Retrospective comparison of 233 patients who underwent one- or two-level ACDF with cortical allograft and anterior plate fixation versus 289 historical controls who had identical procedures without plating, asking whether plating significantly improves arthrodesis rates and reduces graft-related complications.
When planning one- or two-level ACDF with cortical allograft, adding anterior plate fixation significantly reduces pseudoarthrosis risk — particularly at two levels where unplated fusion rates drop to 72%.
And eliminates measurable graft complications, supporting routine plating even for single-level degenerative disease.
Retrospective comparison of 233 patients who underwent one- or two-level ACDF with cortical allograft and anterior plate fixation versus 289 historical controls who had identical procedures without plating, asking whether plating significantly improves arthrodesis rates and reduces graft-related complications.
When planning one- or two-level ACDF with cortical allograft, adding anterior plate fixation significantly reduces pseudoarthrosis risk — particularly at two levels where unplated fusion rates drop to 72%.
And eliminates measurable graft complications, supporting routine plating even for single-level degenerative disease.