation_strings":["Department of Orthopaedic Surgery, Okayama Rosai Hospital, 1-10-25 Chikk\u014d Midorimachi, Minami Ward, Okayama 702-8055, Japan","Department of Orthopaedic and Traumatology Clinic, Memorial Bah\u00e7eliever Hospital, Istanbul 34180, Turkey"],"raw_orcid":"https://orcid.org/0000-0002-6907-7976","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Okayama Rosai Hospital, 1-10-25 Chikk\u014d Midorimachi, Minami Ward, Okayama 702-8055, Japan","institution_ids":["https://openalex.org/I4210145491"]},{"raw_affiliation_string":"Department of Orthopaedic and Traumatology Clinic, Memorial Bah\u00e7eliever Hospital, Istanbul 34180, Turkey","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061966576","display_name":"Tadashi Komatsubara","orcid":"https://orcid.org/0009-0005-0270-7071","observed_orcids":["https://orcid.org/0009-0005-0270-7071"]},"institutions":[{"id":"https://openalex.org/I4210145491","display_name":"Okayama Rosai Hospital","ror":"https://ror.org/04cmadr83","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210145491"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tadashi Komatsubara","raw_affiliation_strings":["Department of Orthopaedic Surgery, Okayama Rosai Hospital, 1-10-25 Chikk\u014d Midorimachi, Minami Ward, Okayama 702-8055, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Okayama Rosai Hospital, 1-10-25 Chikk\u014d Midorimachi, Minami Ward, Okayama 702-8055, Japan","institution_ids":["https://openalex.org/I4210145491"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060150190","display_name":"Ryo Ugawa","orcid":"https://orcid.org/0000-0002-9787-1042","observed_orcids":["https://orcid.org/0000-0002-9787-1042"]},"institutions":[{"id":"https://openalex.org/I4210145491","display_name":"Okayama Rosai Hospital","ror":"https://ror.org/04cmadr83","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210145491"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ryo Ugawa","raw_affiliation_strings":["Department of Orthopaedic Surgery, Okayama Rosai Hospital, 1-10-25 Chikk\u014d Midorimachi, Minami Ward, Okayama 702-8055, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, Okayama Rosai Hospital, 1-10-25 Chikk\u014d Midorimachi, Minami Ward, Okayama 702-8055, Japan","institution_ids":["https://openalex.org/I4210145491"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028277952","display_name":"Masakazu Nagamatsu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210145491","display_name":"Okayama Rosai Hospital","ror":"https://ror.org/04cmadr83","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I4210145491"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masakazu Nagamatsu","raw_affiliation_strings":["Department of Radiology, Okayama Rosai Hospital, 1-10-25 Chikk\u014d Midorimachi, Minami Ward, Okayama 702-8055, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Radiology, Okayama Rosai Hospital, 1-10-25 Chikk\u014d Midorimachi, Minami Ward, Okayama 702-8055, Japan","institution_ids":["https://openalex.org/I4210145491"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041564586","display_name":"Mitsuru Yagi","orcid":"https://orcid.org/0000-0002-2324-3780","observed_orcids":["https://orcid.org/0000-0002-2324-3780"]},"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":"Mitsuru Yagi","raw_affiliation_strings":["Department of Orthopaedic Surgery, International University of Health and Welfare, Narita Hospital, Chiba 286-8520, Japan"],"raw_orcid":"https://orcid.org/0000-0002-2324-3780","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, International University of Health and Welfare, Narita Hospital, Chiba 286-8520, Japan","institution_ids":["https://openalex.org/I4405284280"]}]},{"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":["Department of Orthopaedic Surgery, International University of Health and Welfare, Narita Hospital, Chiba 286-8520, Japan"],"raw_orcid":"https://orcid.org/0000-0001-8192-8342","affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, International University of Health and Welfare, Narita Hospital, Chiba 286-8520, Japan","institution_ids":["https://openalex.org/I4405284280"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5058738322","display_name":"Norihiro Isogai","orcid":"https://orcid.org/0000-0002-9365-530X","observed_orcids":["https://orcid.org/0000-0002-9365-530X"]},"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":"Norihiro Isogai","raw_affiliation_strings":["Department of Orthopaedic Surgery, International University of Health and Welfare, Narita Hospital, Chiba 286-8520, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedic Surgery, International University of Health and Welfare, Narita Hospital, Chiba 