ArticleJournal of craniovertebral junction & spine
Standalone cages versus plate-augmented fusion in multilevel anterior cervical discectomy and fusion: A 12-month prospective study balancing clinical equivalence and radiological superiority.
Article in Journal of craniovertebral junction & spine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Early outcomes of stand-alone cage anterior cervical discectomy and fusion: A comparative analysis with cage-plate fixation in a developing spine practice.Journal of craniovertebral junction & spineArticle
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: Anterior cervical discectomy and fusion (ACDF) is a gold standard treatment for multilevel degenerative cervical pathology, yet controversy persists regarding the necessity of anterior cervical plates (ACPs) in modern cage-based constructs. This prospective study compares the clinical and radiological outcomes of standalone cages versus plate-augmented systems in multilevel ACDF, addressing critical debates on biomechanical stability versus procedural simplicity. Materials and Methods: A prospective cohort of 100 patients undergoing multilevel ACDF (2+ levels) was equally divided into two groups: standalone cages (Group I, Results: Both the groups demonstrated significant improvements in VAS (neck: 7.2→2.1 vs. 7.0→1.9; arm: 6.8→1.8 vs. 6.5→1.7) and NDI (48%→18% vs. 50%→16%) at 12 months ( Conclusion: While standalone cages achieve comparable short-term symptom relief, plate augmentation offers superior radiological stability in multilevel ACDF, preserving alignment and optimizing fusion success without increasing perioperative risks. These findings support selective plate use in complex, multilevel constructs while affirming standalone cages as a viable option for patients with contraindications to plating. This study refines evidence-based decision-making in cervical spine surgery, balancing innovation with biomechanical rigor.
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