European Spine Journal




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Evolution of pelvic incidence and lumbar lordosis during growth: MRI-based evaluation from fetal stage to early childhood

doi : 10.1007/s00586-025-08920-y

Volume 34, Issue 10 October 2025

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Normative values of the sagittal lumbopelvic alignment in children during the first decade of life

doi : 10.1007/s00586-025-09107-1

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Adjacent intervertebral disc preservation or not during hemivertebra resection in the treatment of congenital scoliosis: a minimum of 5-year follow-up

doi : 10.1007/s00586-025-08772-6

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Bipolar spinal correction reduces transfusion rate and hospital stay compared with traditional posterior spinal fusion in children with scoliosis secondary to cerebral palsy

doi : 10.1007/s00586-025-09282-1

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Factors associated with immediate post-operative complications in pediatric patients in intensive care after spinal deformity surgical repair

doi : 10.1007/s00586-025-08974-y

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Hip pain after spinopelvic fusion in pediatric neuromuscular scoliosis

doi : 10.1007/s00586-025-09189-x

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Quadroiliac plane block for postoperative pain management in a pediatric patient undergoing tethered cord release surgery: a case report

doi : 10.1007/s00586-025-09247-4

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Posterior-only hemivertebra bone-disc-bone osteotomy (BDBO) without internal fixation in a 15-day-old neonate with 18-year follow-up

doi : 10.1007/s00586-025-08801-4

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Changes in pelvic measurements and lumbar lordosis with age in children and adolescents

doi : 10.1007/s00586-025-09219-8

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Lumbar disc herniation modelling: a review of ex-vivo mechanical models and a comparison with clinical data

doi : 10.1007/s00586-025-09054-x

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Application of extracorporeal collagenase chemonucleolysis and combined intradiscal and extracorporeal collagenase chemonucleolysis via FLEX electrode in patients with lumbar disc herniation: a retrospective study

doi : 10.1007/s00586-025-09067-6

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Diagnostic accuracy of the compression overload test versus straight leg Raise test in detecting lumbar disc herniation: an MRI-Validated Cross-Sectional study

doi : 10.1007/s00586-025-09164-6

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Does disc consistency matter? a comparative series on calcified and soft thoracic disc herniations

doi : 10.1007/s00586-025-09069-4

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Comparison of a progressive bone drilling system and a visualized reaming system in percutaneous transforaminal endoscopic discectomy: a comparative study

doi : 10.1007/s00586-025-09061-y

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Volumetric measurement of herniated disc material as a predictor of outcome in periradicular therapy

doi : 10.1007/s00586-025-09324-8

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Comparison of the efficacy of arthroscopic-assisted uni-portal spinal surgery and percutaneous endoscopic lumbar discectomy in the treatment of far lateral lumbar disc herniation: a retrospective controlled study

doi : 10.1007/s00586-025-08998-4

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The intrathecal morphine analgesia for full endoscopic lumbar discectomy: a prospective dose-finding study

doi : 10.1007/s00586-025-09047-w

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Comparison of the effects of microdiscectomy and interlaminar endoscopic lumbar discectomy on sexual activity

doi : 10.1007/s00586-025-08806-z

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Characteristics of endplate changes in patients with lumbar disc herniation treated by discectomy and their effects on clinical symptoms during one-year postoperative follow-up

doi : 10.1007/s00586-025-09171-7

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Transdural rootlet herniation– An exceptional complication of full endoscopic lumbar discectomy: case reports and review of literature

doi : 10.1007/s00586-025-09137-9

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Characterizing gait abnormalities in patients with symptomatic lumbar degenerative disc disease

doi : 10.1007/s00586-025-08887-w

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Thoracic and pelvic compensation during lumbar degeneration: a retrospective study of 625 asymptomatic adults

doi : 10.1007/s00586-025-08941-7

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Comparative analysis of the correlation between paraspinal muscles fat infiltration and vertebral bone quality in patients with lumbar degenerative diseases

doi : 10.1007/s00586-025-09142-y

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Distinctive features of upright CT myelography in patients with lumbar spine degenerative diseases

doi : 10.1007/s00586-025-09237-6

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Spinal phenotypes on MRI and X-ray alone cannot predict short-term progression of lumbar disc degeneration

