Three-level ACDF versus 3-level laminectomy and fusion: are there differences in outcomes? An analysis of the Quality Outcomes Database cervical spondylotic myelopathy cohort

CONCLUSIONS: In a cohort limited to 3-level fusion surgical procedures, ACDF was associated with reduced blood loss, shorter hospitalization length, and higher routine home discharge rates; however, PCF resulted in lower rates of postoperative dysphagia. The procedures yielded comparably significant improvements in functional status (mJOA score), neck and arm pain, neck pain-related disability, and quality of life at 3, 12, and 24 months. ACDF patients had significantly higher odds of maximum satisfaction (NASS score 1). Given comparable outcomes, patients should be counseled on each approach's complication profile to aid in surgical decision-making.PMID:37657103 | DOI:10.3171/2023.6.FOCUS23295

Source: Neurosurgical Focus - September 1, 2023 Category: Neurosurgery Authors: Vardhaan S Ambati Mohamed Macki Andrew K Chan Giorgos D Michalopoulos Vivian P Le Alysha B Jamieson Dean Chou Christopher I Shaffrey Oren N Gottfried Erica F Bisson Anthony L Asher Domagoj Coric Eric A Potts Kevin T Foley Michael Y Wang Kai-Ming Fu Michae Source Type: research