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"Jae Keun Oh"

Original Articles

Trauma

Comparative Analysis of Romosozumab Versus Vertebroplasty With Denosumab: Efficacy, Safety, and Secondary Bone Mineral Density Outcomes
Hyun Woong Mun, Jong Joo Lee, Hyun Chul Shin, Tae-Hwan Kim, Seok Woo Kim, Jae Keun Oh
Neurospine 2025;22(1):69-77.   Published online March 31, 2025
DOI: https://doi.org/10.14245/ns.2449228.614

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Comparative Analysis of Romosozumab Versus Vertebroplasty With Denosumab: Efficacy, Safety, and Secondary Bone Mineral Density Outcomes
Neurospine. 2025;22(1):69-77.   Published online March 31, 2025
DOI: https://doi.org/10.14245/ns.2449228.614
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Comparative Analysis of Romosozumab Versus Vertebroplasty With Denosumab: Efficacy, Safety, and Secondary Bone Mineral Density Outcomes
Neurospine. 2025;22(1):69-77.   Published online March 31, 2025
DOI: https://doi.org/10.14245/ns.2449228.614
Close
Objective
This study aimed to compare the efficacy and safety of romosozumab, a bone anabolic agent, versus vertebroplasty, a conventional surgical intervention, in treating osteoporotic vertebral compression fractures (OVCFs).
Methods
A retrospective analysis included 86 thoracic/lumbar compression fracture patients from 2014 to 2022 at a medical center. Forty-two patients received romosozumab (monthly injections for 1 year) followed by 1 year of denosumab, while 44 underwent vertebroplasty followed by denosumab injections biannually for 2 years. Outcomes were assessed using the Numerical Rating Scale (NRS) for pain, bone mineral density (BMD), vertebral compression ratio, and Cobb angle over 12 months.
Results
At 12 months, the romosozumab group showed a greater reduction in NRS scores (4.90 ± 1.01 vs. 4.27 ± 1.34, p = 0.015) and a higher increase in lumbar BMD (0.8 ± 0.5 vs. 0.5 ± 0.3, p = 0.000) compared to the vertebroplasty group. There were no significant differences in changes in hip total BMD and femur neck BMD (p = 0.190, p = 0.167, respectively). Radiographic assessments showed no significant differences in vertebral compression ratio (14.7% vs. 14.8%; p = 0.960) or Cobb angle (4.2° vs. 4.9°; p = 0.302). The incidence of major osteoporotic fractures was lower in the romosozumab group (7.1% vs. 25.0%, p = 0.051), with similar rates of cardiovascular events in both groups (4.8% vs. 9.1%, p = 0.716).
Conclusion
Romosozumab has demonstrated superior pain reduction and lumbar BMD improvement compared to vertebroplasty at 12 months, with no significant differences in radiographic outcomes or adverse events, suggesting it as an alternative to vertebroplasty for OVCF.

Citations

Citations to this article as recorded by  Crossref logo
  • Impact of Denosumab Adherence on Renal Function and Mortality Rates in Type 2 Diabetes Patients With Osteoporosis
    Yu‐Chuan Chang, Jian‐Chih Chen, Sung‐Yen Lin, Kun‐Der Lin, Pei‐Shan Ho, Chung‐Hwan Chen, Yin‐Chih Fu, Tien‐Ching Lee
    The Kaohsiung Journal of Medical Sciences.2026;[Epub]     CrossRef
  • Comparative Radiologic Outcomes of Romosozumab and Teriparatide in Osteoporotic Vertebral Fractures
    Jun-Seok Lee, Geon-U Kim, Ho-Young Jung, Young-Hoon Kim, Sang-Il Kim, Sangjun Park, Young-Yul Kim, Hyung-Youl Park
    Journal of Clinical Medicine.2026; 15(6): 2349.     CrossRef
  • Revisiting Cement Augmentation in Osteoporotic Vertebral Fractures: A Narrative Review
    Gilbert Bungay Dimacali, Byung Ho Lee
    Journal of Korean Society of Spine Surgery.2025; 32(4): 144.     CrossRef
  • 11,628 View
  • 226 Download
  • 1 Web of Science
  • 3 Crossref
Development and Validation of an Online Calculator to Predict Proximal Junctional Kyphosis After Adult Spinal Deformity Surgery Using Machine Learning
Chang-Hyun Lee, Dae-Jean Jo, Jae Keun Oh, Seung-Jae Hyun, Jin Hoon Park, Kyung Hyun Kim, Jun Seok Bae, Bong Ju Moon, Chang-Kyu Lee, Myoung Hoon Shin, Hyun Jun Jang, Moon-Soo Han, Chi Heon Kim, Chun Kee Chung, Seung-Myung Moon, for the Korean Spinal Deformity Society
Neurospine 2023;20(4):1272-1280.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2342434.217

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Development and Validation of an Online Calculator to Predict Proximal Junctional Kyphosis After Adult Spinal Deformity Surgery Using Machine Learning
Neurospine. 2023;20(4):1272-1280.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2342434.217
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Development and Validation of an Online Calculator to Predict Proximal Junctional Kyphosis After Adult Spinal Deformity Surgery Using Machine Learning
Neurospine. 2023;20(4):1272-1280.   Published online December 31, 2023
DOI: https://doi.org/10.14245/ns.2342434.217
Close
Objective
Although adult spinal deformity (ASD) surgery aims to restore and maintain alignment, proximal junctional kyphosis (PJK) may occur. While existing scoring systems predict PJK, they predominantly offer a generalized 3-tier risk classification, limiting their utility for nuanced treatment decisions. This study seeks to establish a personalized risk calculator for PJK, aiming to enhance treatment planning precision.
Methods
Patient data for ASD were sourced from the Korean spinal deformity database. PJK was defined a proximal junctional angle (PJA) of ≥ 20° at the final follow-up, or an increase in PJA of ≥ 10° compared to the preoperative values. Multivariable analysis was performed to identify independent variables. Subsequently, 5 machine learning models were created to predict individualized PJK risk post-ASD surgery. The most efficacious model was deployed as an online and interactive calculator.
Results
From a pool of 201 patients, 49 (24.4%) exhibited PJK during the follow-up period. Through multivariable analysis, postoperative PJA, body mass index, and deformity type emerged as independent predictors for PJK. When testing machine learning models using study results and previously reported variables as hyperparameters, the random forest model exhibited the highest accuracy, reaching 83%, with an area under the receiver operating characteristics curve of 0.76. This model has been launched as a freely accessible tool at: (https://snuspine.shinyapps.io/PJKafterASD/).
Conclusion
An online calculator, founded on the random forest model, has been developed to gauge the risk of PJK following ASD surgery. This may be a useful clinical tool for surgeons, allowing them to better predict PJK probabilities and refine subsequent therapeutic strategies.

