Cheng XJ, Jin L, Wang X, et al. - A retrospective multivariable analysis was conducted for risk factors of poor outcome in patients who had undergone anterior hybrid approach and discussed the causes of worsening of postoperative local alignment. Researchers included a sum of 86 patients with progressive spinal cord compression and local kyphosis had undergone an anterior hybrid approach, between June 2011 and June 2017. They assessed clinical outcome by the Japanese Orthopaedic Association score and recovery rate. Individuals were classified into two groups according to the worsening and improving postoperative local alignment. The risk factors were assessed by using multivariate logistic regression analysis. After the hybrid approach, the change of local kyphosis was a prognosticator of clinical outcome. Moreover, postoperative adjacent segment degeneration, implant subsidence, T1 slope, and C2–7 Cobb were correlated with recurrence of postoperative cervical kyphosis.