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Updated: May 23, 2026
04:42
Clinical Application of Microscope-Assisted Minimally Invasive Anterior Lumbar Interbody Fusion
Published on: June 16, 2023
Behind the Procedure: Understanding Complications in Anterior Cervical Surgery
Hussam Abu Nowar1, Wesam Khraisat2, Mu'taz Halasah3
1Neurosurgery Division, King Hussein Medical Center - Royal Medical Services, Amman, JOR.
Cureus
|May 22, 2026
Summary
Anterior cervical discectomy and fusion (ACDF) shows low complication rates and high fusion success for degenerative cervical disc disease. This study confirms ACDF
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Spine Surgery
Background:
- Degenerative cervical disc disease (DCDD) is a common cause of neck pain and disability.
- Anterior cervical discectomy and fusion (ACDF) is a prevalent surgical treatment for DCDD.
- ACDF requires evaluation of its associated complications and fusion outcomes.
Purpose of the Study:
- To evaluate complication rates and patterns following ACDF.
- To assess radiographic fusion outcomes after ACDF in a tertiary care setting.
Main Methods:
- Retrospective review of adult patients undergoing ACDF for DCDD (2021-2024).
- Analysis of demographics, clinical data, operative details, and complications.
- Radiographic fusion assessment (CT bridging + no motion) in patients with ≥1-year follow-up.
Main Results:
- The study included 284 patients (342 levels).
- Overall complication rate was 10.56%, with dysphagia (2.11%) being most frequent.
- Radiographic fusion was achieved in 98.59% of eligible patients.
Conclusions:
- ACDF demonstrated favorable outcomes with low complication rates and high fusion success in this cohort.
- Findings are based on a single-center retrospective study and should be interpreted with its limitations in mind.
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