Citations

Citations to this article as recorded by  Crossref logo
  • THE INTEGRATION OF ARTIFICIAL INTELLIGENCE IN SPINAL CARE ASSESSMENT AND SURGERY: A COMPREHENSIVE NARRATIVE REVIEW
    Anıl Murat Öztürk, Cemre Aydın, Onur Süer, Erhan Sesli, Ömer Akçalı, Emin Alıcı
    Journal of Turkish Spinal Surgery.2026; 37(1): 49.     CrossRef
  • Machine learning-based prediction of proximal junctional pathology after adult spinal deformity surgery: a systematic review and diagnostic test accuracy meta-analysis
    Shaan Patel, Shiva A. Nischal, Yi Hein Chai, Kush M. Kale, Kevin Hines, Joshua Heller, Jack Jallo, James S. Harrop, Srinivas K. Prasad
    Acta Neurochirurgica.2026;[Epub]     CrossRef
  • Explainable Machine Learning Approach to Prediction of Prolonged Intensive Care Unit Stay in Adult Spinal Deformity Patients: Machine Learning Outperforms Logistic Regression
    Bashar Zaidat, Mark Kurapatti, Jonathan S. Gal, Samuel K. Cho, Jun S. Kim
    Global Spine Journal.2025; 15(4): 1992.     CrossRef
  • Machine-learning models for the prediction of ideal surgical outcomes in patients with adult spinal deformity
    Dongfan Wang, Qijun Wang, Peng Cui, Shuaikang Wang, Di Han, Xiaolong Chen, Shibao Lu
    The Bone & Joint Journal.2025; 107-B(3): 337.     CrossRef
  • The Application of Artificial Intelligence in Spine Surgery: A Scoping Review
    Liangyu Shi, Hongfei Wang, Graham Ka-Hon Shea
    JAAOS: Global Research and Reviews.2025;[Epub]     CrossRef
  • Harnessing machine learning to predict and prevent proximal junctional kyphosis and failure in adult spinal deformity surgery: A systematic review
    Paolo Brigato, Gianluca Vadalà, Sergio De Salvatore, Leonardo Oggiano, Giuseppe Francesco Papalia, Fabrizio Russo, Rocco Papalia, Pier Francesco Costici, Vincenzo Denaro
    Brain and Spine.2025; 5: 104273.     CrossRef
  • Artificial intelligence in spine surgery
    Cheng Zhang, Shanshan Liu, Jialin Shi, Xingyu Zhou, Peter Passias, Nanfang Xu, Weishi Li
    Spine Research.2025; 1(1): 13.     CrossRef
  • Novel risk factors and personalized risk calculator for predicting proximal junctional kyphosis after adult spinal deformity surgery
    Qijun Wang, Zheng Wang, Dongfan Wang, Xuan Zhao, Xiaolong Chen, Shibao Lu
    The Bone & Joint Journal.2025; 107-B(8): 829.     CrossRef
  • Implications of artificial intelligence
    Michael W. Fields, Nathan J. Lee, Ronald A. Lehman
    Seminars in Spine Surgery.2024; 36(3): 101122.     CrossRef
  • Machine learning applications in adult spinal deformity corrective surgery: a narrative review
    Nader Toossi, Ozhan Jerry
    Artificial Intelligence Surgery.2024; 4(3): 258.     CrossRef
  • Prediction of postoperative mechanical complications in ASD patients based on total sequence and proportional score of spinal sagittal plane
    Wenbin Jiang, Huagang Shi, Tao Gu, Zonglin Cai, Qinglong Li
    SLAS Technology.2024; 29(6): 100222.     CrossRef
  • Predicting Proximal Junctional Kyphosis After Adult Spinal Deformity Surgery: A Step Towards True “Precision” Medicine?: Commentary on “Development and Validation of an Online Calculator to Predict Proximal Junctional Kyphosis After Adult Spinal Deformity
    Lara M. Höbner, Alexandra Grob, Victor E. Staartjes
    Neurospine.2023; 20(4): 1284.     CrossRef
  • Commentary on “Development and Validation of an Online Calculator to Predict Proximal Junctional Kyphosis After Adult Spinal Deformity Surgery Using Machine Learning”
    In Ho Han
    Neurospine.2023; 20(4): 1281.     CrossRef
  • From the Editor-in-Chief: Featured Articles in the December 2023 Issue
    Inbo Han
    Neurospine.2023; 20(4): 1093.     CrossRef
  • 5,860 View
  • 197 Download
  • 14 Web of Science
  • 14 Crossref

Review Article

CSRS Special Issue

Surgical Strategies and Perioperative Considerations for Cervical Deformity With Cerebral Palsy: A Comprehensive Review of the Literature
Hyung Cheol Kim, Sung Han Oh, Jae Keun Oh, Yoon Ha
Neurospine 2022;19(4):868-875.   Published online December 31, 2022
DOI: https://doi.org/10.14245/ns.2244956.478

