ArticleGlobal spine journal2026
Do Elderly Patients Achieve Comparable Functional and Quality-of-Life Improvements After Anterior Cervical Discectomy and Fusion for Degenerative Cervical Myelopathy?
Article in Global spine journal, 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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7 authors.
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Abstract
Study DesignRetrospective cohort study.ObjectivesTo compare pain, disability, and quality-of-life outcomes following anterior cervical discectomy and fusion (ACDF) between elderly and younger patients with degenerative cervical myelopathy (DCM).MethodsA prospectively maintained institutional registry was reviewed for patients undergoing primary ACDF for DCM between 2005-2014. A total of 219 patients were stratified into Young (<70 years; n = 188) and Elderly (≥70 years; n = 31) cohorts. Patients undergoing surgery for trauma, infection, malignancy, or revision were excluded. Outcomes included VAS neck and limb pain, AAOS Neurogenic Symptoms and Neck Pain & Disability, Neck Disability Index, Japanese Orthopaedic Association score, and SF-36 Physical and Mental Component Summary scores, collected preoperatively and at 6 months and 2 years. Satisfaction and expectation fulfilment were assessed using anchor questions.ResultsElderly patients had higher rates of hypertension (
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