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a Early postoperative anteroposterior (AP) X-ray after O–C–T2 fusion. Lateral connector was used to connect right C4 pedicle screw and the rod to avoid excessive bending of the rod. b AP X-ray after total elbow arthroplasty revealing disassembly between the left T2 pedicle screw and rod (arrow). c Lateral X-ray 5 months after the initial implant failure showing bilateral occipital plate breakage (arrow)
