Instructions to Authors

Journal of Turkish Spinal Surgery (www.jtss.org), is the official publication of the Turkish Spinal Society. It is a double-blind peer-reviewed multidisciplinary journal for the physicians who deal with spinal diseases and publishes original studies which offer significant contributions to developing the spinal knowledge. The journal publishes original scientific research articles, invited reviews and case reports accepted by the Editorial Board, in English.

The journal is published once every three months ,and a volume consists of four issues.

Journal of Turkish Spinal Surgery is published four times a year: on January, April, July, and October.

All articles published in our journals are open access and freely available online, immediately upon publication.

Authors pay a one-time submission fee to cover the costs of peer review administration and management, professional production of articles in PDF and other formats, and dissemination of published papers in various venues, in addition to other publishing functions. There are charges for both rejected and accepted articles as of 15th January, 2021. There are no surcharges based on the length of an article, figures, or supplementary data.

Journal of Turkish Spinal Surgery receives a 750 Turkish Lira (110$) submission fee for all manuscript types. After the process, please send your receipt of payment to:

TÜRK OMURGA DERNEĞİ, İzmir Çankaya Şubesi (0739)

Hesap no: 16000021

IBAN: TR18 0001 2009 7390 0016 0000 21

PEER REVIEW

Article is reviewed by secretaries of the journal after it is uploaded to the web site. Article type, presence of the all sections, suitability according to the number of words, name of the authors with their institutions, corresponding address, mail addresses, telephone numbers and ORCID numbers are all evaluated and shortcomings are reported to the editor. Editor request the all defect from the authors and send to vice editors and native English speaker editor after completion of the article. Vice editors edit the blinded article and this blinded copy is sent to two referees. After reviewing of the article by the referees in maximum one month, the review report evaluating all section and his decision is requested, and this blinded report is sent to the author. In fifteen days, revision of the article is requested from the authors with the appreciate explanation. Revised blinded copy is sent to the referees for the new evaluation. Editor if needed may sent the manuscript to a third referee. Editorial Board has the right to accept, revise or reject a manuscript.

-Following types of manuscripts related to the field of “Spinal Surgery” with English Abstract and Keywords are accepted for publication: I- Original clinical and experimental research studies; II- Case presentations; and III- Reviews.

AUTHOR’S RESPONSIBILITY

The manuscript submitted to the journal should not be previously published (except as an abstract or a preliminary report) or should not be under consideration for publication elsewhere. Every person listed as an author is expected to have been participated in the study to a significant extent. All authors should confirm that they have read the study and agreed to the submission to the Journal of Turkish Spinal Surgery for publication. This should be notified with a separate document as shown in the “Cover Letter” in the appendix. Although the editors and referees make every effort to ensure the validity of published manuscripts, the final responsibility rests with the authors, not with the Journal, its editors, or the publisher. The source of any financial support for the study should be clearly indicated in the Cover Letter.

lt is the author’s responsibility to ensure that a patient‘s anonymity be carefully protected and to verify that any experimental investigation with human subjects reported in the manuscript was performed upon the informed consent of the patients and in accordance with all guidelines for experimental investigation on human subjects applicable at the institution(s) of all authors.

Authors should mask patients’ eyes and remove patients’ names from figures unless they obtain written consent to do so from the patients; and this consent should be submitted along with the manuscript.

CONFLICTS OF INTEREST

Authors must state all possible conflicts of interest in the manuscript, including financial, institutional and other relationships that might lead to bias or a conflict of interest. If there is no conflict of interest, this should also be explicitly stated as none declared. All sources of funding should be acknowledged in the manuscript. All relevant conflicts of interest and sources of funding should be included on the title page of the manuscript with the heading “Conflicts of Interest and Source of Funding”.

