{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:49:40Z","timestamp":1747187380476,"version":"3.40.5"},"reference-count":44,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,10,22]],"date-time":"2023-10-22T00:00:00Z","timestamp":1697932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012542","name":"Sichuan Province Science and Technology Support Program","doi-asserted-by":"publisher","award":["2019YFQ0002","2020YFS0084"],"award-info":[{"award-number":["2019YFQ0002","2020YFS0084"]}],"id":[{"id":"10.13039\/100012542","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Cervical alignment is a crucial factor related to the success of anterior cervical surgical procedures. In patients with severe spinal cord compression, a traditional neck pillow (TNP) may not adequately correct cervical position during surgery. Therefore, the aim of this study was to introduce this innovative intraoperative posture\u2010adjustment apparatus (IPAA), and explored its clinical and radiological results in cervical angle correction against TNP in patients who had undergone anterior cervical surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The clinical and radiological data of 86 patients who underwent anterior cervical surgery with a minimum follow\u2010up period of 1\u2009year were retrospectively reviewed. Of these, 58 patients underwent IPAA, whereas 28 underwent TNP. Radiological parameters such as the degree of C2\u2010C7 lordosis (CL), functional spinal unit angle (FSUA), C7 slope (C7S), fusion rate, and adjacent segment disease (ASD) were recorded and compared between the groups. Clinical outcomes including the Japanese Orthopaedic Association (JOA), neck disability index (NDI), visual analogue scale (VAS) for neck and arm were recorded. Complications such as kyphosis, dysphagia, Braden Scale score, revision surgery, hematoma, cerebrospinal fluid leakage, wound infection, and deep venous thrombosis were also recorded. The independent <jats:italic>t<\/jats:italic>\u2010test or Mann\u2013Whitney U test was used to compare continuous data, and categorical variables were assessed using the Pearson's chi\u2010square test or Fisher's exact test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with the pre\u2010operative data, the post\u2010operative CL, FSUA, and C7S were significantly increased in both groups. CL, FSUA, and C7S in the IPAA group (14.44\u2009\u00b1\u20094.94\u00b0, 7.36\u2009\u00b1\u20092.91\u00b0, 16.54\u2009\u00b1\u20094.63\u00b0) were significantly higher than those in the TNP group (7.17\u2009\u00b1\u20098.19\u00b0, 4.99\u2009\u00b1\u20095.36\u00b0, 14.19\u2009\u00b1\u20094.48\u00b0; P\u2009&lt;\u20090.05). Although there were no significant differences between the groups in terms of VAS arm and JOA scores, the post\u2010operative and final follow\u2010up NDI and VAS neck scores in the IPAA group were significantly lower than those in the TNP group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). At the last follow\u2010up, the TNP group had significantly more kyphotic patients than the IPAA group (2 <jats:italic>vs.<\/jats:italic> 0, <jats:italic>p<\/jats:italic> =\u20090,041). There was no significant difference between the groups in terms of fusion rate, ASD, or complications such as dysphagia, Braden's Scale score, revision surgery, hematoma, cerebrospinal fluid leakage, wound infection, or deep venous thrombosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>IPAA was shown to be more effective than TNP in adjusting cervical alignment (CL, FSUA, and C7S). These findings suggest that IPAA could be used as an alternative way to TNP in neck setting and cervical alignment adjustment and IPAA could potentially improve clinical outcomes after anterior cervical surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13917","type":"journal-article","created":{"date-parts":[[2023,10,22]],"date-time":"2023-10-22T22:44:12Z","timestamp":1698014652000},"page":"3162-3173","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Novel Intraoperative Posture\u2010Adjustment Apparatus for Correction of Cervical Lordosis in Anterior Cervical Surgery"],"prefix":"10.1111","volume":"15","author":[{"given":"Yifei","family":"Deng","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, West China Hospital Sichuan University  Chengdu 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