Table of Contents

August 01, 2026; Volume 20, Issue 4

• Editorial

  • • In Memoriam—Gunnar B.J. Andersson, MD, PhD

      Hansen A. Yuan, Stephen Hochschuler, Frank Phillips, Steven R. Garfin, Howard S. An, Morgan P. Lorio, James S. Harrop and Jon E. Block

      • International Journal of Spine Surgery August 2026, 20 (4) 578-581;
      • DOI: https://doi.org/10.14444/8955

• Cervical Spine

  • • Transoral Approach With Reverse Pedicle Screw Technique for the Treatment of Chronic Levine-Edwards Type III Hangman’s Fracture: A Case Report, Surgical Technique, and Literature Review

      Qingfeng Shen, Hua Wei, Xiaoming Tian, Wenbin Xue, Junwei Gao, Shibo Ma, Haifeng Song, Xinyi Xia and Yingpeng Xia

      • International Journal of Spine Surgery August 2026, 20 (4) 582-590;
      • DOI: https://doi.org/10.14444/8867

• Biomechanics

  • • Dental Composite Offers Comparable or Greater Pullout and Shear Strength to Lateral Mass Screw Fixation in a Human Cadaveric Model

      Harsh Wadhwa, Javier Castro, Olivia Okoli, Calvin Chan, Somayeh H. Ahmad, Anna Karnowska, Serena S. Hu, Jayme C.B. Koltsov, Karl C. Bruckman and James M. Mok

      • International Journal of Spine Surgery August 2026, 20 (4) 591-597;
      • DOI: https://doi.org/10.14444/8871

• Cervical Spine

  • • Laminectomy Width and Postoperative C5 Palsy After Posterior Cervical Decompression Fusion for Cervical Spondylosis: A Comparative Cohort Study

      Jeffrey P. Turnbull, Ammar Alsalahi, Daniel W. Griepp, James Dragonette, Andrew Beggs, Bryce Sarcar, Doris Tong, Teck-Mun Soo, Clifford M. Houseman, Prashant S. Kelkar, Peter Bono, Heather Heitkotter, Daniel A. Carr and Boyd F. Richards

      • International Journal of Spine Surgery August 2026, 20 (4) 598-606;
      • DOI: https://doi.org/10.14444/8879

• Case Report

  • • Unilateral Accessory Articular Facet at C1 to C2

      Francisco de Assis Ulisses Sampaio Júnior, Oscar L. Alves, Francisco Ricardo Borges Ribeiro, Bartolomeu Souto Queiroz Quidute, Ricardo José Rodriguez Ferreira, Hetevaldo Tavares de Lira Filho, Kaio Rodrigo Barreto Ramiro, Isaque Hyung Tong Kim, Mateus de Sousa Rodrigues, Lucas de Souza Rodrigues dos Santos, Alexandre Israel Kochi Silva and Laylla Maria Quidute Sampaio

      • International Journal of Spine Surgery August 2026, 20 (4) 607-612;
      • DOI: https://doi.org/10.14444/8886

• Cervical Spine

  • • Cervical Sagittal Alignment and Patient-Reported Outcomes in Posterior Cervical Fusion: A Longitudinal Comparative Cohort Study

      Daniel W. Griepp, Michael H. Lawless, Ascher B. Kaufmann, Gustavo M. Anton, Jeffrey P. Turnbull, Joshua Caskey, Austin Smith, Noah Elagamy, Anna T.K. Griepp, Chad F. Claus, Prashant S. Kelkar, Boyd F. Richards, Clifford M. Houseman, Doris Tong, Jake M. Jasinski and Daniel A. Carr

      • International Journal of Spine Surgery August 2026, 20 (4) 613-620;
      • DOI: https://doi.org/10.14444/8892
    • Spinous Process Osteotomy for Exposure of the Posterior Cervical Spine: An Innovative Technique to Preserve Midline Structures

      Harshad V. Dabke, Oliver Townsend and Tanvi Dabke

      • International Journal of Spine Surgery August 2026, 20 (4) 621-627;
      • DOI: https://doi.org/10.14444/8897

• Perspectives

  • • Reclaiming Anatomic Intuition: Integrating Freehand Precision in the Era of Navigation

      Roman Rahmani, Jeremy Smith and Jeffrey Deckey

      • International Journal of Spine Surgery August 2026, 20 (4) 628-629;
      • DOI: https://doi.org/10.14444/8896

• Cervical Spine

  • • Systematic Review of Bioactive Glass Cages in Anterior Cervical Discectomy and Fusion

      Grace Kim, Tony Eskandar, Rowen Lin, Justin Chung, Evan Dunn, Kevin Mo, William Fang, Shanthan Challa and Daniel Lee

