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This study evaluates the biomechanical properties of a combination of a cervical total disc replacement (CTDR) with anterior fiber tape augmentation for the treatment of AO type B3 injuries in comparison to ACDF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      14 human cadaveric cervical spine specimens (C5\/6) were biomechanically tested under four different conditions: native, after simulation of an AO type B3 injury, after ACDF and CTDR\u2009+\u2009FiberTape\n                      <jats:sup>\u00ae<\/jats:sup>\n                      . All conditions were tested in the sagittal, frontal, and transversal plane with a load of 2.25Nm and the dislocation recorded. The mean value of range of motion (ROM) was calculated and analysed to identify differences in ROM and the neutral zone.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In flexion\/extension, native testing showed a mean deflection of 11.2\u00b0\u2009\u00b1\u20093.3\u00b0, the AO type B3 injury of 13.7\u00b0\u2009\u00b1\u20092.9\u00b0, the ACDF of 6.7\u00b0\u2009\u00b1\u20093.8\u00b0 and the CTDR\u2009+\u2009tape of 9.3\u00b0\u2009\u00b1\u20092.9\u00b0. Comparing both the injured specimens to the ACDF group (p\u2009&lt;\u20090.001) and the injured to the tape group (p\u2009=\u20090.005) as well as the native to the ACDF group (p\u2009=\u20090.004), the mean values revealed to be significant. Lateral bending revealed a ROM of 6.8\u00b0\u2009\u00b1\u20092.7\u00b0 in the native, 7.7\u00b0\u2009\u00b1\u20092.4\u00b0 in the injured group, 4.7\u00b0\u2009\u00b1\u20092.8\u00b0 after ACDF, and 5.6\u00b0\u2009\u00b1\u20092.4\u00b0 after CTDR\u2009+\u2009tape, whereby the injured group values were significantly higher than those after ACDF (p\u2009=\u20090.018). The rotation showed a mean ROM of 5.6\u00b0\u2009\u00b1\u20092.8\u00b0 in the native and 5.8\u00b0\u2009\u00b1\u20092.6\u00b0 in the injured group, 4.0\u00b0\u2009\u00b1\u20092.1\u00b0 after ACDF and 6.3\u00b0\u2009\u00b1\u20092.8\u00b0 after CTDR\u2009+\u2009tape, without significant differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The combination of a CTDR\u2009+\u2009FiberTape proved to stabilize AO type B3 cervical spine injury adequately in the most compromised sagittal plane while maintaining micro-mobility and approaching physiological segment mobility.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00402-025-05812-0","type":"journal-article","created":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T00:35:01Z","timestamp":1743381301000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Motion preservation for hyperextension injuries of the cervical spine\u2014an alternative to spondylodesis? 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Dr. Cavalcanti Ku\u00dfmaul received grants from F\u00f6FoLe Grant (University of Munich, Germany; Grant nr. 1124).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Approval was obtained in advance by the ethical committee of the LMU Munich (EA 20-1128).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}],"article-number":"216"}}