What question did this study set out to answer?

This research aims to evaluate how different operative levels affect reoperation rates and patient-reported outcomes after 3-level anterior cervical discectomy and fusion.

April 12, 2026European Spine Journal0 citationsOpen Access

The impact of operative level on reoperation rates and short-term patient-reported outcomes in 3-level anterior cervical discectomy and fusion

YLYulia LeeRothman Institute CHChloe HerczegThomas Jefferson University MNMitchell K. NgRothman Orthopaedics

Key Points

This research aims to evaluate how different operative levels affect reoperation rates and patient-reported outcomes after 3-level anterior cervical discectomy and fusion.
Analysis of reoperation rates in 3-level anterior cervical discectomy and fusion.
Assessment of baseline symptom profiles pre-surgery.
Comparison of patient-reported outcomes across different operative levels.
Operative level is linked to varying reoperation rates post-surgery.
Clinically meaningful improvements were consistent across different levels.
Preoperative counseling should address specific concerns related to operative levels.

Abstract

In patients undergoing 3-level ACDF, the operative level was associated with reoperation rates and baseline symptom profiles. However, the likelihood of achieving clinically meaningful improvements was similar across levels. Our findings support the need for construct-specific preoperative counseling while reinforcing the overall efficacy of 3-level ACDF across cervical levels.

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