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Using Google Trends data from January 1, 2015 to December 31, 2024, relative search volume tracked temporal changes with linear regression, while seasonal and geographic differences were assessed via ANOVA and Tukey’s post hoc tests. The highest monthly interest occurred in October and geographic interest peaked in the Northeast region.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/increasing-public-interest-in-lumbar-decompression-and-fusion-surgery-in-the-united-states-higher-search-volumes-in-the-northeast-region-from-2015-to-2024/434016/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/increasing-public-interest-in-lumbar-decompression-and-fusion-surgery-in-the-united-states-higher-search-volumes-in-the-northeast-region-from-2015-to-2024/434016.png","ImageObject",300,407,{"name":92,"@type":93},"Genevieve","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"How was public interest measured in the study?","Question",{"text":112,"@type":113},"The study used Google Trends data and the relative search volume (RSV) to quantify public interest in lumbar decompression and fusion surgery.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What did the study find about trends from 2015 to 2024?",{"text":117,"@type":113},"Public interest showed a statistically significant upward trend from 2015 to 2024 (p\u003C0.05).",{"name":119,"@type":110,"acceptedAnswer":120},"Were there geographic differences in search volume?",{"text":121,"@type":113},"Yes. The Northeast region had the highest mean RSV, followed by the West, Midwest, South, and Southwest, with significant differences among regions (p\u003C0.001).","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},434016,1791247399,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":46,"preview_page_count":4},1374391974585,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Clinical Study  \nASJ  \nAsian Spine J. 2025;19(6): 949-956 [https://doi.org/10.31616/asj.2025.0133](https://doi.org/10.31616/asj.2025.0133)[ ](https://doi.org/10.31616/asj.2025.0133)PISSN 1976-1902 • eISSN 1976-7846  \n\n| Increasing public interest in lumbar decompression and fusion surgery in the United States: higher search volumes in the Northeast region from 2015 to 2024\u003Cbr>Paul G. Mastrokostas1,2, Leonidas E. Mastrokostas1,2, Ahmed K. Emara3, Ian J. Wellington4, Elizabeth Ginalis5, John K. Houten6, Amrit S. Khalsa7, Ahmed Saleh2, Jad Bou Monsef1,2, Afshin E. Razi2, Mitchell K. Ng2\u003Cbr>1Department of Orthopaedic Surgery, SUNY Downstate Health Sciences University, Brooklyn, NY, USA\u003Cbr>2Department of Orthopaedic Surgery, Maimonides Medical Center, Brooklyn, NY, USA 3Department of Orthopaedic Surgery, Cleveland Clinic, Cleveland, OH, USA 4Department of Orthopaedic Surgery, University of Connecticut, Hartford, CT, USA 5Department of Neurosurgery, Rutgers University, Newark, NJ, USA\u003Cbr>6Department of Neurosurgery, Mount Sinai School of Medicine, New York, NY, USA 7Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA, USA |  |\n| --- | --- |\n| Increasing public interest in lumbar decompression and fusion surgery in the United States | |\n\nCONCLUSION  \nPublic interest in lumbar decompression and fusion surgery has shown a consistent and statistically significant upward trend over the past decade. Although seasonal variation was not significant, notable geographic differences in search volume were observed.  \nPaul G. Mastrokostas et al. Asian Spine J. 2025;19(6): 949-956.  \n[doi.org/10.31616/asj.2025.0133](doi.org/10.31616/asj.2025.0133)  \nReceived Mar 5, 2025; Revised Apr 11, 2025; Accepted Apr 28, 2025  \nCorresponding author: Paul G. Mastrokostas  \nDepartment of Orthopaedic Surgery, SUNY Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USA Tel: +1-718-306-4771, Fax: +1-718-682-3847, E-mail: [Pmastrokostas06@gmail.com](Pmastrokostas06@gmail.com)  \nCopyright Ⓒ 2025 by Korean Society of Spine Surgery  \nThis is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ([http://creativecommons.org/licenses/by-nc/4.0/](http://creativecommons.org/licenses/by-nc/4.0/)) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.  \nAsian Spine Journal • pISSN 1976-1902 eISSN 1976-7846 • [www.asianspinejournal.org](www.asianspinejournal.org)  \nIncreasing public interest in lumbar decompression and fusion surgery in the United States: higher search volumes in the Northeast region from 2015 to 2024  \nPaul G. Mastrokostas1,2, Leonidas E. Mastrokostas1,2, Ahmed K. Emara3, Ian J. Wellington4, Elizabeth Ginalis5, John K. Houten6, Amrit S. Khalsa7, Ahmed Saleh2, Jad Bou Monsef1,2, Afshin E. Razi2, Mitchell K. Ng2  \nStudy Design: A cross-sectional study.  \nPurpose: This study aimed to investigate temporal patterns, seasonal variations, and geographic differences in the US public interest in lumbar decompression and fusion surgery.  \nOverview of Literature: The number of lumbar decompression and fusion surgery procedures for various surgical indications has significantly increased in the United States over the past few decades. As the prevalence of these procedures increases, patients are increasingly seeking online information on these procedures.  \nMethods: This study analyzed US public interest in lumbar decompression and fusion surgery using Google Trends data from January 1, 2015 to December 31, 2024. The relative search volume (RSV) was used to measure public interest. Temporal trends were assessed using linear regression analysis, whereas seasonal and geographic variations were evaluated using analysis of variance and Tukey’s post hoc tests. Statistical significance was set at p\u003C0 .05.  \nResults: Public interest in lumbar decompression and fusion surgery showed ","cbCaihq8buocl6Tr","https://ap.wps.com/l/cbCaihq8buocl6Tr","pdf",740769,"English","# Conclusion\n# Study Design\n## Purpose\n## Overview of Literature\n## Methods\n## Results\n# Keywords\n# Introduction","[{\"question\":\"How was public interest measured in the study?\",\"answer\":\"The study used Google Trends data and the relative search volume (RSV) to quantify public interest in lumbar decompression and fusion surgery.\"},{\"question\":\"What did the study find about trends from 2015 to 2024?\",\"answer\":\"Public interest showed a statistically significant upward trend from 2015 to 2024 (p\\u003c0.05).\"},{\"question\":\"Were there geographic differences in search volume?\",\"answer\":\"Yes. The Northeast region had the highest mean RSV, followed by the West, Midwest, South, and Southwest, with significant differences among regions (p\\u003c0.001).\"}]","Increasing public interest in lumbar decompression and fusion surgery in the United States: higher search volumes in the Northeast region from 2015 to 2024 | PDF",1790666561]