Should We Re-Instrument the Originally Fused Level in ACDF Revision for Adjacent Segment Disease?
Given comparable PROMs and reoperation rates, when clinically feasible, surgeons may consider avoiding re-instrumentation of the original ACDF fusion, opting for a more conservative single-level revision to minimize the negative risks/complications associated with increased perioperative blood loss, operative time, and length of stay.
Authors
- Julian G. Lugo-Pico (ORCID: https://orcid.org/0000-0001-5024-1206)
- Scott L. Zuckerman (ORCID: https://orcid.org/0000-0003-2951-2942)
- Omar Zakieh (ORCID: https://orcid.org/0000-0003-1608-3480)
- Alicia M. Hymel (ORCID: https://orcid.org/0000-0002-8012-4147)
- Jacquelyn S. Pennings (ORCID: https://orcid.org/0000-0002-6070-3205)
- Raymond Joseph Gardocki (ORCID: https://orcid.org/0000-0002-4230-4411)
- Mason W. Young
- Byron F. Stephens (ORCID: https://orcid.org/0000-0001-5397-5344)
- Amir Mohamad Abtahi (ORCID: https://orcid.org/0000-0001-6756-7421)
- Claudia Davidson (ORCID: https://orcid.org/0000-0002-7621-4406)
- Mitchell Bowers
- James F. Bathon (ORCID: https://orcid.org/0009-0000-4277-1696)
Institutions
- Vanderbilt University (US)
- Neurological Surgery (US)
- Vanderbilt University Medical Center (US)
Publication Details
- Journal
- Spine
- Published
- 2025-12-11
- DOI
- https://doi.org/10.1097/brs.0000000000005584
- Primary Topic
- Thyroid and Parathyroid Surgery
- Type
- article
- Field-Weighted Citation Impact
- 0.00