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Response to Letter-to-the-Editor regarding "Risk Factors for Early 3-Month Postoperative Mortality in Metastatic Spinal Tumor Surgery: A JASA Multicenter Prospective Study".

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Title: Response to Letter-to-the-Editor regarding "Risk Factors for Early 3-Month Postoperative Mortality in Metastatic Spinal Tumor Surgery: A JASA Multicenter Prospective Study".
Authors: Uto T; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan., Kato S; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan., Yokogawa N; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan., Shimizu T; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan., Demura S; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan., Shiratani Y; Department of Orthopedic Surgery, Chiba University, Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba-shi, 260-8670, Japan., Suzuki A; Department of Orthopedic Surgery, Osaka Metropolitan University, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan., Tamai K; Department of Orthopedic Surgery, Osaka Metropolitan University, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan., Kakutani K; Department of Orthopedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan., Kanda Y; Department of Orthopedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan., Tominaga H; Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan., Kawamura I; Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan., Ishihara M; Department of Orthopedic Surgery, Kansai Medical University Hospital, 2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan., Paku M; Department of Orthopedic Surgery, Kansai Medical University Hospital, 2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan., Funayama T; Department of Orthopedic Surgery, Institute of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 3058575, Japan., Miura K; Department of Orthopedic Surgery, Institute of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 3058575, Japan., Shirasawa E; Department of Orthopedic Surgery, Kitasato University School of Medicine, 1-15-1 Kitazato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan., Inoue H; Rehabilitation Center, Jichi Medical University Hospital, 3311-1 Yakushiji, Shimotuke-shi, 329-0498, Japan., Kimura A; Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, Shimotuke-shi, 329-0498, Japan., Iimura T; Department of Orthopedic Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsugagun, Tochigi, 321-0293, Japan., Moridaira H; Department of Orthopedic Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsugagun, Tochigi, 321-0293, Japan., Akeda K; Department of Orthopedic Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu city, 514-8507, Japan., Takegami N; Department of Orthopedic Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu city, 514-8507, Japan., Nakanishi K; Department of Orthopedic Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama, 701-0192, Japan., Sawada H; Department of Orthopedic Surgery, Nihon University School of Medicine, 30-1 oyaguchi-kamimachi, Itabashi-ku, Tokyo, 173-8610, Japan., Matsumoto K; Department of Orthopedic Surgery, Nihon University School of Medicine, 30-1 oyaguchi-kamimachi, Itabashi-ku, Tokyo, 173-8610, Japan., Funaba M; Department of Orthopedics Surgery, Yamaguchi University Graduate School of Medicine, 1-1-1 Minamikogushi, Ube City, Yamaguchi, 755-8505, Japan., Suzuki H; Department of Orthopedics Surgery, Yamaguchi University Graduate School of Medicine, 1-1-1 Minamikogushi, Ube City, Yamaguchi, 755-8505, Japan., Nakajima H; Department of Orthopedics and Rehabilitation Medicine, University of Fukui Faculty of Medical Sciences, 23-3 Matsuoka Shimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui, 910-1193, Japan., Oshigiri T; Department of Orthopedic Surgery, Sapporo Medical University School of Medicine, S1 W16, Chuo-ku, Sapporo-shi, Hokkaido, 060-8543, Japan., Hirai T; Department of Orthopedic Surgery, Institution of Science Tokyo, 1‑5‑45 Yushima, Bunkyo‑ku, Tokyo, 113‑8510, Japan., Otsuki B; Department of Orthopedic Surgery, Kyoto University Hospital, 54 Kawaharamachi, Syogoin, Sakyo, Kyoto, 606-8397, Japan., Kobayakawa K; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan., Funao H; Department of Orthopedic Surgery, International University of Health and Welfare Narita Hospital, 852 Hatakeda, Narita City, Chiba, 286-8520, Japan., Uotani K; Department of Orthopedic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama-shi, 700-8558, Japan., Tanishima S; Division of Orthopedic Surgery, Department of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori, 683-8504, Japan., Sairyo K; Department of Orthopedics, Tokushima University, 3-18-15 Kuramoto-cho, Tokushima, 770-8503, Japan., Hashimoto K; Department of Orthopedic Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan., Iwai C; Department of Orthopedic Surgery, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194, Japan., Seki S; Department of Orthopedic Surgery, University of Toyama, 2630 Sugitani, Toyama-shi, 930-0194, Japan., Miyazaki M; Department of Orthopedic Surgery, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama-machi, Yufu-shi, Oita 879-5593, Japan., Watanabe K; Department of Orthopedic Surgery, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima City, 960-1295, Japan., Nakamae T; Department of Orthopedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan., Kaito T; Department of Orthopedic Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan., Nakashima H; Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho , Showa-ku, Nagoya City, 466-8550, Japan., Nagoshi N; Department of Orthopedic Surgery, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan., Imagama S; Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho , Showa-ku, Nagoya City, 466-8550, Japan., Watanabe K; Department of Orthopedic Surgery, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan., Inoue G; Department of Orthopedic Surgery, Kitasato University School of Medicine, 1-15-1 Kitazato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan., Furuya T; Department of Orthopedic Surgery, Chiba University, Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba-shi, 260-8670, Japan.
