{"id":"https://openalex.org/W7224211010","doi":"https://doi.org/10.1177/21925682261502382","title":"Anterior-Only Stabilization of Traumatic Subaxial Cervical Spine Injuries: Why Constructs Fail and Why Most Survive\u2014A Systematic Review","display_name":"Anterior-Only Stabilization of Traumatic Subaxial Cervical Spine Injuries: Why Constructs Fail and Why Most Survive\u2014A Systematic Review","publication_year":2026,"publication_date":"2026-10-29","ids":{"openalex":"https://openalex.org/W7224211010","doi":"https://doi.org/10.1177/21925682261502382","pmid":"https://pubmed.ncbi.nlm.nih.gov/42954479","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13719671"},"language":"en","primary_location":{"id":"doi:10.1177/21925682261502382","doi":"https://doi.org/10.1177/21925682261502382","is_oa":true,"landing_page_url":"https://doi.org/10.1177/21925682261502382","pdf_url":null,"source":{"id":"https://openalex.org/S2739034459","display_name":"Global Spine Journal","issn_l":"2192-5682","issn":["2192-5682","2192-5690"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Spine Journal","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1177/21925682261502382","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5092037447","display_name":"Deya AlWadi","orcid":"https://orcid.org/0009-0009-8165-7859","observed_orcids":["https://orcid.org/0009-0009-8165-7859"]},"institutions":[{"id":"https://openalex.org/I1334287468","display_name":"Nottingham University Hospitals NHS Trust","ror":"https://ror.org/05y3qh794","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1334287468"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Deya Alwady","raw_affiliation_strings":["Nottingham University Hospitals NHS Trust"],"raw_orcid":"https://orcid.org/0009-0009-8165-7859","affiliations":[{"raw_affiliation_string":"Nottingham University Hospitals NHS Trust","institution_ids":["https://openalex.org/I1334287468"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011668949","display_name":"Mohamed M. Aly","orcid":"https://orcid.org/0000-0001-5221-8288","observed_orcids":["https://orcid.org/0000-0001-5221-8288"]},"institutions":[{"id":"https://openalex.org/I159247623","display_name":"Mansoura University","ror":"https://ror.org/01k8vtd75","country_code":"EG","type":"education","lineage":["https://openalex.org/I159247623"]},{"id":"https://openalex.org/I4210109070","display_name":"Prince Mohammed bin Abdulaziz Hospital","ror":"https://ror.org/01j5awv26","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I4210109070"]}],"countries":["EG","SA"],"is_corresponding":true,"raw_author_name":"Mohamed M. Aly","raw_affiliation_strings":["Mansoura University","Prince Mohammed Bin Abdulaziz Hospital"],"raw_orcid":"https://orcid.org/0000-0001-5221-8288","affiliations":[{"raw_affiliation_string":"Mansoura University","institution_ids":["https://openalex.org/I159247623"]},{"raw_affiliation_string":"Prince Mohammed Bin Abdulaziz Hospital","institution_ids":["https://openalex.org/I4210109070"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026167360","display_name":"Richard Jackson Bransford","orcid":"https://orcid.org/0000-0003-2293-5774","observed_orcids":["https://orcid.org/0000-0003-2293-5774"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Richard Bransford","raw_affiliation_strings":["University of Washington"],"raw_orcid":"https://orcid.org/0000-0003-2293-5774","affiliations":[{"raw_affiliation_string":"University of Washington","institution_ids":["https://openalex.org/I201448701"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038494653","display_name":"Andrei Fernandes Joaquim","orcid":"https://orcid.org/0000-0003-2645-0483","observed_orcids":["https://orcid.org/0000-0003-2645-0483"]},"institutions":[{"id":"https://openalex.org/I181391015","display_name":"Universidade Estadual de Campinas (UNICAMP)","ror":"https://ror.org/04wffgt70","country_code":"BR","type":"education","lineage":["https://openalex.org/I181391015"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Andrei Joaquim","raw_affiliation_strings":["State University of Campinas (UNICAMP)"],"raw_orcid":"https://orcid.org/0000-0003-2645-0483","affiliations":[{"raw_affiliation_string":"State