Novel Techniques & Technology
- - Use of Awl-Tipped Pedicle Screws Reduces Surgical Time
    Steve Balsis, Jack Mancuso, Gemma S. Krautzel, Alexandra Foote, Crystal DiMauro and Mark S. Eskander
    International Journal of Spine Surgery April 2026, 20 (2) 166-170;
    DOI: https://doi.org/10.14444/8842
  - Integration of Stent Screw-Assisted Internal Fixation Into Posterior Fixations for High-Grade Thoracolumbar Spine Compression Fractures (SAIF-Rod)
    Gianpaolo Jannelli, Francesco Marchi, Marco Pileggi, Andrea Cardia, Ivan Cabrilo and Alessandro Cianfoni
    International Journal of Spine Surgery April 2026, 20 (2) 171-177;
    DOI: https://doi.org/10.14444/8873
  - Innovative One-Hole Split Endoscopy for Posterior Atlantoaxial Lateral Mass Joint Fusion: Technical Details and Preliminary Clinical Application
    Jiang Xue, Chengqian Huang, Shaofeng Wu, Tengyue Zhu, Songze Wu, Liyi Chen, Xinli Zhan and Chong Liu
    International Journal of Spine Surgery April 2026, 20 (2) 178-185;
    DOI: https://doi.org/10.14444/8851
  - A Novel Concept and 3D Coupler for Robotic Correction of Spinal Deformities: In Vitro Experimental Testing
    Hazem B. Elsebaie, Behrooz A. Akbarnia, Robert K. Eastlack, Ron El-Hawary, Darryl D’Lima, Youssef H. Elsebaie and Gregory M. Mundis
    International Journal of Spine Surgery April 2026, 20 (2) 186-193;
    DOI: https://doi.org/10.14444/8845
Endoscopic Minimally Invasive Surgery
- - A Simplified and Efficient Transforaminal Endoscopic Lumbar Discectomy Technique With Reduced Radiation: A Retrospective Study
    Baozhi Ding, Haijun Tian, Jie Zhao and Hui Ma
    International Journal of Spine Surgery April 2026, 20 (2) 194-200;
    DOI: https://doi.org/10.14444/8864
Biologics
- - Index Hospital Costs and Postoperative Outcomes of Lumbar Spine Fusion With FIBERGRAFT Vs Bone Morphogenic Protein-2: A Propensity Score–Matched Analysis
    Mohamed Sarraj, Katherine A. Corso, Jill Ruppenkamp, Kevin Register, Charles Mechas, Brett Freedman and Daryll Dykes
    International Journal of Spine Surgery April 2026, 20 (2) 201-211;
    DOI: https://doi.org/10.14444/8847
Complications
- - Patients on Long-Term Preoperative Glucagon-Like Peptide-1 Receptor Agonist Therapy Show Significant Reductions in Postoperative Complications After Elective Laminectomy in Overweight Adults: A Propensity-Matched Study
    Muaz Wahid, Zuhair Zaidi, Salman Isa, Yousef Alshaikhsalama and Salah G. Aoun
    International Journal of Spine Surgery April 2026, 20 (2) 212-217;
    DOI: https://doi.org/10.14444/8856
Letter to the Editor
- - Beyond Dopamine: Precision Pain Medicine Requires Phenotyping and Team Science, Not Just New Targets
    Yenisel Cruz-Almeida
    International Journal of Spine Surgery April 2026, 20 (2) 218-219;
    DOI: https://doi.org/10.14444/8875
  - Response to Cruz-Almeida: Accountability and Operationalizable Deliverables in the NIH HEAL Initiative (Re: “Billions Spent, Few Saved…”)
    Kai-Uwe Lewandrowski, Kenneth Blum and Morgan P. Lorio
    International Journal of Spine Surgery April 2026, 20 (2) 220-221;
    DOI: https://doi.org/10.14444/8876
New Technology
- - Are Patient-Specific 3-Dimensionally Printed Instrumentations a Viable Solution to Safe Cortical Bone Trajectory Screw Placement? A Systematic Review
    Mark Ehioghae, Jonathan P. Japa, Kevin Yoon, Lancelot Benn, Ala Alshomali, Justin Hyde, Sean Bae, Muhamed Farhan-Alanie, Addisu Mesfin and Oliver Tannous
    International Journal of Spine Surgery April 2026, 20 (2) 222-231;
    DOI: https://doi.org/10.14444/8862
Biomechanics
- - Can the Stand-Alone Cervical Interfacet Fusion Achieve Spinal Stability? A Comprehensive Finite Element Analysis
    Luca Ciriello, Margherita Rotondi, Giuseppe J. Sciarrone and Tomaso Villa
    International Journal of Spine Surgery April 2026, 20 (2) 232-242;
    DOI: https://doi.org/10.14444/8859
Editorial (Invited)
- - Boundary Conditions Affecting Finite Element Analyses of a Spinal Segment
    Boyle C. Cheng
    International Journal of Spine Surgery April 2026, 20 (2) 243-244;
