{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:06Z","timestamp":1787755326724,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We present a case of a 79-year-old man with degenerative cervical myelopathy treated with anterior cervical discectomy and fusion (ACDF) using a zero-profile cage. Postoperatively, the patient experienced a rare complication of anchoring blade-related adjacent vertebral fracture leading to construct failure and recurrence of myelopathic symptoms, necessitating revision surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case emphasizes the importance of precision in the surgical technique, specifically in the placement of Caspar pins and anchoring blades. It also underscores the need for a high index of suspicion for potential hardware-related complications in patients presenting with recurring symptoms post-ACDF, contributing to the understanding of such rare complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00417","type":"journal-article","created":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T14:04:05Z","timestamp":1697724245000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Blade-Related Vertebral Fracture After Anterior Cervical Discectomy and Fusion with a Zero-Profile Cage"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2683-0489","authenticated-orcid":false,"given":"Takayoshi","family":"Shimizu","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4749-7830","authenticated-orcid":false,"given":"Bungo","family":"Otsuki","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5599-0185","authenticated-orcid":false,"given":"Takashi","family":"Sono","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuichi","family":"Matsuda","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10]]},"reference":[{"issue":"4","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"529","DOI":"10.3171\/2014.6.SPINE12951","article-title":"Anterior cervical discectomy and fusion with a zero-profile integrated plate and spacer device: a clinical and radiological study: clinical article","volume":"21","author":"Njoku","year":"2014","journal-title":"J Neurosurg Spine."},{"issue":"5","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"E284","DOI":"10.1097\/BSD.0b013e31828873ed","article-title":"Zero-profile anchored spacer reduces rate of dysphagia compared with ACDF with anterior plating","volume":"28","author":"Hofstetter","year":"2015","journal-title":"J Spinal Disord Tech."},{"key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1016\/j.wneu.2017.06.051","article-title":"Multilevel anterior cervical diskectomy and fusion with zero-profile devices: analysis of safety and feasibility, with focus on sagittal alignment and impact on clinical outcome: single-institution experience and review of literature","volume":"106","author":"Albanese","year":"2017","journal-title":"World Neurosurg."},{"issue":"6","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"1881","DOI":"10.1007\/s00586-016-4500-x","article-title":"Comparison of a zero-profile anchored spacer (ROI-C) and the polyetheretherketone (PEEK) cages with an anterior plate in anterior cervical discectomy and fusion for multilevel cervical spondylotic myelopathy","volume":"25","author":"Liu","year":"2016","journal-title":"Eur Spine J."},{"issue":"5","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1007\/s00264-007-0369-y","article-title":"Anterior cervical locking plate-related complications; prevention and treatment recommendations","volume":"32","author":"Ning","year":"2008","journal-title":"Int Orthop."},{"issue":"6","key":"bib6-20240805","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.2106\/00004623-197254060-00001","article-title":"Bone strength. The effect of screw holes","volume":"54","author":"Burstein","year":"1972","journal-title":"J Bone Joint Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00417","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:41:04Z","timestamp":1787751664000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00417"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":6,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.23.00417","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10]]}}}