University of Campinas (UNICAMP)","institution_ids":["https://openalex.org/I181391015"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002670058","display_name":"Bogdan Cost\u0103chescu","orcid":"https://orcid.org/0000-0003-0806-786X","observed_orcids":["https://orcid.org/0000-0003-0806-786X"]},"institutions":[{"id":"https://openalex.org/I304011483","display_name":"Grigore T. Popa University of Medicine and Pharmacy","ror":"https://ror.org/03hd30t45","country_code":"RO","type":"education","lineage":["https://openalex.org/I304011483"]}],"countries":["RO"],"is_corresponding":false,"raw_author_name":"Bogdan Costachescu","raw_affiliation_strings":["Grigore T. Popa University of Medicine and Pharmacy","\u201cProf. Dr. N. Oblu\u201d Emergency Clinical Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Grigore T. Popa University of Medicine and Pharmacy","institution_ids":["https://openalex.org/I304011483"]},{"raw_affiliation_string":"\u201cProf. Dr. N. Oblu\u201d Emergency Clinical Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5021786285","display_name":"Eugen Cezar Popescu","orcid":"https://orcid.org/0000-0001-5732-5402","observed_orcids":["https://orcid.org/0000-0001-5732-5402"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Eugen Cezar Popescu","raw_affiliation_strings":["\u201cProf. Dr. N. Oblu\u201d Emergency Clinical Hospital"],"raw_orcid":"https://orcid.org/0000-0001-5732-5402","affiliations":[{"raw_affiliation_string":"\u201cProf. Dr. N. Oblu\u201d Emergency Clinical Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017306215","display_name":"Abdulaziz Bin Shebreen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2801911633","display_name":"King Fahd Medical City","ror":"https://ror.org/01jgj2p89","country_code":"SA","type":"funder","lineage":["https://openalex.org/I2801911633"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Abdulaziz Bin Shebreen","raw_affiliation_strings":["King Fahad Medical City","National Neurosciences Institute","Riyadh Second Health Cluster"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"King Fahad Medical City","institution_ids":["https://openalex.org/I2801911633"]},{"raw_affiliation_string":"National Neurosciences Institute","institution_ids":[]},{"raw_affiliation_string":"Riyadh Second Health Cluster","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008102428","display_name":"Saleh Salem Baeesa","orcid":"https://orcid.org/0000-0002-3053-7912","observed_orcids":["https://orcid.org/0000-0002-3053-7912"]},"institutions":[{"id":"https://openalex.org/I2800965796","display_name":"King Faisal Specialist Hospital & Research Centre","ror":"https://ror.org/05n0wgt02","country_code":"SA","type":"healthcare","lineage":["https://openalex.org/I2800965796"]}],"countries":["SA"],"is_corresponding":false,"raw_author_name":"Saleh Baeesa","raw_affiliation_strings":["King Faisal Specialist Hospital and Research Centre"],"raw_orcid":"https://orcid.org/0000-0002-3053-7912","affiliations":[{"raw_affiliation_string":"King Faisal Specialist Hospital and Research Centre","institution_ids":["https://openalex.org/I2800965796"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034357792","display_name":"Nayef Bin Dajim","orcid":"https://orcid.org/0000-0001-9333-8761","observed_orcids":["https://orcid.org/0000-0001-9333-8761"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nayef Bin Dajim","raw_affiliation_strings":["Rameem Medical Company"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Rameem Medical Company","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041301606","display_name":"Khalid M. I. Salem","orcid":"https://orcid.org/0000-0003-3143-607X","observed_orcids":["https://orcid.org/0000-0003-3143-607X"]},"institutions":[{"id":"https://openalex.org/I1334287468","display_name":"Nottingham University Hospitals NHS Trust","ror":"https://ror.org/05y3qh794","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I1334287468"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Khalid Salem","raw_affiliation_strings":["Nottingham University Hospitals NHS