{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T01:06:28Z","timestamp":1774487188363,"version":"3.50.1"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"S2","license":[{"start":{"date-parts":[[2018,4,16]],"date-time":"2018-04-16T00:00:00Z","timestamp":1523836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Spine J"],"published-print":{"date-parts":[[2018,6]]},"DOI":"10.1007\/s00586-018-5599-8","type":"journal-article","created":{"date-parts":[[2018,4,16]],"date-time":"2018-04-16T12:05:22Z","timestamp":1523880322000},"page":"213-221","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Cortical bone trajectory screws for circumferential arthrodesis in lumbar degenerative spine: clinical and radiological outcomes of 101 cases"],"prefix":"10.1007","volume":"27","author":[{"given":"Nicola","family":"Marengo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Berjano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Cofano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Ajello","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Zenga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulia","family":"Pilloni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4491-1725","authenticated-orcid":false,"given":"Federica","family":"Penner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvatore","family":"Petrone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Vay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro","family":"Ducati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diego","family":"Garbossa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2018,4,16]]},"reference":[{"key":"5599_CR1","doi-asserted-by":"publisher","first-page":"205","DOI":"10.1016\/j.wneu.2015.12.065","volume":"88","author":"LA Snyder","year":"2016","unstructured":"Snyder LA, Martinez-Del-Campo E, Neal MT et al (2016) Lumbar spinal fixation with cortical bone trajectory pedicle screws in 79 patients with degenerative disease: perioperative outcomes and complications. World Neurosurg 88:205\u2013213. \n                    https:\/\/doi.org\/10.1016\/j.wneu.2015.12.065","journal-title":"World Neurosurg"},{"key":"5599_CR2","doi-asserted-by":"publisher","first-page":"S616","DOI":"10.1007\/s00586-014-3558-6","volume":"23","author":"D Garbossa","year":"2014","unstructured":"Garbossa D, Pejrona M, Damilano M et al (2014) Pelvic parameters and global spine balance for spine degenerative disease: the importance of containing for the well being of content. Eur Spine J 23:S616\u2013S627. \n                    https:\/\/doi.org\/10.1007\/s00586-014-3558-6","journal-title":"Eur Spine J"},{"key":"5599_CR3","doi-asserted-by":"publisher","first-page":"335","DOI":"10.23736\/S0390-5616.16.03230-6","volume":"61","author":"OP Gautschi","year":"2017","unstructured":"Gautschi OP, Garbossa D, Tessitore E et al (2017) Maximal access surgery for posterior lumbar interbody fusion with divergent, cortical bone trajectory pedicle screws: a good option to minimize spine access and maximize the field for nerve decompression. J Neurosurg Sci 61:335\u2013341. \n                    https:\/\/doi.org\/10.23736\/S0390-5616.16.03230-6","journal-title":"J Neurosurg Sci"},{"key":"5599_CR4","doi-asserted-by":"publisher","first-page":"366","DOI":"10.1016\/j.spinee.2008.07.008","volume":"9","author":"BG Santoni","year":"2009","unstructured":"Santoni BG, Hynes RA, McGilvray KC et al (2009) Cortical bone trajectory for lumbar pedicle screws. Spine J 9:366\u2013373. \n                    https:\/\/doi.org\/10.1016\/j.spinee.2008.07.008","journal-title":"Spine J"},{"key":"5599_CR5","doi-asserted-by":"publisher","first-page":"1519","DOI":"10.1016\/j.spinee.2015.02.038","volume":"15","author":"GW Lee","year":"2015","unstructured":"Lee GW, Son JH, Ahn MW et al (2015) The comparison of pedicle screw and cortical screw in posterior lumbar interbody fusion: a prospective randomized noninferiority trial. Spine J 15:1519\u20131526. \n                    https:\/\/doi.org\/10.1016\/j.spinee.2015.02.038","journal-title":"Spine J"},{"key":"5599_CR6","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/7424568","author":"N Marengo","year":"2018","unstructured":"Marengo N, Ajello M, Pecoraro MF et al (2018) Cortical bone trajectory screws in posterior lumbar interbody fusion\u202f: minimally invasive surgery for maximal muscle sparing\u2014a prospective comparative study