Lionel Metz, MD

Title(s)Associate Professor, Orthopaedic Surgery
SchoolSchool of Medicine
Address500 Parnassus Avenue, #MU325
San Francisco CA 94117
Phone415-514-6098
PronounsHe/Him/His
ORCID ORCID Icon0000-0003-2421-5885 Additional info
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    Collapse Biography 
    Collapse education and training
    University of California, Davis, Davis, CaBS2002Biochemistry and Molecular Biology
    University of California, San Francisco, San Francisco, CaMD2008Doctor of Medicine
    University of California, San Francisco, San Francisco, Ca Orthopaedic Surgery Residency2014Orthopaedic Residency
    Washington University School of Medicine , St Louis, MOSpine Surgery Fellowship2015Orthopaedic Spine
    University of California, San Francisco, CA2019Diversity, Equity, and Inclusion Champion Training

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    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. The modern application of anterior lumbar interbody fusion (ALIF): a narrative review of perioperative considerations and surgical pearls. J Spine Surg. 2025 Mar 24; 11(1):148-165. Khela M, Agha O, Sawires A, Metz L. PMID: 40242817; PMCID: PMC11998050.
      View in: PubMed   Mentions:
    2. Evaluation and Management of Thoracolumbar Spine Trauma in Pediatric Patients: A Critical Analysis Review. JBJS Rev. 2024 Jun 01; 12(6). Bonsignore-Opp L, O'Donnell J, Agha O, Bach K, Metz L, Swarup I. PMID: 38885326.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    3. Surgical Correction of Neuromuscular Scoliosis Secondary to Congenital Zika Syndrome: A Case Report. JBJS Case Connect. 2022 10 01; 12(4). O'Donnell JM, Metz L, Swarup I. PMID: 36302062.
      View in: PubMed   Mentions:    Fields:    Translation:HumansCells
    4. Comparison of 90-day complications and two-year reoperation rates between anterior and posterior interbody fusion for single-level degenerative spondylolisthesis. N Am Spine Soc J. 2022 Jun; 10:100127. Georgiou S, Saggi S, Wu HH, Metz L. PMID: 35637646; PMCID: PMC9144004.
      View in: PubMed   Mentions: 2  
    5. Pseudoarthrosis after long adult deformity reconstruction. Seminars in Spine Surgery. 2021 Dec 1; 33(4):100907. Wu WH, Wright WS, Metz ML. .
      View in: Publisher Site   Mentions:
    6. The Reliability of a Grading System for Digital Subtraction Imaging Quality During Cervical Transforaminal Epidural Steroid Injection. Pain Med. 2020 11 01; 21(11):3126-3132. Binler D, House LM, Mattie R, Saltychev M, Nagao M, Pekmeczi M, Metz L, O'Neil C, Shah V, McCormick ZL. PMID: 32167547.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    7. 55. Ending opioid addiction following spine surgery. The Spine Journal. 2019 Sep 1; 19(9):s27-s28. Pourtaheri PS, Metz ML, Menga ME. .
      View in: Publisher Site   Mentions:
    8. Cervical Laminoplasty. Degenerative Cervical Myelopathy and Radiculopathy. 2019 Jan 1; 207-220. Metz ML, Arutyunyan AG, Jain JD, Tan TL, Riew RK. .
      View in: Publisher Site   Mentions:
    9. Current Concepts in Orthopaedic Care Disparities. J Am Acad Orthop Surg. 2018 Dec 01; 26(23):823-832. Pandya NK, Wustrack R, Metz L, Ward D. PMID: 30180094.
      View in: PubMed   Mentions: 31     Fields:    Translation:Humans
    10. Topical tranexamic acid in spinal surgery: A systematic review and meta-analysis. J Clin Neurosci. 2019 Mar; 61:114-119. Yerneni K, Burke JF, Tuchman A, Li XJ, Metz LN, Lehman RA, Lenke LG, Tan LA. PMID: 30401569.
      View in: PubMed   Mentions: 23     Fields:    Translation:Humans
    11. Preventing Pseudoarthrosis and Proximal Junctional Kyphosis: How to Deal with the Osteoporotic Spine. Neurosurg Clin N Am. 2018 Jul; 29(3):365-374. Karikari IO, Metz LN. PMID: 29933804.