GENERAL RULES

Preparation of research articles, systematic reviews and meta-analyses must comply with study design guidelines:

CONSORT statement for randomized controlled trials (Moher D, Schultz KF, Altman D, for the CONSORT Group. The CONSORT statement revised recommendations for improving the quality of reports of parallel-group randomized trials. JAMA 2001; 285: 1987-91) (http://www.consort-statement.org/);

PRISMA statement of preferred reporting items for systematic reviews and meta-analyses (Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med 2009; 6(7): e1000097.) (http://www.prisma-statement.org/);

STARD checklist for the reporting of studies of diagnostic accuracy (Bossuyt PM, Reitsma JB, Bruns DE, Gatsonis CA, Glasziou PP, Irwig LM, et al., for the STARD Group. Towards complete and accurate reporting of studies of diagnostic accuracy: the STARD initiative. Ann Intern Med 2003;138:40-4.) (http://www.stard-statement.org/);

STROBE statement, a checklist of items that should be included in reports of observational studies (http://www.strobe-statement.org/);

MOOSE guidelines for meta-analysis and systemic reviews of observational studies (Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting Meta-analysis of observational Studies in Epidemiology (MOOSE) group. JAMA 2000; 283: 2008-12).

Plagiarism

All manuscripts submitted are screened for plagiarism using Crossref Similarity Check powered by “iThenticate” software. Results indicating plagiarism may cause manuscripts being returned or rejected.

ARTICLE WRITING

Clinically relevant scientific advances during recent years include use of contemporary outcome measures, more sophisticated statistical approaches, and increasing use and reporting of well-formulated research plans (particularly in clinical research).

Scientific writing, no less than any other form of writing, reflects a demanding creative process, not merely an act: the process of writing changes thought. The quality of a report depends on the quality of thought in the design and the rigor of conduct of the research. Well-posed questions or hypotheses interrelate with the design. Well-posed hypotheses imply design and design implies the hypotheses. The effectiveness of a report relates to brevity and focus. Drawing the attention to a few points will allow authors to focus on critical issues. Brevity is achieved in part by avoiding repetition (with a few exceptions to be noted), clear style, and proper grammar. Few original scientific articles need to be longer than 3000 words. Longer articles may be accepted if substantially novel methods are reported, or if the article reflects a comprehensive review of the literature.

Although authors should avoid redundancy, effectively communicating critical information often requires repetition of the questions (or hypotheses/key issues) and answers. The questions should appear in the Abstract, Introduction, and Discussion, and the answers should appear in the Abstract, Results, and Discussion sections.

Although most journals publish guidelines for formatting a manuscript and many have more or less established writing styles (e.g., the American Medical Association Manual of Style), styles of writing are as numerous as authors. Journal of Turkish Spinal Surgery traditionally has used the AMA style as a general guideline. However, few scientific and medical authors have the time to learn these styles. Therefore, within the limits of proper grammar and clear, effective communication, we will allow individual styles.

Permissions: As shown in the example in the appendix (Letter of Copyright Transfer) the authors should declare in a separate statement that the study has not been previously published and is not under consideration for publication elsewhere. Also, the authors should state in the same statement that they transfer copyrights of their manuscript to our Journal. Quoted material and borrowed illustrations: if the authors have used any material that had appeared in a copyrighted publication, they are expected to obtain written permission letter and it should be submitted along with the manuscript.

Review articles: The format for reviews substantially differs from those reporting original data. However, many of the principles noted above apply. A review still requires an Abstract, an Introduction, and a Discussion. The Introduction still requires focused issues and a rationale for the study. Authors should convey to readers the unique aspects of their reviews which distinguish them from other available material (e.g., monographs, book chapters). The main subject should be emphasized in the final paragraph of the Introduction. As for an original research article, the Introduction section of a review typically need not to be longer than four paragraphs. Longer Introductions tend to lose focus, so that the reader may not be sure what novel information will be presented. The sections after the Introduction are almost always unique to the particular review, but need to be organized in a coherent fashion. Headings (and subheadings when appropriate) should follow parallel construction and reflect analogous topics (e.g., diagnostic categories, alternative methods, alternative surgical interventions). If the reader considers only the headings, the logic of the review (as reflected in the Introduction) should be clear. Discussion synthesizes the reviewed literature as a whole coherently and within the context of the novel issues stated in the Introduction.