Trust"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nottingham University Hospitals NHS Trust","institution_ids":["https://openalex.org/I1334287468"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5062744165","display_name":"Kiehyun Daniel Riew","orcid":"https://orcid.org/0000-0003-2083-9375","observed_orcids":["https://orcid.org/0000-0003-2083-9375","https://orcid.org/0000-0002-0718-3423"]},"institutions":[{"id":"https://openalex.org/I2799503643","display_name":"Columbia University Irving Medical Center","ror":"https://ror.org/01esghr10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2799503643"]},{"id":"https://openalex.org/I4405272987","display_name":"Weill Cornell Medical Center","ror":"https://ror.org/052v90092","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I205783295","https://openalex.org/I4387153466","https://openalex.org/I4405272987"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"K. Daniel Riew","raw_affiliation_strings":["Columbia University Medical Center","Weill Cornell Medical Center"],"raw_orcid":"https://orcid.org/0000-0003-2083-9375","affiliations":[{"raw_affiliation_string":"Columbia University Medical Center","institution_ids":["https://openalex.org/I2799503643"]},{"raw_affiliation_string":"Weill Cornell Medical Center","institution_ids":["https://openalex.org/I4405272987"]}]}],"institutions":[],"countries_distinct_count":6,"institutions_distinct_count":10,"corresponding_author_ids":["https://openalex.org/A5011668949"],"corresponding_institution_ids":["https://openalex.org/I159247623","https://openalex.org/I4210109070"],"apc_list":{"value":2650,"currency":"USD","value_usd":2650},"apc_paid":{"value":2650,"currency":"USD","value_usd":2650},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.67667845,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"21925682261502382","last_page":"21925682261502382"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.9926999807357788,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.00430000014603138,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anterior-cervical-plate-fixation","display_name":"anterior cervical plate fixation","score":0.6159999966621399},{"id":"https://openalex.org/keywords/traumatic-cervical-spine-injury","display_name":"traumatic cervical spine injury","score":0.7239999771118164},{"id":"https://openalex.org/keywords/construct-failure","display_name":"construct failure","score":0.7459999918937683},{"id":"https://openalex.org/keywords/equipment-failure","display_name":"equipment failure","score":0.5860000252723694},{"id":"https://openalex.org/keywords/implant-failure","display_name":"implant failure","score":0.6370000243186951},{"id":"https://openalex.org/keywords/implant-malposition","display_name":"implant malposition","score":0.8059999942779541},{"id":"https://openalex.org/keywords/risk-factors-for-failure","display_name":"risk factors for failure","score":0.7210000157356262},{"id":"https://openalex.org/keywords/cervical-fusion","display_name":"cervical spine fusion","score":0.36899998784065247}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9557999968528748},{"id":"https://openalex.org/C2778614594","wikidata":"https://www.wikidata.org/wiki/Q17055904","display_name":"Implant failure","level":3,"score":0.6132000088691711},{"id":"https://openalex.org/C2781411149","wikidata":"https://www.wikidata.org/wiki/Q486975","display_name":"Implant","level":2,"score":0.5171999931335449},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4068000018596649},{"id":"https://openalex.org/C43122875","wikidata":"https://www.wikidata.org/wiki/Q5428522","display_name":"Facet (psychology)","level":4,"score":0.3926999866962433},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.34119999408721924},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.33219999074935913},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.329800009727478},{"id":"https://openalex.org/C2776944266","wikidata":"https://www.wikidata.org/wiki/Q900457","display_name":"Cervical vertebrae","level":2,"score":0.328900009393692},{"id":"https://openalex.org/C2984529727","wikidata":"https://www.wikidata.org/wiki/Q1309431","display_name":"Mechanical