Are There Differences in 2-Year Outcomes Between Two-Level Anterior Cervical Diskectomy and Fusion Versus Single-Level Anterior Cervical Corpectomy and Fusion to Treat Cervical Myelopathy? A Quality Outcomes Database Study
This study suggests that both ACDF and ACCF procedures for cervical spondylotic myelopathy are able to achieve similar, clinically meaningful improvements in PROMs by 2 years. Patients undergoing single-level ACCF have more estimated blood loss and longer length of stay, as well as worse baseline myelopathy. Both procedures have efficacious, durable outcomes. It is reasonable that other factors, such as radiographic characteristics and patient symptoms, may influence patient selection for ACDF vs ACCF.
Authors
- Erica F. Bisson (ORCID: https://orcid.org/0000-0002-8583-8544)
- Mark E. Shaffrey
- Paul Park (ORCID: https://orcid.org/0000-0002-0375-396X)
- Mohamad Bydon (ORCID: https://orcid.org/0000-0002-0543-396X)
- Christopher I. Shaffrey (ORCID: https://orcid.org/0000-0001-9760-8386)
- Cheerag D. Upadhyaya
- Oren N. Gottfried
- Andrew K. Chan (ORCID: https://orcid.org/0000-0002-9352-5281)
- Juan S. Uribe (ORCID: https://orcid.org/0000-0002-8910-6578)
- Luis M. Tumialán (ORCID: https://orcid.org/0000-0003-1180-8438)
- Kevin T. Foley (ORCID: https://orcid.org/0000-0002-3111-3943)
- Connor Berlin (ORCID: https://orcid.org/0000-0001-5090-1753)
- Domagoj Coric (ORCID: https://orcid.org/0000-0001-8521-2691)
- Sufyan Ibrahim (ORCID: https://orcid.org/0000-0001-9127-2738)
- Michael S. Virk (ORCID: https://orcid.org/0000-0002-8511-5602)
- Praveen V. Mummaneni
- Dean Chou (ORCID: https://orcid.org/0000-0003-0310-8263)
- John J. Knightly (ORCID: https://orcid.org/0000-0003-0917-9265)
- Eric A. Potts (ORCID: https://orcid.org/0000-0003-4349-2327)
- Jay D. Turner
- Kai-Ming Fu
- Michael Y. Wang (ORCID: https://orcid.org/0000-0002-6997-5995)
- Anthony L. Asher (ORCID: https://orcid.org/0000-0002-3596-3849)
- Scott A. Meyer
- Regis W. Haid
- Chun‐Po Yen
Institutions
- University of North Carolina at Chapel Hill (US)
- Barrow Neurological Institute (US)
- St. Joseph's Hospital and Medical Center (US)
- Mayo Clinic (US)
- University of Miami (US)
- University of California, San Francisco (US)
- Cornell University (US)
- University of Utah (US)
- Carolinas Medical Center (US)
- WinnMed (US)
- Carolina Neurosurgery and Spine Associates (US)
- Semmes Murphey Foundation (US)
- Duke Medical Center (US)
- Indiana Spine Group (US)
- Duke University Hospital (US)
- Neurological Surgery (US)
- Weill Cornell Medicine (US)
- University of Virginia (US)
- Columbia University (US)
Publication Details
- Journal
- Neurosurgery
- Published
- 2025-05-19
- DOI
- https://doi.org/10.1227/neu.0000000000003518
- Primary Topic
- Cervical and Thoracic Myelopathy
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Neurosurgery Research and Education Foundation