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Nationwide database of COVID-positive patients with acute spinal cord injury should be collected and analyzed to better understand how to manage acute SCI in the COVID-19 era. The authors recommend preoperative discussion in patients with acute cervical SCI with COVID-19, specifically emphasizing the increased risk of respiratory complications and mortality. This was a retrospective cohort study. The objective of this study was to assess the effectiveness and invasiveness of a combined screw insertion technique [using cortical bone traje