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Surgical Strategies and Perioperative Considerations for Cervical Deformity With Cerebral Palsy: A Comprehensive Review of the Literature
Neurospine. 2022;19(4):868-875.   Published online December 31, 2022
DOI: https://doi.org/10.14245/ns.2244956.478
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Surgical Strategies and Perioperative Considerations for Cervical Deformity With Cerebral Palsy: A Comprehensive Review of the Literature
Neurospine. 2022;19(4):868-875.   Published online December 31, 2022
DOI: https://doi.org/10.14245/ns.2244956.478
Close
The complex nature of the cervical spine makes surgical intervention challenging when treating cervical deformity in patients with cerebral palsy (CDCP). However, few studies have investigated the unique characteristics of cerebral palsy that create the need for surgery, the most effective surgical strategies, and the possible perioperative complications. The intended benefit and the potential risk of postoperative complications must be considered when deciding to operate for CDCP. Because the approach and correction strategy depend on the type of cervical deformity, as well as the patient’s comorbidities and functional status, a customized strategy is needed. Perioperatively, botulinum toxin injections and muscle division techniques can help control excessive involuntary movements and improve the spinal fusion success rate. Surgical intervention for CDCP requires a multidisciplinary approach, and the information presented in this article is intended to help in the perioperative management and surgical treatment of CDCP.

Citations

Citations to this article as recorded by  Crossref logo
  • Predictive Factors for Postoperative Outcomes of Cervical Spondylotic Myelopathy in Individuals With Cerebral Palsy
    Su Ji Lee, Jihye Hwang, Min Gyu Kang, Minjae Cho, Yoon Ha, Sung-Rae Cho
    Global Spine Journal.2026; 16(1): 75.     CrossRef
  • Management and treatment of musculoskeletal problems in adults with cerebral palsy: Experience gained from two lifespan clinics
    Mark Katsma, Haiqing Liu, Xiaoyu Pan, Kyle J. Ryan, David P. Roye, Henry G. Chambers, Rachel Byrne, Heakyung Kim, Raffi Najarian, Justin Ramsey, Sruthi Thomas
    Journal of Pediatric Rehabilitation Medicine.2024; 17(1): 19.     CrossRef
  • 7,122 View
  • 193 Download
  • 2 Web of Science
  • 2 Crossref

Original Article

Analysis of the Incidence and Risk Factors of Postoperative Delirium in Patients With Degenerative Cervical Myelopathy
Namhoo Kim, Tae-Hwan Kim, Jae Keun Oh, Jeongsup Lim, Kang Uk Lee, Seok Woo Kim
Neurospine 2022;19(2):323-333.   Published online May 12, 2022
DOI: https://doi.org/10.14245/ns.2142778.389

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Analysis of the Incidence and Risk Factors of Postoperative Delirium in Patients With Degenerative Cervical Myelopathy
Neurospine. 2022;19(2):323-333.   Published online May 12, 2022
DOI: https://doi.org/10.14245/ns.2142778.389
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Analysis of the Incidence and Risk Factors of Postoperative Delirium in Patients With Degenerative Cervical Myelopathy
Neurospine. 2022;19(2):323-333.   Published online May 12, 2022
DOI: https://doi.org/10.14245/ns.2142778.389
Close
Objective
The purpose of this study is to analyze various risk factors that can cause postoperative delirium (POD) in degenerative cervical myelopathy (DCM) patients, which may affect normal recovery and outcomes after surgery, and to help deal with them in advance and to take a medical approach.
Methods
A total of 148 patients aged 60 years or older who underwent laminoplasty or anterior cervical discectomy and fusion (ACDF) for DCM from 2008 to 2015 were included in this study. Incidence and multiple risk factors for development of POD were analyzed.
Results
POD occurred in 24 patients (16.2%). Among the 148 patients, 78 received laminoplasty, of whom 19 patients (24%) experienced delirium; the other 70 patients underwent ACDF, of whom 5 patients (7.1%) experienced delirium. History of Parkinson disease (odds ratio [OR], 178.242; p = 0.015), potassium level (OR, 3.764; p = 0.031), and surgical approach of laminoplasty over ACDF (OR, 8.538; p = 0.008) were found to be significant risk factors in a multivariate analysis. Age (OR, 1.056; p = 0.04) and potassium level (OR, 3.217; p = 0.04) were significant risk factors in the laminoplasty group.
Conclusion
The findings of this study suggest that the incidence and risk factors for POD may vary in patients with DCM. It is necessary to understand multiple factors that affect the development of POD.

Citations

Citations to this article as recorded by  Crossref logo
  • Development and validation comparison of multiple models for perioperative neurocognitive disorders during hip arthroplasty
    Gang Wang, Yi Xie, XiaRui Bai, Yuming Zhang, Jiao Guo
    Scientific Reports.2025;[Epub]     CrossRef
  • Cervical myelopathy symptom severity, posterior-based cervical surgical approach, and lower body mass index are associated with postoperative delirium: A retrospective observational study
    Catherine R. Olinger, Pei-fu Chen, Sarah J. Lee, Daniel F. Waldschmidt, Reagan A. Grieser-Yoder, Lauren G. Havertape, Debra J. O’Connell-Moore, Lanchi B. Nguyen, Jill D. Corlette, Bradley J. Hindman, Matthew A. Howard
    North American Spine Society Journal (NASSJ).2025; 24: 100789.     CrossRef
  • Machine-learning-based models for the optimization of post-cervical spinal laminoplasty outpatient follow-up schedules
    Yechan Seo, Seoi Jeong, Siyoung Lee, Tae-Shin Kim, Jun-Hoe Kim, Chun Kee Chung, Chang-Hyun Lee, John M. Rhee, Hyoun-Joong Kong, Chi Heon Kim
    BMC Medical Informatics and Decision Making.2024;[Epub]     CrossRef
  • 8,292 View
  • 235 Download
  • 4 Web of Science
  • 3 Crossref

Editorial

Do Not Think to See One Side and Know the Whole - We Have to Understand Cervical Spine Dynamics Not Only Static State
Jae Keun Oh
Neurospine 2019;16(3):454-455.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.19edi.017

