{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T11:49:50Z","timestamp":1792756190972,"version":"4.5.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T00:00:00Z","timestamp":1724716800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T00:00:00Z","timestamp":1724716800000},"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":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the incidence of all-cause revision surgery between plated vs stand-alone cage constructs for single level ACDF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed a commercial insurance claims database. Patients 18\u201365\u00a0years-old were included if they underwent single-level inpatient ACDF (defined with CPT codes) from 2010 \u2013 2018, with a minimum of 2-year continuous insurance enrollment. The primary independent variable was the use of anterior plating vs zero profile device or stand-alone cage. Synthetic (ie, metal, PEEK, etc.) vs allograft interbody was a secondary independent variable. The primary outcome variable was revision cervical arthrodesis after the index operation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 21092 patients undergoing single-level inpatient ACDF were included. 10.0% received a stand-alone cage during the index operation. Mean follow-up duration was 4.5\u00a0years. Revision arthrodesis occurred in 8.2% of patients overall, at a mean of 2.4\u00a0years after the index surgery. Patients with anterior plating had a lower rate of all-cause revision surgery in unadjusted (overall rate 8.1% vs 9.6%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0185) and adjusted analysis (OR 0.78,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0016) vs stand-alone cages. Patients with stand-alone cages had higher rates of revision with a posterior approach than did patients with plated constructs. In sub-analysis, the combination of a stand-alone interbody device with an allograft had significantly higher odds of revision than other combinations of devices.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among commercially insured patients \u226465\u00a0years-old undergoing single-level ACDF, anterior plating was associated with a reduced incidence of revision surgery compared to stand-alone cages within the follow up period of our study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21925682241279528","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T18:25:55Z","timestamp":1724783155000},"page":"2014-2019","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Revision Surgery after Single Level Anterior Cervical Discectomy and Fusion With Plate vs Stand-Alone Cage over 2 to 5 Year Follow-Up"],"prefix":"10.1177","volume":"15","author":[{"given":"Wesley M.","family":"Durand","sequence":"first","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajan","family":"Khanna","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4391-4975","authenticated-orcid":false,"given":"Gabriel I.","family":"Nazario-Ferrer","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang H.","family":"Lee","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2598-4427","authenticated-orcid":false,"given":"Richard L.","family":"Skolasky","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9983-3365","authenticated-orcid":false,"given":"Amit","family":"Jain","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,27]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.14444\/8060"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-017-5015-9"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.05.055"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.3171\/2022.5.SPINE22415"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/2192568218774576"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-022-02940-w"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-020-06561-x"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000003387"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.3340\/jkns.2016.59.4.385"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e31827b94d4"},{"key":"e_1_3_3_12_2","first-page":"e14283","article-title":"A retrospective evaluation and review of outcomes for single-and multilevel ACDF with a zero-profile stand-alone cage device with integrated instrumentation","volume":"13","author":"Khalifeh K","year":"2021","unstructured":"Khalifeh K, Faulkner JE, Hara J, Ozgur B. A retrospective evaluation and review of outcomes for single-and multilevel ACDF with a zero-profile stand-alone cage device with integrated instrumentation. 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