{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T18:54:37Z","timestamp":1775588077638,"version":"3.50.1"},"reference-count":45,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T00:00:00Z","timestamp":1699574400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["nassopenaccess.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["North American Spine Society Journal (NASSJ)"],"published-print":{"date-parts":[[2024,3]]},"DOI":"10.1016\/j.xnsj.2023.100292","type":"journal-article","created":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T20:17:29Z","timestamp":1700079449000},"page":"100292","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Early radiographic outcomes after anterior cervical discectomy and fusion with anatomic versus lordotic cages"],"prefix":"10.1016","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7803-8103","authenticated-orcid":false,"given":"Nadeem N.","family":"Al-Adli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siri","family":"Tummala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael C.","family":"Oh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.xnsj.2023.100292_bib0001","doi-asserted-by":"crossref","first-page":"e37","DOI":"10.2106\/JBJS.ST.15.00056","article-title":"Anterior cervical discectomy and fusion","volume":"6","author":"Rhee","year":"2016","journal-title":"JBJS Essent Surg Tech"},{"key":"10.1016\/j.xnsj.2023.100292_bib0002","doi-asserted-by":"crossref","first-page":"181","DOI":"10.14245\/kjs.2012.9.3.181","article-title":"Comparative study between a curved and a wedge PEEK cage for single-level anterior cervical discectomy and interbody fusion","volume":"9","author":"Kim","year":"2012","journal-title":"Korean J Spine"},{"key":"10.1016\/j.xnsj.2023.100292_bib0003","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1093\/neuros\/nyaa582","article-title":"Alignment, classification, clinical evaluation, and surgical treatment for adult cervical deformity: a complete guide","volume":"88","author":"Scheer","year":"2021","journal-title":"Neurosurgery"},{"key":"10.1016\/j.xnsj.2023.100292_bib0004","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1186\/s13018-018-0854-6","article-title":"Cervical lordosis in asymptomatic individuals: a meta-analysis","volume":"13","author":"Guo","year":"2018","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.xnsj.2023.100292_bib0005","doi-asserted-by":"crossref","first-page":"S149","DOI":"10.1097\/BRS.0b013e3182a7f449","article-title":"Cervical radiographical alignment: comprehensive assessment techniques and potential importance in cervical myelopathy","volume":"38","author":"Ames","year":"2013","journal-title":"Spine"},{"key":"10.1016\/j.xnsj.2023.100292_bib0006","doi-asserted-by":"crossref","first-page":"31","DOI":"10.3171\/2018.5.SPINE171232","article-title":"Cervical mismatch: the normative value of T1 slope minus cervical lordosis and its ability to predict ideal cervical lordosis","volume":"30","author":"Staub","year":"2018","journal-title":"J Neurosurg Spine"},{"key":"10.1016\/j.xnsj.2023.100292_bib0007","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1016\/j.spinee.2013.07.474","article-title":"Revision rates and complication incidence in single- and multilevel anterior cervical discectomy and fusion procedures: an administrative database study","volume":"14","author":"Veeravagu","year":"2014","journal-title":"Spine J"},{"key":"10.1016\/j.xnsj.2023.100292_bib0008","doi-asserted-by":"crossref","first-page":"2745","DOI":"10.1007\/s00586-018-5677-y","article-title":"Multi- versus single-level anterior cervical discectomy and fusion: comparing sagittal alignment, early adjacent segment degeneration, and clinical outcomes","volume":"27","author":"Basques","year":"2018","journal-title":"Eur Spine J"},{"key":"10.1016\/j.xnsj.2023.100292_bib0009","doi-asserted-by":"crossref","first-page":"E153","DOI":"10.1097\/BRS.0000000000003746","article-title":"Comparison of clinical outcomes and sagittal alignment after different levels of anterior cervical discectomy and fusion in patients with cervical spondylotic myelopathy: from one-level to three-level","volume":"46","author":"Guo","year":"2021","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.xnsj.2023.100292_bib0010","doi-asserted-by":"crossref","first-page":"E396","DOI":"10.1097\/BRS.0000000000001264","article-title":"Relationship Between T1 Slope and Cervical Alignment Following Multilevel Posterior