Comparison between plate cage system and stand-alone cage in the treatment of cervical spondylotic myelopathy patients with cervical kyphosis: clinical and radiographic outcomes.

Chao Wang, Shu Liu, Jiabin Yuan, Zhicai Shi

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Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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4 authors.

Chao WangDepartment of Orthopedics, The Shanghai Tenth People's Hospital of Tongji University, Shanghai, China.

Shu LiuDepartment of Orthopedics, Changhai Hospital, Naval Medical University, Shanghai, China.

Jiabin YuanDepartment of Orthopedics, Changhai Hospital, Naval Medical University, Shanghai, China.

Zhicai ShiDepartment of Orthopedics, The Shanghai Tenth People's Hospital of Tongji University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To compare mid-term outcomes of plate cage systems (PC) vs. stand-alone cages (SA) in two-level ACDF for cervical spondylotic myelopathy (CSM) with cervical kyphosis, and to assess the influence of preoperative segmental kyphosis reducibility on sagittal alignment maintenance. Methods: This retrospective cohort analyzed 130 patients (SA = 64, PC = 66) with ≥24-month follow-up. Radiographic parameters (cervical lordosis [CL], fusion segmental lordosis [FSL], disc wedge, C2 SVA) and clinical outcomes (NDI, VAS, JOA, EQ-5D, dysphagia) were assessed preoperatively, postoperatively, and at final follow-up. Patients were stratified based on preoperative reducibility of segmental kyphosis. Results: Both groups showed comparable clinical improvement ( Conclusion: SA offers operative efficiency advantages, while PC is more effective in maintaining sagittal alignment, especially in rigid kyphosis. PC is recommended for patients with non-reducible cervical kyphosis.

Indexed as

anterior cervical discectomy and fusioncervical kyphosisplate cage systemsagittal alignmentstand-alone cage

Identifiers

PMID41788356

DOI10.3389/fsurg.2026.1749161

PMCPMC12957233

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