Relationship Between Preoperative Pfirrmann Grading and Adjacent Segment Degeneration After Anterior Cervical Diskectomy and Fusion
High preoperative Pfirrmann grade at the disk level adjacent to anterior cervical decompression and fusion is predictive of worse adjacent segment degeneration, specifically decreased disk height at 2 years postoperatively. However, revision for ASD was similar at 5 years postoperatively.
Authors
- Emmanuel Dean
- Ryan Cha (ORCID: https://orcid.org/0009-0001-7865-0850)
- Y. E. Lee
- Tyler W. Henry (ORCID: https://orcid.org/0000-0001-9638-5424)
- Maria Kazantsev (ORCID: https://orcid.org/0000-0001-6461-2442)
- Yulia Lee
- Joshua Mathew (ORCID: https://orcid.org/0000-0001-5743-2670)
- Tyler Alexander
- Robert J. Oris (ORCID: https://orcid.org/0000-0001-8743-0860)
- Jonathan Dalton (ORCID: https://orcid.org/0000-0002-7452-2712)
- Advith Sarikonda (ORCID: https://orcid.org/0009-0002-7138-4331)
- DK Thomas
- Mark F. Kurd
- Alan S. Hilibrand
- Christopher K. Kepler
- John J. Mangan
- Rajkishen Narayanan
- Jose A. Canseco
- Jeffrey A. Rihn
- Purab Kothari
- Gregory D. Schroeder
- Mitchell Ng
- Ryan T. Lin
- Michael A. McCurdy
- Alexander R. Vaccaro
Institutions
- Thomas Jefferson University Hospital (US)
- Rothman Institute (US)
Publication Details
- Journal
- Journal of the American Academy of Orthopaedic Surgeons
- Published
- 2025-12-24
- DOI
- https://doi.org/10.5435/jaaos-d-25-00728
- Primary Topic
- Cervical and Thoracic Myelopathy
- Type
- article
- Field-Weighted Citation Impact
- 0.00