The limitations should reflect those of the literature, however, rather than a given study. Those limitations will relate to gaps in the literature which preclude more or less definitive assessment of diagnosis or selection of treatment, for example. Controversies in the literature should be briefly explored. Only by exploring limitations will the reader appropriately place the literature in perspective. Authors should end the Discussion by abstract statements similar to those which will appear at the end of the Abstract in abbreviated form.

In general, a review requires a more extensive literature review than an original research article, although this will depend on the topic. Some topics (e.g., osteoporosis) could not be comprehensively referenced, even in an entire monograph. However, authors need to ensure that a review is representative of the entire body of literature, and when that body is large, many references are required.

Original Articles: - Original articles should contain the following sections: “Title Page”, “Abstract”, “Keywords”, “Introduction”, “Materials and Methods”, “Results”, “Discussion”, “Conclusions”, and “References”. “Keywords” sections should also be added if the original article is in English.

- Title (80 characters, including spaces): Just as the Abstract is important in capturing a reader’s attention, so is the title. Titles rising or answering questions in a few brief words will far more likely do this than titles merely pointing to the topic. Furthermore, such titles as “Bisphosponates reduce bone loss” effectively convey the main message and readers will more likely remember them. Manuscripts that do not follow the protocol described here will be returned to the corresponding author for technical revision before undergoing peer review. All manuscripts in English, should be typed double-spaced on one side of a standard typewriter paper, leaving at least 2.5 cm. margin on all sides. All pages should be numbered beginning from the title page.

- Title page should include: a) informative title of the paper, b) complete names of each author with their institutional affiliations, c) name, address, fax and telephone number, e-mail of the corresponding author, d) address for the reprints if different from that of the corresponding author, e) ORCID numbers of the authors. It should also be stated in the title page that informed consent was obtained from patients and that the study was approved by the ethics committee.

The “Level of Evidence” should certainly be indicated in the title page (see Table-1 in the appendix). Also, the field of study should be pointed out as outlined in Table-2 (maximum three fields).

- Abstract: A150 to 250 word abstract should be included at the second page. The abstract should be written in English and for all articles. The main topics to be included in Abstract section are as follows: Background Data, Purpose, Materials- Methods, Results and Conclusion. The Abstract should be identical in meaning. Generally, an Abstract should be written after the entire manuscript is completed. The reason relates to how the process of writing changes thought and perhaps even purpose. Only after careful consideration of the data and a synthesis of the literature can author(s) write an effective abstract. Many readers now access medical and scientific information via Web-based databases rather than browsing hard copy material. Since the reader’s introduction occurs through titles and abstracts, substantive titles and abstracts more effectively capture a reader’s attention regardless of the method of access. Whether reader will examine an entire article often will depend on an abstract with compelling information. A compelling Abstract contains the questions or purposes, the methods, the results (most often quantitative data), and the conclusions. Each of these may be conveyed in one or two statements. Comments such as “this report describes...” convey little useful information.

-Key Words : Standard wording used in scientific indexes and search engines should be preferred. The minimum number for keywords is three and the maximum is five.

- Introduction (250 – 750 words): It should contain information on historical literature data on the relevant issue; the problem should be defined; and the objective of the study along with the problem solving methods should be mentioned.

Most studies, however, are published to: (1) report entirely novel findings (frequently case reports, but sometimes substantive basic or clinical studies); (2) confirm previously reported work (eg, case reports, small preliminary series) when such confirmation remains questionable; and (3) introduce or address controversies in the literature when data and/or conclusions conflict. Apart from reviews and other special articles, one of these three purposes generally should be apparent (and often explicit) in the Introduction.