      • International Journal of Spine Surgery August 2026, 20 (4) 630-638;
      • DOI: https://doi.org/10.14444/8885
    • Sagittal Progression of Ossification After Posterior Cervical Surgery for Ossification of the Posterior Longitudinal Ligament

      Takumi Nishimura, Masashi Uehara, Shota Ikegami, Hiroki Oba, Daisuke Kurogochi, Takuma Fukuzawa, Tetsuhiko Mimura, Shinji Sasao and Jun Takahashi

      • International Journal of Spine Surgery August 2026, 20 (4) 639-643;
      • DOI: https://doi.org/10.14444/8899
    • Progression of Cervical Ossification of the Posterior Longitudinal Ligament: A Systematic Review and Meta-Analysis of Risk Factors, Surgical Approaches, and Reoperation Rates

      Sadegh Bagherzadeh, Mohsen Rostami, Faramarz Roohollahi, Morteza Faghih Jouibari, Gersham Rainone, Phillip M. Johansen, Srujan Kopparapu, Patric Kim, Erik Hayman and Puya Alikhani

      • International Journal of Spine Surgery August 2026, 20 (4) 644-655;
      • DOI: https://doi.org/10.14444/8939

• Endoscopic Minimally Invasive Surgery

  • • Procedure-Specific Postoperative Drainage Strategy in Transforaminal Full-Endoscopic Spine Surgery: A Quantitative Evaluation of Drain Output and Endoscopic Bleeding Findings

      Yuji Nagao, Takayuki Kitahara, Naoto Ono, Takafumi Ohshima, Saori Soeda, Daiki Nakajima, Makoto Takeuchi, Hiroshi Kageyama, Junzo Fujitani, Masatoshi Morimoto, Hiroaki Manabe, Fumitake Tezuka and Koichi Sairyo

      • International Journal of Spine Surgery August 2026, 20 (4) 656-663;
      • DOI: https://doi.org/10.14444/8950

• Tumor

  • • Outcomes and Complications Associated With 191 Carbon Fiber Pedicle Screws in Spinal Oncology Patients

      Marcus Selles, Jonathan P. Japa, Chukwuka Obiofuma, Lancelot Benn, Oliver Tannous, Kevin Yoon, Mark Ehioghae and Addisu Mesfin

      • International Journal of Spine Surgery August 2026, 20 (4) 664-670;
      • DOI: https://doi.org/10.14444/8905

• Case Report

  • • Twenty-Five-Year Failure of Spinal Allograft Incorporation in Chronic Spinal Hydatid Disease: A Case Report

      Mazlum Veysel Sili, Mert Morkan, Ömer Ayter, Alperen Yiğit, Orhan Mete Karademir, Vugar Nabi and Mehmet Ayvaz

      • International Journal of Spine Surgery August 2026, 20 (4) 671-676;
      • DOI: https://doi.org/10.14444/8910
    • Dorsal Spinal Cord Herniation Following Thoracic Laminectomy for Medulloblastoma Metastasis: A Case Report and Literature Review

      Abdulrahman Marzouq Almutairi, Abdulrahman Abdullah Alshamrani, Yahya Mubasher Mir, Khalid Alorabi and Mubasher Ahmed Mir

      • International Journal of Spine Surgery August 2026, 20 (4) 677-682;
      • DOI: https://doi.org/10.14444/8909

• Cervical Spine

  • • C2 vs C3 as the Upper Instrumented Vertebra in Posterior Cervical Fusion: Effects on Junctional Mechanics and Midterm Outcomes

      Mahmoud Shehniamirkhan, Abolfazl Paeenmahali, Sadegh Bagherzadeh, Faramarz Roohollahi, Negin Safari Dehnavi, Milad Shafizadeh, Morteza Faghih Jouibari, Casey Ryan, Patrick Kim, Erik Hayman, Mohsen Rostami and Puya Alikhani

      • International Journal of Spine Surgery August 2026, 20 (4) 683-690;
      • DOI: https://doi.org/10.14444/8938

• Novel Techniques & Technology

  • • Development and Testing of a Novel Stabilizer Clamp to Reduce Motion During Instrumented Cervical Fusions: The Caption System

      Christopher T. Martin, Vincent Rossi, Martin Pham, Deb Bhowmick, Rex Armstrong, Mark Grizzard, Amber Pulido, Daniel Woods, Jeremy Rawlinson and Domagoj Coric

      • International Journal of Spine Surgery August 2026, 20 (4) 691-695;
      • DOI: https://doi.org/10.14444/8923

• Cervical Spine

  • • Rheumatoid Arthritis Independently Increases In-Hospital Morbidity and Discharge Complexity After Cervical Spine Surgery: A Propensity Score–Weighted Analysis