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Do Not Think to See One Side and Know the Whole - We Have to Understand Cervical Spine Dynamics Not Only Static State
Neurospine. 2019;16(3):454-455.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.19edi.017
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Do Not Think to See One Side and Know the Whole - We Have to Understand Cervical Spine Dynamics Not Only Static State
Neurospine. 2019;16(3):454-455.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.19edi.017
Close
  • 8,576 View
  • 128 Download
  • 1 Web of Science

Original Article

Epidemiology of C5 Palsy after Cervical Spine Surgery: A 21-Center Study
Jae Keun Oh, Jae Taek Hong, Dong Ho Kang, Sang-Woo Kim, Seok Won Kim, Young Jin Kim, Chun Kee Chung, Jun Jae Shin, Seong Yi, Jung Kil Lee, Jun Ho Lee, Chang-Hyun Lee, Ho Jin Lee, Hyoung-Joon Chun, Dae-Chul Cho, Yong Eun Cho, Yong Jun Jin, Kyung-Chul Choi, In Ho Han, Seung-Jae Hyun, Jung-Woo Hur, Ki-Jeong Kim
Neurospine 2019;16(3):558-562.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938142.071

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Epidemiology of C5 Palsy after Cervical Spine Surgery: A 21-Center Study
Neurospine. 2019;16(3):558-562.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938142.071
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Epidemiology of C5 Palsy after Cervical Spine Surgery: A 21-Center Study
Neurospine. 2019;16(3):558-562.   Published online September 30, 2019
DOI: https://doi.org/10.14245/ns.1938142.071
Close
Objective
C5 palsy is a severe complication after cervical spine surgery, the pathophysiology of which remains unclear. This multicenter study investigated the incidence of C5 palsy following cervical spine surgery in Korea.
Methods
We conducted a retrospective multicenter study involving 21 centers from the Korean Cervical Spine Study Group. The inclusion criteria were cervical spine surgery patients between 2012 and 2016, excluding cases of neck surgery. In patients with C5 palsy, the operative methods, disease category, onset time of C5 palsy, recovery time, C5 manual muscle testing (MMT) grade, and post-C5 palsy management were analyzed.
Results
We collected 15,097 cervical spine surgery cases from 21 centers. C5 palsy occurred in 88 cases (0.58%). C5 palsy was more common in male patients (p=0.019) and after posterior approach procedures (p<0.001). C5 palsy usually occurred within 3 days after surgery (77 of 88, 87.5%) and most C5 palsy patients recovered within 6 months (51 of 88, 57.95%). Thirty C5 palsy patients (34.09%) had motor weakness, with an MMT grade≤2. Only four C5 palsy patients (4.5%) did not recover during follow-up. Posterior cervical foraminotomy was performed in 7 cases (7.95%), and steroids were used in 56 cases (63.63%). Twenty-six cases (29.55%) underwent close observation only.
Conclusion
The overall incidence of C5 palsy was relatively low (0.58%). C5 palsy was more common after posterior cervical surgery and in male patients. C5 palsy usually developed within 3 days after surgery, and more than half of patients with C5 palsy recovered within 6 months.