Cervical Fusion Surgery","volume":"41","author":"Hyun","year":"2016","journal-title":"SPINE"},{"key":"10.1016\/j.xnsj.2023.100292_bib0011","doi-asserted-by":"crossref","first-page":"e548","DOI":"10.1016\/j.wneu.2018.02.088","article-title":"Relationship between cervical sagittal alignment and patient outcomes after anterior cervical fusion surgery involving 3 or more levels","volume":"113","author":"Jeon","year":"2018","journal-title":"World Neurosurgery"},{"key":"10.1016\/j.xnsj.2023.100292_bib0012","doi-asserted-by":"crossref","first-page":"589","DOI":"10.14245\/ns.1938166.083","article-title":"Comparison of adjacent segment degeneration, cervical alignment, and clinical outcomes after one- and multilevel anterior cervical discectomy and fusion","volume":"16","author":"Shin","year":"2019","journal-title":"Neurospine"},{"key":"10.1016\/j.xnsj.2023.100292_bib0013","doi-asserted-by":"crossref","first-page":"1309","DOI":"10.1227\/NEU.0b013e31820b51f3","article-title":"Prospective, randomized, double-blind clinical study evaluating the correlation of clinical outcomes and cervical sagittal alignment","volume":"68","author":"Villavicencio","year":"2011","journal-title":"Neurosurgery"},{"key":"10.1016\/j.xnsj.2023.100292_bib0014","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.1007\/s00586-006-0284-8","article-title":"Factors affecting sagittal malalignment due to cage subsidence in standalone cage assisted anterior cervical fusion","volume":"16","author":"Barsa","year":"2007","journal-title":"Eur Spine J"},{"key":"10.1016\/j.xnsj.2023.100292_bib0015","doi-asserted-by":"crossref","first-page":"142","DOI":"10.12659\/MSM.911888","article-title":"Effect of dome-shaped titanium mesh cages on cervical endplate under cyclic loading: an in vitro biomechanics study","volume":"25","author":"Wang","year":"2019","journal-title":"Med Sci Monit"},{"key":"10.1016\/j.xnsj.2023.100292_bib0016","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1111\/os.12261","article-title":"Can an endplate-conformed cervical cage provide a better biomechanical environment than a typical non-conformed cage?: A finite element model and cadaver study","volume":"8","author":"Zhang","year":"2016","journal-title":"Orthop Surg"},{"key":"10.1016\/j.xnsj.2023.100292_bib0017","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1093\/neuros\/nyx249","article-title":"Cervical spine deformity-part 1: biomechanics, radiographic parameters, and classification","volume":"81","author":"Tan","year":"2017","journal-title":"Neurosurgery"},{"key":"10.1016\/j.xnsj.2023.100292_bib0018","doi-asserted-by":"crossref","first-page":"106","DOI":"10.21037\/jss.2020.01.10","article-title":"A review of cervical spine alignment in the normal and degenerative spine","volume":"6","author":"Patel","year":"2020","journal-title":"J Spine Surg"},{"key":"10.1016\/j.xnsj.2023.100292_bib0019","doi-asserted-by":"crossref","first-page":"2427","DOI":"10.1007\/s00586-021-06756-w","article-title":"Normative values of cervical sagittal alignment according to global spine balance: based on 126 asymptomatic Chinese young adults","volume":"30","author":"Tang","year":"2021","journal-title":"Eur Spine J"},{"key":"10.1016\/j.xnsj.2023.100292_bib0020","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1590\/s1808-185120171601157467","article-title":"Radiographic alignment of cervical spine on a sample of asymptomatic subjects","volume":"16","author":"Nasreddine","year":"2017","journal-title":"Coluna\/Columna"},{"key":"10.1016\/j.xnsj.2023.100292_bib0021","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1186\/s12891-015-0546-x","article-title":"The design evolution of interbody cages in anterior cervical discectomy and fusion: a systematic review","volume":"16","author":"Chong","year":"2015","journal-title":"BMC Musculoskelet Disord"},{"key":"10.1016\/j.xnsj.2023.100292_bib0022","doi-asserted-by":"crossref","DOI":"10.1016\/j.medntd.2021.100070","article-title":"A critical review on the biomechanical study of cervical interbody fusion cage","volume":"11","author":"Huang","year":"2021","journal-title":"Med Novel Technol Devices"},{"key":"10.1016\/j.xnsj.2023.100292_bib0023","doi-asserted-by":"crossref","first-page":"e12923","DOI":"10.1016\/j.heliyon.2023.e12923","article-title":"Biomechanical analysis of customized cage conforming to the endplate morphology in anterior cervical discectomy fusion: A finite element