      View in: PubMed   Mentions: 16     Fields:    Translation:Humans
    12. Hypoalbuminemia Is Associated With Septic Revisions After Primary Surgery and Postoperative Infection After Revision Surgery. Spine (Phila Pa 1976). 2018 03 15; 43(6):454-460. Khanna K, Yi PH, Sing DC, Geiger E, Metz LN. PMID: 29016434.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    13. Contributions of Material Properties and Structure to Increased Bone Fragility for a Given Bone Mass in the UCD-T2DM Rat Model of Type 2 Diabetes. J Bone Miner Res. 2018 06; 33(6):1066-1075. Acevedo C, Sylvia M, Schaible E, Graham JL, Stanhope KL, Metz LN, Gludovatz B, Schwartz AV, Ritchie RO, Alliston TN, Havel PJ, Fields AJ. PMID: 29342321; PMCID: PMC6011658.
      View in: PubMed   Mentions: 43     Fields:    Translation:Animals
    14. Spine deformity surgery in the elderly: risk factors and 30-day outcomes are comparable in posterior versus combined approaches. Neurol Res. 2017 Dec; 39(12):1066-1072. Yue JK, Sing DC, Sharma S, Upadhyayula PS, Winkler EA, Shaw JD, Metz LN. PMID: 28925332.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    15. Machine Learning-Based Classification of 38 Years of Spine-Related Literature Into 100 Research Topics. Spine (Phila Pa 1976). 2017 Jun 01; 42(11):863-870. Sing DC, Metz LN, Dudli S. PMID: 28125523.
      View in: PubMed   Mentions: 11     Fields:    Translation:Humans
    16. Variations in Occipitocervical and Cervicothoracic Alignment Parameters Based on Age: A Prospective Study of Asymptomatic Volunteers Using Full-Body Radiographs. Spine (Phila Pa 1976). 2016 Dec 01; 41(23):1837-1844. Iyer S, Lenke LG, Nemani VM, Fu M, Shifflett GD, Albert TJ, Sides BA, Metz LN, Cunningham ME, Kim HJ. PMID: 27116113.
      View in: PubMed   Mentions: 38     Fields:    Translation:Humans
    17. Variations in Sagittal Alignment Parameters Based on Age: A Prospective Study of Asymptomatic Volunteers Using Full-Body Radiographs. Spine (Phila Pa 1976). 2016 Dec 01; 41(23):1826-1836. Iyer S, Lenke LG, Nemani VM, Albert TJ, Sides BA, Metz LN, Cunningham ME, Kim HJ. PMID: 27111763.
      View in: PubMed   Mentions: 53     Fields:    Translation:Humans
    18. Increase in spinal deformity surgery in patients age 60 and older is not associated with increased complications. Spine J. 2017 05; 17(5):627-635. Sing DC, Berven SH, Burch S, Metz LN. PMID: 27884745.
      View in: PubMed   Mentions: 17     Fields:    Translation:Humans
    19. Baseline Patient-Reported Outcomes Correlate Weakly With Radiographic Parameters: A Multicenter, Prospective NIH Adult Symptomatic Lumbar Scoliosis Study of 286 Patients. Spine (Phila Pa 1976). 2016 Nov 15; 41(22):1701-1708. Chapman TM, Baldus CR, Lurie JD, Glassman SD, Schwab FJ, Shaffrey CI, Lafage V, Boachie-Adjei O, Kim HJ, Smith JS, Crawford CH, Lenke LG, Buchowski JM, Edwards C, Koski T, Parent S, Lewis S, Kang DG, McClendon J, Metz L, Zebala LP, Kelly MP, Spratt KF, Bridwell KH. PMID: 27831984; PMCID: PMC5119760.
      View in: PubMed   Mentions: 15     Fields:    Translation:Humans
    20. 227 Validation of the Orthopedic Perioperative Effective Risk Assessment Score in Posterolateral Spinal Fusion. The Spine Journal. 2016 Oct 1; 16(10):s328. Sing SD, Metz ML. .
      View in: Publisher Site   Mentions:
    21. P126 Increase in Spinal Deformity Patients in Patients Age 60 and Over is Not Associated with Increased Complications. The Spine Journal. 2016 Oct 1; 16(10):s347. Sing SD, Berven BS, Burch BS, Metz ML. .
      View in: Publisher Site   Mentions:
    22. P41 Does Malnutrition Predict Infection after Revision Spine Surgery?. The Spine Journal. 2016 Oct 1; 16(10):s268. Yi YP, Sing SD, Metz ML. .
