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February 22, 2026Current Orthopaedic Practice

Evolving trends in anterior cervical spine surgery: a decade-long shift towards standalone constructs

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Authors

NRNolan M. ReinhartJTJackson P TateZSZachary Salas

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Overview

Retrospective analysis reveals a shift in anterior cervical discectomy and fusion practices, indicating a decline in anterior plate usage.

Key Points

  • The aim is to analyze trends in anterior plate usage during anterior cervical discectomy and fusion procedures over a decade.
  • Performed a retrospective study using the PearlDiver database.
  • Analyzed patients who underwent primary anterior cervical discectomy and fusion from 2011 to 2022.
  • Stratified data based on the number of levels involved.
  • Identified 425,288 patients who underwent anterior cervical discectomy and fusion.
  • Significant increase in single-level, two-level, and three-level procedures without anterior instrumentation (P < 0.001).
  • Notable decline in anterior plate usage, particularly in two-level procedures.

Cite This Study

Reinhart et al. (2026) studied this question.

synapsesocial.com/papers/699a9de0482488d673cd41fehttps://doi.org/10.1097/bco.0000000000001350
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Also Consider

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

  1. 1Self-locking stand-alone cage versus cage-plate fixation in monosegmental anterior cervical discectomy and fusion with a minimum 2-year follow-up: a systematic review and meta-analysis2023 · 21 citations
  2. 2Performing the 3-level Anterior Cervical Discectomy and Fusion (ACDF)2022 · 3 citations
  3. 3Trends of single-level anterior cervical discectomy and fusion documentation after the 2015 Centers for Medicare & Medicaid Services coding audit2022 · 4 citations
  4. 4Comparative Analysis of 3 Different Construct Systems for Single-level Anterior Cervical Discectomy and Fusion2012 · 78 citations
  5. 5Dysphagia rates in single- and multiple-level anterior cervical discectomy and fusion surgery: a meta-analysis2020 · 23 citations