with the traditional open technique. BioMed Res Int. \n                    https:\/\/doi.org\/10.1155\/2018\/7424568","journal-title":"BioMed Res Int"},{"key":"5599_CR7","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1016\/j.clineuro.2016.03.005","volume":"145","author":"CW Hung","year":"2016","unstructured":"Hung CW, Wu MF, Hong RT et al (2016) Comparison of multifidus muscle atrophy after posterior lumbar interbody fusion with conventional and cortical bone trajectory. Clin Neurol Neurosurg 145:41\u201345. \n                    https:\/\/doi.org\/10.1016\/j.clineuro.2016.03.005","journal-title":"Clin Neurol Neurosurg"},{"key":"5599_CR8","doi-asserted-by":"publisher","first-page":"654","DOI":"10.1007\/s00586-015-3802-8","volume":"24","author":"P Berjano","year":"2015","unstructured":"Berjano P, Damilano M, Ismael M et al (2015) Minimally invasive PLIF with divergent, cortical trajectory pedicle screws. Eur Spine J 24:654\u2013655. \n                    https:\/\/doi.org\/10.1007\/s00586-015-3802-8","journal-title":"Eur Spine J"},{"key":"5599_CR9","doi-asserted-by":"publisher","first-page":"E162","DOI":"10.1097\/BSD.0000000000000038","volume":"30","author":"LE Bresnahan","year":"2017","unstructured":"Bresnahan LE, Smith JS, Ogden AT et al (2017) Assessment of paraspinal muscle cross-sectional area after lumbar decompression. Clin Spine Surg 30:E162\u2013E168. \n                    https:\/\/doi.org\/10.1097\/BSD.0000000000000038","journal-title":"Clin Spine Surg"},{"key":"5599_CR10","doi-asserted-by":"publisher","first-page":"755","DOI":"10.5435\/JAAOS-D-15-00597","volume":"24","author":"PJ Tortolani","year":"2016","unstructured":"Tortolani PJ, Stroh DA (2016) Cortical bone trajectory technique for posterior spinal instrumentation. J Am Acad Orthop Surg 24:755\u2013761. \n                    https:\/\/doi.org\/10.5435\/JAAOS-D-15-00597","journal-title":"J Am Acad Orthop Surg"},{"key":"5599_CR11","doi-asserted-by":"publisher","first-page":"E248","DOI":"10.1097\/BSD.0b013e318288ac39","volume":"26","author":"K Matsukawa","year":"2013","unstructured":"Matsukawa K, Yato Y, Nemoto O et al (2013) Morphometric measurement of cortical bone trajectory for lumbar pedicle screw insertion using computed tomography. J Spinal Disord Tech 26:E248\u2013E253. \n                    https:\/\/doi.org\/10.1097\/BSD.0b013e318288ac39","journal-title":"J Spinal Disord Tech"},{"key":"5599_CR12","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1007\/s00701-016-2705-8","volume":"158","author":"K Matsukawa","year":"2016","unstructured":"Matsukawa K, Yato Y, Imabayashi H et al (2016) Biomechanical evaluation of fixation strength among different sizes of pedicle screws using the cortical bone trajectory: what is the ideal screw size for optimal fixation? Acta Neurochir (Wien) 158:465\u2013471. \n                    https:\/\/doi.org\/10.1007\/s00701-016-2705-8","journal-title":"Acta Neurochir (Wien)"},{"key":"5599_CR13","doi-asserted-by":"publisher","first-page":"503","DOI":"10.3171\/2014.10.SPINE14205","volume":"22","author":"S Wray","year":"2015","unstructured":"Wray S, Mimran R, Vadapalli S et al (2015) Pedicle screw placement in the lumbar spine: effect of trajectory and screw design on acute biomechanical purchase. J Neurosurg Spine 22:503\u2013510. \n                    https:\/\/doi.org\/10.3171\/2014.10.SPINE14205","journal-title":"J Neurosurg Spine"},{"key":"5599_CR14","doi-asserted-by":"publisher","first-page":"203","DOI":"10.3171\/2014.3.SPINE13665","volume":"21","author":"K Matsukawa","year":"2014","unstructured":"Matsukawa K, Yato Y, Kato T et al (2014) Cortical bone trajectory for lumbosacral fixation: penetrating S-1 endplate screw technique. J Neurosurg Spine 21:203\u2013209. \n                    https:\/\/doi.org\/10.3171\/2014.3.SPINE13665","journal-title":"J Neurosurg Spine"},{"key":"5599_CR15","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-017-0939-4","author":"F Cofano","year":"2018","unstructured":"Cofano F, Zenga F, Mammi M et al (2018) Intraoperative neurophysiological monitoring during spinal surgery: technical review in open and minimally invasive approaches. Neurosurg Rev. \n                    https:\/\/doi.org\/10.1007\/s10143-017-0939-4","journal-title":"Neurosurg Rev"},{"key":"5599_CR16","doi-asserted-by":"publisher","first-page":"1173","DOI":"10.1007\/s00701-015-2432-6","volume":"157","author":"K