Comparison of multilevel anterior cervical discectomy and fusion utilizing zero-profile self-locking cages versus the cage-with-plate system: a 5-year-minimum follow-up study
Both SC and PC achieved sustained pain relief, neurological improvement, and solid fusion in three-level ACDF at the 5-year follow-up. SC demonstrated significant advantages in reducing dysphagia and ASD, while PC better maintained cervical alignment and segmental stability. Patient-specific factors should be used to guide implant selection. Further multicenter studies are required to validate these findings.
Authors
- Lini Dong
- Changyu Pan (ORCID: https://orcid.org/0000-0002-4159-9721)
- Yun Liao (ORCID: https://orcid.org/0000-0001-9038-9635)
- Ou Zhang (ORCID: https://orcid.org/0000-0001-6574-130X)
- Lei Kuang (ORCID: https://orcid.org/0000-0003-0370-4954)
- Zhiwei Yang
- Haoyu He (ORCID: https://orcid.org/0009-0005-7174-6285)
Institutions
- Central South University (CN)
- Hunan Normal University (CN)
- The First People's Hospital of Changde (CN)
- Second Xiangya Hospital of Central South University (CN)
Publication Details
- Journal
- Asian Spine Journal
- Published
- 2025-09-22
- DOI
- https://doi.org/10.31616/asj.2025.0107
- Primary Topic
- Cervical and Thoracic Myelopathy
- Type
- article
- Field-Weighted Citation Impact
- 0.00