Source: Spine [Spine (Phila Pa 1976)] 2026 Jul 21. Date of Electronic Publication: 2026 Jul 21.
Publication Type: Journal Article
Journal Info: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 7610646 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1528-1159 (Electronic) Linking ISSN: 03622436 NLM ISO Abbreviation: Spine (Phila Pa 1976) Subsets: MEDLINE
Database: MEDLINE Ultimate
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  Data: Response to Letter-to-the-Editor regarding "Risk Factors for Early 3-Month Postoperative Mortality in Metastatic Spinal Tumor Surgery: A JASA Multicenter Prospective Study".
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  Data: <searchLink fieldCode="AU" term="%22Uto+T%22">Uto T</searchLink>; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.<br /><searchLink fieldCode="AU" term="%22Kato+S%22">Kato S</searchLink>; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.<br /><searchLink fieldCode="AU" term="%22Yokogawa+N%22">Yokogawa N</searchLink>; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.<br /><searchLink fieldCode="AU" term="%22Shimizu+T%22">Shimizu T</searchLink>; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.<br /><searchLink fieldCode="AU" term="%22Demura+S%22">Demura S</searchLink>; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kanazawa University, 13-1 Takara-machi, Kanazawa, Ishikawa, 920-8641, Japan.<br /><searchLink fieldCode="AU" term="%22Shiratani+Y%22">Shiratani Y</searchLink>; Department of Orthopedic Surgery, Chiba University, Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba-shi, 260-8670, Japan.<br /><searchLink fieldCode="AU" term="%22Suzuki+A%22">Suzuki A</searchLink>; Department of Orthopedic Surgery, Osaka Metropolitan University, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan.<br /><searchLink fieldCode="AU" term="%22Tamai+K%22">Tamai K</searchLink>; Department of Orthopedic Surgery, Osaka Metropolitan University, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan.<br /><searchLink fieldCode="AU" term="%22Kakutani+K%22">Kakutani K</searchLink>; Department of Orthopedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.<br /><searchLink fieldCode="AU" term="%22Kanda+Y%22">Kanda Y</searchLink>; Department of Orthopedic Surgery, Kobe University Graduate School of Medicine, 7-5-1, Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan.<br /><searchLink fieldCode="AU" term="%22Tominaga+H%22">Tominaga H</searchLink>; Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan.<br /><searchLink fieldCode="AU" term="%22Kawamura+I%22">Kawamura I</searchLink>; Department of Orthopedic Surgery, Graduate School of Medical and Dental Sciences, Kagoshima University, 8-35-1 Sakuragaoka, Kagoshima, 890-8520, Japan.<br /><searchLink fieldCode="AU" term="%22Ishihara+M%22">Ishihara M</searchLink>; Department of Orthopedic Surgery, Kansai Medical University Hospital, 2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan.<br /><searchLink fieldCode="AU" term="%22Paku+M%22">Paku M</searchLink>; Department of Orthopedic Surgery, Kansai Medical University Hospital, 2-5-1 Shinmachi, Hirakata, Osaka, 573-1010, Japan.<br /><searchLink fieldCode="AU" term="%22Funayama+T%22">Funayama T</searchLink>; Department of Orthopedic Surgery, Institute of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 3058575, Japan.<br /><searchLink fieldCode="AU" term="%22Miura+K%22">Miura K</searchLink>; Department of Orthopedic Surgery, Institute of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 3058575, Japan.<br /><searchLink fieldCode="AU" term="%22Shirasawa+E%22">Shirasawa E</searchLink>; Department of Orthopedic Surgery, Kitasato University School of Medicine, 1-15-1 Kitazato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.<br /><searchLink fieldCode="AU" term="%22Inoue+H%22">Inoue H</searchLink>; Rehabilitation Center, Jichi Medical University Hospital, 3311-1 Yakushiji, Shimotuke-shi, 329-0498, Japan.