NASS Insider


November 25, 2025


What Spine Clinicians Read Most in 2025: TSJ and NASSJ’s Top Downloads


Spine clinicians and researchers turn to The Spine Journal and NASSJ for the latest research shaping spine care. Among the many high-quality studies published in the 2025 volumes, a handful of articles drew especially strong readership. Below, we’re highlighting the Top 5 Most-Downloaded Articles from both journals.

TSJ’s Top 5 Most Downloaded 2025 Articles:

Discectomy versus sequestrectomy in the treatment of lumbar disc herniation: a systematic review and meta-analysis by Luca Ambrosio, MD; Gianluca Vadalà, MD, PhD; Elisabetta de Rinaldis, MS; Sathish Muthu, MS, MD; Stipe Ćorluka, MD; Zorica Buser, PhD; Hans-Jörg Meisel, MD, PhD; S. Tim Yoon, MD, PhD; Vincenzo Denaro, MD; AO Spine Knowledge Forum Degenerative

A cost-effectiveness analysis of the intraosseous basivertebral nerve ablation for the treatment of chronic low back pain by Matthew Smuck, MD; Zachary L. McCormick, MD; Chris Gilligan, MD; Mary K. Hailey; Michelle L. Quinn; Anthony Bentley, BSc, MSc; Kaylie Metcalfe, BSc, MSc; Benjamin Bradbury, BSc; Dylan J. Lukes, PhD; Rod S. Taylor, MSc, PhD

Neuroinflammation and nociception in intervertebral disc degeneration: a review of precision medicine perspective by Nurul Fariha Zàaba; Raed H. Ogaili; Fairus Ahmad; Isma Liza Mohd Isa, BSc, PhD

Long-term reoperation after decompression with versus without fusion among patients with degenerative lumbar spinal stenosis: a systematic review and meta-analysis by Fon-Yih Tsuang, PhD; Yu-Lun Hsu, MD; Tzu-Yi Chou, MD; Chung Liang Chai, MRes

Management of severe pyogenic spinal infections: the 2SICK Study by the EANS Spine Section by Andreas Kramer, MD; Santhosh G. Thavarajasingam, MD; Jonathan Neuhoff, MD; Felipa Lange; Hariharan Subbiah Ponniah; Sara Lener, MD, PhD, PD; Claudius Thomé, MD; Felix C. Stengel, MD; Gregor Fischer, MD; Isabel C. Hostettler, MD, PhD, PD; Martin N. Stienen, MD, PD; Maxim Jemna; Konstantinos Gousias, MD; Aleksandra Nedeljkovic, MD; Danica Grujicic, MD; Zarko Nedeljkovic, MD; Jasmina Poluga, MD, PhD; Ralph T. Schär; Wiktor Urbanski, MD, PD; Carla Sousa, MD; Carlos Daniel Oliveira Casimiro, MD; Helena Harmer, MD; Barbara Ladisich, MD, PhD; Matthias Matt, MD; Matthias Simon, MD; Delin Pai, MD; Christian Doenitz, MD; Lorenzo Mongardi, MD; Giorgio Lofrese, MD, PhD; Melanie Buchta, MD; Lukas Grassner, MD, PhD, PD; Pavel Trávníček, MD; Tomáš Hosszú, MD, PhD; Maarten Wissels, MD; Sven Bamps, MD; Waeel Hamouda, MD, PhD; Flavio Panico, MD; Diego Garbossa, MD; Marcello Barbato, MD; Manlio Barbarisi, MD, PhD; Tobias Pantel, MD; Jens Gempt, MD; Tharaka Sai Kasula; Sohum Desai, MD; Julius Mautin Vitowanu, MD; Bekir Rovčanin, MD; Ibrahim Omerhodzic, MD; Andreas K. Demetriades, MD, MBBChir; Benjamin Davies, MD, MRCS; Ehab Shiban, MD; Florian Ringel, MD

NASSJ’s Top 5 Most Downloaded Articles

Traumatic spinal cord injury: a review of the current state of art and future directions – what do we know and where are we going? By Emmanuel O. Mensah, MD, MPH; Joshua I. Chalif, MD, PhD; Benjamin R. Johnston, MD, PhD; Eric Chalif, MD; Tariq Parker, MD, PhD; Saef Izzy; Zhigang He, PhD; Rajiv Saigal; Michael G. Fehlings, MD, PhD; Yi Lu, MD, PhD

Therapeutic exercise following lumbar spine surgery: a narrative review by Ram Haddas, PhD, MBA; Andréas Remis, DPT; Yair Barzilay, MD; Varun Puvanesarajah, MD; Jake Keller, DPT; Brian M. Clifford, DPT, OCS, CSCS; Justin M. Lantz, DPT; John M. Mayer, DC, PhD, FACSM

Scapular pain in cervical radiculopathy: A scoping review by Joel Carmichael, DC, PhD; Kenneth A. Weber II, DC, PhD; Sidney Rubinstein, DC, PhD; Ellie Svoboda, MLIS, AHIP; Michael Bade, PT, PhD

Postoperative complications of anterior cervical discectomy and fusion: A comprehensive systematic review and meta-analysis by Roozbeh Tavanaei, MD; Ali Ansari, MD; Amirali Hatami, MD; Mohammad Javad Heidari, MD; Mohammadreza Dehghani, MD; Ahmad Hajiloo, PhD; MirHojjat Khorasanizadeh, MD; Konstantinos Margetis, MD, PhD

Sexual health and chronic low back pain: A qualitative study by David van Schaik; Hanae Channa; Maaike Fobelets; Maarten Moens; Thierry Scheerlinck; Lisa Goudman
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