4.5 Article

Cervical sagittal alignment changes following anterior cervical discectomy and fusion, laminectomy with fusion, and laminoplasty for multisegmental cervical spondylotic myelopathy

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Comparison of Clinical Outcomes and Sagittal Alignment After Different Levels of Anterior Cervical Discectomy and Fusion in Patients With Cervical Spondylotic Myelopathy: From One-level to Three-level

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Summary: This study compared clinical outcomes and sagittal alignment after different levels of ACDF in patients with cervical spondylotic myelopathy. The results showed that three-level ACDF had an advantage in restoring lordosis but had a poor ability to maintain it, along with a higher rate of complications compared to one-level or two-level ACDF.
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The Relationship Between Cervical Sagittal Balance and Adjacent Segment Disease After Three-level Anterior Cervical Discectomy and Fusion

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Summary: There was no significant relationship between cervical sagittal balance and adjacent segment degeneration (ASD) development after 3-level anterior cervical discectomy and fusion (ACDF). ASD development did not have a significant impact on clinical outcomes.

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Does Cervical Alignment Matter? The Effect of 2-level Anterior Cervical Discectomy and Fusion on Sagittal Alignment and Patient-reported Outcomes

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Summary: Two-level ACDF can restore segmental and global cervical lordosis, but changes in cervical sagittal alignment do not correlate with the magnitude of improvement in patient-reported outcomes. Maintaining or increasing cervical lordosis or segmental lordosis was not related to a greater degree of improvement in PROs.

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