      View in: Publisher Site   Mentions:
    23. Increasing Rates of Surgical Management of Multilevel Spinal Curvature in Elderly Patients. Spine Deform. 2016 09; 4(5):365-372. Sing DC, Khanna R, Shaw JD, Metz LN, Burch S, Berven SH. PMID: 27927494.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    24. Obesity Is an Independent Risk Factor of Early Complications After Revision Spine Surgery. Spine (Phila Pa 1976). 2016 May; 41(10):E632-40. Sing DC, Yue JK, Metz LN, Winkler EA, Zhang WR, Burch S, Berven SH. PMID: 26641848.
      View in: PubMed   Mentions: 10     Fields:    Translation:Humans
    25. Can S2-Alar-Iliac (S2AI) Screws Be Placed Accurately without Fluoroscopy?. The Spine Journal. 2015 Oct 1; 15(10):s225-s226. Kang KD, Buchowski BJ, Lenke LL, Lehman LR, Chapman CT, Luksanapruksa LP, McClendon MJ, Metz ML. .
      View in: Publisher Site   Mentions:
    26. Alterations in Intervertebral Disc Composition, Matrix Homeostasis and Biomechanical Behavior in the UCD-T2DM Rat Model of Type 2 Diabetes. The Spine Journal. 2015 Oct 1; 15(10):s142-s143. Fields FA, Berg-Johansen BB, Metz ML, Miller MS, La LB, Liebenberg LE, Coughlin CD, Graham GJ, Stanhope SK, Havel HP, Lotz LJ. .
      View in: Publisher Site   Mentions:
    27. Complications of Morbid Obesity in Total Joint Arthroplasty: Risk Stratification Based on BMI. J Arthroplasty. 2015 Sep; 30(9 Suppl):42-6. Ward DT, Metz LN, Horst PK, Kim HT, Kuo AC. PMID: 26117070.
      View in: PubMed   Mentions: 44     Fields:    Translation:Humans
    28. Alterations in intervertebral disc composition, matrix homeostasis and biomechanical behavior in the UCD-T2DM rat model of type 2 diabetes. J Orthop Res. 2015 May; 33(5):738-46. Fields AJ, Berg-Johansen B, Metz LN, Miller S, La B, Liebenberg EC, Coughlin DG, Graham JL, Stanhope KL, Havel PJ, Lotz JC. PMID: 25641259; PMCID: PMC4408867.
      View in: PubMed   Mentions: 63     Fields:    Translation:Animals
    29. Infectious and Inflammatory Diseases Affecting the Young Athlete’s Spine. Spinal Injuries and Conditions in Young Athletes. 2014 Jan 1; 181-198. Metz ML, Ward WD, Sawyer SA. .
      View in: Publisher Site   Mentions:
    30. Effects of Type-2 Diabetes Mellitus on Intervertebral Disc Health in Rats. The Spine Journal. 2013 Sep 1; 13(9):s49-s50. Metz ML, Fields FA, Lovell LA, Berg-Johansen BB, Khashan KM, Graham GJ, Havel HP, Lotz LJ. .
      View in: Publisher Site   Mentions:
    31. Does Diabetes Cause the Intervertebral Disc to Degenerate?. The Spine Journal. 2012 Sep 1; 12(9):s74-s75. Metz ML, Lovell LA, Graham GJ, Liebenberg LE, Havel HP, Lotz LJ. .
      View in: Publisher Site   Mentions:
    32. Infectious, inflammatory, and metabolic diseases affecting the athlete's spine. Clin Sports Med. 2012 Jul; 31(3):535-67. Metz LN, Wustrack R, Lovell AF, Sawyer AJ. PMID: 22658001.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    33. Porcine intervertebral disc repair using allogeneic juvenile articular chondrocytes or mesenchymal stem cells. Tissue Eng Part A. 2011 Dec; 17(23-24):3045-55. Acosta FL, Metz L, Adkisson HD, Liu J, Carruthers-Liebenberg E, Milliman C, Maloney M, Lotz JC. PMID: 21910592; PMCID: PMC3226053.
