Long-Term Risk of Subsequent Cervical Fusion After Endoscopic Versus Open Cervical Decompression

< 0.001). In a contemporary-era sensitivity analysis (2021-2024), findings remained directionally consistent at 1 and 2 years, although statistical significance was not reached.ConclusionECD offers comparable perioperative safety and lower readmission but carries a higher long-term risk of subsequent cervical fusion, highlighting the importance of counseling patients regarding potential reoperation risk.