286-8520, Japan","institution_ids":["https://openalex.org/I4405284280"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5101699303"],"corresponding_institution_ids":["https://openalex.org/I4210145491"],"apc_list":{"value":2600,"currency":"CHF","value_usd":3137},"apc_paid":{"value":2600,"currency":"CHF","value_usd":3137},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.87439967,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"21","first_page":"3576","last_page":"3576"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.9994999766349792,"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/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.9994999766349792,"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/T10658","display_name":"Bone fractures and treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"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":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"}}],"keywords":[{"id":"https://openalex.org/keywords/diffuse-idiopathic-skeletal-hyperostosis","display_name":"diffuse idiopathic skeletal hyperostosis","score":0.996999979019165},{"id":"https://openalex.org/keywords/thoracolumbar-fractures","display_name":"thoracolumbar fractures","score":0.9729999899864197},{"id":"https://openalex.org/keywords/pedicle-screw-fixation","display_name":"pedicle screw fixation","score":0.8349999785423279},{"id":"https://openalex.org/keywords/screw-loosening","display_name":"screw loosening","score":0.925000011920929},{"id":"https://openalex.org/keywords/posterior-spinal-instrumentation","display_name":"posterior instrumentation","score":0.6800000071525574},{"id":"https://openalex.org/keywords/bone-quality","display_name":"bone quality","score":0.5389999747276306},{"id":"https://openalex.org/keywords/implant-failure","display_name":"implant failure","score":0.6309999823570251}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9695000052452087},{"id":"https://openalex.org/C190892606","wikidata":"https://www.wikidata.org/wiki/Q3512464","display_name":"Radiological weapon","level":2,"score":0.5922999978065491},{"id":"https://openalex.org/C36454342","wikidata":"https://www.wikidata.org/wiki/Q245341","display_name":"Radiography","level":2,"score":0.5827000141143799},{"id":"https://openalex.org/C2910502555","wikidata":"https://www.wikidata.org/wiki/Q742762","display_name":"Diffuse Idiopathic Skeletal Hyperostosis","level":3,"score":0.5766000151634216},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5726000070571899},{"id":"https://openalex.org/C2781411149","wikidata":"https://www.wikidata.org/wiki/Q486975","display_name":"Implant","level":2,"score":0.5040000081062317},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.4788999855518341},{"id":"https://openalex.org/C2780660378","wikidata":"https://www.wikidata.org/wiki/Q1667915","display_name":"Internal fixation","level":2,"score":0.45010000467300415},{"id":"https://openalex.org/C2991743468","wikidata":"https://www.wikidata.org/wiki/Q166019","display_name":"Blood loss","level":2,"score":0.357699990272522},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.3391000032424927},{"id":"https://openalex.org/C2778614594","wikidata":"https://www.wikidata.org/wiki/Q17055904","display_name":"Implant failure","level":3,"score":0.3041999936103821},{"id":"https://openalex.org/C2989005","wikidata":"https://www.wikidata.org/wiki/Q214963","display_name":"Nuclear medicine","level":1,"score":0.2822999954223633},{"id":"https://openalex.org/C2780913275","wikidata":"https://www.wikidata.org/wiki/Q578786","display_name":"Thoracic vertebrae","level":4,"score":0.28029999136924744},{"id":"https://openalex.org/C2779835254","wikidata":"https://www.wikidata.org/wiki/Q405478","display_name":"Lumbar vertebrae","level":3,"score":0.2793999910354614},{"id":"https://openalex.org/C175696284","wikidata":"https://www.wikidata.org/wiki/Q986524","display_name":"Cadaveric spasm","level":2,"score":0.2623000144958496},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.2563999891281128},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.25519999861717224}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.3390/diagnostics16213576","doi":"https://doi.org/10.3390/diagnostics16213576","is_oa":true,"landing_page_url":"https://doi.org/10.3390/diagnostics16213576","pdf_url":null,"source":{"id":"https://openalex.org/S4210172076","display_name":"Diagnostics","issn_l":"2075-4418","issn":["2075-4418"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diagnostics","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.3390/diagnostics16213576","doi":"https://doi.org/10.3390/diagnostics16213576","is_oa":true,"landing_page_url":"https://doi.org/10.3390/diagnostics16213576","pdf_url":null,"source":{"id":"https://openalex.org/S4210172076","display_name":"Diagnostics","issn_l":"2075-4418","issn":["2075-4418"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310310987","host_organization_name":"Multidisciplinary