Kojima","year":"2015","unstructured":"Kojima K, Asamoto S, Kobayashi Y et al (2015) Cortical bone trajectory and traditional trajectory\u2014a radiological evaluation of screw-bone contact. Acta Neurochir (Wien) 157:1173\u20131178. \n                    https:\/\/doi.org\/10.1007\/s00701-015-2432-6","journal-title":"Acta Neurochir (Wien)"},{"key":"5599_CR17","doi-asserted-by":"publisher","first-page":"471","DOI":"10.3171\/2015.1.SPINE141103","volume":"23","author":"K Matsukawa","year":"2015","unstructured":"Matsukawa K, Yato Y, Imabayashi H et al (2015) Biomechanical evaluation of the fixation strength of lumbar pedicle screws using cortical bone trajectory: a finite element study. J Neurosurg Spine 23:471\u2013478. \n                    https:\/\/doi.org\/10.3171\/2015.1.SPINE141103","journal-title":"J Neurosurg Spine"},{"key":"5599_CR18","doi-asserted-by":"publisher","first-page":"635","DOI":"10.1097\/BRS.0b013e318279a95e","volume":"38","author":"L Perez-Orribo","year":"2013","unstructured":"Perez-Orribo L, Kalb S, Reyes PM et al (2013) Biomechanics of lumbar cortical screw\u2013rod fixation versus pedicle screw\u2013rod fixation with and without interbody support. Spine (Phila Pa 1976) 38:635\u2013641. \n                    https:\/\/doi.org\/10.1097\/brs.0b013e318279a95e","journal-title":"Spine (Phila Pa 1976)"},{"key":"5599_CR19","doi-asserted-by":"publisher","first-page":"E335","DOI":"10.1097\/BRS.0000000000001233","volume":"41","author":"YT Akpolat","year":"2016","unstructured":"Akpolat YT, \u0130nceo\u011flu S, Kinne N et al (2016) Fatigue performance of cortical bone trajectory screw compared with standard trajectory pedicle screw. Spine (Phila Pa 1976) 41:E335\u2013E341. \n                    https:\/\/doi.org\/10.1097\/brs.0000000000001233","journal-title":"Spine (Phila Pa 1976)"},{"key":"5599_CR20","doi-asserted-by":"publisher","first-page":"E1297","DOI":"10.1097\/BRS.0000000000000553","volume":"39","author":"DA Baluch","year":"2014","unstructured":"Baluch DA, Patel AA, Lullo B et al (2014) Effect of physiological loads on cortical and traditional pedicle screw fixation. Spine (Phila Pa 1976) 39:E1297\u2013E1302. \n                    https:\/\/doi.org\/10.1097\/brs.0000000000000553","journal-title":"Spine (Phila Pa 1976)"},{"key":"5599_CR21","doi-asserted-by":"publisher","first-page":"E240","DOI":"10.1097\/BRS.0000000000000116","volume":"39","author":"K Matsukawa","year":"2014","unstructured":"Matsukawa K, Yato Y, Kato T et al (2014) In vivo analysis of insertional torque during pedicle screwing using cortical bone trajectory technique. Spine (Phila Pa 1976) 39:E240\u2013E245. \n                    https:\/\/doi.org\/10.1097\/brs.0000000000000116","journal-title":"Spine (Phila Pa 1976)"},{"key":"5599_CR22","doi-asserted-by":"publisher","first-page":"901","DOI":"10.4184\/asj.2016.10.5.901","volume":"10","author":"K Ninomiya","year":"2016","unstructured":"Ninomiya K, Iwatsuki K, Ohnishi YI et al (2016) Significance of the pars interarticularis in the cortical bone trajectory screw technique: an in vivo insertional torque study. Asian Spine J 10:901\u2013906. \n                    https:\/\/doi.org\/10.4184\/asj.2016.10.5.901","journal-title":"Asian Spine J"},{"key":"5599_CR23","doi-asserted-by":"publisher","first-page":"910","DOI":"10.3171\/2015.11.SPINE15926","volume":"24","author":"K Matsukawa","year":"2016","unstructured":"Matsukawa K, Yato Y, Imabayashi H et al (2016) Biomechanical evaluation of lumbar pedicle screws in spondylolytic vertebrae: comparison of fixation strength between the traditional trajectory and a cortical bone trajectory. J Neurosurg Spine 24:910\u2013915. \n                    https:\/\/doi.org\/10.3171\/2015.11.SPINE15926","journal-title":"J Neurosurg Spine"},{"key":"5599_CR24","doi-asserted-by":"publisher","first-page":"125","DOI":"10.1186\/s13018-015-0270-0","volume":"10","author":"H Oshino","year":"2015","unstructured":"Oshino H, Sakakibara T, Inaba T et al (2015) A biomechanical comparison between cortical bone trajectory fixation and pedicle screw fixation. J Orthop Surg Res 10:125. \n                    https:\/\/doi.org\/10.1186\/s13018-015-0270-0","journal-title":"J Orthop Surg Res"},{"key":"5599_CR25","doi-asserted-by":"publisher","first-page":"E7","DOI":"10.3171\/2017.8.FOCUS17479","volume":"43","author":"KD Than","year":"2017","unstructured":"Than KD, Mummaneni PV, Bridges KJ et al (2017) Complication rates associated with open versus percutaneous pedicle screw instrumentation among patients undergoing minimally invasive interbody fusion for adult spinal deformity. Neurosurg Focus 43:E7. \n                    https:\/\/doi.org\/10.3171\/2017.8.FOCUS17479","journal-title":"Neurosurg Focus"},{"key":"5599_CR26","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1097\/00007632-199905150-00017","volume":"24","author":"R Gejo","year":"1999","unstructured":"Gejo R, Matsui H, Kawaguchi Y et al (1999) Serial changes in trunk muscle performance after posterior lumbar surgery. Spine (Phila Pa 1976) 24:1023\u20131028","journal-title":"Spine (Phila Pa 1976)"},{"key":"5599_CR27","doi-asserted-by":"publisher","unstructured":"Sakaura H, Miwa T, Yamashita T et al (2017) Cortical bone trajectory screw fixation versus traditional pedicle screw fixation for 2-level posterior lumbar interbody fusion: comparison of surgical outcomes for 2-level degenerative lumbar spondylolisthesis. J Neurosurg Spine 1\u20136. \n                    https:\/\/doi.org\/10.3171\/2017.5.spine161154","DOI":"10.3171\/2017.5.spine161154"},{"key":"5599_CR28","doi-asserted-by":"publisher","first-page":"261","DOI":"10.3171\/spi.2004.1.3.0261","volume":"1","author":"DJ Rivet","year":"2004","unstructured":"Rivet DJ, Jeck D, Brennan J et al (2004) Clinical outcomes and complications associated with pedicle screw fixation-augmented lumbar interbody fusion. J Neurosurg Spine 1:261\u2013266. \n                    https:\/\/doi.org\/10.3171\/spi.2004.1.3.0261","journal-title":"J Neurosurg Spine"},{"key":"5599_CR29","doi-asserted-by":"publisher","first-page":"380","DOI":"10.3171\/2013.12.SPINE13789","volume":"20","author":"M Bydon","year":"2014","unstructured":"Bydon M, Xu R, Santiago-Dieppa D et al (2014) Adjacent-segment disease in 511 cases of posterolateral instrumented lumbar arthrodesis: floating fusion versus distal construct including the sacrum. J Neurosurg Spine 20:380\u2013386. \n                    https:\/\/doi.org\/10.3171\/2013.12.SPINE13789","journal-title":"J Neurosurg Spine"},{"key":"5599_CR30","doi-asserted-by":"publisher","first-page":"2","DOI":"10.3978\/j.issn.2414-469X.2015.10.05","volume":"1","author":"RJ Mobbs","year":"2015","unstructured":"Mobbs RJ, Phan K, Malham G et al (2015) Lumbar interbody fusion: techniques, indications and comparison of interbody fusion options including PLIF, TLIF, MI-TLIF, OLIF\/ATP, LLIF and ALIF. J Spine Surg (Hong Kong) 1:2\u201318. \n                    https:\/\/doi.org\/10.3978\/j.issn.2414-469X.2015.10.05","journal-title":"J Spine Surg (Hong Kong)"},{"key":"5599_CR31","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1016\/j.spinee.2016.08.004","volume":"17","author":"DC Noriega","year":"2017","unstructured":"Noriega DC, Hern\u00e1ndez-Ramajo R, Rodr\u00edguez-Monsalve Milano F et al (2017) Risk-benefit analysis of navigation techniques for vertebral transpedicular instrumentation: a prospective study. Spine J 17:70\u201375. \n                    https:\/\/doi.org\/10.1016\/j.spinee.2016.08.004","journal-title":"Spine J"}],"container-title":["European Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00586-018-5599-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-018-5599-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00586-018-5599-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,15]],"date-time":"2019-04-15T19:29:59Z","timestamp":1555356599000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00586-018-5599-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,16]]},"references-count":31,"journal-issue":{"issue":"S2","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["5599"],"URL":"https:\/\/doi.org\/10.1007\/s00586-018-5599-8","relation":{},"ISSN":["0940-6719","1432-0932"],"issn-type":[{"value":"0940-6719","type":"print"},{"value":"1432-0932","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,16]]},"assertion":[{"value":"1 March 2018","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 April 2018","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 April 2018","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"PB Honorarium for surgeon's education: Nuvasive, Medacta, Depuy Synthes. Grants for research: Nuvasive, Medacta, Depuy Synthes, K2M. No conflicts of interest were declared by the other authors.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}