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February 6, 2026Neurosurgery0 citations

Cumulative Neck Pain Disability After Cervical Disk Replacement Versus Anterior Diskectomy

Modified Integrated Health State Suggests Lower Cumulative Neck Pain–Related Disability After Cervical Disk Replacement Compared With Anterior Cervical Diskectomy and Fusion

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Authors

TATomoyuki AsadaHospital for Special SurgeryAEAdin M. EhrlichHospital for Special SurgerySHSereen HalayqehHospital for Special Surgery

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Overview

Retrospective study compares postoperative disability in cervical disk replacement and anterior diskectomy, suggesting implications for recovery improvement.

Key Points

  • This research aims to quantify and compare cumulative postoperative disability between cervical disk replacement and anterior cervical diskectomy.
  • Retrospective analysis of 327 patients undergoing ACDF or CDR for cervical radiculopathy.
  • Cumulative disability measured using modified integrated health status over one year.
  • Adjusted baseline differences using overlap weighting based on propensity scores.
  • Data analyzed through mixed-effects regression.
  • CDR associated with significantly lower cumulative disability than ACDF (mean difference, 1.03).
  • 1-level CDR showed 21.5% lower disability than 1-level ACDF.
  • 2-level CDR had a 32.1% lower disability compared to 2-level ACDF.
  • 1-level and 2-level CDR had comparable mIHS scores.
  • 2-level ACDF yielded greater disability than 1-level ACDF.

Cite This Study

Asada et al. (2026) studied this question.

synapsesocial.com/papers/698586118f7c464f23009e49https://doi.org/10.1227/neu.0000000000003947
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cervical Disk Replacement Versus Anterior Cervical Diskectomy and Fusion: Effect of Procedural Variant on Patients With a Prolonged Preoperative Duration of Symptoms From Disk Herniation2024 · 2 citations
  2. 2Increased Cumulative Incidence of 10-Year Reoperation and Surgical Complications Following Anterior Cervical Discectomy and Fusion Compared With Cervical Disc Arthroplasty2026
  3. 3Long-Term Comparative Outcomes of ACDF, Cervical Disc Arthroplasty, and Posterior Cervical Foraminotomy for Single-Level Cervical Radiculopathy: A Propensity-Matched Analysis2026
  4. 4Early Outcome of ACDF for Cervical Disc Herniation2025
  5. 5Cervical Disc Arthroplasty (CDA) versus Anterior Cervical Discectomy and Fusion (ACDF) for Two-Level Cervical Disc Degenerative Disease: An Updated Systematic Review and Meta-Analysis2024 · 13 citations