Digital Publishing Institute","host_organization_lineage":["https://openalex.org/P4310310987"],"host_organization_lineage_names":["Multidisciplinary Digital Publishing Institute"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Diagnostics","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":24,"referenced_works":["https://openalex.org/W1993272631","https://openalex.org/W2000322891","https://openalex.org/W2086971137","https://openalex.org/W2335100239","https://openalex.org/W2748825141","https://openalex.org/W2757070801","https://openalex.org/W2805689382","https://openalex.org/W2906853630","https://openalex.org/W2947166015","https://openalex.org/W2971498760","https://openalex.org/W2988101985","https://openalex.org/W3000674624","https://openalex.org/W3082341093","https://openalex.org/W3128122263","https://openalex.org/W3133317423","https://openalex.org/W3149183450","https://openalex.org/W3160690443","https://openalex.org/W3202991170","https://openalex.org/W4320495519","https://openalex.org/W4386818952","https://openalex.org/W4391426225","https://openalex.org/W4401439862","https://openalex.org/W4409576884","https://openalex.org/W4410417845"],"related_works":["https://openalex.org/W4415360364","https://openalex.org/W3082341093","https://openalex.org/W3149183450","https://openalex.org/W2946232854","https://openalex.org/W3086833344","https://openalex.org/W4406245698","https://openalex.org/W3147083281","https://openalex.org/W3011506024","https://openalex.org/W2949396663","https://openalex.org/W3215737380"],"abstract_inverted_index":{"Background/Objectives:":[0],"Rigid":[1],"internal":[2],"fixation":[3,59,84,108,282],"and":[4,29,45,67,77,82,101,106,147,154,158,169,202,257,259],"early":[5],"mobilization":[6],"using":[7,136],"pedicle":[8,64,261],"screws":[9,256,262],"have":[10,53],"become":[11],"a":[12,30,37],"standard":[13],"treatment":[14],"option":[15],"for":[16,86,110,130,266],"vertebral":[17,94,113,131,269],"fractures":[18,132,270],"in":[19,36,48,224,271,283],"patients":[20,125,272],"with":[21,273],"diffuse":[22,88],"idiopathic":[23,89],"skeletal":[24,90],"hyperostosis.":[25],"Poor":[26],"bone":[27,203],"quality":[28],"long":[31],"lever":[32],"arm":[33],"may":[34],"result":[35],"high":[38],"rate":[39,205],"of":[40,80,104,124,218,281],"screw":[41,43,65,69,219],"loosening,":[42],"pullout,":[44],"implant":[46,249],"failure":[47],"these":[49],"patients.":[50],"Therefore,":[51],"researchers":[52],"developed":[54],"various":[55],"techniques":[56,85,109,265,276],"to":[57],"enhance":[58],"strength,":[60],"including":[61],"cement-augmented":[62,260],"fenestrated":[63],"(CAFPS)":[66],"transdiscal":[68,258],"(TDS)":[70],"fixation.":[71,173],"This":[72,96],"study":[73,97],"compared":[74,98],"the":[75,99,225,279],"clinical":[76,100],"radiological":[78,102],"outcomes":[79,103],"CAFPS":[81,105,137],"TDS":[83,107,139,172,226],"treating":[87,267],"hyperostosis":[91],"(DISH)-associated":[92],"thoracolumbar":[93,112,268],"fractures.":[95,114],"DISH-associated":[111],"Methods:":[115],"Retrospective":[116],"comparative":[117],"cohort":[118],"study.":[119],"An":[120],"evaluation":[121],"was":[122,222],"conducted":[123],"who":[126],"underwent":[127],"posterior":[128],"instrumentation":[129],"accompanied":[133],"by":[134],"DISH,":[135],"or":[138,252],"techniques,":[140],"at":[141],"our":[142],"hospital":[143],"between":[144],"August":[145],"2019":[146],"March":[148],"2025.":[149],"We":[150,162],"assessed":[151],"preoperative,":[152],"operative,":[153],"postoperative":[155],"data,":[156],"outcomes,":[157],"radiographic":[159],"parameters.":[160],"Results:":[161],"included":[163],"40":[164],"patients;":[165],"11":[166],"received":[167,171],"CAFPS,":[168],"29":[170],"Operative":[174],"time":[175],"(104":[176],"\u00b1":[177,182,191,196],"19.6":[178],"min":[179],"vs.":[180,194,207,229,241],"115":[181],"29.4":[183],"min,":[184],"p":[185,199,209,231,243],"=":[186,200,210,232,244],"0.32),":[187],"blood":[188],"loss":[189],"(87.7":[190],"69.4":[192],"mL":[193],"88.3":[195],"64.8":[197],"mL,":[198],"0.95),":[201],"union":[204],"(100%":[206],"89.7%,":[208],"0.27)":[211],"did":[212],"not":[213],"differ":[214],"significantly.":[215],"The":[216],"incidence":[217],"loosening":[220],"number":[221],"higher":[223],"group":[227,247],"(5.68%":[228],"13.4%,":[230],"0.049).":[233],"However,":[234],"patient-level":[235],"analysis":[236],"showed":[237],"no":[238],"difference":[239],"(4/11":[240],"7/29,":[242],"0.455).":[245],"Neither":[246],"had":[248],"backouts,":[250],"failures,":[251],"reoperations.":[253],"Conclusions:":[254],"Transdiscal":[255],"are":[263],"useful":[264],"DISH.":[274],"These":[275],"can":[277],"reduce":[278],"level":[280],"vulnerable":[284],"patient":[285],"populations.":[286]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-10-30T00:00:00"}
