On 29 September 2009, Plaintiff Sana Kindley Watson (“Watson”) filed a complaint in Durham County Superior Court against Defendants Kenneth Price, M.D. (“Dr. Price”) and Regional Neurosurgery PLLC (“Regional”) (collectively, “Defendants”), asserting a medical malpractice claim against Dr. Price and seeking to hold Regional liable for Dr. Price’s alleged malpractice under the theory of respondeat superior. In her complaint, Watson alleged that Dr. Price treated Watson between 9 June 2005 and 9 June 2006.
On 18 May 2009, prior to filing her complaint, Watson submitted to the trial court a motion to extend the statute of limitations on her medical malpractice claim pursuant to North Carolina Civil Procedure Rule 9(j). On that same date, Resident Superior Court Judge Orlando F. Hudson, Jr. signed an order granting Watson’s motion and extending the statute of limitations to 2 October 2009; from the record, it appears that Judge Hudson’s Rule 9(j) order was never filed.
*370In December 2009, Defendants filed their answer, which was later amended to include (1) a “Fourth Defense” pleading “the applicable statutes of limitation” “in complete bar to any recovery against them by [Watson]” and (2) a “Fifth Defense and Motion to Dismiss” alleging that Watson “fails to state a claim upon which relief can be granted” and seeking dismissal of Watson’s claim pursuant to North Carolina Civil Procedure Rule 12(b)(6).
On 1 June 2010, Judge Hudson conducted a hearing on Defendants’ motion to dismiss. In an order dated 9 June 2010, Judge Hudson found that “the claims set forth in [Watson’s] action are time-barred”1 and dismissed Watson’s action with prejudice. Watson gave notice of appeal from the order dismissing her claims on 30 June 2010.
On appeal, Watson argues that Judge Hudson erred by dismissing Watson’s action on the ground that the claims were time-barred. Watson contends that Judge Hudson’s signature on the Rule 9(j) order was effective to extend the statute of limitations, despite the fact that the order was never filed, and, therefore, the filing of the complaint on 29 September 2009 was within the extended statute of limitations, which expired 2 October 2009. Defendants, on the other hand, argue that “the [Rule 9(j) order] was not filed, and therefore it did not serve to extend the statute of limitations.” Accordingly, Defendants argue, the statute of limitations expired on 9 June 2009, nearly three months before Watson filed her complaint.
In support of their arguments, the parties look to North Carolina Civil Procedure Rule 58, which governs “Entry of judgment” and which states as follows: “[A] judgment is entered when it is reduced to writing, signed by the judge, and filed with the clerk of court.” N.C. Gen. Stat. § 1A-1, Rule 58 (2009) (emphasis added). This Court has previously held that Rule 58 applies to orders, as well as judgments, such that an order is likewise entered when it is reduced to writing, signed by the judge, and filed with the clerk of court. Abels v. Renfro Corp., 126 N.C. App. 800, 803, 486 S.E.2d 735, 737-38 (holding that an order is entered when it is reduced to writing, signed by the judge, and filed with the clerk of court), disc. review denied, 347 N.C. 263, 493 S.E.2d 450 (1997). However, as Rule 58 simply sets out the requirements for entry of an order and contains no requirement that *371an order must be entered to be effective, the rule is relevant to this case only insofar as it makes clear that Judge Hudson’s Rule 9(j) order was not entered, but was merely rendered. Searles v. Searles, 100 N.C. App. 723, 726, 398 S.E.2d 55, 56 (1990) (“An announcement of judgment in open court constitutes the rendition of judgment, not its entry.”).2 As for the practical difference between rendering and entering in the context of judgments, our Supreme Court long ago stated that
[t]he rendition of a judgment is the judicial act of the court in pronouncing the sentence of the law upon the facts in controversy as ascertained by thé pleadings and verdict, the entry of it being a ministerial act which consists in spreading it upon the record.
Seip v. Wright, 173 N.C. 14, 17, 91 S.E. 359, 361 (1917) (citation omitted) (emphasis added). It has since been held that a judgment that has merely been rendered, but which has not been entered, is not enforceable until entry. Searles, 100 N.C. App. at 726-27, 398 S.E.2d at 57 (noting that “the judgment is not enforceable as between the parties to this action as it has not been entered”). The question then is whether that rule applicable to judgments is also applicable to the order in this case, i.e., whether the mere judicial act of issuance or rendition of the Rule 9(j) order effectively extended the statute of limitations, or whether the ministerial act of filing or entry was necessary to give the order force.3
Addressing this question by turning to the rule granting the trial court the power to extend the statute of limitations in medical malpractice cases, it appears that filing is unnecessary and that mere issuance is sufficient. As provided by Rule 9(j),
[u]pon motion by the complainant prior to the expiration of the applicable statute of limitations, a resident judge of the superior court . . . may allow a motion to extend the statute of limitations for a period not to exceed 120 days to file a complaint in a medical malpractice action in order to comply with this Rule, *372upon a determination that good cause exists for the granting of the motion and that the ends of justice would be served by an extension.
