{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T04:04:35Z","timestamp":1743825875014,"version":"3.40.3"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["No.2023YFC2507700\/2023YFC2507703"],"award-info":[{"award-number":["No.2023YFC2507700\/2023YFC2507703"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Iatrogenic cervical kyphosis (ICK) often requires complex anterior and posterior correction, which is associated with multiple complications. Consequently, there is a need to investigate alternative treatment approaches that streamline the operative process and markedly diminish postoperative complications. This study, therefore, aimed to evaluate the feasibility and efficacy of a single\u2010stage anterior controllable antedisplacement fusion (ACAF) in revision surgeries for ICK.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review was conducted on three ICK cases treated with the ACAF technique in our department from December 2023 to January 2024. The cohort comprised two females and one male. The medical records, symptoms, signs, imaging studies, and 3\u2010month postoperative follow\u2010up data were analyzed to preliminarily evaluate the surgery's feasibility and efficacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean operative time was 222.0\u2009\u00b1\u200967.5\u2009min, with an average blood loss of 83.3\u2009\u00b1\u200928.9\u2009mL and an average hospital stay of 11.7\u2009\u00b1\u20092.9\u2009days. No patient experienced severe complications, such as neurological damage, during surgery. Postoperatively, two patients experienced transient respiratory distress within 2\u20135\u2009days, managed with low\u2010dose methylprednisolone (80\u2009mg daily) and supplemental oxygen via nasal cannula. At the 3\u2010month follow\u2010up, all patients showed significant symptom improvement and increased cervical Japanese Orthopedic Association scores. Radiographic assessments, including X\u2010rays and computed tomography scans, demonstrated marked improvements in cervical curvature without evidence of screw loosening. Magnetic resonance imaging indicated significant dural sac expansion and alleviation of spinal cord compression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The ACAF technique effectively corrects ICK, offering advantages such as reduced intraoperative blood loss, fewer complications, and shorter operative and hospitalization times compared to traditional combined anterior\u2013posterior corrective approaches. It presents an effective alternative for surgeons performing revision corrective surgery for ICK.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.14366","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T03:35:26Z","timestamp":1737516926000},"page":"1265-1274","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Anterior Controllable Antedisplacement Fusion (ACAF) in Revision Surgery for Iatrogenic Cervical Kyphosis: Technical Note and Case Series"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0827-4420","authenticated-orcid":false,"given":"Zhenlei","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Xuanwu Hospital Capital Medical University  Beijing China"},{"name":"Spine Center China International Neuroscience Institute (China\u2010INI)  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3311-830X","authenticated-orcid":false,"given":"Yaobin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Xuanwu Hospital Capital Medical University  Beijing China"},{"name":"Spine Center China International Neuroscience Institute (China\u2010INI)  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8142-403X","authenticated-orcid":false,"given":"Lei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Xuanwu Hospital Capital Medical University  Beijing China"},{"name":"Spine Center China International Neuroscience Institute (China\u2010INI)  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1397-1773","authenticated-orcid":false,"given":"Shanhang","family":"Jia","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Xuanwu Hospital Capital Medical University  Beijing China"},{"name":"Spine Center China International Neuroscience Institute (China\u2010INI)  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6937-0665","authenticated-orcid":false,"given":"He","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Xuanwu Hospital Capital Medical University  Beijing China"},{"name":"Spine Center China International Neuroscience Institute (China\u2010INI)  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6328-7852","authenticated-orcid":false,"given":"Lei","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Xuanwu Hospital Capital Medical University  Beijing China"},{"name":"Spine Center China International Neuroscience Institute (China\u2010INI)  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7860-278X","authenticated-orcid":false,"given":"Fengzeng","family":"Jian","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Xuanwu Hospital Capital Medical University  Beijing China"},{"name":"Spine Center China International Neuroscience Institute (China\u2010INI)  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1971-647X","authenticated-orcid":false,"given":"Kai","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Xuanwu Hospital Capital Medical University  Beijing China"},{"name":"Spine Center China International Neuroscience Institute (China\u2010INI)  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8118-9989","authenticated-orcid":false,"given":"Hao","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Xuanwu Hospital Capital Medical University  Beijing China"},{"name":"Spine Center China International Neuroscience Institute (China\u2010INI)  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/jss-21-54"},{"issue":"1","key":"e_1_2_10_3_1","first-page":"1","article-title":"Ventral Correction of Postsurgical Cervical Kyphosis","volume":"98","author":"Steinmetz M. P.","year":"2003","journal-title":"Journal of Neurosurgery"},{"issue":"6","key":"e_1_2_10_4_1","article-title":"Kyphosis Correction in Patients Undergoing a Four\u2010Level Anterior Cervical Discectomy and Fusion","volume":"12","author":"Ebot J.","year":"2020","journal-title":"Cureus"},{"issue":"2","key":"e_1_2_10_5_1","first-page":"214","article-title":"Single\u2010Stage Anterior\u2010Posterior Decompression and Stabilization for Complex Cervical Spine Disorders","volume":"93","author":"Schultz K. D.","year":"2000","journal-title":"Journal of Neurosurgery"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2006.04.025"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-013-2834-1"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2010.05.034"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-017-5437-4"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2018.02.022"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.02.076"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2018.08.014"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.04.065"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-018-0920-0"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.11.156"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-018-5813-8"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.14245\/ns.2346320.160"},{"issue":"4","key":"e_1_2_10_18_1","first-page":"520","article-title":"Surgical Complications and Incomplete Canal Widening of the Vertebral Body Sliding Osteotomy to Treat Cervical Myelopathy","volume":"39","author":"Lee D. H.","year":"2023","journal-title":"Journal of Neurosurgery"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.06.239"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.10.052"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.04.078"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2020.02.190195"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2022.05.007"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/os.13994"},{"issue":"10","key":"e_1_2_10_25_1","first-page":"726","article-title":"Surgical Skills and Clinical Analysis of Anterior Controllable Antedisplacement and Fusion in the Treatment of Multiple Segmental Cervical Spondylotic Mylopathy","volume":"11","author":"Meng Y.","year":"2018","journal-title":"Chinese Journal of Bone and Joint Surgery"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2018.12.212"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2022.01.009"}],"container-title":["Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/os.14366","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T07:02:08Z","timestamp":1743750128000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/os.14366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,21]]},"references-count":26,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1111\/os.14366"],"URL":"https:\/\/doi.org\/10.1111\/os.14366","archive":["Portico"],"relation":{},"ISSN":["1757-7853","1757-7861"],"issn-type":[{"type":"print","value":"1757-7853"},{"type":"electronic","value":"1757-7861"}],"subject":[],"published":{"date-parts":[[2025,1,21]]},"assertion":[{"value":"2024-09-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}