{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T17:32:30Z","timestamp":1790530350840,"version":"4.1.0"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Rev"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u27a2 The cortical bone trajectory takes advantage of a cortically based track through the pedicle, which may result in improved fixation strength compared with a traditionally placed pedicle screw.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 The cortical track is a medially to laterally, caudally to cranially directed path that allows for less soft-tissue dissection during insertion, making it amenable to minimally invasive techniques and useful in cases of trauma and adjacent segment disease.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Complications with this new technology have been low, and outcome studies have demonstrated excellent fusion rates as well as maintenance of reduction in cases of spondylolisthesis.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u27a2 Early promising results should be tempered with reports of failure during early implementation; a learning curve exists and ultimately, larger, prospective, high-quality studies are necessary before the advantages of cortical screw instrumentation can truly be quantified.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.16.00120","type":"journal-article","created":{"date-parts":[[2017,8,29]],"date-time":"2017-08-29T19:50:43Z","timestamp":1504036243000},"page":"e13-e13","source":"Crossref","is-referenced-by-count":33,"title":["The Cortical Bone Trajectory for Pedicle Screw Insertion"],"prefix":"10.2106","volume":"5","author":[{"given":"I. 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