Evidence map›Paper›PMID 42321693›Full record

ArticleBMC musculoskeletal disorders2026

Axial pain after anterior cervical discectomy and fusion: risk factor analysis and imaging evaluation.

Yanting Chen, Xin Chen, Guanhong Chen, Wei Guo, Chuandong Lang, Xinsheng Peng, Yuhu Dai

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Article in BMC musculoskeletal disorders, 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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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Yanting Chen *Department of Orthopaedic Surgery, the First Affiliated Hospital, Sun Yat-Sen University, No. 58, Zhongshan 2nd Road, Guangzhou, 510080, China.ORCID http://orcid.org/0009-0005-1895-7999
Xin Chen *Department of Orthopaedic Surgery, the First Affiliated Hospital, Sun Yat-Sen University, No. 58, Zhongshan 2nd Road, Guangzhou, 510080, China.
Guanhong ChenDepartment of Orthopaedic Surgery, the First Affiliated Hospital, Sun Yat-Sen University, No. 58, Zhongshan 2nd Road, Guangzhou, 510080, China.
Wei GuoDepartment of Orthopaedic Surgery, the First Affiliated Hospital, Sun Yat-Sen University, No. 58, Zhongshan 2nd Road, Guangzhou, 510080, China.
Chuandong LangDepartment of Orthopedics, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, 17# Lujiang Road, Luyang District, Hefei, Anhui, 230001, China. langchd@ustc.edu.cn.
Xinsheng PengDepartment of Orthopaedic Surgery, the First Affiliated Hospital, Sun Yat-Sen University, No. 58, Zhongshan 2nd Road, Guangzhou, 510080, China. pengxsh@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0002-6192-5635
Yuhu DaiDepartment of Orthopaedic Surgery, the First Affiliated Hospital, Sun Yat-Sen University, No. 58, Zhongshan 2nd Road, Guangzhou, 510080, China. daiyh5@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0002-5880-7179

Funding

Anhui Province Postdoctoral Science Foundation 2023B674China Postdoctoral Science Foundation 2024T170879, 2022M723045Joint Fund for Medical Artificial Intelligence MAI2023Q022National Natural Science Foundation of China 82373020, 82203721Natural Science Research Project of Anhui Provincial Department of Education 2023AH053409the Basic and Applied Basic Research Foundation of Guangdong province 2023A1515010581, 2023A1515011580, 2024A1515030230, 2025A1515011186the Provincial Natural Science Foundation of Anhui 2208085QH253
6 · The paper itself

Abstract

backgroundAxial pain can occur as a complication following anterior cervical discectomy and fusion (ACDF), which is frequently regarded as a complication of posterior cervical surgery and is often overlooked after ACDF. However, the risk factors of postoperative axial pain (PAP) remain incompletely elucidated. This study aimed to analyze the risk factors and radiological assessment of PAP in patients undergoing ACDF.

methodsIndividuals undergoing ACDF between January 2020 to March 2023 were included. Participants were categorized into two groups by PAP presence. Clinical parameters were collected, and radiographic parameters measured included pre- and postoperative C

resultsIn ACDF patients, PAP prevalence was 15.5% in single-level surgery and 19.8% in multi-level surgery. For single-level ACDF, logistic regression analysis identified postoperative relative FJD change as a PAP risk factor (Area Under the Curve [AUC] = 0.809, optimal cutoff = 27.95%). For multi-level ACDF, postoperative C

conclusionsDuring ACDF procedures, minimizing FJD in single-level surgery and avoiding excessive C

Indexed as

Cervical VertebraeDiskectomyPostoperative PainSpinal FusionAdultFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsACDFCervical spondylosisImaging evaluationPostoperative axial painRisk factor

Identifiers

PMID42321693
PMCPMC13548643

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.