doi : 10.1007/s00586-025-08917-7

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Assessing the association between degenerative disc disease and spinal mobility

doi : 10.1007/s00586-025-08919-5

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Assessment of T2-weighted MRI-derived synthetic CT for the detection of suspected lumbar facet arthritis: a comparative analysis with conventional CT

doi : 10.1007/s00586-025-08958-y

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Changes of water and muscle content in lumbar paraspinal muscle degeneration and gender differences during aging using dual-energy CT

doi : 10.1007/s00586-025-08968-w

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A comparison of approaches to studying relationships between lumbar spinal degeneration findings demonstrates advantages to interspace-level analyses over person-level analyses

doi : 10.1007/s00586-025-08976-w

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Exploring upstream and downstream causality of inflammatory cytokines in intervertebral disc degeneration: a bidirectional, two-sample Mendelian randomization study

doi : 10.1007/s00586-025-09005-6

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IMID-284: a potent pyruvate kinase M2 inhibitor with dual anti-inflammatory and analgesic effects in intervertebral disc disease

doi : 10.1007/s00586-025-09014-5

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Exploring the role of Serpins as a potential molecular target in intervertebral disc degeneration

doi : 10.1007/s00586-025-09035-0

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The influence of sarcopenia on clinical and radiological features in patients with single-segment degenerative lumbar spondylolisthesis at L4/5 level

doi : 10.1007/s00586-025-09050-1

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A structural description for severe degeneration of intervertebral discs to computationally interpret experimental results obtained by stress profilometry

doi : 10.1007/s00586-025-09108-0

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Clinical outcomes, safety, and cost considerations of rhBMP-2 in the surgical management of pyogenic spinal infections: a focused review

doi : 10.1007/s00586-025-08993-9

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An imaging-based clinical prediction model to differentiate brucellar spondylitis from pyogenic spondylitis: a multicenter retrospective observational study

doi : 10.1007/s00586-025-08905-x

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Vanishing vacuum disc phenomenon: A diagnostic key in spinal infection

doi : 10.1007/s00586-025-09196-y

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Disc penetration sign: an distinctive MRI feature as a predictor of surgical necessity in pyogenic spondylitis

doi : 10.1007/s00586-025-09214-z

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RCT-based meta-analysis of povidone-iodine irrigation in spinal surgery: clarifying efficacy and safety

doi : 10.1007/s00586-025-09243-8

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Anterior debridement, reconstruction, and fusion for cervical brucellosis spondylitis with epidural abscess: a single-center experience of 30 patients

doi : 10.1007/s00586-025-09038-x

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Cutibacterium acnes in lumbar spine, from skin to deep tissue. A colonization study

doi : 10.1007/s00586-025-09006-5

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Microbiome impacts surgical outcomes– comparison of gut microbiome dysbiosis in patients undergoing lumbar microdiscectomy: results from the MISO pilot study

doi : 10.1007/s00586-025-09046-x

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Segmentation-based 3D volumetry and linear regression modeling for assessing the vertebral bone loss in pyogenic vertebral osteomyelitis

doi : 10.1007/s00586-025-09163-7

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Challenges and limitations of the existing scoring systems for postoperative outcomes in thoracolumbar pyogenic spondylitis: a multicenter retrospective cohort study

doi : 10.1007/s00586-025-08933-7

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Development of a risk scoring system for surgical site infection after lumbar surgery using Dixon MRI and clinical parameters

doi : 10.1007/s00586-025-08971-1

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Diagnostic and therapeutic outcomes in spinal tuberculosis: a retrospective study integrating GeneXpert MTB/RIF, histopathology, and clinical management strategies

doi : 10.1007/s00586-025-09315-9

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The Patients´ quality of life and outcome after surgical treatment for primary spinal infection

doi : 10.1007/s00586-025-09037-y

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Infectious sacroiliitis: insights from long-term follow-up and the diagnostic contribution of computed tomography and magnetic resonance imaging

doi : 10.1007/s00586-025-09319-5

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Letter to the Editor concerning “Surgical strategies and outcomes in degenerative myelopathy at the cervico-thoracic junction: a multicenter retrospective analysis� by Umana GE, et al. (Eur Spine J [2025]: doi:10.1007/s00586-025-09139-7)

