Comparative clinical outcomes of ACDF with self-locking cage, cage combined with plate, and posterior laminoplasty in long-level cervical spondylosis: a two-year follow-up study

All three surgical techniques-self-locking cage ACDF, cage-and-plate ACDF, and LAMP-are effective options for treating long-level cervical spondylosis without severe OPLL. Among them, the self-locking cage technique offers distinct advantages, including smaller incisions, less surgical trauma, a lower risk of postoperative dysphagia, and a high fusion rate even in multilevel procedures.