{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:02:55Z","timestamp":1777658575554,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2015,6,5]],"date-time":"2015-06-05T00:00:00Z","timestamp":1433462400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Global Spine Journal"],"published-print":{"date-parts":[[2015,10]]},"abstract":"\n Study Design<\/jats:title>\n Retrospective case series.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To assess the utility of postoperative computed tomography (CT) following anterior cervical diskectomy and fusion (ACDF) and to determine the clinical circumstances most likely to lead to an abnormal CT scan.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Patients who underwent ACDF at a tertiary center over a span of 5 years were investigated. Only patients who had a minimum of 6 months\u2019 postoperative follow-up and a CT within 2 years after the surgery were included in the study group. All the postoperative notes were reviewed to determine indications for the CT, abnormalities identified, and whether the scan led to an alteration in the treatment course.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The charts of 690 patients who underwent ACDF were reviewed. Of the 690 patients, 45 (7%) had postoperative CTs. These patients accounted for 53 postoperative CT scans, 45 (85%) of which were taken for patients who expressed persistent postoperative symptoms and\/or had abnormal imaging. There were no indications for 8 (15%) of the CTs. Patients who had a CT for persistent symptoms and\/or abnormal preliminary imaging were significantly more likely to have an abnormal CT ( p\u2009=\u20090.03) and\/or an alteration in treatment course ( p\u2009=\u20090.04) compared with those with no symptomatic or radiologic indication for CT.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n CT is associated with minimal utility regarding the alteration of treatment course when employed in asymptomatic patients. Postoperative CT should be ordered solely for symptomatic patients or those with other abnormal preliminary imaging. Judicious use of postoperative CT will limit the radiation exposure and cost.<\/jats:p>\n <\/jats:sec>","DOI":"10.1055\/s-0035-1554773","type":"journal-article","created":{"date-parts":[[2015,6,5]],"date-time":"2015-06-05T18:34:35Z","timestamp":1433529275000},"page":"411-416","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Utility of Computed Tomography following Anterior Cervical Diskectomy and Fusion"],"prefix":"10.1177","volume":"5","author":[{"given":"Adeeb","family":"Derakhshan","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Lubelski","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael P.","family":"Steinmetz","sequence":"additional","affiliation":[{"name":"Department of Neurosciences and Neurological Surgery, Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward C.","family":"Benzel","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas E.","family":"Mroz","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2015,6,5]]},"reference":[{"key":"bibr1-s-0035-1554773","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1958.15.6.0602"},{"key":"bibr2-s-0035-1554773","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195840030-00009"},{"key":"bibr3-s-0035-1554773","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199605010-00027"},{"key":"bibr4-s-0035-1554773","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31825c0130"},{"key":"bibr5-s-0035-1554773","doi-asserted-by":"publisher","DOI":"10.3171\/2009.9.SPINE09263"},{"key":"bibr6-s-0035-1554773","doi-asserted-by":"publisher","DOI":"10.3171\/SPI\/2008\/9\/8\/175"},{"key":"bibr7-s-0035-1554773","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-201211000-00003"},{"key":"bibr8-s-0035-1554773","unstructured":"Medicare Payment Advisory Commission Healthcare spending and the Medicare program: a data book. 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