N.C. Gen. Stat. § 1A-1, Rule 9(j) (emphasis added). Per the clear language of the rule, the trial court need only “allow a motion” in order to extend the statute of limitations. This wording seems to indicate that it is the judicial act of “allowing” the motion, rather than the ministerial act of “entering” the order, that extends the statute of limitations. Compare N.C. Gen. Stat. §§ 1-75.12(a) (“If, in any action pending in any court of this State, the judge shall find that it would work substantial injustice for the action to be tried in a court of this State, the judge on motion of any party may enter an order to stay further proceedings in the action in this State.” (emphasis added)), 5A-23(e) (2009) (“If civil contempt is found, the judicial official must enter an order finding the facts constituting contempt and specifying the action which the contemnor must take to purge himself or herself of the contempt.” (emphasis added)). Indeed, it is an oft-cited maxim of statutory construction that expressio unius est exclusio alterius: the expression of one thing is the exclusion of another. See Mangum v. Raleigh Bd. of Adjust., 196 N.C. App. 249, 255, 674 S.E.2d 742, 747 (2009). Accordingly, based on the clear language of Rule 9Q), it appears that a Rule 9(j) order extending the statute of limitations is effective as soon as a trial judge allows a motion to extend and regardless of whether the order is filed.
However, despite the language used in Rule 9(j), there is some authority to suggest that an order extending the statute of limitations pursuant to Rule 9(j) is ineffective until that order is filed. In Webb v. Nash Hospitals, Inc., 133 N.C. App. 636, 516 S.E.2d 191, disc. review denied, 351 N.C. 122, 541 S.E.2d 471 (1999), the plaintiff-appellants filed a motion pursuant to Rule 9(j) on 19 September 1997, which motion was granted in an order dated 12 September 1997 — seven days before plaintiff-appellants’ motion was filed. Id. at 638, 516 S.E.2d at 193. The order was then filed on 1 October 1997. Id 4 In response to defendant-appellees’ argument that the trial court lacked jurisdiction to grant plaintiff-appellants’ motion “because there was no motion pending for the extension of time when the order was signedf,]” this Court held that because the order was not “filed and ‘entered’ ” until after the motion was “filed and entered,” the court *373had jurisdiction to grant the motion. Id. at 638-39, 516 S.E.2d at 193. In so holding, the Court cited Worsham v. Richbourg’s Sales and Rentals, 124 N.C. App. 782, 784, 478 S.E.2d 649, 650 (1996) (which itself cites Searles), for the proposition that “the mere signature on a judgment that has not been entered is an incomplete judgment.” Id. The obvious implication from the holding in Webb is that the trial court’s order did not effectively grant' the Rule 90) motion until the order was filed. Accordingly, in this case, pursuant to our holding in Webb, we must conclude that Judge Hudson’s Rule 90) order did not extend the statute of limitations because the order was never filed.
As further authority to support the conclusion that a Rule 90) order must be filed to be effective, we note the following discussion of Rule 58 and its application to orders by the trial court:
A judgment is not enforceable between the parties until it is entered. A judgment is entered when it is reduced to writing, signed by the judge, and filed with the clerk of court. An announcement of judgment in open court constitutes the rendition of judgment, not its entry. Although Rule 58 specifically refers only to judgments, this Court has held that it applies to orders as well. It follows that an order rendered in open court is not enforceable until it is entered, i.e., until it is reduced to writing, signed by the judge, and filed with the clerk of court.
West v. Marko, 130 N.C. App. 751, 755-56, 504 S.E.2d 571, 573-74 (1998) (internal citations and quotation marks omitted). While the conclusion that an order is not enforceable until entry does not necessarily follow from the premise that the Rule 58 entry requirements apply to both orders and judgments, to the extent this Court in West expressly held that orders of the trial court are not enforceable until entry, we find ourselves bound by the conclusion — if not necessarily the logic — of this Court’s prior decision. In re Appeal from Civil Penalty, 324 N.C. 373, 384, 379 S.E.2d 30, 37 (1989).
Although this decision leaves unanswered questions regarding the effectiveness of a Rule 9(j) order filed after the complaint is filed, whether before or after the expiration of the original statute of limitations, suffice it to say that, in this case, the trial court correctly dismissed Watson’s complaint because there was no effective Rule 9(j) extension order filed in the case. The ruling of the trial court is
AFFIRMED.
*374Judge ERVIN concurs. Judge HUNTER, Robert C., concurs in a separate opinion.. Although generally a three-year statute of limitations is applicable to medical malpractice actions such as this one, Rule 9(j) allows a plaintiff to move a trial court for a 120-day extension of the statute of limitations to allow the plaintiff additional time to comply with the enhanced pleading requirements imposed on a medical malpractice complainant by Rule 9(j). See N.C. Gen. Stat. §§ 1-52(5), 1A-1, Rule 9 (2009).
. While “rendering” may be a term of art reserved for judgments and not orders, we use that word in the context of orders as it is the recognized counterpart to “entering” and appears to be otherwise synonymous with “issuing” or “pronouncing.”
. We note that North Carolina Rule of Civil Procedure 5(d) provides that “[a]ll orders issued by the court” “shall be filed with the court[.]” N.C. Gen. Stat. § 1A-1, Rule 5(d) (2009). However, while Rule 5(d) requires a Rule 9(j) order to be filed with the court, that rule does not specify a time in which the order must be filed, nor does it provide a sanction for any party’s failure to file such an order.
. The trial court subsequently granted defendant-appellees’ motion to dismiss the complaint based on plaintiff-appellants’ failure to properly serve the motion on defendant-appellees. Webb, 133 N.C. App. at 638, 516 S.E.2d at 193.