      View in: PubMed   Mentions: 63     Fields:    Translation:AnimalsCells
    34. Autoren. Bewegungserhaltende Wirbelsäulenchirurgie. 2011 Jan 1; viii-xiii. Alamin AT, Bérard BM, Bertagnoli BR, Blain BJ, Blumenthal BS, Boeree BN, Bradford BD, Buchowski BJ, Carl CA, Cheng CB, Chomiak CR, Coillard CC, Cragg CA, Cunningham CB, Daday DF, Davis DR, Delamarter DR, Díaz DR, Errico ET, Fagerstrom FT, Fassett FD, García GR, Gharzeddine GI, Goel GV, Gornet GM, Guilhaume GG, Guizzardi GG, Habela HN, Hale HH, Hallab HN, Hannallah HD, Hannibal HM, Hilibrand HA, Hoy HR, Hsu HK, Idler IC, Jacobs JJ, Jaramillo JJ, Jeyamohan JS, Khoo KL, Kitchel KS, Lauryssen LC, Lavelle LW, Lawrence LJ, Lhamby LJ, Lowery LG, Malcolmon MG, Marnay MT, Martin ML, McAfee MP, McKenzie MA, Metz ML, Nicola NH, Ohnmeiss OD, Oliveira OC, Osborn OB, Pesántez PC, Petrini PP, Pimenta PL, Pradhan PB, Riew RK, Simon SM, Rhalmi RS, Rivard RC, Sahai SA, Saiedy SS, Sasso SR, Schaffa ST, Scott-Young SM, Sethi SR, Spate SK, Stieber SJ, Sumpio SB, Timm TJ, Tortolani TP, Traynelis TV, Tropiano TP, Vaccaro VA, von Strempel vA, Whang WP, Welch WW, Wessman WB, White WA, Wimmer WM, Yue YJ, Zucherman ZJ. .
      View in: Publisher Site   Mentions:
    35. Kapitel 1 Einführung in die bewegungserhaltende Chirurgie der Wirbelsäule. Bewegungserhaltende Wirbelsäulenchirurgie. 2011 Jan 1; (Project Guttenburg1841):1-84. McKenzie MA, Sethi SR, Metz ML, Bradford BD, Fassett FD, Jeyamohan JS, Vaccaro VA, Whang WP, Cheng CB, Welch WW, Hallab HN, Wimmer WM, Jacobs JJ, Yue YJ, Lawrence LJ, Habela HN, McAfee MP, Sahai SA, Alamin AT, White WA, Hannallah HD, Hilibrand HA. .
      View in: Publisher Site   Mentions:
    36. 98. Juvenile Chondrocytes are Superior to Undifferentiated Mesenchymal Stem Cells for Porcine Intervertebral Disc Repair. The Spine Journal. 2008 Sep 1; 8(5):50s. Acosta AF, Metz ML, Liu LJ, Carruthers-Liebenberg CE, Adkisson AH, Maloney MM, Lotz LJ. .
      View in: Publisher Site   Mentions:
    37. Anterior arthrodesis with instrumentation for thoracolumbar scoliosis: comparison of efficacy in adults and adolescents. Spine (Phila Pa 1976). 2008 May 15; 33(11):1219-23. Deviren V, Patel VV, Metz LN, Berven SH, Hu SH, Bradford DS. PMID: 18469695.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    38. Computer-assisted surgical planning and image-guided surgical navigation in refractory adult scoliosis surgery: case report and review of the literature. Spine (Phila Pa 1976). 2008 Apr 20; 33(9):E287-92. Metz LN, Burch S. PMID: 18427309.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    39. Chapter 2 History and Evolution of Motion Preservation. Motion Preservation Surgery of the Spine. 2008 Jan 1; 11-20. Sethi SR, Metz ML, Bradford BD. .
      View in: Publisher Site   Mentions:
    40. 123. Contextual and Methodological Challenges in Determining the Minimal Clinically Important Difference (MCID). The Spine Journal. 2007 Sep 1; 7(5):59s-60s. Deviren DV, Geula GD, Demir-Deviren DS, Berven BS, Metz ML, Hu HS. .
      View in: Publisher Site   Mentions:
    41. Anterior instrumented arthrodesis for adult idiopathic scoliosis. Neurosurg Clin N Am. 2007 Apr; 18(2):273-80. Deviren V, Metz LN. PMID: 17556128.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    42. Low-grade spondylolisthesis. Neurosurg Clin N Am. 2007 Apr; 18(2):237-48. Metz LN, Deviren V. PMID: 17556124.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    43. Histomorphometric analysis of the effects of osteocyte density on osteonal morphology and remodeling. Bone. 2003 Nov; 33(5):753-9. Metz LN, Martin RB, Turner AS. PMID: 14623050.
      View in: PubMed   Mentions: 22     Fields:    Translation:AnimalsCells
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