Durability of Anterior Cervical Discectomy and Fusion: A Survivorship Analysis Based on Revision Surgery Rates
ACDF is a relatively durable procedure (91%) as currently indicated and performed in a large multisurgeon spine center. Early revision surgery (<90 days) for hematoma or infection is rare. Late revision surgery (>90 days) for nonunion is more than twice as common as adjacent segment disease and occurred earlier and more commonly when a greater number of levels were fused. These data can help guide clinicians and researchers in future quality improvement initiatives.
Authors
- Mladen Djurasovic
- Steven D. Glassman (ORCID: https://orcid.org/0000-0002-5488-9357)
- Roger K. Owens
- Charles H. Crawford (ORCID: https://orcid.org/0000-0003-4197-4023)
- Jeffrey Lynn Gum (ORCID: https://orcid.org/0000-0003-0471-9437)
- Leah Y. Carreon (ORCID: https://orcid.org/0000-0002-7685-9036)
- Wendy A. Ware (ORCID: https://orcid.org/0000-0003-2812-151X)
Institutions
- University of Louisville (US)
- Norton Healthcare (US)
- Orion Corporation (United Kingdom) (GB)
Publication Details
- Journal
- Journal of the American Academy of Orthopaedic Surgeons
- Published
- 2025-06-17
- DOI
- https://doi.org/10.5435/jaaos-d-24-01171
- Citations
- 2
- Primary Topic
- Cervical and Thoracic Myelopathy
- Type
- article
- Field-Weighted Citation Impact
- 4.01