Table 1_Age-related spinal degenerative diseases: a quantitative analysis of the dynamic evolution, knowledge structure, and research frontiers in neurological damage.docx

Keyword co-occurrence analysis shows that “magnetic resonance imaging (MRI)” is the most core topic. The analysis of keyword burst and co-citation reveals a major paradigm shift: this field is gradually moving away from open surgery (such as laminoplasty) and traditional measurement, turning to minimally invasive neurodecompression and artificial intelligence, and paying more attention to specific pathologies such as patient-reported outcomes (PROs) and degenerative cervical myelopathy (DCM).</p>Conclusion<p>This bibliometric study reveals that minimally invasive neural decompression, intelligence and precision methods are the primary research hotspots of recent progress.

This field is changing from traditional surgery to a new paradigm combining endoscopic surgery, artificial intelligence decision-making and personalized elderly neuroprotection. However, readers must differentiate that these represent current academic research hotspots rather than definitively proven clinical evidence. Future research should integrate artificial intelligence, new robots, endoscopic technology and translation.</p>