analysis","volume":"9","author":"Sun","year":"2023","journal-title":"Heliyon"},{"key":"10.1016\/j.xnsj.2023.100292_bib0024","doi-asserted-by":"crossref","first-page":"2070","DOI":"10.1097\/BRS.0000000000000641","article-title":"Postoperative cervical sagittal imbalance negatively affects outcomes following surgery for cervical spondylotic myelopathy","volume":"39","author":"Roguski","year":"2014","journal-title":"Spine"},{"key":"10.1016\/j.xnsj.2023.100292_bib0025","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1093\/ons\/opy055","article-title":"Assessment of T1 slope minus cervical lordosis and C2-7 sagittal vertical axis criteria of a cervical spine deformity classification system using long-term follow-up data after multilevel posterior cervical fusion surgery","volume":"16","author":"Hyun","year":"2019","journal-title":"Oper Neurosurg (Hagerstown)"},{"key":"10.1016\/j.xnsj.2023.100292_bib0026","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1227\/NEU.0b013e31826100c9","article-title":"The impact of standing regional cervical sagittal alignment on outcomes in posterior cervical fusion surgery","volume":"71","author":"Tang","year":"2012","journal-title":"Neurosurgery"},{"key":"10.1016\/j.xnsj.2023.100292_bib0027","doi-asserted-by":"crossref","first-page":"E466","DOI":"10.1097\/BSD.0000000000001291","article-title":"Patients with preoperative cervical deformity experience similar clinical outcomes to those without deformity following 1\u20133 level anterior cervical decompression and fusion","volume":"35","author":"Karamian","year":"2022","journal-title":"Clin Spine Surg"},{"key":"10.1016\/j.xnsj.2023.100292_bib0028","doi-asserted-by":"crossref","first-page":"e26126","DOI":"10.1097\/MD.0000000000026126","article-title":"Cervical spine alignment and clinical outcomes after multilevel anterior cervical decompression and fusion with or without plate","volume":"100","author":"Liang","year":"2021","journal-title":"Medicine"},{"key":"10.1016\/j.xnsj.2023.100292_bib0029","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s00701-019-04139-1","article-title":"Radiographic measurements of cervical alignment, fusion and subsidence after ACDF surgery and their impact on clinical outcome","volume":"162","author":"Obermueller","year":"2020","journal-title":"Acta Neurochirurgica"},{"key":"10.1016\/j.xnsj.2023.100292_bib0030","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00006123-199807000-00028","article-title":"Cervical spondylotic myelopathy: surgical results and factors affecting prognosis","volume":"43","author":"Naderi","year":"1998","journal-title":"Neurosurgery"},{"key":"10.1016\/j.xnsj.2023.100292_bib0031","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.jmpt.2005.02.015","article-title":"Determining the relationship between cervical lordosis and neck complaints","volume":"28","author":"McAviney","year":"2005","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.xnsj.2023.100292_bib0032","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1186\/s13018-020-01836-x","article-title":"Cervical sagittal parameters were closely related to Neck Disability Index score after anterior cervical decompression and fusion","volume":"15","author":"Xu","year":"2020","journal-title":"J Orthop Surg Res"},{"key":"10.1016\/j.xnsj.2023.100292_bib0033","doi-asserted-by":"crossref","first-page":"e1195","DOI":"10.1016\/j.wneu.2018.11.016","article-title":"Relationship between T1 slope minus C2-7 lordosis and cervical alignment parameters after adjacent 2-level anterior cervical diskectomy and fusion of lower cervical spine","volume":"122","author":"Lan","year":"2019","journal-title":"World Neurosurg"},{"key":"10.1016\/j.xnsj.2023.100292_bib0034","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.2147\/JPR.S160472","article-title":"Cervical sagittal alignment as a predictor of adjacent-level ossification development","volume":"11","author":"Liu","year":"2018","journal-title":"J Pain Res"},{"key":"10.1016\/j.xnsj.2023.100292_bib0035","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1177\/2192568221991515","article-title":"Anterior plate-screws and lower postoperative T1 slope affect cervical allospacer failures in multi-level ACDF surgery: anterior versus posterior fixation","volume":"13","author":"Suk","year":"2023","journal-title":"Global Spine J"},{"key":"10.1016\/j.xnsj.2023.100292_bib0036","first-page":"368","article-title":"Do the newly proposed realignment targets for C2 and T1 slope bridge the