{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T21:22:24Z","timestamp":1787779344767,"version":"build-2784847793"},"reference-count":19,"publisher":"Elsevier BV","issue":"10","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T00:00:00Z","timestamp":1779840000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thespinejournalonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Spine Journal"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.spinee.2026.05.005","type":"journal-article","created":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T16:00:13Z","timestamp":1780070413000},"page":"2022-2029","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["The \u201cRescue screw\u201d as a freehand revision strategy for implant loosening: a technical note and comparative biomechanical study on human cadavers"],"prefix":"10.1016","volume":"26","author":[{"given":"Mazda","family":"Farshad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3395-3307","authenticated-orcid":false,"given":"Aron","family":"Alakmeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6592-9772","authenticated-orcid":false,"given":"Ramon","family":"Rohner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauro","family":"Suter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Wanivenhaus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Widmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5446-3057","authenticated-orcid":false,"given":"Christoph J.","family":"Laux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.spinee.2026.05.005_bib0001","article-title":"Incidence, risk, and outcome of pedicle screw loosening in degenerative lumbar scoliosis patients undergoing long-segment fusion","author":"Yuan","year":"2021","journal-title":"Glob Spine J"},{"key":"10.1016\/j.spinee.2026.05.005_bib0002","doi-asserted-by":"crossref","first-page":"2639","DOI":"10.1007\/s00586-022-07187-x","article-title":"Computational model predicts risk of spinal screw loosening in patients","volume":"31","author":"Fasser","year":"2022","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2026.05.005_bib0003","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1007\/s00402-016-2487-8","article-title":"Predictive validity of preoperative CT scans and the risk of pedicle screw loosening in spinal surgery","volume":"136","author":"Bredow","year":"2016","journal-title":"Arch Orthop Trauma Surg"},{"key":"10.1016\/j.spinee.2026.05.005_bib0004","first-page":"1","article-title":"Impaction grafting of lumbar pedicle defects: a biomechanical study of a novel technique for pedicle screw revision","author":"Shen","year":"2022","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.spinee.2026.05.005_bib0005","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1177\/2192568221997076","article-title":"Pedicle screw track augmentation with fibular allograft for significant bone loss in revision fixation","volume":"13","author":"Elgafy","year":"2021","journal-title":"Glob Spine J"},{"key":"10.1016\/j.spinee.2026.05.005_bib0006","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/s41598-022-06724-4","article-title":"Improved fixation stability for repairing pedicle screw loosening using a modified cement filling technique in porcine vertebrae","volume":"12","author":"Hsieh","year":"2022","journal-title":"Sci Rep"},{"key":"10.1016\/j.spinee.2026.05.005_bib0007","doi-asserted-by":"crossref","first-page":"759","DOI":"10.3171\/2018.12.SPINE18970","article-title":"Cortical bone trajectory screws used to save failed traditional trajectory screws in the osteoporotic lumbar spine and vice versa: a human cadaveric biomechanical study","volume":"30","author":"Zhang","year":"2019","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.spinee.2026.05.005_bib0008","doi-asserted-by":"crossref","first-page":"166","DOI":"10.3171\/2014.10.SPINE14371","article-title":"Cortical screws used to rescue failed lumbar pedicle screw construct: a biomechanical analysis","volume":"22","author":"Calvert","year":"2015","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.spinee.2026.05.005_bib0009","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.spinee.2021.07.010","article-title":"Dual pitch screw design provides equivalent fixation to upsized screw diameter in revision pedicle screw instrumentation: a cadaveric biomechanical study","volume":"22","author":"Weegens","year":"2022","journal-title":"Spine J"},{"key":"10.1016\/j.spinee.2026.05.005_bib0010","doi-asserted-by":"crossref","first-page":"2292","DOI":"10.1007\/s00586-021-06878-1","article-title":"Biomechanical performance of bicortical versus pericortical bone trajectory (CBT) pedicle screws","volume":"30","author":"Spirig","year":"2021","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2026.05.005_bib0011","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1007\/s00586-020-06593-3","article-title":"Cortical threaded pedicle screw improves fatigue strength in decreased bone quality","volume":"30","author":"Weiser","year":"2021","journal-title":"Eur Spine J"},{"key":"10.1016\/j.spinee.2026.05.005_bib0012","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3171\/2021.2.SPINE202145","article-title":"Freehand screw insertion technique without image guidance for the cortical bone trajectory screw in posterior lumbar interbody fusion: what affects screw misplacement?","volume":"36","author":"Ishii","year":"2022","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.spinee.2026.05.005_bib0013","doi-asserted-by":"crossref","DOI":"10.3389\/fbioe.2022.953119","article-title":"Location of pedicle screw hold in relation to bone quality and loads","volume":"10","author":"Cornaz","year":"2022","journal-title":"Front Bioeng Biotechnol"},{"key":"10.1016\/j.spinee.2026.05.005_bib0014","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3389\/fbioe.2025.1542352","article-title":"Craniocaudal cyclic load improves risk assessment of lumbar pedicle screw loosening: finite element analysis based on computer tomography","volume":"13","author":"Jiang","year":"2025","journal-title":"Front Bioeng Biotechnol"},{"key":"10.1016\/j.spinee.2026.05.005_bib0015","article-title":"Pretapping is not effective in preventing pedicle fractures in lumbar spinal instrumentation: a biomechanical cadaveric study","author":"Bauer","year":"2025","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.spinee.2026.05.005_bib0016","doi-asserted-by":"crossref","first-page":"47","DOI":"10.3171\/SPI-07\/07\/047","article-title":"A biomechanical cadaveric analysis of polymethylmethacrylate-augmented pedicle screw fixation","volume":"7","author":"Frankel","year":"2007","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.spinee.2026.05.005_bib0017","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1016\/j.spinee.2003.11.010","article-title":"Biomechanical study of pedicle screw fixation in severely osteoporotic bone","volume":"4","author":"Cook","year":"2004","journal-title":"Spine J"},{"key":"10.1016\/j.spinee.2026.05.005_bib0018","doi-asserted-by":"crossref","DOI":"10.22603\/ssrr.2023-0249","article-title":"A bicortical pedicle screw In the cephalad trajectory is the best option for the fixation of an osteoporotic vertebra: a finite element study","author":"Murata","year":"2024","journal-title":"Spine Surg Relat Res"},{"key":"10.1016\/j.spinee.2026.05.005_bib0019","doi-asserted-by":"crossref","first-page":"166","DOI":"10.3171\/2014.10.SPINE14371","article-title":"Cortical screws used to rescue failed lumbar pedicle screw construct: a biomechanical analysis","volume":"22","author":"Calvert","year":"2015","journal-title":"J Neurosurg Spine"}],"container-title":["The Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943026001518?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1529943026001518?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T21:03:44Z","timestamp":1787778224000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1529943026001518"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":19,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S1529943026001518"],"URL":"https:\/\/doi.org\/10.1016\/j.spinee.2026.05.005","relation":{},"ISSN":["1529-9430"],"issn-type":[{"value":"1529-9430","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The \u201cRescue screw\u201d as a freehand revision strategy for implant loosening: a technical note and comparative biomechanical study on human cadavers","name":"articletitle","label":"Article Title"},{"value":"The Spine Journal","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.spinee.2026.05.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}