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This web site jnsspine.msubmit.net states the following, "To the Journal of Neurosurgery Spine." We noticed that the website also stated " If you have previously submitted to any of the Journal of Neurosurgery Publishing Group JNSPG journals as an author, an account may have already been created for you." It also said " Click on the Forget Your Password? Link below and follow the instructions. Once you have a login name and password, you may log on to the site and follow the instructions to submit your manuscript. To submit to one of our other journals, please use the appropriate link below." The header had eJournalPress as the highest ranking optimized keyword. It is followed by ejpress, Journal, and manuscript which isn't as ranked as highly as eJournalPress. The next words jnsspine.msubmit.net used was manuscript submission. peer review was included but might not be seen by web engines.