By the time you’re tackling three cervical levels, you’re no longer debating if surgery is needed — you’re debating how bold you want to be. Do you lock it all down with a classic three-level ACDF (anterior cervical discectomy and fusion)? Or do you let one or two levels keep dancing with a hybrid construct that blends cervical disc arthroplasty (CDA) and fusion?
This systematic review and meta-analysis dives headfirst into that very question — and the results are more nuanced (and interesting) than a simple “motion good, fusion bad” narrative.
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