failure","level":2,"score":0.31299999356269836},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.3125999867916107},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.3084000051021576},{"id":"https://openalex.org/C2776667541","wikidata":"https://www.wikidata.org/wiki/Q1824647","display_name":"Posterior longitudinal ligament","level":3,"score":0.30809998512268066},{"id":"https://openalex.org/C2779157695","wikidata":"https://www.wikidata.org/wiki/Q669260","display_name":"Anterior longitudinal ligament","level":3,"score":0.30410000681877136},{"id":"https://openalex.org/C19648533","wikidata":"https://www.wikidata.org/wiki/Q691640","display_name":"Evidence-based medicine","level":3,"score":0.3000999987125397},{"id":"https://openalex.org/C203092338","wikidata":"https://www.wikidata.org/wiki/Q1340863","display_name":"Clinical endpoint","level":3,"score":0.2953999936580658},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.29429998993873596},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.28110000491142273},{"id":"https://openalex.org/C170700871","wikidata":"https://www.wikidata.org/wiki/Q193378","display_name":"Biomechanics","level":2,"score":0.2791000008583069},{"id":"https://openalex.org/C2985379065","wikidata":"https://www.wikidata.org/wiki/Q900457","display_name":"Cervical spine","level":2,"score":0.27300000190734863},{"id":"https://openalex.org/C82789193","wikidata":"https://www.wikidata.org/wiki/Q2142611","display_name":"Relative risk","level":3,"score":0.25209999084472656},{"id":"https://openalex.org/C107551265","wikidata":"https://www.wikidata.org/wiki/Q1458245","display_name":"Displacement (psychology)","level":2,"score":0.250900000333786}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1177/21925682261502382","doi":"https://doi.org/10.1177/21925682261502382","is_oa":true,"landing_page_url":"https://doi.org/10.1177/21925682261502382","pdf_url":null,"source":{"id":"https://openalex.org/S2739034459","display_name":"Global Spine Journal","issn_l":"2192-5682","issn":["2192-5682","2192-5690"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Spine Journal","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13719671","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13719671/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13719671/pdf/10.1177_21925682261502382.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Spine J","raw_type":"Text"},{"id":"pmid:42954479","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42954479","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global spine journal","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1177/21925682261502382","doi":"https://doi.org/10.1177/21925682261502382","is_oa":true,"landing_page_url":"https://doi.org/10.1177/21925682261502382","pdf_url":null,"source":{"id":"https://openalex.org/S2739034459","display_name":"Global Spine Journal","issn_l":"2192-5682","issn":["2192-5682","2192-5690"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-1"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Spine Journal","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224211010.pdf","grobid_xml":"https://content.openalex.org/works/W7224211010.grobid-xml"},"referenced_works_count":38,"referenced_works":["https://openalex.org/W1964797942","https://openalex.org/W1969261986","https://openalex.org/W1971492377","https://openalex.org/W1994188122","https://openalex.org/W2003815699","https://openalex.org/W2011961469","https://openalex.org/W2020381749","https://openalex.org/W2035064373","https://openalex.org/W2042900447","https://openalex.org/W2050601657","https://openalex.org/W2063475672","https://openalex.org/W2079041187","https://openalex.org/W2079277598","https://openalex.org/W2104017033","https://openalex.org/W2109674809","https://openalex.org/W2135577623","https://openalex.org/W2153063845","https://openalex.org/W2165122775","https://openalex.org/W2264270351","https://openalex.org/W2531269403","https://openalex.org/W2791762684","https://openalex.org/W2954353542","https://openalex.org/W3008368869","https://openalex.org/W3118615836","https://openalex.org/W3129782531","https://openalex.org/W4220798408","https://openalex.org/W4220859129","https://openalex.org/W4385874080","https://openalex.org/W4390818054","https://openalex.org/W4391216150","https://openalex.org/W4394806045","https://openalex.org/W4395447836","https://openalex.org/W4401722521","https://openalex.org/W4415604651","https://openalex.org/W7117477801","https://openalex.org/W7125428011","https://openalex.org/W7128319017","https://openalex.org/W7160431537"],"related_works":["https://openalex.org/W4405956354","https://openalex.org/W7117477801","https://openalex.org/W3130556583","https://openalex.org/W2807318812","https://openalex.org/W2148617605","https://openalex.org/W2588160027","https://openalex.org/W7167888696","https://openalex.org/W2621370544","https://openalex.org/W2019314732","https://openalex.org/W4414752001"],"abstract_inverted_index":{"Study":[0],"DesignSystematic":[1],"review.ObjectivesTo":[2],"characterize":[3],"mechanical":[4,46,243],"failure":[5,12,48,101,125,181,208],"rates":[6],"and":[7,29,65,74,81,94,107,149,157,174,233,250],"candidate":[8,50,217],"risk":[9,51,135,218],"signals":[10,52,136,187],"for":[11,16,43,56],"after":[13,53],"anterior-only":[14,54],"stabilization":[15,55],"traumatic":[17],"subaxial":[18,57],"cervical":[19],"spine":[20],"injuries.MethodsWe":[21],"searched":[22],"MEDLINE,":[23],"Embase,":[24],"Scopus,":[25],"Web":[26],"of":[27,34,72],"Science,":[28],"the":[30,185],"Cochrane":[31],"Central":[32],"Register":[33],"Controlled":[35],"Trials":[36],"from":[37],"inception":[38],"to":[39],"June":[40],"1,":[41],"2026":[42],"studies":[44,85],"evaluating":[45],"construct":[47,246],"or":[49,224],"fractures.":[58],"Narrative":[59],"synthesis":[60],"reported":[61],"crude":[62],"event":[63],"fractions":[64,102],"study-specific":[66],"odds":[67],"ratios":[68],"without":[69],"pooling.":[70],"Risk":[71],"bias":[73],"evidence":[75],"certainty":[76,204],"were":[77,86,103,177,197],"assessed":[78],"using":[79],"ROBINS-I":[80],"GRADE":[82],"(PROSPERO":[83],"CRD420261420216).ResultsSix":[84],"included:":[87],"five":[88],"retrospective":[89],"clinical":[90],"cohorts":[91,192],"(659":[92],"patients)":[93],"one":[95,223],"nationwide":[96],"registry":[97,122,168],"(1,486":[98],"patients).":[99],"Crude":[100],"5.8%":[104],"(38/659)":[105],"overall":[106],"8.1%":[108],"(33/405)":[109],"in":[110,126,131,182,188,211],"a":[111,238],"morphology-focused":[112],"descriptive":[113],"subset,":[114],"excluding":[115],"separable":[116],"stiff-spine":[117],"cases.":[118],"The":[119],"separately":[120],"analyzed":[121],"recorded":[123],"implant":[124,129,169],"0.9%":[127],"(14/1,486),":[128],"malposition":[130],"1.0%":[132],"(15/1,486).":[133],"Candidate":[134],"included":[137],"posterior":[138,144],"tension-band":[139],"injury":[140],"(bilateral":[141],"facet":[142,150],"dislocation,":[143],"longitudinal":[145],"ligament":[146],"[PLL]":[147],"injury,":[148],"fracture),":[151],"compression":[152],"endplate":[153,172],"fracture,":[154],"older":[155,175],"age,":[156],"C7-T1":[158],"involvement;":[159],"AO":[160],"Spine":[161],"Type":[162],"C":[163],"morphology":[164],"was":[165,205,220],"associated":[166,179],"with":[167,180,193],"failure.":[170],"Compression":[171],"fracture":[173],"age":[176],"each":[178],"two":[183,225],"cohorts;":[184],"remaining":[186],"one.":[189],"In":[190],"three":[191],"specific":[194],"timing,":[195],"failures":[196],"identified":[198],"within":[199],"seven":[200],"postoperative":[201],"weeks.":[202],"Evidence":[203],"very":[206],"low.ConclusionsMechanical":[207],"appears":[209],"uncommon":[210],"selected":[212],"anterior":[213],"plate-based":[214],"cohorts.":[215],"Each":[216],"signal":[219],"supported":[221],"by":[222],"studies;":[226],"effects":[227],"may":[228],"depend":[229],"on":[230],"patient":[231],"selection":[232],"surgical":[234],"technique.":[235],"We":[236],"propose":[237],"hypothesis-generating":[239],"construct-survival":[240],"framework":[241],"balancing":[242],"demand":[244],"against":[245],"capacity":[247],"until":[248],"fusion":[249],"requiring":[251],"prospective":[252],"validation.":[253]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-30T00:00:00"}