Which salvage fixation technique is best for the failed initial screw fixation at the cervicothoracic junction? A biomechanical comparison study

Purpose The pedicle screw construct is the most widely used technique for instrumentation at cervicothoracic junction (CTJ) because of its high biomechanical stability. However, we may need salvage fixation options for it as there might be a situation when pedicle screw is not available or it initially fails in order to obviate the need to instrument an additional motion segment. We aimed to evaluate the ability of using salvage screw fixations at CTJ (C7, T1, T2), when the initial fixation method fails.