Citations

Citations to this article as recorded by  Crossref logo
  • Risk Factors and Clinical Outcomes of Perioperative Complications Following Cervical Spine Surgery
    Narihito Nagoshi, Junichi Yamane, Toshiki Okubo, Yosuke Horiuchi, Yasuhiro Kamata, Norihiro Isogai, Hitoshi Kono, Yoshiomi Kobayashi, Reo Shibata, Takahito Iga, Kazuki Takeda, Masahiro Ozaki, Satoshi Suzuki, Morio Matsumoto, Masaya Nakamura, Kota Watanabe
    Global Spine Journal.2026; 16(6): 2671.     CrossRef
  • What is the probability of recovery of C5 palsy after cervical spine surgery over time? A systematic review and meta-analysis
    Nienke A. Krijnen, Alexander J. Comerci, Christopher J. Fedor, Hamid Alahmari, James C. Bayley, Teun Teunis
    The Spine Journal.2026; 26(5): 853.     CrossRef
  • Risk factors for C5 nerve root palsy following surgery for cervical degenerative disease : a systematic review and meta-analysis
    Mingzhu Huang, Kang Chen, Yujin Zhang, Lanxin Zhang, Changyu Liu, Xuan Liu, Xiangzhuo Liu, Ningyuan Li, Ying Lu, Mingjiang Luo, Zhihong Xiao, Liquan Li
    Neurosurgical Review.2026;[Epub]     CrossRef
  • C5 Palsy After Cervical Decompression: A 10-Year Single-Institution Study Highlighting Early Onset, High Bilaterality, and Poor Recovery
    Sargunan B, Vishnu Prasath, Karthik Sudhakar, Thomas John
    Cureus.2026;[Epub]     CrossRef
  • De novo C5 palsy in the absence of prior surgery: a retrospective study of surgical management and outcomes in the United States
    Wesley Manz, Sameer Khawaja, Corey Spencer, Dale Segal, Zach Grabel, Doug Weinberg, Eli Garrard, John Rhee
    Asian Spine Journal.2026; 20(1): 34.     CrossRef
  • Incidence and prognostic factors of postoperative C5 palsy after cervical OPLL surgery: a nationwide prospective multicenter study
    Satoru Egawa, Takashi Hirai, Kenichiro Sakai, Kazuo Kusano, Shunji Tsutsui, Yu Matsukura, Kentaro Yamada, Hiroaki Onuma, Kanichiro Wada, Keiichi Katsumi, Masao Koda, Atsushi Kimura, Takeo Furuya, Satoshi Maki, Norihiro Nishida, Yukitaka Nagamoto, Yasushi
    Scientific Reports.2026;[Epub]     CrossRef
  • Preoperative Imaging Predictors of Postoperative C5 Palsy
    Jonathan Dalton, Rachel Huang, Michael Carter, Robert J. Oris, Joydeep Baidya, Joshua Mathew, Rajkishen Narayanan, Andrew Kim, Sebastian Fras, Jonah Blas, Anthony LaBarbiera, Matthew Ruiz, Evgeniy Uvarov, Keyur Patel, Mark F. Kurd, Ian David Kaye, Jose A.
    Spine.2026; 51(10): 692.     CrossRef
  • C4/5 Facetectomy Is Associated With Improved Recovery of C5 Palsy in Severe Foraminal Stenosis After Posterior Cervical Decompression and Fusion
    Yusuke Nakamura, Sohei Murata, Taisuke Yabe, Hiromu Ito
    Cureus.2026;[Epub]     CrossRef
  • Increased Change in Cervical Lordosis Is Associated With Decreased Rate of Recovery in Patients With C5 Palsy
    Joseph N. Frazzetta, Nathan Pecoraro, Ignacio Jusue-Torres, Paul M. Arnold, Ryan Hofler, G. Alexander Jones, Russ Nockels
    Clinical Spine Surgery.2025; 38(3): E152.     CrossRef
  • Phrenic Nerve Palsy After Posterior Cervical Fusion
    Thomas Falconiero, Anthony Viola, Mark LaGreca, Caleb M. Yeung, Jeffrey Rihn
    Clinical Spine Surgery.2025; 38(5): 217.     CrossRef
  • Biceps involvement and degree of motor deficit at diagnosis are independently predictive of timing of postoperative C5 palsy recovery
    Gregory Toci, Jonathan Dalton, Rachel Huang, Michael Carter, Robert J. Oris, Rajkishen Narayanan, Andrew Kim, Julienne Jeong, Brady Stallman, Kenneth McCall, Mark F. Kurd, Ian D. Kaye, Barrett I. Woods, Jeffrey A. Rihn, Jose A. Canseco, Alan S. Hilibrand,
    The Spine Journal.2025; 25(11): 2441.     CrossRef
  • Cord-lamina angle and foraminal diameter as key predictors of C5 palsy after anterior cervical decompression and fusion surgery
    Wenchao Zhou, Baifeng Sun, Zichuan Wu, Aochen Xu, Hanlin Song, Xuhong Zhang, Junbin Liu, Junzhe Sheng, Yang Liu
    Open Medicine.2025;[Epub]     CrossRef
  • C5 Nerve Palsy After Posterior Instrumentation and Decompression in Cervical Spine Surgery: A Review of the Literature
    Konstantinos Zygogiannis, Pavlos Gerasimidis, Spyridon Komaitis, Savvas Moschos, Georgios C Thivaios, Aikaterini Tsatsaragkou, Dimitrios Koulalis
    Cureus.2025;[Epub]     CrossRef
  • Transient C5 Palsy After Full‐Endoscopic Posterior Cervical Foraminotomy
    João Paulo Machado Bergamaschi, Ariel Falbel Lugão, Rangel Roberto de Assis, Kelsen de Oliveira Teixeira, Fernando Flores de Araújo, Thiago Queiroz Soares, Gustavo Vitelli Depieri, Álvaro Dowling, Robson Cruz de Oliveira, Fernanda Wirth, Fábio da Silva Fo
    Case Reports in Orthopedics.2025;[Epub]     CrossRef
  • Recovery patterns from C5 palsy after anterior cervical decompression and fusion, posterior cervical decompression and fusion, and laminoplasty for degenerative cervical myelopathy: systematic review and meta-analysis of 748 C5 palsy cases
    Vibhu Krishnan Viswanathan, Guna Pratheep Kalanchiam, Akilan Chinnappan, Sathish Muthu
    Asian Spine Journal.2025; 19(6): 1059.     CrossRef
  • Contralateral C7 nerve root transfer for post-stroke prolonged flaccid paralysis — Two cases report
    Shuai Zhu, Feng-Chi Sun, Xiang-Meng Su, Si-Wei Xu, Jun-Tao Feng, Hua-Wei Yin, Wen-Dong Xu, Yun-Dong Shen
    Hand Surgery and Rehabilitation.2025; 44(5): 102261.     CrossRef
