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Anterior Transarticular Crossing Screw Fixation for Atlantoaxial Joint Instability: A Biomechanical Study

Xiao H, Huang Z, Xu P, Lin J, Zhu Q, Ji W

Objective: To evaluate the biomechanical stability of anterior transarticular crossing screw (ATCS) and compare it with anterior transarticular screw (ATS) which may provide basic evidence for clinical application. Methods: Eight human...
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Correlation Between the Severity of Multifidus Fatty Degeneration and the Size of Ossification of Posterior Longitudinal Ligament at Each Spinal Level

Park J, Cho YE, Kim KH, Shin S, Kim S, Lim CH, Chung SY, Park YG

Objective: This study aimed to investigate the correlation between ossification of the posterior longitudinal ligament (OPLL) size and multifidus fatty degeneration (MFD), hypothesizing that larger OPLL sizes are associated with...
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Combined Intramedullary and Intradural Extramedullary Solitary Fibrous Tumor in Cervical Spine

Park H, Yoon YS, Jang SH

We present a rare case of solitary fibrous tumor (SFT) located in the intramedullary (IM) and intradural extramedullary sites of cervical spine, mimicking thrombosed aneurysm and meningioma. Herein, we present...
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Comparison of Midline Splitting versus Unilateral Open Door Laminoplasty and Its Impact on Patient Outcomes

Kim N, Cho S, Kim TH, Oh JK, Moon SH, Kim SW

Background: Laminoplasty is a common and effective surgery for decompression of the spinal cord in multilevel cervical myelopathy. The midline splitting technique (MST) and the unilateral open door technique (UODT)...
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Atypical Heterotopic Bone Formation Rear to the Functioning Cervical Artificial Disc Prosthesis Causing Cervical Spondylotic Myelopathy

Choi IJ, Choi MK, Lee JH

Although heterotopic ossification (HO) might occur in a substantial proportion of cervical disc arthroplasty-switched spinal segments, it is predominantly discovered at the anterior vertebral edges of the treated interspace. Herein,...
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Concepts and Techniques to Prevent Cervical Spine Deformity After Spine Surgery: A Narrative Review

Merrill RK, Clohisy JC, Albert TJ, Qureshi SA

Adult cervical spine deformity is associated with decreased health-related quality of life, disability, and myelopathy. A number of radiographic parameters help to characterize cervical deformity and aid in the diagnosis...
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The Incidence, Changes and Treatments of Cervical Deformity After Infection and Inflammation

Han B, Wang J, Hai Y, Sun D, Liang W, Yin P, Ding H

A healthy cervical spine with normal movement is the basis of many daily activities and is essential for maintaining a good quality of life. However, the alignment, fusion, and structure...
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Reduction of Lower Cervical Facet Dislocation: A Review of All Techniques

Liu K, Zhang Z

Objective: The surgical treatment of lower cervical facet dislocation is controversial. Great advancements on reduction techniques for lower cervical facet dislocation have been made in the past decades. However, there...
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Migration of Penrose Drain Following Anterior Cervical Spinal Surgery

Huh SH, Choi BY, Seo JH

A retained surgical drain in the operation site is a rare complication that may cause clinical problems and result in medical disputes. The discovery of a retained drain is most often...
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Patient-Specific Drill Guide Template for Pedicle Screw Insertion into the Atlantoaxial Cervical Spine Using Stereolithographic Modeling: An In Vitro Study

Bundoc RC, Obenieta HL, Dizon DAG

Study Design: Cadaveric study. Purpose: This study aimed to assess the accuracy and feasibility of cervical pedicle screw (CPS) insertion into the atlantoaxial cervical spine using a patient-specific drill guide template...
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Unilateral Cervical Facet Fractures: Relevance of Acute Disc Injury in Conservative Treatment Failure

Totera JIC, Vargas GH, Martini IF, Romero MG, Bacciarini AU, Plaza JVB

Study Design: Case-control study. Purpose: Analyze association between imaging factors related to the failure of conservative treatment in isolated subaxial cervical facet fractures. Overview of Literature: Facet fracture (F1, F2, and F3...
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Defining Cervical Sagittal Plane Deformity – When Are Sagittal Realignment Procedures Necessary in Patients Presenting Primarily With Radiculopathy or Myelopathy?

Nemani VM, Louie PK, Drolet CE, Rhee JM

Objective: It remains unclear whether cervical sagittal deformity (CSD) should be defined by radiographic parameters alone versus both clinical and radiographic factors, and whether radiographic malalignment by itself warrants a...
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Classification(s) of Cervical Deformity

Kaidi AC, Kim HJ

Cervical spine deformities (CSD) are complex surgical issues with currently heterogenous management strategies. The classification of CSD is still an evolving field. Rudimentary classification schemas were initially proposed in the...
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Reciprocal Changes Following Cervical Realignment Surgery

Lee JK, Hyun SJ, Yang SH, Kim KJ

Over the last few decades, the importance of the sagittal plane and its contour has gained significant recognition. Through full-body stereoradiography, the understanding of compensatory mechanisms, and the concept of...
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Risk Factors for Reduction of Facet Joint Dislocation by Preoperative Traction in Distractive-Flexion Injury of the Lower Cervical Spine

Kim TH, Kim MW, Song WB, Ko JH, Song KJ

Purpose: The treatment strategy of Distractive-Flexion Injury (DFI) depends on the preoperative reduction, and anterior surgery is usually sufficient for closely reduced DFI. In contrast, reduction-failed injuries should be reduced...
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Biomechanical Study of Cervical Endplate Removal on Subsidence and Migration in Multilevel Anterior Cervical Discectomy and Fusion

Lin M, Paul R, Shapiro SZ, Doulgeris J, O’Connor TE, Tsai CT, Vrionis FD

Study Design: This study compares four cervical endplate removal procedures, validated by finite element models. Purpose: To characterize the effect of biomechanical strength and increased contact area on the maximum von...
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Risk Factors of Unplanned Readmission after Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis

Lee YJ, Cho PG, Kim KN, Kim SH, Noh SH

Purpose: With an increasing number of anterior cervical discectomy and fusion (ACDF) being conducted for degenerative cervical disc disease, there is a rising interest in the related quality of management...
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Odontoid Incidence: A Novel Cervical Parameter Influencing Cervical Alignment From Top to Bottom

Lee JK, Hyun SJ, Kim KJ

Objective: By using angulation of the axis itself, this study aims to define and analyze odontoid incidence (OI) and odontoid tilt (OT) as novel cervical alignment parameters and investigate their...
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Fracture and Bilateral Facet Dislocation after Anterior Cervical Fusion in a Patient with a Distraction-Flexion Injury at the Lower Cervical Level

Kim JK, Kim JH, Kim KT, Song KJ

A bilateral facet dislocation after anterior cervical fusion with a plate in distraction-flexion injury without significant instability in plain radiography is very rare. This paper reports a case with a...
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What Type of Incision for Anterior Cervical Spine Surgery Involving Long Segments Can Bring Better Cosmetic and Functional Outcomes?

Lee HR, Lee DH, Seok SY, Park S, Cho JH, Hwang CJ, Lee CS

Objective: To determine whether double transverse incisions could provide superior cosmetic and functional outcomes, including rates of dysphagia and dysphonia, compared with longitudinal incisions in patients undergoing anterior cervical spine...
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