{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T23:33:39Z","timestamp":1768865619539,"version":"3.49.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T00:00:00Z","timestamp":1759795200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T00:00:00Z","timestamp":1759795200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100032192","name":"Globus Medical Inc.","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100032192","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spine Deform"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To biomechanically compare screw strains above and below a vertebral column resection (VCR) during segmental compression (SC) and cantilever bending (CB) performed via traditional methods and a novel, construct-to-construct accessory rod (\u201crail\u201d) technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Eight cadaveric torsos underwent a VCR with 25\n                      <jats:sup>0<\/jats:sup>\n                      kyphosis at T8 with pedicle screws implanted three levels above and below the VCR (T5-7; T9-11). Four screws (T6, T7, T9, T10) were instrumented with strain gauges to capture screw strains during SC and CB. Both deformity corrective maneuvers were performed over a traditional construct (central rod) and over a construct-to-construct accessory (\u201crail\u201d) rod. Real-time screw strains were collected and peak strains were compared between corrective techniques.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Strains in screws closest to the VCR were significantly less during \u201crail\u201d compression compared to traditional SC (T7:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015). Maximum screw strains were significantly lower during \u201crail\u201d SC and CB compared to traditional SC (T6:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.037; T7:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.015) and CB (T6:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.018; T9:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Total screw strain was more evenly distributed over all screws during \u201crail\u201d compression and CB compared to traditional techniques, which concentrated strain at individual screws adjacent to the VCR.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Performing segmental compression and cantilever bending across a lateral accessory construct-to-construct (\u201crail\u201d) rod resulted in significantly lower strain on individual pedicle screws adjacent to a thoracic VCR compared to traditional SC and CB. As such, the \u201crail\u201d may lessen risk of screw pull-out and screw plough during maneuvers to correct spinal deformities across a VCR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s43390-025-01195-9","type":"journal-article","created":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T06:12:00Z","timestamp":1759817520000},"page":"39-47","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Construct\u2013construct \u201crail technique\u201d decreases screw strain during spinal deformity corrective maneuvers across a thoracic vertebral column resection: a cadaveric analysis"],"prefix":"10.1007","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6170-2813","authenticated-orcid":false,"given":"Alekos A.","family":"Theologis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"DePhillips","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Izabella T.","family":"Lachcik","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan M.","family":"Mahoney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon S.","family":"Bucklen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,7]]},"reference":[{"issue":"8","key":"1195_CR1","doi-asserted-by":"publisher","first-page":"2128","DOI":"10.1007\/s00586-017-5071-1","volume":"26","author":"JS Smith","year":"2017","unstructured":"Smith JS, Shaffrey CI, Lafage R et al (2017) Three-column osteotomy for correction of cervical and cervicothoracic deformities: alignment changes and early complications in a multicenter prospective series of 23 patients. 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