Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Predictors of In-Hospital Mortality After Operative Cervical Spinal Cord Injury: A National Trauma Data Bank Analysis From 2021 to 2023.

Global spine journal·2026
Same author

The First Wave: National Adoption and Economic Shifts of Posterior Cervical Decompression and Fusion in Hospital-Owned Ambulatory Surgery Centers.

Global spine journal·2026
Same author

Non-Tobacco Nicotine Is Associated With Increased Complications Following Posterior Cervical Fusion: A Retrospective Cohort Study.

Global spine journal·2026
Same author

Cervical Disc Arthroplasty Has Higher Rates of Revision, But Lower Rates of Adjacent Segment Disease, Compared to ACDF.

Spine·2026
Same author

Fixed-Angle Static Versus Variable-Angle Dynamic Plates for Multilevel Anterior Cervical Discectomy and Fusion.

Clinical spine surgery·2026
Same author

Impact of Ankylosing Spondylitis/Diffuse Idiopathic Skeletal Hyperostosis on Postoperative and Patient-Reported Outcomes Following Elective Cervical and Lumbar Surgery.

Global spine journal·2026

Related Experiment Video

Updated: Nov 11, 2025

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
05:37

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Published on: August 6, 2019

6.6K

Does Facet Distraction Affect Patient Outcomes After ACDF?

Brian A Karamian1, Hannah A Levy1, Jose A Canseco1

  • 1Rothman Orthopaedic Institute at Thomas Jefferson University Hospital, Philadelphia, PA, USA.

Global Spine Journal
|March 24, 2021
PubMed
Summary

Facet distraction after anterior cervical discectomy and fusion (ACDF) did not correlate with patient outcomes. This study found no link between increased interfacet distance and postoperative neck pain or disability.

Keywords:
ACDF (anterior cervical discectomy and fusion)clinical outcomesdegenerative cervical diseasedistractionfacet jointgraft sizeneck pain

More Related Videos

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

808
Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion
10:40

Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion

Published on: June 6, 2025

581

Related Experiment Videos

Last Updated: Nov 11, 2025

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
05:37

Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion

Published on: August 6, 2019

6.6K
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

808
Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion
10:40

Uniportal Full Endoscopic Posterolateral Transforaminal Lumbar Interbody Fusion

Published on: June 6, 2025

581

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spinal Fusion Outcomes

Background:

  • Anterior cervical discectomy and fusion (ACDF) is a common procedure for degenerative cervical pathologies.
  • The relationship between intraoperative parameters like facet distraction and patient outcomes requires further elucidation.

Purpose of the Study:

  • To investigate the correlation between facet distraction and patient-reported outcomes following ACDF.
  • To identify if a critical facet distraction threshold exists that impacts postoperative results.

Main Methods:

  • Retrospective cohort study of 229 patients undergoing 1-3 level ACDF.
  • Facet distraction measured from immediate postoperative lateral cervical spine X-rays.
  • Patient-reported outcomes (NDI, PCS-12, MCS-12, VAS) assessed preoperatively and at short-term/long-term follow-up.

Main Results:

  • Receiver operating curves did not identify a critical facet distraction distance.
  • No statistically significant differences in outcome measures were found between groups with varying facet distraction levels.
  • Multivariate analysis confirmed no significant association between facet distraction and patient outcomes.

Conclusions:

  • Increased facet distraction after ACDF is not associated with worse patient-reported outcomes.
  • Facet distraction distance does not appear to be a critical factor influencing neck pain or disability post-ACDF.