What question did this study set out to answer?

To examine regional differences in surgical approaches and perioperative outcomes for cervical spinal surgery in Japan.

April 10, 2026Open Access

Regional Variations in Surgical Approach and Perioperative Outcomes in Adult Cervical Instrumentation Surgery: A Nationwide Registry Study from the JSIS-DB

Key Points

To examine regional differences in surgical approaches and perioperative outcomes for cervical spinal surgery in Japan.
Utilized data from the Japanese Spinal Instrumentation Society Database (JSIS-DB)
Analyzed surgical approach types, including anterior and posterior methods
Evaluated various perioperative outcomes across different regions
Identified significant regional variations in the choice of surgical approach
Found differences in perioperative safety outcomes based on region
Highlighted the influence of surgeon experience and healthcare infrastructure on surgical decisions

Abstract

Introduction: Cervical spinal surgery is performed for various pathologies, including degenerative disease, deformity, trauma, tumor, and infection. However, the surgical approach (anterior vs. posterior) and perioperative safety may vary among regions due to differences in patient characteristics, surgeon experience, and healthcare infrastructure. This study aimed to clarify regional variations in approach selection and perioperative outcomes for cervical surgery in Japan using the nationwide registry of the Japanese Spinal Instrumentation Society Database (JSIS-DB).

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Cite This Study

Katsumi et al. (Thu,) studied this question.

synapsesocial.com/papers/69d894326c1944d70ce05215 https://doi.org/https://doi.org/10.22603/ssrr.2026-0016

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