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Express"],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Cervical implant fixation is a critical surgical intervention for stabilizing the cervical spine, often necessitated by trauma, degenerative diseases, or spinal deformities. While spinal disc disease has historically been treated with fusion-based procedures, there has been a recent surge of interest in motion-preserving disc arthroplasties. The present study provides a topical narrative review of selected and recent literature on cervical implant fixation techniques, including anterior and posterior approaches, implant materials, biomechanical considerations, and reported clinical outcomes. Traditional fusion-based procedures have long been used to treat cervical disc disease, while recent years have seen increasing interest in motion-preserving techniques such as cervical disc arthroplasty. Developments in implant design and fixation strategies have contributed to improved radiographic and functional results compared with earlier systems, although each technique presents specific benefits and limitations. Cervical implant fixation has evolved into a highly sophisticated discipline that includes anterior, posterior, and motion-preserving techniques for treating a wide range of spinal conditions. This review summarises recent advances, common complications, and emerging trends in cervical fixation, and highlights existing research gaps to support future investigation and clinical decision-making.<\/jats:p>","DOI":"10.1088\/2057-1976\/ae4d4c","type":"journal-article","created":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T22:47:48Z","timestamp":1772664468000},"page":"022002","update-policy":"https:\/\/doi.org\/10.1088\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Cervical implant fixation: a topical review of techniques and their importance"],"prefix":"10.1088","volume":"12","author":[{"given":"Subhasish","family":"Halder","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Palash","family":"Biswas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shishir Kumar","family":"Biswas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anindya","family":"Malas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8375-0947","authenticated-orcid":true,"given":"Jayanta Kumar","family":"Biswas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"266","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"bpexae4d4cbib1","doi-asserted-by":"publisher","first-page":"607","DOI":"10.2106\/00004623-195840030-00009","type":"journal-article","article-title":"The treatment of certain cervical-spine disorders by anterior removal of the intervertebral disc and interbody fusion","volume":"40","author":"Smith","year":"1958","journal-title":"JBJS"},{"key":"bpexae4d4cbib2","doi-asserted-by":"publisher","first-page":"519","DOI":"10.2106\/00004623-199904000-00009","type":"journal-article","article-title":"Radiculopathy and myelopathy at segments adjacent to the site of a previous anterior cervical arthrodesis","volume":"81","author":"Hilibrand","year":"1999","journal-title":"JBJS"},{"key":"bpexae4d4cbib3","doi-asserted-by":"publisher","first-page":"198","DOI":"10.3171\/spi.2007.6.3.198","type":"journal-article","article-title":"Clinical and radiographic analysis of cervical disc arthroplasty compared with allograft fusion: a randomized controlled clinical trial","volume":"6","author":"Mummaneni","year":"2007","journal-title":"Journal of Neurosurgery: Spine"},{"key":"bpexae4d4cbib4","doi-asserted-by":"publisher","first-page":"721","DOI":"10.1097\/BRS.0b013e3181df10fc","type":"journal-article","article-title":"Index and adjacent level kinematics after cervical disc replacement and anterior fusion: in vivo quantitative radiographic analysis","volume":"36","author":"Park","year":"2011","journal-title":"Spine"},{"key":"bpexae4d4cbib5","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1016\/S1529-9430(02)00412-6","type":"journal-article","article-title":"The use of bioabsorbable implants in the spine","volume":"3","author":"Vaccaro","year":"2003","journal-title":"The Spine Journal"},{"key":"bpexae4d4cbib6","doi-asserted-by":"publisher","first-page":"195\u2013204","DOI":"10.1515\/9783111386027-008","type":"journal-article","article-title":"Fundamentals of computational modeling of biomechanics in the musculoskeletal system","volume":"22","author":"Biswas","year":"2025","journal-title":"Advanced Biomedical Composites: Materials, Design, Manufacturing"},{"key":"bpexae4d4cbib7","article-title":"Cervical degenerative disc disease","author":"Margetis","year":"2025","type":"book"},{"key":"bpexae4d4cbib8","doi-asserted-by":"publisher","first-page":"347","DOI":"10.22603\/ssrr.2021-0048","type":"journal-article","article-title":"How Should we grade cervical disk degeneration? 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