doi : 10.1007/s00586-025-09348-0

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Reply to the Letter to the Editor of M. Zhang, et al. concerning “Surgical strategies and outcomes in degenerative myelopathy at the cervico-thoracic junction: a multicenter retrospective analysis� by Umana GE, et al. (Eur Spine J [2025]: doi:10.1007/s00586-025-09139-7)

doi : 10.1007/s00586-025-09351-5

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Letter to the editor concerning “Automated extraction of vertebral bone mineral density from imaging with various scan parameters: a cadaver study with correlation to quantitative computed tomography� by C. Ramschütz et al. (Eur spine J [2025]; doi: 10.1007/s00586-025-09146-8)

doi : 10.1007/s00586-025-09332-8

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Answer to the Letter to the Editor of X. Sun, et al. concerning “Automated extraction of vertebral bone mineral density from imaging with various scan parameters: A cadaver study with correlation to quantitative computed tomography� by C. Ramschütz et al. (Eur Spine J [2025]; doi: 10.1007/s00586-025-09146-8)

doi : 10.1007/s00586-025-09355-1

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Letter to the Editor concerning “Can surface topography reliably determine the Rigo classification system?� by N. Schmidt, et al. (Eur spine J [2025]: doi: 10.1007/s00586-024-08611-0)

doi : 10.1007/s00586-025-08892-z

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Answer to the Letter to the Editor of M. Cao, et al. concerning “Can surface topography reliably determine the Rigo classification system?� by N. Schmidt, et al. (Eur Spine J [2025]: doi:10.1007/s00586-024-08611-0)

doi : 10.1007/s00586-025-08927-5

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Letter to the editor concerning “Identifying predictors of brace treatment outcomes for adolescents or adults with idiopathic scoliosis: a systematic review� by khodaei, et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-08736-w)

doi : 10.1007/s00586-025-09116-0

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Answer to the letter to the editor of Q. Hao, et al. concerning “Identifying predictors of brace treatment outcomes for adolescents or adults with idiopathic scoliosis: a systematic review� by khodaei, et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-08736-w)

doi : 10.1007/s00586-025-09119-x

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Letter to the editor concerning “early functional training is not superior to routine rehabilitation in improving walking distance and multifidus atrophy after lumbar fusion: a randomized controlled trial with 6 month follow up� by Lu H, et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-08771-7)

doi : 10.1007/s00586-025-09132-0

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Answer to the letter to the editor of K. Zhou et al. concerning “early functional training is not superior to routine rehabilitation in improving walking distance and multifidus atrophy after lumbar fusion: a randomized controlled trial with 6-month follow-up� by Lu H, et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-08771-7)

doi : 10.1007/s00586-025-09133-z

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Letter to the editor concerning “relationship between posterior paraspinal muscle fat infiltration and early conversion to lumbar spinal fusion following decompression surgery� by Chiapparelli E, et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-09030-5)

doi : 10.1007/s00586-025-09148-6

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Answer to the letter to the editor of J. Deng, et al. concerning “Relationship between posterior paraspinal muscle fat infiltration and early conversion to lumbar spinal fusion following decompression surgery� by Chiapparelli E, et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-09030-5)

doi : 10.1007/s00586-025-09149-5

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Letter to the editor concerning “Percutaneous pedicle screw placement with a mini-open decompression versus open surgery in the treatment of lumbar spondylolisthesis: one-year results of a randomised controlled trial� by Broekema A, et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-08855-4)

doi : 10.1007/s00586-025-09188-y

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Answer to the letter to the editor of Y. Zhu, et al. concerning “percutaneous pedicle screw placement with a mini-open decompression versus open surgery in the treatment of lumbar spondylolisthesis: one-year results of a randomised controlled trial� by A. Broekema, et al. (Eur spine J [2025]: doi:10.1007/s00586-025-08855-4)

doi : 10.1007/s00586-025-09211-2

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Letter to the editor concerning “CALM1 polymorphism in degenerative cervical myelopathy of the Indian cohort� by Maheshwari S, et al. (Eur spine J [2025]; doi: 10.1007/s00586-025-09090-7

