{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:32:39Z","timestamp":1786739559145,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Stand-alone cage constructs are becoming popular in the context of anterior cervical discectomy and fusion (ACDF) because they are associated with decreased morbidity of the operation and less dysphagia. There is inconsistent comparative evidence between stand-alone cage and cage-plate ACDF constructs at the single level. This study aims to compare both clinical and radiologic outcomes between stand-alone and cage-plate ACDF in patients undergoing single-level cervical surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Forty sequential single-level ACDF cases were analyzed (stand-alone cage,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 20; cage-plate,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 20). Results were Visual Analog Scale (VAS)-Neck, VAS-Arm, and Neck Disability Index (NDI). Radiologic evaluation consisted of segmental lordosis, C2\u2013C7 Cobb angle, fusion, subsidence, and adjacent segment degeneration (ASD). The statistical significance was determined as\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Stand-alone ACDF tended to be significantly shorter in terms of operation time (62.7 \u00b1 10.1 vs. 73.8 \u00b1 10.7 min;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) and lower in terms of blood loss (47.2 \u00b1 11.8 vs. 68.1 \u00b1 14.9 mL;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Postoperative NDI was significantly better in the stand-alone group (18.4 \u00b1 6.2 vs. 23.3 \u00b1 7.5;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01). Cage-plate constructs maintained the lordosis of the segments in a better way (P &lt; 0.01). There were similar rates of fusion (95% vs. 100%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.31). The cage-plate group had significantly more dysphagia and ASD (P = 0.03 and P = 0.04, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Stand-alone ACDF will provide lower morbidity of the operation, decreased rates of dysphagia, and lower rates of ASD without notable differences in fusion and functional outcomes. Cage-plate constructions are still beneficial in preserving lordosis of the segment. The two constructs offer a good solution to single-level pathology.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcvjs.jcvjs_253_25","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T09:00:19Z","timestamp":1779267619000},"page":"286-290","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Early outcomes of stand-alone cage anterior cervical discectomy and fusion: A comparative analysis with cage-plate fixation in a developing spine practice"],"prefix":"10.4103","volume":"17","author":[{"given":"Sajad Hussain","family":"Arif","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, SKIMS, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aamir Hussain","family":"Hela","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, SKIMS, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarabjit Singh","family":"Chhiber","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, SKIMS, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Abrar","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, SKIMS, Srinagar, Jammu and Kashmir, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"R1-20260520","first-page":"e74418","article-title":"Efficacy of anterior cervical discectomy and fusion versus cervical disc arthroplasty in the treatment of cervical degenerative disc disease, radiculopathy, and myelopathy:A systematic 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