The first paragraph should introduce the general topic or problem and emphasized its importance, a second and perhaps a third paragraph should provide the rationale of the study, and a final paragraph should state the questions, hypotheses, or purposes.

One may think of formulating rationale and hypotheses as Aristotelian logic (a modal syllogism) taking the form: If A, B, and C, then D, E, or F. The premises A, B, and C, reflect accepted facts whereas D, E, or F reflect logical outcomes or predictions. The premises best come from published data, but when data are not available, published observations (typically qualitative), logical arguments or consensus of opinion can be used. The strength of these premises is roughly in descending order from data to observations or argument to opinion. D, E, or F reflects logical consequences. For any set of observations, any number of explanations (D, E, or F) logically follows. Therefore, when formulating hypotheses (explanations), researchers designing experiments and reporting results should not rely on a single explanation.

With the rare exception of truly novel material, when establishing rationale authors should generously reference representative (although not necessarily exhaustive) literature. This rationale establishes novelty and validity of the questions and places it within the body of literature. Writers should merely state the premises with relevant citations (superscripted) and avoid describing cited works and authors` names. The exceptions to this approach include a description of past methods when essential to developing rationale for a new method, or a mention of authors` names when important to establish historic precedent. Amplification of the citations may follow in the Discussion when appropriate. In establishing a rationale, new interventions of any sort are intended to solve certain problems. For example, new implants (unless conceptually novel) typically will be designed according to certain criteria to eliminate problems with previous implants. If the purpose is to report a new treatment, the premises of the study should include those explicitly stated problems (with quantitative frequencies when possible) and they should be referenced generously.

The final paragraph logically flows from the earlier ones, and should explicitly state the questions or hypotheses to be addressed in terms of the study (independent, dependent) variables. Any issue not posed in terms of study variables cannot be addressed meaningfully. Focus of the report relates to focus of these questions, and the report should avoid questions for which answers are well described in the literature (e.g., dislocation rates for an implant designed to minimize stress shielding). Only if there are new and unexpected information should data reported apart from that essential to answer the stated questions.

- Materials - Methods (1000-1500 words): Epidemiological/ demographic data regarding the study subjects; clinical and radiological investigations; surgical technique applied; evaluation methods; and statistical analyses should be described in detail.

In principle, the Materials and Methods should contain adequate detail for another investigator to replicate the study. In practice, such detail is neither practical nor desirable because many methods will have been published previously (and in greater detail), and because long descriptions make reading difficult. Nonetheless, the Materials and Methods section typically will be the longest section. When reporting clinical studies authors must state approval of the institutional review board or ethics committees according to the laws and regulations of their countries. Informed consent must be stated where appropriate. Such approval should be stated in the first paragraph of Materials and Methods. At the outset the reader should grasp the basic study design. Authors should only briefly escribe and reference previously reported methods. When authors modify those methods, the modifications require additional description.

In clinical studies, the patient population and demographics should be outlined at the outset. Clinical reports must state inclusion and exclusion criteria and whether the series is consecutive or selected; if selected, criteria for selection should be stated. The reader should understand from this description all potential sources of bias such as referral, diagnosis, exclusion, recall, or treatment bias. Given the expense and effort for substantial prospective studies, it is not surprising that most published clinical studies are retrospective.

Such studies often are criticized unfairly for being retrospective, but that does not negate the validity or value of a study. Carefully designed retrospective studies provide most of the information available to clinicians. However, authors should describe potential problems such as loss to follow-up, difficulty in matching, missing data, and the various forms of bias more common with retrospective studies.