  • Flexion K-Line Status Predicts Surgical Strategy in Multilevel Cervical Ossification of the Posterior Longitudinal Ligament: A Multicenter Comparison of Laminoplasty and Laminectomy With Fusion
    Jun Jae Shin, Sun Joon Yoo, Se Jun Park, Dong Kyu Kim, Hyun Jun Jang, Bong Ju Moon, Kyung Hyun Kim, Jeong Yoon Park, Sung Uk Kuh, Dong Kyu Chin, Keun Su Kim, Yong Eun Cho, Chang Kyu Lee, Dong Ah Shin, Seong Yi, Keung Nyun Kim, Joongkyum Shin, Yoon Ha
    Neurospine.2025; 22(4): 937.     CrossRef
  • Comparison of Anterior Cervical Decompression and Fusion and Posterior Laminoplasty for Four-Segment Cervical Spondylotic Myelopathy: Clinical and Radiographic Outcomes
    Liang Shi, Tao Ding, Fang Wang, Chengcong Wu
    Journal of Neurological Surgery Part A: Central European Neurosurgery.2024; 85(04): 331.     CrossRef
  • A rare case of phrenic nerve palsy after cervical spine surgery
    Shubham Sanjay Lodha, Akash Vishnu Mane, Mandar Borde, K V Menon
    Indian Spine Journal.2024; 7(1): 100.     CrossRef
  • A systematic review of risk factors and adverse outcomes associated with anterior cervical discectomy and fusion surgery over the past decade
    Vikramaditya Rai, Vipin Sharma, Mukesh Kumar, Lokesh Thakur
    Journal of Craniovertebral Junction and Spine.2024; 15(2): 141.     CrossRef
  • Cervical kinematic change after posterior full-endoscopic cervical foraminotomy for disc herniation or foraminal stenosis
    Seungyoon Paik, Yunhee Choi, Chun Kee Chung, Young Il Won, Sung Bae Park, Seung Heon Yang, Chang-Hyun Lee, John Min Rhee, Kyoung-Tae Kim, Chi Heon Kim, Thamer Hamdan
    PLOS ONE.2023; 18(2): e0281926.     CrossRef
  • Posterior Preventive Foraminotomy before Laminectomy Combined with Pedicle Screw Fixation May Decrease the Incidence of C5 Palsy in Complex Cervical Spine Surgery in Patients with Severe Myeloradiculopathy
    Yong-Ho Lee, Mahmoud Abdou, Ji-Won Kwon, Kyung-Soo Suk, Seong-Hwan Moon, You-Gun Won, Tae-Jin Lee, Byung-Ho Lee
    Journal of Clinical Medicine.2023; 12(6): 2227.     CrossRef
  • Clinical Spectrum of Postsurgical Parsonage-Turner Syndrome: A Perspective From an Electrodiagnostic Laboratory
    Vasudeva G Iyer, Lisa B Shields, Yi Ping Zhang, Christopher B Shields
    Cureus.2023;[Epub]     CrossRef
  • Bilateral phrenic nerve palsy after posterior cervical decompression and fusion surgery: a rare event after surgery
    Glenn A. Gonzalez, Jingya Miao, Guilherme Porto, James Harrop
    Spinal Cord Series and Cases.2023;[Epub]     CrossRef
  • Progress of C5 Nerve Root Palsy after Open-Door Cervical Expansive Laminoplasty
    ·阿不力肯 阿不都沙拉木
    Advances in Clinical Medicine.2023; 13(10): 16813.     CrossRef
  • Management of Cerebrospinal Fluid Leakage by Pump-Regulated Volumetric Continuous Lumbar Drainage Following Anterior Cervical Decompression and Fusion for Ossification of the Posterior Longitudinal Ligament
    Sun Woo Jang, Sang Hyub Lee, Hong Kyung Shin, Sang Ryong Jeon, Sung Woo Roh, Jin Hoon Park
    Neurospine.2023; 20(4): 1421.     CrossRef
  • A Novel Method of Making Hinges Using a Newly Designed Sharp Rongeur to Enhance Radiological and Clinical Outcomes in French‐Door Cervical Expansive Laminoplasty
    Ningning Chen, Lanzhe Yu, Xizhe Liu, Guoliang Chen, Yanrun Li, Xuenong Zou, Dacheng He, Jiaming Yang, Shangbin Cui, Le Wang, Shaoyu Liu, Fuxin Wei
    Orthopaedic Surgery.2022; 14(12): 3349.     CrossRef
  • Defining postoperative C5 palsy and recovery: a systematic review
    Nachiket Deshpande, Amro M. Stino, Brandon W. Smith, Ann A. Little, Lynda J. S. Yang, Paul Park, Yamaan S. Saadeh
    Journal of Neurosurgery: Spine.2022; : 1.     CrossRef
  • Use of electromyography to predict likelihood of recovery following C5 palsy after posterior cervical spine surgery
    Daniel Lubelski, Zach Pennington, Ryan F. Planchard, Ahmet Hoke, Nicholas Theodore, Daniel M. Sciubba, Allan J. Belzberg
    The Spine Journal.2021; 21(3): 387.     CrossRef
  • A modified cutting line in the single-door cervical laminoplasty via a computed tomography-based morphological study of the subaxial cervical spine
    Guoliang Chen, Weicheng Huang, Mengxian Jia, Jiajin Lin, Yadong Sheng, Chaowei Lin, Kelun Huang, Honglin Teng
    Clinical Neurology and Neurosurgery.2021; 200: 106384.     CrossRef
  • A new nomenclature system for the surgical treatment of cervical spine deformity, developing, and validation of SOF system
    Jae Taek Hong, Heiko Koller, Kuniyoshi Abumi, Wen Yuan, Asdrubal Falavigna, Ho Jin Lee, Jong Beom Lee, Jean-Charles Le Huec, Jong-Hyeok Park, Il Sup Kim
    European Spine Journal.2021; 30(6): 1670.     CrossRef
  • C5 palsy after cervical laminectomy: natural history in a 10-year series
    Ryan C. Hofler, Joseph Frazzetta, Jehad Zakaria, Amany Aziz, William Adams, G. Alexander Jones
    The Spine Journal.2021; 21(9): 1473.     CrossRef
  • Preoperative Radiological Parameters to Predict Clinical and Radiological Outcomes after Laminoplasty
    Su Hun Lee, Dong Wuk Son, Jun Jae Shin, Yoon Ha, Geun Sung Song, Jun Seok Lee, Sang Weon Lee
    Journal of Korean Neurosurgical Society.2021; 64(5): 677.     CrossRef
  • Phrenic nerve palsy after cervical laminectomy and fusion
    Andrew S. Moon, Jeffrey M. Pearson, Jason L. Pittman
    North American Spine Society Journal (NASSJ).2020; 4: 100022.     CrossRef
  • 26,410 View
  • 476 Download
  • 32 Web of Science
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Clinical Article

