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Muscle Weakness as the Genesis of Spinal Disease: Paradigm Shift in Understanding Spinal Degeneration

Atul Goel

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

International Journal of Neurology and Neurosurgery 18(2):p 47-49, May-August 2026. | DOI: https://doi.org/10.21088/ijnns.0975.0223.18226.1

How Cite This Article:

Atul Goel. Muscle Weakness as the Genesis of Spinal Disease: Paradigm Shift in Understanding Spinal Degeneration. Int. J Neuro Neurosurgery. 2026; 18(2): 47-49.

Timeline

Received : June 25, 2026         Accepted : July 28, 2026          Published : August 30, 2026

Abstract

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References

  • 1.   Goel A, Dandpat S, Shah A, Rai S, Vutha R. Muscle Weakness-Related Spinal Instability Is the Cause of Cervical Spinal Degeneration and Spinal Stabilization Is the Treatment: An Experience with 215 Cases Surgically Treated over 7 Years. World Neurosurg. 2020;140:614-621.
  • 2.   Goel A, Shah A. Facetal distraction as treatment for single- and multilevel cervical spondylotic radiculopathy and myelopathy: a preliminary report. J Neurosurg Spine. 2011;14(6):689-96.
  • 3.   Goel A. Facet distraction spacers for treatment of degenerative disease of the spine: Rationale and an alternative hypothesis of spinal degeneration. J Craniovertebr Junction Spine. 2010;1(2):65-6.
  • 4.   Goel A. Vertical facetal instability: Is it the point of genesis of spinal spondylotic disease? J Craniovertebr Junction Spine. 2015;6(2):47-8.
  • 5.   Goel A, Ranjan S, Shah A, Patil A, Vutha R. Lumbar canal stenosis: analyzing the role of stabilization and the futility of decompression as treatment. Neurosurg Focus. 2019 ;46(5):E7.
  • 6.   Goel A, Vaja T, Shah A, Rai S, Dandpat S, Vutha R, Darji H, Biswas C. Outcome of Osteophytes After Only-Fixation as Treatment for Multilevel Cervical Spondylosis-A Minimum of 12 Months Follow-Up. World Neurosurg. 2021;146:e876-e887.
  • 7.   Goel A, Grasso G, Shah A, Rai S, Dandpat S, Vaja T, Jadhav D, Jadhav N. “Only Spinal Fixation” as Surgical Treatment of Cervical Myelopathy Related to Ossified Posterior Longitudinal Ligament: Review of 52 Cases. World Neurosurg. 2020;140:556-563.
  • 8.   Goel A, Dhar A, Shah A. Multilevel Spinal Stabilization as a Treatment for Hirayama Disease: Report of an Experience with Five Cases. World Neurosurg. 2017;99:186-191.
  • 9.   Shah A, Vutha R, Prasad A, Goel A. Central or axial atlantoaxial dislocation and craniovertebral junction alterations: a review of 393 patients treated over 12 years. Neurosurg Focus. 2023;54(3):E13.
  • 10.   Goel A. A Review of a New Clinical Entity of ‘Central Atlantoaxial Instability’: Expanding Horizons of Craniovertebral Junction Surgery. Neurospine. 2019;16(2):186-194.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.

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Cite this article

Atul Goel. Muscle Weakness as the Genesis of Spinal Disease: Paradigm Shift in Understanding Spinal Degeneration. Int. J Neuro Neurosurgery. 2026; 18(2): 47-49.

Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.

Received Accepted Published
June 25, 2026 July 28, 2026 August 30, 2026
DOI: https://doi.org/10.21088/ijnns.0975.0223.18226.1

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Timeline

Received June 25, 2026
Accepted July 28, 2026
Published August 30, 2026

licence

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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