I found that success rates for ACDF are greater than 90%, however many surgeons believe that the fusion itself causes abnormal stress and motion to occur at adjacent levels in the cervical
spine, which may
lead to accelerated degeneration at these neighboring levels. They also claim that is safe and effective to repeat the operation at another level at a later time, there are some spine surgeons that claim that a disc replacement may be a better treatment for some patients.
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