The Effect of Different Pillow Heights on the Parameters of Cervicothoracic Spine Segments
Hyung Cheol Kim, Hyo Sub Jun, Ji Hee Kim, Jun Hyong Ahn, In Bok Chang, Joon Ho Song, Jae Keun Oh
Korean J Spine 2015;12(3):135-138.   Published online September 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.3.135

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The Effect of Different Pillow Heights on the Parameters of Cervicothoracic Spine Segments
Korean J Spine. 2015;12(3):135-138.   Published online September 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.3.135
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The Effect of Different Pillow Heights on the Parameters of Cervicothoracic Spine Segments
Korean J Spine. 2015;12(3):135-138.   Published online September 30, 2015
DOI: https://doi.org/10.14245/kjs.2015.12.3.135
Close
Objective

To investigate the effect of different pillow heights on the slope of the cervicothoracic spine segments.

Methods

A prospective analysis of data from 16 asymptomatic adults (aged 20 to 30 years) was carried out. Exclusion criteria were history of injury or accident to the cervicothoracic spine, cervicothoracic spine surgery, or treatment for neck symptoms. We used three different pillow heights: flat (0 cm), 10-cm, and 20-cm pillows. Cervical sagittal parameters, measured with radiography, included; C2-7 Cobb's angle, T1 slope (T1S), thoracic inlet angle (TIA), and neck tilt (NT). Statistical analyses were performed using Spearman correlation coefficients.

Results

As the height of the pillow increased, the T1S & C2-7 Cobb's angle increased while the NT values tended to decrease. The TIA values, however, remained constant. Additionally, there was a statistically significant sex difference in T1S with the 0-cm pillow (p=0.01), and in NT with the 20-cm pillow (p=0.01).

Conclusion

From the data obtained in this study, we recommend that the most suitable pillow height is 10 cm, considering the normal cervical lordosis.

Citations

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  • Biomechanical design optimization and experimental verification of Bezier curve based two-sectional cervical pillow with variable-density cellular structure
    Jian-Bin Chen, Bo Liu, Tao Shen, Wen-Tao Hou, Yong He
    Computer Methods in Biomechanics and Biomedical Engineering.2026; 29(1): 1.     CrossRef
  • Human back contour modeling for backrest design in future vehicles
    Anna Bokdam, Gerbera Vledder, Yu (Wolf) Song, Peter Vink
    Applied Ergonomics.2026; 133: 104700.     CrossRef
  • Dynamic versus fixed pillow height systems and cervical muscle function: a randomized crossover trial
    Sirirat KIATKULANUSORN, Nongnuch LUANGPON, Kultida KLAROD, Sarawoot WATECHAGIT, Kosai KIATKULANUSORN, Warannida KLEAWYOTHATIS, Oranat SUKKHO
    European Journal of Physical and Rehabilitation Medicine.2026;[Epub]     CrossRef
  • The individualized optimal pillow height and neck support design for side sleepers
    Shan Tian, Chenghong Yao, Yawei Wang, Xuepeng Cao, Yike Sun, Lizhen Wang, Yubo Fan
    Medical & Biological Engineering & Computing.2025; 63(2): 535.     CrossRef
  • The impact of pillow height on neck muscle activity: a pilot study
    Rui Jiao, Wenwu Xiao, Mingjun Wang, Shufang Yu, Hai Li
    Sleep and Breathing.2025;[Epub]     CrossRef
  • The Influence of Pillow Shape and Content on Neck Muscular Activity and Perceived Comfort
    Samaneh Daryushi, Teimour Allahyari, Zanyar Karimi
    The Open Public Health Journal.2025;[Epub]     CrossRef
  • Does the Pillow Affect the Sleep Quality and Disability in Patients With Cervical Spondylosis? A Study Protocol for a Randomized Clinical Trial
    Swarup Ghosh, Manu Goyal, Kanu Goyal
    Musculoskeletal Care.2025;[Epub]     CrossRef
  • Effect of pillow on pain, disability and sleep quality in patients with chronic neck pain: A systematic review
    S. Ghosh, M. Goyal, K. Goyal
    Rehabilitación.2025; 59(3): 100922.     CrossRef
  • Comparison of Thickness, Tension, and Activation of the Scm and Upper Trapezius Muscles According To The Pillow Height
    Eun-mi Kim, Min-gi Park, Eun-joung Yu, Dongyeop Lee, Ji-Heon Hong, Jae-Ho Yu, Jin-Seop Kim, Yeon Gyo Nam, Seong-Gil Kim
    Journal of The Korean Society of Physical Medicine.2024; 19(1): 53.     CrossRef
  • A Comparative Study on the Effects of Three Types of Pillows on Head-neck Pressure Distribution and Cervical Spine Alignment
    Kyeong-Ah Moon, Ji-Hyun Kim, Ye Jin Kim, Joo-Hee Park, Hye-Seon Jeon
    Physical Therapy Korea.2024; 31(1): 8.     CrossRef
  • Pillow Material and Hardness Affects Head and Neck Pressure Distribution in Supine Position
    Mutsumi Takahashi, Yogetsu Bando, Takuya Fukui
    Advances in Physical Education.2024; 14(04): 204.     CrossRef
  • Effects of the Trunk Rising Angle on Pressure Sensation and Postural Stability During Sitting at a Desk with a Prone Posture
    Nonoka FUJIWARA, Satoshi MURAKI
    The Japanese Journal of Ergonomics.2023; 59(1): 29.     CrossRef
  • Comfort and Support Values Provided by Different Pillow Materials for Individuals with Forward Head Posture
    Ceyhun Türkmen, Serdar Yılmaz Esen, Zafer Erden, Tülin Düger
    Applied Sciences.2023; 13(6): 3865.     CrossRef
  • Pedicle Subtraction Osteotomy for Deformity Correction in the Upper Cervical Spine: A Technical Note
    Bilal Al Barim, Michael Müther, Stephanie Schipmann, Walter Stummer, Michael Schwake
    Journal of Neurological Surgery Part A: Central European Neurosurgery.2022; 83(01): 069.     CrossRef
  • Effect of different pillow designs on promoting sleep comfort, quality, & spinal alignment: A systematic review
    Ahmed Radwan, Nicholas Ashton, Trever Gates, Austin Kilmer, Michael VanFleet
    European Journal of Integrative Medicine.2021; 42: 101269.     CrossRef
  • The effects of pillow designs on neck pain, waking symptoms, neck disability, sleep quality and spinal alignment in adults: A systematic review and meta-analysis
    Johnson C.Y. Pang, Sharon M.H. Tsang, Allan C.L. Fu
    Clinical Biomechanics.2021; 85: 105353.     CrossRef
  • Ergonomic Consideration in Pillow Height Determinants and Evaluation
    Jia-Xing Lei, Peng-Fei Yang, Ai-Ling Yang, Yan-Feng Gong, Peng Shang, Xi-Chen Yuan
    Healthcare.2021; 9(10): 1333.     CrossRef
  • Correlation of cervical and thoracic inlet sagittal parameters by MRI and radiography in patients with cervical spondylosis
    Jie Cheng, Peng Liu, Dong Sun, Zikun Ma, Jingpei Liu, Zhaolin Wang, Jianhui Mou
    Medicine.2019; 98(7): e14393.     CrossRef
  • Effect of a cervical support pillow on sternocleidomastoid activity and satisfaction in asymptomatic participants
    Min-hyeok Choi, Jin-Hwa Jung, Jong-Hoon Moon, Jin-won Yoo, Suk-Chan Hahm, Hwi-young Cho
    Journal of Physical Therapy Science.2018; 30(6): 840.     CrossRef
  • Cervical Spine Deformity—Part 1: Biomechanics, Radiographic Parameters, and Classification
    Lee A. Tan, K. Daniel Riew, Vincent C. Traynelis
    Neurosurgery.2017; 81(2): 197.     CrossRef
  • 16,407 View
  • 177 Download
  • 20 Crossref

