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April 22, 2026

Surgical outcomes following multi-level sub-axial anterior cervical discectomy and fusion versus posterior cervical decompression and fusion in an obese cohort

Key Points

The aim is to compare surgical outcomes of anterior cervical discectomy and fusion versus posterior cervical decompression and fusion in obese patients.
Comparison of surgical outcomes between ACDF and PCDF
Analysis of length of stay, readmission rates, and complications
Control for confounding variables
PCDF was associated with a longer length of stay compared to ACDF.
No significant differences were found in 30-day readmissions, complications, or non-home discharges.
Individualized surgical approaches are recommended based on surgeon's judgement.

Abstract

Compared to ACDF, PCDF was associated with longer LOS, but not increased rates of 30-day readmissions, RTOR, post-operative complications or non-home discharges when controlling for confounding variables in an obese cohort. Surgical approach should continue to be tailored to the individual patient, guided by the surgeon's judgement.

Surgical outcomes following multi-level sub-axial anterior cervical discectomy and fusion versus posterior cervical decompression and fusion in an obese cohort

Key Points

Abstract

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