    DOI: https://doi.org/10.14444/8880
New Technology
- - Deep Learning-Based Identification of Surgical Candidacy for Cervical Spinal Cord Decompression
    Anshul Ratnaparkhi, Bayard Wilson, David Zarrin, Abhinav Suri, Jacob Alderete, David Berin, Simon Moore, Bryan Yoo, Banafsheh Salehi, Kirstin Cook, T. J. Florence, Azim Laiwalla, Bilwaj Gaonkar, Luke Macyszyn and Joel Beckett
    International Journal of Spine Surgery April 2026, 20 (2) 245-251;
    DOI: https://doi.org/10.14444/8877
Cervical Spine
- - Analysis of 478 Revision Cases for Cervical Disc Arthroplasty Based on Their Biomechanical Design
    Franziska C. S. Altorfer, Michael J. Kelly, Fedan Avrumova, Jiaqi Zhu, Celeste Abjornson, Timothy M. Wright and Darren R. Lebl
    International Journal of Spine Surgery April 2026, 20 (2) 252-260;
    DOI: https://doi.org/10.14444/8878
Endoscopic Minimally Invasive Surgery
- - Full-Endoscopic Surgery for Lumbar Disc Herniation: Comparative Outcomes and Risk Factors Between Lumbar Levels—The EndoLEVEL Study
    Justine Bidard, Marc Szadkowski, Nori Elhadjene, Henri D’Astorg and Xavier Castel
    International Journal of Spine Surgery April 2026, 20 (2) 261-268;
    DOI: https://doi.org/10.14444/8865
Cervical Spine
- - Comparative Outcomes of Anterior Cervical Discectomy and Fusion Vs Hybrid Surgery in Multilevel Cervical Degenerative Disc Disease: A Systematic Review and Meta-analysis
    Melissa Mae Sanchez, Terry Hong Lee Teo, Shree Kumar Dinesh, Andy Yeo, Lei Jiang, Alvin Enriquez, Michael Janssen and Zhihong Chew
    International Journal of Spine Surgery April 2026, 20 (2) 269-287;
    DOI: https://doi.org/10.14444/8855
Endoscopic Minimally Invasive Surgery
- - Salvage Full-Endoscopic Resection of Residual Giant Thoracic Disc Herniation After Transpedicular Decompression and Instrumented Fusion: Technical Note, Literature Review, and Supplemental Video
    Sanjay Konakondla, Shailen G. Sampath, Albert E. Telfeian and Jian Shen
    International Journal of Spine Surgery April 2026, 20 (2) 288-296;
    DOI: https://doi.org/10.14444/8874
Perspectives
- - The Price of Silence: What 2 Decades of Policy—and a Pandemic—Have Taken From Spine Surgeons: An Independent Analysis
    Morgan P. Lorio and Kai-Uwe Lewandrowski
    International Journal of Spine Surgery April 2026, 20 (2) 297-302;
    DOI: https://doi.org/10.14444/8848
  - Specialist-Led Care: A Selective Advantage in Supply Chain Management, Collaborative Aggregation, and Scale
    Dustin H. Massel, Isaac L. Moss, Dana L. Jacoby and Marney F. Reid
    International Journal of Spine Surgery April 2026, 20 (2) 303-309;
    DOI: https://doi.org/10.14444/8849
  - A Perspective for Integrating Real-World Evidence Into the Investigational Device Exemption Study Design for Lumbar Total Joint Replacement
    David Maislin, Steven M. Kurtz, Hannah Spece, Alex J. Breno, Scott D. Hodges and Ron V. Yarbrough
    International Journal of Spine Surgery April 2026, 20 (2) 310-315;
    DOI: https://doi.org/10.14444/8860
  - The Future of Endoscopic Spine Surgery in the United States: Lifeline or Liability?
    Morgan P. Lorio, Kai-Uwe Lewandrowski, Óscar L. Alves, Rossano Kepler Alvim Fiorelli, Sergio Luis Schmidt, Hansen A. Yuan and Alexander R. Vaccaro
    International Journal of Spine Surgery April 2026, 20 (2) 316-319;
    DOI: https://doi.org/10.14444/8870
  - Lumbar Spinal Endoscopy: Mature, Durable, and Established—Not Investigational
    Lorio Morgan P. and Lewandrowski Kai-Uwe
    International Journal of Spine Surgery April 2026, 20 (2) 320-325;
    DOI: https://doi.org/10.14444/8868
Other and Special Categories
- - ISASS Brave New Continuing Medical Education World: The Stifling of Innovation in Spine Surgery Through Overrestriction of Collaboration
    Morgan P. Lorio, Kai-Uwe Lewandrowski, Óscar L. Alves, Avelino Parajón, Matthew Scott-Young, Hansen A. Yuan and Alexander R. Vaccaro
    International Journal of Spine Surgery April 2026, 20 (2) 326-331;
    DOI: https://doi.org/10.14444/8869