If authors use statistical analysis, a paragraph should appear at the end of Materials and Methods stating all statistical tests used. When multiple tests are used, authors should state which tests are used for which sets of data. All statistical tests are associated with assumptions, and when it is not obvious the data would meet those assumptions, the authors either should provide the supporting data (e.g., data are normally distributed, variances in gro-ups are similar) or use alternative tests. Choice of level of significance should be justified. Although it is common to choose a level of alpha of 0.05 and a beta of 0.80, these levels are somewhat arbitrary and not always appropriate. In the case where the implications of an error are very serious (e.g., missing the diagnosis of a cancer), different alpha and beta levels might be chosen in the study design to assess clinical or biological significance.

- Results (250-750 words): “Results” section should be written in an explicit manner, and the details should be described in the tables. The results section can be divided into sub-sections for a more clear understanding.

If the questions or issues are adequately focused in the Introduction section, the Results section needs not to be long. Generally, one may need a paragraph or two to persuade the reader of the validity of the methods, one paragraph addressing each explicitly raised question or hypothesis, and finally, any paragraphs to report new and unexpected findings. The first (topic) sentence of each paragraph should state the point or answer the question. When the reader considers only the first sentence in each paragraph in Results, the logic of the authors` interpretations should be clear. Parenthetic reference to all figures and tables forces the author to textually state the interpretation of the data; the important material is the authors` interpretation of the data, not the data.

Statistical reporting of data deserves special consideration. Stating some outcome is increased or decreased(or greater or lesser) and parenthetically stating the p (or other statistical) value immediately after the comparative terms more effectively conveys information than stating something is or is not statistically significantly different from so-mething else (different in what way? the readermay ask). Additionally, avoiding the terms ‘statistically different’ or ‘significantly different’ lets the reader determine whether they will consider the statistical value biologically or clinically significant, regardless of statistical significance.

Although a matter of philosophy and style, actual p values convey more information than stating a value less than some preset level. Furthermore, as Motulsky notes, “When you read that a result is not significant, don’t stop thinking... First, look at the confidence interval... Second, ask about the power of the study to find a significant difference if it were there.” This approach will give the reader a much greater sense of biological or clinical significance.

- Discussion (750 - 1250 words): The Discussion section should contain specific elements: a restatement of the problem or question, an exploration of limitations and as-sumptions, a comparison and/or contrast with information (data, opinion) in the literature, and a synthesis of the comparison and the author’s new data to arrive at conclusions. The restatement of the problem or questions should only be a brief emphasis. Exploration of assumptions and limitations are preferred to be next rather than at the end of the manuscript, because interpretation of what will follow depends on these limitations. Failure to explore limitations suggests the author(s) either do not know or choose to ignore them, potentially misleading the reader. Exploration of these limitations should be brief, but all critical issues must be discussed, and the reader should be persuaded they do not jeopardize the conclusions.

Next the authors should compare and/or contrast their data with data reported in the literature. Generally, many of these reports will include those cited as rationale in the Introduction. Because of the peculiarities of a given study the data or observations might not be strictly comparable to that in the literature, it is unusual that the literature (including that cited in the Introduction as rationale) would not contain at least trends. Quantitative comparisons most effectively persuade the reader that the data in the study are “in the ballpark,” and tables or figures efficiently convey that information. Discrepancies should be stated and explained when possible; when an explanation of a discrepancy is not clear that also should be stated. Conclusions based solely on data in the paper seldom are warranted because the literature almost always contains previous information.

Finally, the author(s) should interpret their data in the light of the literature. No critical data should be overlooked, because contrary data might effectively refute an argument. That is, the final conclusions must be consistent not only with the new data presented, but also that in the literature.

- Conclusion: The conclusions and recommendations by the authors should be described briefly. Sentences containing personal opinions or hypotheses that are not based on the scientific data obtained from the study should be avoided.

- References: References are numbered (Arabic numerals) consecutively in the order in which they appear in the text (note that references should not appear in the abstract) and listed double-spaced at the end of the manuscript. The preferred method for identifying citations in the text is using within parentheses. Use the form of the “Uniform Requirements for Manuscripts” (http://www.icmje.org/about-icmje/faqs/icmje-recommendations/). If number of authors exceeds seven, list first 6 authors followed by et al.