<br /><searchLink fieldCode="AU" term="%22Kimura+A%22">Kimura A</searchLink>; Department of Orthopedics, Jichi Medical University, 3311-1 Yakushiji, Shimotuke-shi, 329-0498, Japan.<br /><searchLink fieldCode="AU" term="%22Iimura+T%22">Iimura T</searchLink>; Department of Orthopedic Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsugagun, Tochigi, 321-0293, Japan.<br /><searchLink fieldCode="AU" term="%22Moridaira+H%22">Moridaira H</searchLink>; Department of Orthopedic Surgery, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsugagun, Tochigi, 321-0293, Japan.<br /><searchLink fieldCode="AU" term="%22Akeda+K%22">Akeda K</searchLink>; Department of Orthopedic Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu city, 514-8507, Japan.<br /><searchLink fieldCode="AU" term="%22Takegami+N%22">Takegami N</searchLink>; Department of Orthopedic Surgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu city, 514-8507, Japan.<br /><searchLink fieldCode="AU" term="%22Nakanishi+K%22">Nakanishi K</searchLink>; Department of Orthopedic Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama, 701-0192, Japan.<br /><searchLink fieldCode="AU" term="%22Sawada+H%22">Sawada H</searchLink>; Department of Orthopedic Surgery, Nihon University School of Medicine, 30-1 oyaguchi-kamimachi, Itabashi-ku, Tokyo, 173-8610, Japan.<br /><searchLink fieldCode="AU" term="%22Matsumoto+K%22">Matsumoto K</searchLink>; Department of Orthopedic Surgery, Nihon University School of Medicine, 30-1 oyaguchi-kamimachi, Itabashi-ku, Tokyo, 173-8610, Japan.<br /><searchLink fieldCode="AU" term="%22Funaba+M%22">Funaba M</searchLink>; Department of Orthopedics Surgery, Yamaguchi University Graduate School of Medicine, 1-1-1 Minamikogushi, Ube City, Yamaguchi, 755-8505, Japan.<br /><searchLink fieldCode="AU" term="%22Suzuki+H%22">Suzuki H</searchLink>; Department of Orthopedics Surgery, Yamaguchi University Graduate School of Medicine, 1-1-1 Minamikogushi, Ube City, Yamaguchi, 755-8505, Japan.<br /><searchLink fieldCode="AU" term="%22Nakajima+H%22">Nakajima H</searchLink>; Department of Orthopedics and Rehabilitation Medicine, University of Fukui Faculty of Medical Sciences, 23-3 Matsuoka Shimoaizuki, Eiheiji-cho, Yoshida-gun, Fukui, 910-1193, Japan.<br /><searchLink fieldCode="AU" term="%22Oshigiri+T%22">Oshigiri T</searchLink>; Department of Orthopedic Surgery, Sapporo Medical University School of Medicine, S1 W16, Chuo-ku, Sapporo-shi, Hokkaido, 060-8543, Japan.<br /><searchLink fieldCode="AU" term="%22Hirai+T%22">Hirai T</searchLink>; Department of Orthopedic Surgery, Institution of Science Tokyo, 1‑5‑45 Yushima, Bunkyo‑ku, Tokyo, 113‑8510, Japan.<br /><searchLink fieldCode="AU" term="%22Otsuki+B%22">Otsuki B</searchLink>; Department of Orthopedic Surgery, Kyoto University Hospital, 54 Kawaharamachi, Syogoin, Sakyo, Kyoto, 606-8397, Japan.<br /><searchLink fieldCode="AU" term="%22Kobayakawa+K%22">Kobayakawa K</searchLink>; Department of Orthopedic Surgery, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.<br /><searchLink fieldCode="AU" term="%22Funao+H%22">Funao H</searchLink>; Department of Orthopedic Surgery, International University of Health and Welfare Narita Hospital, 852 Hatakeda, Narita City, Chiba, 286-8520, Japan.<br /><searchLink fieldCode="AU" term="%22Uotani+K%22">Uotani K</searchLink>; Department of Orthopedic Surgery, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama-shi, 700-8558, Japan.<br /><searchLink fieldCode="AU" term="%22Tanishima+S%22">Tanishima S</searchLink>; Division of Orthopedic Surgery, Department of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori University, 36-1 Nishi-cho, Yonago, Tottori, 683-8504, Japan.<br /><searchLink fieldCode="AU" term="%22Sairyo+K%22">Sairyo K</searchLink>; Department of Orthopedics, Tokushima University, 3-18-15 Kuramoto-cho, Tokushima, 770-8503, Japan.