Use of awl for screw pilot hole creation increases strength of anterior cervical discectomy and fusion plate constructs in biomimetic model

This study aimed to evaluate the influence of pilot hole creation technique on biomechanical characteristics of ACDF constructs in a high fidelity 3D-printed biomimetic model. The results-favoring creation of pilot holes with an awl-highlight a biomechanical benefit of a previously unexplored surgical technique for the placement of ACDF screws. This may guide surgeons in choosing the optimal surgical technique to improve the strength of an ACDF construct, potentially minimizing complications and improving fusion rates.