doi : 10.1007/s00586-025-09202-3

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Response to Letter to the Editor on “CALM1 polymorphism in degenerative cervical myelopathy�

doi : 10.1007/s00586-025-09205-0

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Letter to the editor concerning “CALM1 polymorphism in degenerative cervical myelopathy of the Indian cohort� by S. Maheshwari, et al. (Eur spine J [2025]; doi: 10.1007/s00586-025-09090-7)

doi : 10.1007/s00586-025-09203-2

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Answer to the letter to the editor of H. Ren, et al. concerning “CALM1 polymorphism in degenerative cervical myelopathy of the Indian cohort� by Maheshwari S, et al. (Eur spine J [2025]; doi: 10.1007/s00586-025-09090-7)

doi : 10.1007/s00586-025-09204-1

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Letter to the editor concerning “CALM1 polymorphism in degenerative cervical myelopathy of the Indian cohort� by Maheshwari S et al. (Eur spine J [2025]: doi.org/10.1007/s00586-025-09090-7)

doi : 10.1007/s00586-025-09261-6

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Answer to the letter to the editor of T.T. Aduri, et al. concerning “CALM1 polymorphism in degenerative cervical myelopathy of the Indian cohort� by Maheshwari S, et al. (Eur spine J [2025]; doi:10.1007/s00586-025-09090-7)

doi : 10.1007/s00586-025-09321-x

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Letter to the editor concerning “assessing the association between degenerative disc disease and spinal mobility� by Schönnagel L, et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-08919-5)

doi : 10.1007/s00586-025-09201-4

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Answer to the letter to the editor of C. Yang, et al. concerning “assessing the association between degenerative disc disease and spinal mobility� by Schönnagel L, et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-08919-5)

doi : 10.1007/s00586-025-09206-z

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Letter to the editor concerning “patients on antidepressants are more likely to be discharged to inpatient rehabilitation after lumbar fusion� by J. Dalton, et al. (Eur spine J 2025: doi: 10.1007/s00586-025-08815-y)

doi : 10.1007/s00586-025-09200-5

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Answer to the letter to the editor of T. Tanaka, et al. concerning “patients on antidepressants are more likely to be discharged to inpatient rehabilitation after lumbar fusion� by J. Dalton, et al. (Eur spine J 2025: doi: 10.1007/s00586-025-08815-y)

doi : 10.1007/s00586-025-09207-y

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Letter to the editor concerning “Quadratus lumborum muscle stiffness in chronic non-specific low back pain: a diagnostic accuracy study� by M. López-Redondo, et al. (Eur spine J [2025]; doi: 10.1007/s00586-025-09114-2)

doi : 10.1007/s00586-025-09224-x

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Answer to the letter to the editor of E. Gurun concerning “Quadratus lumborum muscle stiffness in chronic non-specific low back pain: a diagnostic accuracy study� by M. López-Redondo, et al. (Eur spine J [2025]; doi: 10.1007/s00586-025-09114-2)

doi : 10.1007/s00586-025-09229-6

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Letter to the editor concerning “Comparative analysis of complications, costs, mortality, and length of stay in lumbar fusion surgery: robotic-assisted versus navigation-guided approaches� by Maman D, et al. (Eur spine J [2025]: doi:10.1007/s00586-025-09060-z)

doi : 10.1007/s00586-025-09223-y

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Answer to the letter to the editor of M. Zhang, et al. concerning “comparative analysis of complications, costs, mortality, and length of stay in lumbar fusion surgery: robotic-assisted versus navigation-guided approaches� by Maman D, et al. (Eur spine J [2025]; doi:10.1007/s00586-025-09060-z)

doi : 10.1007/s00586-025-09234-9

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Letter to the editor concerning “Sacrum1-pubic angle: a novel and alternative morphologic radiological parameter for assessing spinopelvic sagittal alignment in human adults� by Feiyu zu, et al. (Eur spine J [2025];34:910–917. doi:10.1007/s00586-025-08681-8)

doi : 10.1007/s00586-025-09250-9

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Answer to the letter to the editor of F. Inoue, et al. concerning “Sacrum1-pubic angle: a novel and alternative morphologic radiological parameter for assessing spinopelvic sagittal alignment in human adults� by Feiyu Zu, et al. (Eur spine J [2025];34:910–917. doi:10.1007/s00586-025-08681-8)