<br /><searchLink fieldCode="AU" term="%22Hashimoto+K%22">Hashimoto K</searchLink>; Department of Orthopedic Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryo-machi, Aoba-ku, Sendai, 980-8574, Japan.<br /><searchLink fieldCode="AU" term="%22Iwai+C%22">Iwai C</searchLink>; Department of Orthopedic Surgery, Gifu University Hospital, 1-1 Yanagido, Gifu, 501-1194, Japan.<br /><searchLink fieldCode="AU" term="%22Seki+S%22">Seki S</searchLink>; Department of Orthopedic Surgery, University of Toyama, 2630 Sugitani, Toyama-shi, 930-0194, Japan.<br /><searchLink fieldCode="AU" term="%22Miyazaki+M%22">Miyazaki M</searchLink>; Department of Orthopedic Surgery, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama-machi, Yufu-shi, Oita 879-5593, Japan.<br /><searchLink fieldCode="AU" term="%22Watanabe+K%22">Watanabe K</searchLink>; Department of Orthopedic Surgery, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima City, 960-1295, Japan.<br /><searchLink fieldCode="AU" term="%22Nakamae+T%22">Nakamae T</searchLink>; Department of Orthopedic Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.<br /><searchLink fieldCode="AU" term="%22Kaito+T%22">Kaito T</searchLink>; Department of Orthopedic Surgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka, 565-0871, Japan.<br /><searchLink fieldCode="AU" term="%22Nakashima+H%22">Nakashima H</searchLink>; Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho , Showa-ku, Nagoya City, 466-8550, Japan.<br /><searchLink fieldCode="AU" term="%22Nagoshi+N%22">Nagoshi N</searchLink>; Department of Orthopedic Surgery, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.<br /><searchLink fieldCode="AU" term="%22Imagama+S%22">Imagama S</searchLink>; Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho , Showa-ku, Nagoya City, 466-8550, Japan.<br /><searchLink fieldCode="AU" term="%22Watanabe+K%22">Watanabe K</searchLink>; Department of Orthopedic Surgery, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.<br /><searchLink fieldCode="AU" term="%22Inoue+G%22">Inoue G</searchLink>; Department of Orthopedic Surgery, Kitasato University School of Medicine, 1-15-1 Kitazato, Minami-ku, Sagamihara, Kanagawa, 252-0374, Japan.<br /><searchLink fieldCode="AU" term="%22Furuya+T%22">Furuya T</searchLink>; Department of Orthopedic Surgery, Chiba University, Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba-shi, 260-8670, Japan.
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      – TitleFull: Response to Letter-to-the-Editor regarding "Risk Factors for Early 3-Month Postoperative Mortality in Metastatic Spinal Tumor Surgery: A JASA Multicenter Prospective Study".
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          Name:
            NameFull: Uotani K
      – PersonEntity:
          Name:
            NameFull: Tanishima S
      – PersonEntity:
          Name:
            NameFull: Sairyo K
      – PersonEntity:
          Name:
            NameFull: Hashimoto K
      – PersonEntity:
          Name:
            NameFull: Iwai C
      – PersonEntity:
          Name:
            NameFull: Seki S
      – PersonEntity:
          Name:
            NameFull: Miyazaki M
      – PersonEntity:
          Name:
            NameFull: Watanabe K
      – PersonEntity:
          Name:
            NameFull: Nakamae T
      – PersonEntity:
          Name:
            NameFull: Kaito T
      – PersonEntity:
          Name:
            NameFull: Nakashima H
      – PersonEntity:
          Name:
            NameFull: Nagoshi N
      – PersonEntity:
          Name:
            NameFull: Imagama S
      – PersonEntity:
          Name:
            NameFull: Watanabe K
      – PersonEntity:
          Name:
            NameFull: Inoue G
      – PersonEntity:
          Name:
            NameFull: Furuya T
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 21
              M: 07
              Text: 2026 Jul 21
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1528-1159
          Titles:
            – TitleFull: Spine
              Type: main
ResultId 1