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3%). However, no statistically obvious variation in the included complications or health-related outcomes between the pedicle and pars groups was observed. In the treatment of patients with OPLL involving the C2 segment, the application of C2 pars screws is an alternative choice, which is not only safer but also reduces the amount of blood loss, shortens the operation time and obtains a more ideal screw placement. In the treatment of patients with OPLL involving the C2 segment, the application of C2 pars screws is an alternative choice