gap between radiographic and clinical success in corrective surgery for adult cervical deformity","volume":"37","author":"Passfall","year":"2022","journal-title":"J Neurosurg"},{"key":"10.1016\/j.xnsj.2023.100292_bib0037","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1016\/j.spinee.2013.09.043","article-title":"Sagittal alignment as a predictor of clinical adjacent segment pathology requiring surgery after anterior cervical arthrodesis","volume":"14","author":"Park","year":"2014","journal-title":"Spine J"},{"key":"10.1016\/j.xnsj.2023.100292_bib0038","doi-asserted-by":"crossref","first-page":"E992","DOI":"10.1097\/BRS.0b013e3182972e1b","article-title":"T1 slope as a predictor of kyphotic alignment change after laminoplasty in patients with cervical myelopathy","volume":"38","author":"Kim","year":"2013","journal-title":"Spine"},{"key":"10.1016\/j.xnsj.2023.100292_bib0039","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1016\/j.spinee.2010.08.031","article-title":"The use of the T1 sagittal angle in predicting overall sagittal balance of the spine","volume":"10","author":"Knott","year":"2010","journal-title":"The Spine Journal"},{"key":"10.1016\/j.xnsj.2023.100292_bib0040","doi-asserted-by":"crossref","first-page":"279","DOI":"10.4103\/jcvjs.jcvjs_29_21","article-title":"Cervical deformity patients with baseline hyperlordosis or hyperkyphosis differ in surgical treatment and radiographic outcomes","volume":"12","author":"Alas","year":"2021","journal-title":"J Craniovertebr Junction Spine"},{"key":"10.1016\/j.xnsj.2023.100292_bib0041","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1093\/neuros\/nyy141","article-title":"How cervical reconstruction surgery affects global spinal alignment","volume":"84","author":"Mizutani","year":"2019","journal-title":"Neurosurgery"},{"key":"10.1016\/j.xnsj.2023.100292_bib0042","doi-asserted-by":"crossref","first-page":"497","DOI":"10.14245\/ns.2040476.238","article-title":"Surgical impact on global sagittal alignment and health-related quality of life following cervical kyphosis correction surgery: systematic review","volume":"17","author":"Kim","year":"2020","journal-title":"Neurospine"},{"key":"10.1016\/j.xnsj.2023.100292_bib0043","doi-asserted-by":"crossref","first-page":"913","DOI":"10.3340\/jkns.2021.0011","article-title":"Analyzing the significance of T1 slope minus cervical lordosis in patients with anterior cervical discectomy and fusion surgery","volume":"64","author":"Lee","year":"2021","journal-title":"J Korean Neurosurg Soc"},{"key":"10.1016\/j.xnsj.2023.100292_bib0044","doi-asserted-by":"crossref","first-page":"362","DOI":"10.14444\/5042","article-title":"T1 slope minus cervical lordosis (TS-CL), the cervical answer to PI-LL, defines cervical sagittal deformity in patients undergoing thoracolumbar osteotomy","volume":"12","author":"Protopsaltis","year":"2018","journal-title":"Int J Spine Surg"},{"key":"10.1016\/j.xnsj.2023.100292_bib0045","doi-asserted-by":"crossref","first-page":"163","DOI":"10.4103\/jcvjs.JCVJS_70_20","article-title":"Factors predicting loss of cervical lordosis following cervical laminoplasty: a critical review","volume":"11","author":"Alam","year":"2020","journal-title":"J Craniovertebr Junction Spine"}],"container-title":["North American Spine Society Journal (NASSJ)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S266654842300094X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S266654842300094X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T01:43:39Z","timestamp":1762998219000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S266654842300094X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3]]},"references-count":45,"alternative-id":["S266654842300094X"],"URL":"https:\/\/doi.org\/10.1016\/j.xnsj.2023.100292","relation":{},"ISSN":["2666-5484"],"issn-type":[{"value":"2666-5484","type":"print"}],"subject":[],"published":{"date-parts":[[2024,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Early radiographic outcomes after anterior cervical discectomy and fusion with anatomic versus lordotic cages","name":"articletitle","label":"Article Title"},{"value":"North American Spine Society Journal (NASSJ)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.xnsj.2023.100292","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 The Authors. Published by Elsevier Inc. on behalf of North American Spine Society.","name":"copyright","label":"Copyright"}],"article-number":"100292"}}