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Spine Surgery Innovations: Clinically Advanced Treatment and Technologies
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Spine Surgery Innovations: Clinically Advanced Treatment and Technologies

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 30 November 2025 | Viewed by 493

Special Issue Editor

Dr. Jang W. Yoon

E-Mail Website
Guest Editor
Department of Neurosurgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
Interests: minimally invasive spine surgery; degenerative spine disease; spinal oncology; spinal deformity

Special Issue Information

Dear Colleagues,

The field of spine surgery is rapidly evolving with the integration of novel techniques and cutting-edge technologies that enhance surgical precision, patient outcomes, and recovery. Minimally invasive spine surgery (MIS) approaches, including lateral and anterior techniques as well as endoscopic spine surgery, have revolutionized spinal procedures by reducing surgical morbidity and accelerating rehabilitation. Additionally, the application of wearable biometrics, artificial intelligence, and big data analytics is transforming perioperative decision-making, predictive modeling, and personalized patient care. As these advancements continue to shape the future of spine surgery, it is essential for clinicians and researchers to stay informed on the latest developments.

This Special Issue invites original research, reviews, and clinical studies on innovations in spine surgery, including advancements in MIS techniques, AI-driven analytics, digital health technologies, and novel surgical devices. We encourage contributions that explore the clinical impact, safety, and efficacy of these technologies, providing insights into their real-world applications and future directions.

Dr. Jang W. Yoon
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • minimally invasive spine surgery
  • artificial intelligence
  • wearable biometrics
  • big data
  • smartphone accelerometer

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Published Papers (1 paper)

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Research

13 pages, 1036 KB  
Article
Short-Term Differences in Hospital Resource Utilization and Quality of Care Between Anterior Cervical Discectomy and Fusion and Posterior Cervical Foraminotomy: A National Propensity-Scored Observational Study Utilizing the ACS-NSQIP Database
by Jaskeerat Gujral, Jonathan H. Sussman, Daniel Gao, Yohannes Ghenbot, John D. Arena, Susanna Howard, Hasan S. Ahmad, John Shin, Jang W. Yoon, Ali K. Ozturk, William C. Welch and Mert Marcel Dagli
J. Clin. Med. 2025, 14(18), 6438; https://doi.org/10.3390/jcm14186438 - 12 Sep 2025
Viewed by 337
Abstract
Background/Objective: Anterior cervical discectomy and fusion (ACDF) or posterior cervical foraminotomy (PCF) are common treatments for cervical radiculopathy. This study compared post-operative outcomes between ACDF and PCF utilizing the American College of Surgeons-National Surgical Quality Improvement Program database. Methods: An observational [...] Read more.
Background/Objective: Anterior cervical discectomy and fusion (ACDF) or posterior cervical foraminotomy (PCF) are common treatments for cervical radiculopathy. This study compared post-operative outcomes between ACDF and PCF utilizing the American College of Surgeons-National Surgical Quality Improvement Program database. Methods: An observational study following STROBE and TRIPOD + AI guidelines compared hospital resource utilization and quality of care between single-level ACDF and PCF (2005–2022). Primary outcomes compared operative time, length of stay (LOS), and post-operative complications. Propensity-scored stabilized inverse probability of treatment weighting adjusted for confounders, specifically demographics, lifestyle-related factors, pre-operative labs, pre-existing comorbidities, and surgery-related factors. Subgroup analysis compared baseline characteristics and outcomes, stratified by 30-day re-admission and re-operation. Results: PCF group demonstrated shorter LOS (MD −0.7 days, 95% CI −0.9 to −0.5 days, p < 0.001), operative time (MD −32.9 min, 95% CI −35.7 to −30.1 min, p < 0.001), higher rate of re-admission associated with overall SSI (PD 1.2%, 95% CI 0.7–1.7%, p < 0.001), deep incisional SSI (PD 0.8%, 95% CI 0.4–1.2%, p < 0.001), and organ/space SSI (PD 0.3%, 95% CI 0.0–0.5%, p = 0.011). Furthermore, the PCF group had greater systemic sepsis (PD 0.8%, 95% CI 0.4–1.3%, p < 0.001), overall post-operative SSI (PD 2.8%, 95% CI 2.0–3.6%, p < 0.001), superficial SSI (PD 1.9%, 95% CI 1.2–2.5%, p < 0.001), and deep incisional SSI (PD 0.8%, 95% CI 0.4–1.2%, p < 0.001) rates. Subgroup analysis showed increased early post-operative re-operation rates in the PCF cohort (PD 23.4%, 95% CI 9.5–37.4%, p = 0.001) and increased early post-operative re-admission associated with post-operative overall SSI (PD 35.3%, 95% CI 22.7–48.0%, p < 0.001). Conclusions: Although the PCF cohort demonstrated lower hospital utilization, it had reduced quality of care and increased post-operative complications. Full article
(This article belongs to the Special Issue Spine Surgery Innovations: Clinically Advanced Treatment and Technologies)
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