doi : 10.1007/s00586-025-09251-8

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Letter to the editor concerning “comparison of the efficacy of arthroscopic-assisted uni-portal spinal surgery and percutaneous endoscopic lumbar discectomy in the treatment of far lateral lumbar disc herniation: a retrospective controlled study� by J. Li et al. (Eur Spine J [2025]: doi: 10.1007/s00586-025-08998-4)

doi : 10.1007/s00586-025-09249-2

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Answer to the letter to the editor of M. Zhang, et al. concerning “comparison of the efficacy of arthroscopic-assisted uni-portal spinal surgery and percutaneous endoscopic lumbar discectomy in the treatment of far lateral lumbar disc herniation: a retrospective controlled study� by J. Li et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-08998-4)

doi : 10.1007/s00586-025-09252-7

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Letter to the editor concerning “comparative analysis of the correlation between paraspinal muscles fat infiltration and vertebral bone quality in patients with lumbar degenerative diseases� by wang et al. (Eur spine J [2025]: doi: 10.1007/s00586-025-09142-y)

doi : 10.1007/s00586-025-09266-1

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Answer to the letter to the editor of X. Liu concerning “comparative analysis of the correlation between paraspinal muscles fat infiltration and vertebral bone quality in patients with lumbar degenerative diseases� by wang, et al. (Eur spine J [2025]; doi: 10.1007/s00586-025-09142-y)

doi : 10.1007/s00586-025-09268-z

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Letter to the editor concerning “ALIF vs. posterior fusion for lumbar degenerative disease: comparable efficacy but elevated risk of severe complications-a systematic review and meta-analysis� by FJ Onishi, et al. (Eur spine J [2025]; doi: 10.1007/s00586-025-08914-w)

doi : 10.1007/s00586-025-09265-2

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Answer to the letter to the editor of A.R.D. Pereira filho, et al. concerning “ALIF vs. posterior fusion for lumbar degenerative disease: comparable efficacy but elevated risk of severe complications - a systematic review and meta-analysis� by FJ onishi, et al. (Eur spine J [2025]; doi: 10.1007/s00586-025-08914-w)

doi : 10.1007/s00586-025-09269-y

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Letter to the editor concerning “MRI in early stages of adolescent idiopathic scoliosis indicates a neuro-osseous growth mismatch associated with curve progression� by S. Ohrt-Nissen (Eur spine J [2025]: doi.org/10.1007/s00586-024-08640-9)

doi : 10.1007/s00586-025-09276-z

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Answer to the letter to the editor of E. Yıldırım, et al. concerning “MRI in early stages of adolescent idiopathic scoliosis indicates a neuro-osseous growth mismatch associated with curve progression� by S. Ohrt-Nissen (Eur spine J [2025]; doi.org/10.1007/s00586-024-08640-9)

doi : 10.1007/s00586-025-09277-y

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Letter to the editor concerning “How much does an MRI change over a period of up to 2 years in patients with chronic low back pain? Is a repeated MRI really necessary in the follow-up of patients with chronic low back pain?� by Tomé-Bermejo F, et al. (Eur spine J [2024] 10.1007/s00586-024-08416-1)

doi : 10.1007/s00586-025-09275-0

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Answer to the letter to the editor of Z. Feng, et al. concerning “How much does an MRI change over a period of up to 2 years in patients with chronic low back pain? Is a repeated MRI really necessary in the follow-up of patients with chronic low back pain?� by Tomé-Bermejo F, et al. (Eur spine J [2024]; 10.1007/s00586-024-08416-1)

doi : 10.1007/s00586-025-09278-x

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Letter to the editor concerning “impact of coexisting lumbar spinal stenosis and sleep disorders on fall risk: a cross-sectional study of community-dwelling residents (locomotive syndrome and health outcome in Aizu cohort study)� by H. Kobayashi et al. (Eur spine J [2025]; doi: 10.1007/s00586-025-09208-x)

