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The 100 Top-cited Articles on Cervical Spine Surgery
Bahie Ezzat1, Graham Sabo, Zerubabbel K Asfaw
1Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY.
Clinical Spine Surgery
|December 5, 2025
Summary
This bibliometric analysis reveals the top 100 most-cited cervical spine surgery articles, highlighting key research themes like fusion and decompression. North American institutions lead global collaboration in advancing this surgical field.
Area of Science:
- Orthopedic Surgery
- Neurosurgery
- Bibliometrics
Background:
- Cervical spine surgery has seen significant evolution due to technological and surgical technique advancements.
- Bibliometric analysis is crucial for understanding impactful research that shapes clinical practice and future studies in this field.
Purpose of the Study:
- To identify and analyze the top 100 most-cited articles in cervical spine surgery.
- To highlight influential research, key authors, and major contributing institutions in the field.
Main Methods:
- A bibliometric analysis was performed using the Web of Science database.
- Articles were identified using search terms 'cervical,' 'spine,' and 'surgery,' and ranked by citation count.
- Data analysis involved VOSviewer and Bibliometrix to extract and analyze variables like authors, affiliations, and citation counts.
Main Results:
- The top 100 articles, published between 1954 and 2016, were cited a total of 41,002 times.
- Spine, Journal of Bone and Joint Surgery, and Journal of Neurosurgery were leading journals; University of California System and University of Toronto were top institutions.
- Research themes included stabilization, fusion, and decompression, with a notable 20% international co-authorship rate.
Conclusions:
- Technological and procedural innovations significantly impact cervical spine surgery research.
- The field is characterized by extensive global collaboration, with North American institutions playing a dominant role.
- These findings provide a foundation for future clinical and academic developments in cervical spine surgery.
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