Postoperative complications after anterior cervical discectomy and fusion in patients with versus without carotid artery stenosis.

ABSTRACT:

Background

Carotid artery stenosis (CS) may elevate risk of stroke related to anterior cervical discectomy and fusion (ACDF) due to manipulation of the carotid artery and alteration in flow dynamics. Prior studies assessing this potential association are limited by small sample size and assessment of in-hospital stroke only.

Methods

A retrospective cohort study was conducted to compare 90-day adverse events following ACDF in patients with versus without CS. Adult patients (age >17 years) without a history of stroke who underwent isolated 1-3 level ACDF were identified in the 2010-2023 PearlDiver M170 database. Patients with CS were matched 1:4 to patients without CS based on age, sex, and Elixhauser comorbidity index (ECI). Adverse outcomes, emergency department (ED) visits,

SUBMITTER: Zehner KM 

PROVIDER: S-EPMC12818360 | biostudies-literature | 2026 Mar

REPOSITORIES: biostudies-literature