Case Report

Spinal Subdural Hematoma Following Meningioma Removal Operation
Hyo Sub Jun, Jae Keun Oh, Young Seok Park, Joon Ho Song
Korean J Spine 2014;11(1):12-14.   Published online March 31, 2014
DOI: https://doi.org/10.14245/kjs.2014.11.1.12

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Spinal Subdural Hematoma Following Meningioma Removal Operation
Korean J Spine. 2014;11(1):12-14.   Published online March 31, 2014
DOI: https://doi.org/10.14245/kjs.2014.11.1.12
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Spinal Subdural Hematoma Following Meningioma Removal Operation
Korean J Spine. 2014;11(1):12-14.   Published online March 31, 2014
DOI: https://doi.org/10.14245/kjs.2014.11.1.12
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Although blood contamination of cerebrospinal fluid (CSF) after an intracranial operation can occur, the development of a symptomatic spinal hematoma after craniotomy has been anecdotally reported and it is uncommon reported after a supratentorial meningioma removal operation. We report a case of spinal subdural hematoma following a supratentorial meningioma removal operation and discuss the mechanism of spinal subdural hematoma (SSDH) development. A 54-year-old woman presented with lumbago and radicular pain on both legs 4 days after a right parietooccipital craniotomy for meningioma removal. Only the straight leg raising sign was positive on neurologic examination but the magnetic resonance imaging (MRI) demonstrated a lumbosacral spinal subdural hematoma. The patient received serial lumbar tapping, after which her symptoms showed improvement.

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  • Lumbosacral Subdural Hematoma After Glioblastoma Multiforme Resection: Possible Radiographic Evidence for the Downward Migration of Intracranial Blood
    Gabriella M. Paisan, Thomas J. Buell, Daniel Raper, Ashok Asthagiri
    World Neurosurgery.2017; 108: 993.e13.     CrossRef
  • 8,531 View
  • 66 Download
  • 1 Crossref

Original Article

Surgical Outcomes of Spine Disorders in Patients with Parkinson's Disease.
Sang Hyuk Park, Jae Keun Oh, Tae Yup Kim, Eui Hyun Kim, Hyo Sang Lee, Nam Gyu Yu, Gwi Hyun Choi, Seong Yi, Yoon Ha, Do Heum Yoon, Keung Nyun Kim
Korean J Spine 2011;8(3):208-214.
DOI: https://doi.org/10.14245/kjs.2011.8.3.208

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Surgical Outcomes of Spine Disorders in Patients with Parkinson's Disease.
Korean J Spine. 2011;8(3):208-214.
DOI: https://doi.org/10.14245/kjs.2011.8.3.208
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Surgical Outcomes of Spine Disorders in Patients with Parkinson's Disease.
Korean J Spine. 2011;8(3):208-214.
DOI: https://doi.org/10.14245/kjs.2011.8.3.208
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PURPOSE
Patients with Parkinson's disease also commonly have movement disorders, osteoporosis, and other comorbidities. These patients are more likely to have complications after spinal surgery. The aim of the present study is to show the relation ship between complications of spinal surgery and Parkinson's disease.
METHODS
A computerized search using diagnostic and procedural codes identified 13 patients with Parkinson's disease who underwent spinal surgery between January 1998 and December 2010. Their medical records and imaging studies were reviewed and recent updatesfor all patients were done by telephone interview.
RESULTS
Retrospectively, 13 consecutive patients were reviewed. The mean age was 63.8 (range 44~87) years old and the mean durationof Parkinson's disease was 7.6 (range 1~22) years at the time of the index procedure. The mean T score of the lumbar spine on Dual-energy X-ray absorptiometry (DEXA) scan bone mineral density (BMD) was -2.5 (range -1.0~-5.1). These patients had nine lumbar lesions, two thoracic lesions, one cervical lesion, and one thoracolumbar lesion. Nine patients required no more surgical treatment for lesions which had been previously operated on (index level). However, four patients (30.8%) needed at least one more operation related to their index procedure; segmental degeneration on the adjacent levels in two, retropulsion of an intervertebral cage with screw loosening in one, and pedicle fracture in one.
CONCLUSION
It has been reported that patients with Parkinson's disease have high complication rates in spinal surgery. Spine surgeons should be aware of the risk of complications and need to conduct careful follow-up after the surgery.

Citations

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  • Morphogenetic Designs, and Disease Models in Central Nervous System Organoids
    Minsung Bock, Sung Jun Hong, Songzi Zhang, Yerin Yu, Somin Lee, Haeeun Shin, Byung Hyune Choi, Inbo Han
    International Journal of Molecular Sciences.2024; 25(14): 7750.     CrossRef
  • 6,917 View
  • 41 Download
  • 1 Crossref
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