Use references found published in peer-reviewed publications that are generally accessible. Unpublished data, personal communications, statistical programs, papers presented at meetings and symposia, abstracts, letters, and manuscripts submitted for publication cannot be listed in the references. Papers accepted by peer-reviewed publications but not yet published (“in press”) are not acceptable as references.

Journal titles should conform to the abbreviations used in “Cumulated Index Medicus”.

Please note the following examples of journal, book and other reference styles:

Journal article:

1. Berk H, Akçalı Ö, Kıter E, Alıcı E. Does anterior spinal instrument rotation cause rethrolisthesis of the lower instrumented vertebra? J Turk Spinal Surg. 1997;8:5-9.

Book chapter:

2. Wedge IH, Kirkaldy-Willis WH, Kinnard P. Lumbar spinal stenosis. Chapter 5. In: Helfet A, Grubel DM (Eds.). Disorders of the Lumbar Spine. JB Lippincott, Philadelphia 1978;pp:61-8.

Entire book:

3. Paul LW, Juhl IH (Eds). The Essentials of Roentgen Interpretation. Second Edition, Harper and Row, New York 1965;pp:294-311.

Book with volume number:

4. Stauffer ES, Kaufer H, Kling THF. Fractures and dislocations of the spine. In: Rock-wood CA, Green DP (Eds.). Fractures in Adults. Vol. 2, JB Lippincott, Philadelphia 1984;pp:987-1092.

Journal article in press:

5. Arslantaş A, Durmaz R, Coşan E, Tel E. Aneurysmal bone cysts of the cervical spine. J Turk Spinal Surg. (In press).

Book in press :

6. Condon RH. Modalities in the treatment of acute and chronic low back pain. In: Finnison BE (Ed.). Low Back Pain. JB Lippincott (In press).

Symposium :

7. Raycroft IF, Curtis BH. Spinal curvature in myelomeningocele: natural history and etiology. Proceedings of the American Academy of Orthopaedic Surgeons Symposium on Myelomeningocele, Hartford, Connecticut, November 1970, CV Mosby, St. Louis 1972;pp:186-201.

Papers presented at the meeting:

8. Rhoton AL. Microsurgery of the Arnold-Chiari malformation with and without hydromyelia in adults. Presented at the Annual Meeting of the American Association of Neuro-logical Surgeons, Miami, Florida, April 7, 1975.

- Tables: They should be numbered consecutively in the text with Arabic numbers. Each table with its number and title should be typed on a separate sheet of paper. Each table must be able to stand alone; all necessary information must be contained in the caption and the table itself so that it can be understood independent from the text. Information should be presented explicitly in “Tables” so that the reader can obtain a clear idea about its content. Information presented in “Tables” should not be repeated within the text. If possible, information in “Tables” should contain statistical means, standard deviations, and t and p values for possibility. Abbreviations used in the table should be explained as a footnote.

Tables should complement not duplicate material in the text. They compactly present information, which would be difficult to describe in text form. (Material which may be succinctly described in text should rarely be placed in tables or figures.) Clinical studies for example, often contain complementary tables of demographic data, which although important for interpreting the results, are not critical for the questions raised in the paper. Well focused papers contain only one or two tables or figures for every question or hypothesis explicitly posed in the Introduction section. Additional material may be used for unexpected results. Well-constructed tables are self-explanatory and require only a title. Every column contains a header with units when appropriate.

- Figures: All figures should be numbered consecutively throughout the text. Each figure should have a label pasted on its back indicating the number of the figure, an arrow to show the top edge of the figure and the name of the first author. Black-and-white illustrations should be in the form of glossy prints (9x13 cm). The letter size on the figure should be large enough to be readable after the figure is reduced to its actual printing size. Unprofessional typewritten characters are not accepted. Legends to figures should be written on a separate sheet of paper after the references.

