Biomechanical Study of Novel Unilateral Fixation Combining Unilateral Pedicle and Contralateral Translaminar Screws in the Subaxial Cervical Spine

•The hybrid UPS+CTLS construct performs as well as BMS in a short-segment fixation.•Unilateral fixation reduced the disruption of the soft tissue, potentially reducing postoperative muscular complications.•The TLS technique is the safest regarding avoiding violation of the VA as it was initially designed.