doi : 10.1007/s00586-025-09308-8

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Answer to the letter to the editor of K. Zhang, et al. concerning “Impact of coexisting lumbar spinal stenosis and sleep disorders on fall risk: a cross-sectional study of community-dwelling residents (locomotive syndrome and health outcome in Aizu cohort study)� by H. Kobayashi et al. (Eur Spine J [2025]; doi: 10.1007/s00586-025-09208-x)

doi : 10.1007/s00586-025-09310-0

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Letter to the editor concerning “the safety and accuracy of radiation-free spinal navigation using a short, scoliosis-specific BoneMRI-protocol, compared to CT� by P.P.G. Lafranca, et al. (Eur spine J [2025]; doi: 10.1007/s00586-025-09151-x)

doi : 10.1007/s00586-025-09300-2

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Answer to the letter to the editor of E. Mohebi, et al. concerning “The safety and accuracy of radiation-free spinal navigation using a short, scoliosis-specific BoneMRI-protocol, compared to CT� by P.P.G. Lafranca, et al. (Eur spine J [2025]; doi:10.1007/s00586-025-09151-x)

doi : 10.1007/s00586-025-09311-z

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Letter to the editor concerning “Pain improvement and reoperation rate after full-endoscopic decompression for lateral recess stenosis: a 10-year follow-up� by W. Kesornsak et al. (Eur spine J [2023]: doi:10.1007/s00586-023-07801-6)

doi : 10.1007/s00586-025-09182-4

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Letter to the editor concerning “Incidence, clinical features, and risk factors for acute pancreatitis following posterior instrumented fusion surgery for lumbar degenerative disease: a single‑center, retrospective analysis of 20,929 patients� by Y. Hu et al. (Eur spine J [2023]: doi:10.1007/s00586-023-07845-8)

doi : 10.1007/s00586-025-09183-3

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Letter to the editor concerning “assessing lumbar vertebral bone quality: a methodological evaluation of CT and MRI as alternatives to traditional DEXA� by courtois, E.C., et al. (Eur spine J [2023]: doi: 10.1007/s00586-023-07855-6)

doi : 10.1007/s00586-025-09184-2

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Letter to the editor concerning “Anterior cervical tunnectomy and fusion (ACTF): a novel technique for cervical canal decompression� by Cheng Qiu, et al. (Eur Spine J [2023]: doi: 10.1007/s00586-023–07691-8)

doi : 10.1007/s00586-025-09185-1

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Letter to the Editor concerning "Transforaminal lumbar interbody fusion using banana-shaped and straight cages: meta-analysis of clinical and radiological outcomes" by A. Sebaaly et al. (Eur Spine J [2023]: doi: 10.1007/s00586-023–07797-z)

doi : 10.1007/s00586-025-09186-0

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Letter to the editor concerning “anterior cervical tunnectomy and fusion (ACTF): A novel technique for cervical Canal decompression� by C. Qiu et al. (Eur spine J. 2023; 32:2110–2119)

doi : 10.1007/s00586-025-09187-z

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Correction: Effects of visual input on contralateral foot touch and postural stability during one-leg standing in older adults with chronic low back pain

doi : 10.1007/s00586-025-09125-z

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Correction: Sagittal spinopelvic parameters in adolescent idiopathic scoliosis: divergence between Lenke type 5, 6, and healthy adolescents

doi : 10.1007/s00586-025-09152-w

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Correction to letter to the editor concerning “risk factors for mortality after 3-column osteotomy� by Carbone J, et al. (EUR spine J [2024]: 10.1007/s00586-024-08616-9)

doi : 10.1007/s00586-025-09180-6

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Correction: Spike-shaped ossification of the posterior longitudinal ligament combined with dural ossification: a case report and literature review on imaging diagnosis and pathogenesis

doi : 10.1007/s00586-025-09181-5

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Correction: Surgical strategies and outcomes in degenerative myelopathy at the cervico-thoracic junction: a multicenter retrospective analysis

doi : 10.1007/s00586-025-09230-z

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Correction: The intrathecal morphine analgesia for full endoscopic lumbar discectomy: a prospective dose-finding study

doi : 10.1007/s00586-025-09231-y

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Correction to: Are combined conservative interventions effective in reducing pain, disability and/or global rating of pain in people with sciatica with known neuropathic pain mechanisms?

doi : 10.1007/s00586-025-09233-w

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