The journal accepts color figures for publication if they enhance the article. Authors who submit color figures will receive an estimate of the cost for color reproduction. If they decide not to pay for color reproduction, they can request that the figures be converted to black and white at no charge. For studies submitted by electronic means, the figures should be in jpeg and tiff formats with a resolution greater than 300 dpi. Figures should be numbered and must be cited in the text.

- Style: For manuscript style, American Medical Association Manual of Style (9th edition). Stedman’s Medical Dictionary (27th edition) and Merriam Webster’s Collegiate Dictionary (10th edition) should be used as standard references. The drugs and therapeutic agents must be referred by their accepted generic or chemical names, without abbreviations. Code numbers must be used only when a generic name is not yet available. In that case, the chemical name and a figure giving the chemical structure of the drug should be given. The trade names of drugs should be capitalized and placed in parentheses after the generic names. To comply with trademark law, the name and location (city and state/country) of the manufacturer of any drug, supply, or equipment mentioned in the manuscript should be included. The metric system must be used to express the units of measure and degrees Celsius to express temperatures, and SI units rather than conventional units should be preferred.

The abbreviations should be defined when they first appear in the text and in each table and figure. If a brand name is cited, the manufacturer’s name and address (city and state/country) must be supplied.

The address, “Council of Biology Editors Style Guide” (Council of Science Editors, 9650 Rockville Pike, Bethesda, MD 20814) can be consulted for the standard list of abbrevia-tions.

-Acknowledgments: Note any non-financial acknowledgments. Begin with, “The Authors wish to thank…” All forms of support, including pharmaceutical industry support should also be stated in Acknowledgments section.

Authors are requested to apply and load including the last version of their manuscript to the manuscript submission in the official web address (www.jtss.org). The electronic file must be in Word format (Microsoft Word or Corel Word Perfect). Authors can submit their articles for publication via internet using the guidelines in the following address: www.jtss.org.

- Practical Tips:

  • 1. Read only the first sentence in each paragraph throughout the text to ascertain whether those statements contain all critical material and the logical flow is clear.
  • 2. Avoid in the Abstract comments such as, “... this report describes...” Such statements convey no substantive information for the reader.
  • 3. Avoid references and statistical values in the Abstract.
  • 4. Avoid using the names of cited authors except to establish historical precedent. Instead, indicate the point in the manuscript by providing citation by superscripting.
  • 5. Avoid in the final paragraph of the Introduction purposes such as, “... we report our data...” Such statements fail to focus the reader’s (and author’s!) attention on the critical issues (and do not mention study variables).
  • 6. Parenthetically refer to tables and figures and avoid statements in which a table of figure is either subject or object of a sentence. Parenthetic reference places interpretation of the information in the table or figure, and not the table or figure.
  • 7. Regularly count words from the Introduction through Discussion.

TABLE-1. LEVELS OF EVIDENCE

LEVEL- I .
  • 1) Randomized, double-blind, controlled trials for which tests of statistical significance have been performed
  • 2) Prospective clinical trials comparing criteria for diagnosis, treatment and prognosis with tests of statistical significance where compliance rate to study exceeds 80%
  • 3) Prospective clinical trials where tests of statistical ignificance for consecutive subjects are based on predefined criteria and a comparison with universal (gold standard) reference is performed
  • 4) Systematic meta-analyses which compare two or more studies with Level I evidence using pre-defined methods and statistical comparisons.
  • 5) Multi-center, randomized, prospective studies
LEVEL –II.
  • 1) Randomized, prospective studies where compliance rate is less than 80%
  • 2) All Level-I studies with no randomization
  • 3) Randomized retrospective clinical studies
  • 4) Meta-analysis of Level-II studies
LEVEL– III.
  • 1) Level-II studies with no randomization (prospective clinical studies etc.)
  • 2) Clinical studies comparing non-consecutive cases (without a consistent reference range)
  • 3) Meta-analysis of Level III studies
LEVEL- IV.
  • 1) Case presentations
  • 2) Case series with weak reference range and with no statistical tests of significance
LEVEL – V.
  • 1) Expert opinion and review articles
  • 2) Anecdotal reports of personal experience regarding a study, with no scientific basis