      Michail Pavlenko, Dvir Laufman Gan-Or, Binyamin Finkel, Shaked Ankol, Hadar Gan-Or and Eyal Behrbalk

      • International Journal of Spine Surgery August 2026, 20 (4) 696-706;
      • DOI: https://doi.org/10.14444/8935

• Case Report

  • • Nonrestrictive Fixation Strategy for Upper Cervical Spine Fractures Associated With Diffuse Idiopathic Skeletal Hyperostosis: A Case Report

      Zhao Li, Yuxi Chen, Yingku Da, Xing Hu, Chuanqi He and Wei Zhao

      • International Journal of Spine Surgery August 2026, 20 (4) 707-713;
      • DOI: https://doi.org/10.14444/8951

• Complications

  • • Increased Age at Time of Spinal Fusion Does Not Increase Risk of Adverse Outcomes: A Propensity Score–Matched Multicenter Retrospective Cohort Study

      Gregory I. Sacks, Ryan Lebens, Yoli Meydan, Emily H. Stack and Harry M. Mushlin

      • International Journal of Spine Surgery August 2026, 20 (4) 714-721;
      • DOI: https://doi.org/10.14444/8933

• Case Report

  • • Not So Innocent Procedure: A Spinal Epidural Abscess Following Acupuncture—A Case Report and Literature Review of the Past 28 Years

      David Shaked Zari, Ory Keynan, Dror Ronel, Itay Ron and Shachar Vider

      • International Journal of Spine Surgery August 2026, 20 (4) 722-727;
      • DOI: https://doi.org/10.14444/8940

• Biologics

  • • Intradiscal Cutibacterium acnes Prevalence Immediately Prior to Fusion or Total Disc Replacement Device Implantation: A Prospective Registry Study of Cervical and Lumbar Discs

      Vance Gardner, Jon White, Gerald Alexander, Jeffrey Deckey, Casey Slattery, Romina Nablee, Carlos A. Prietto, Sherry Etoch, Laura Tucker, Roman Rahmani, Brian Montes, Edward Quilligan, Ryan Helber, Kalyn Smith, Alisha Chen, Ashley Ung, Kenna Stone and Jeremy Smith

      • International Journal of Spine Surgery August 2026, 20 (4) 728-736;
      • DOI: https://doi.org/10.14444/8948

• Letter to the Editor

  • • Letter to the Editor Regarding “Epidural Transforaminal Infraneural Infiltration Using Corticosteroids in Lumbar Radiculopathy” by Sampaio Júnior et al

      Jessica Fernandez, Flávia Cordeiro Medeiros, Thayna Caetano Alves Silva, Felipe Maia Domingues and Felipe J.J. Reis

      • International Journal of Spine Surgery August 2026, 20 (4) 737-738;
      • DOI: https://doi.org/10.14444/8926
    • Response to Letter Regarding “Epidural Transforaminal Infraneural Infiltration Using Corticosteroids in Lumbar Radiculopathy”

      Francisco de Assis Ulisses Sampaio Júnior, Francisco Ricardo Borges Ribeiro, Hetevaldo Tavares de Lira Filho, Oscar Luís Alves, Bartolomeu Souto Queiroz Quidute, Kaio Rodrigo Barreto Ramiro, Lucas de Souza Rodrigues dos Santos and Mateus de Sousa Rodrigues

      • International Journal of Spine Surgery August 2026, 20 (4) 739-741;
      • DOI: https://doi.org/10.14444/8941

• Corrections

  • • Corrections

      KU Lewandrowski, MP Lorio and I Elman

      • International Journal of Spine Surgery August 2026, 20 (4) 742;
      • DOI: https://doi.org/10.14444/8807.cxx

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In this Issue

International Journal of Spine Surgery

Vol. 20, Issue 4

1 Aug 2026

Table of Contents Index by author

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• Editorial
• Cervical Spine
• Biomechanics
• Cervical Spine
• Case Report
• Cervical Spine
• Perspectives
• Cervical Spine
• Endoscopic Minimally Invasive Surgery
• Tumor
• Case Report
• Cervical Spine
• Novel Techniques & Technology
• Cervical Spine
• Case Report
• Complications
• Case Report
• Biologics
• Letter to the Editor
• Corrections

• Top Topics

• Fortifying the Bone-Implant Interface Part 1: An In Vitro Evaluation of 3D-Printed and TPS Porous Surfaces
• Fortifying the Bone-Implant Interface Part 2: An In Vivo Evaluation of 3D-Printed and TPS-Coated Triangular Implants
• Outpatient Anterior Cervical Discectomy and Fusion: An Analysis of Readmissions from the New Jersey State Ambulatory Services Database