TABLE-2. CLINICAL AREAS

Anatomy
  • Morphometric analysis

Anesthesiology

Animal study

Basic Science
  • Biology
  • Biochemistry
  • Biomaterials
  • Bone mechanics
  • Bone regeneration
  • Bone graft
  • Bone graft sustitutes
  • Drugs
Disc
  • Disc Degeneration
  • Herniated Disc
  • Disc Pathology
  • Disc Replacement
  • IDET
Disease/Disorder
  • Congenital
  • Genetics
  • Degenerative disease
  • Destructive (Spinal Tumors)
  • Metabolic bone disease
  • Rheumatologic
Biomechanics Cervical Spine
  • Cervical myelopathy
  • Cervical reconstruction
  • Cervical disc disease
  • Cervical Trauma
  • Degenerative disease
Complications
  • Early
  • Late
  • Postoperative
Deformity
  • Adolescent idiopathic scoliosis
  • Kyphosis
  • Congenital spine
  • Degenerative spine conditions
Diagnostics
  • Radiology
  • MRI
  • CT scan
  • Others

Epidemiology

Etiology

Examination

Experimental study

Fusion
  • Anterior
  • Posterior
  • Combined
  • With instrumentation
Infection of the spine
  • Postoperative
  • Rare infections
  • Spondylitis
  • Spondylodiscitis
  • Tuberculosis

Instrumentation

Meta-Analysis

Osteoporosis

  • Bone density
  • Fractures
  • Kyphoplasty
  • Medical Treatment
  • Surgical Treatment
Outcomes
  • Conservative care
  • Patient Care
  • Primary care
  • Quality of life research
  • Surgical
Pain
  • Chronic pain
  • Discogenic pain
  • Injections
  • Low back pain
  • Management of pain
  • Postoperative pain
  • Pain measurement
Physical Therapy
  • Motion Analysis
  • Manipulation
  • Non-Operative Treatment
Surgery
  • Minimal invasive
  • Others
  • Reconstructive surgery

Thoracic Spine

Thoracolumbar Spine

Lumbar Spine

Lumbosacral Spine

Psychology

Trauma
  • Fractures
  • Dislocations
Spinal cord
  • Spinal Cord Injury
Spinal stenosis
  • Cervical
  • Lumbar
  • Lumbosacral
Tumors
  • Metastatic tumors
  • Primary benign tumors
  • Primary malign tumors

APPLICATION LETTER EXAMPLE:

Editor-in-Chief

Journal of Turkish Spinal Surgery

Dear Editor,

We enclose the manuscript titled ‘…..’ for consideration to publish in Journal of Turkish Spinal Surgery.

The following authors have designed the study (AU: Parenthetically insert names of the appropriate authors), gathered the data (AU: Parenthetically insert names of the appropriate authors), analyzed the data (AU: Parenthetically insert names of the appropriate authors), wrote the initial drafts (AU: Parenthetically insert initials of the appropriate authors), and ensure the accuracy of the data and analysis (AU: Parenthetically insert names of the appropriate authors).

I confirm that all authors have seen and agree with the contents of the manuscript and agree that the work has not been submitted or published elsewhere in whole or in part.

As the Corresponding Author, I (and any other authors) understand that Journal of Turkish Spinal Surgery requires all authors to specify any contracts or agreements they might have signed with commercial third parties supporting any portion of the work. I further understand such information will be held in confidence while the paper is under review and will not influence the editorial decision, but that if the article is accepted for publication, a disclosure statement will appear with the article. I have selected the following statement(s) to reflect the relationships of myself and any other author with a commercial third party related to the study:

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