Preprint Article Version 1 This version is not peer-reviewed

Comparative Analysis of Complications, Costs, Mortality, and Length of Stay in Anterior Cervical Discectomy and Fusion in Single Level: Free-Hand versus Navigation-Guided Approaches

Version 1 : Received: 10 July 2024 / Approved: 11 July 2024 / Online: 12 July 2024 (09:30:19 CEST)

How to cite: Mahamid, A.; Maman, D.; Hodruj, M.; Summer, S.; Shpigelman, A.; Berkovich, Y.; Behrbalk, E. Comparative Analysis of Complications, Costs, Mortality, and Length of Stay in Anterior Cervical Discectomy and Fusion in Single Level: Free-Hand versus Navigation-Guided Approaches. Preprints 2024, 2024070937. https://doi.org/10.20944/preprints202407.0937.v1 Mahamid, A.; Maman, D.; Hodruj, M.; Summer, S.; Shpigelman, A.; Berkovich, Y.; Behrbalk, E. Comparative Analysis of Complications, Costs, Mortality, and Length of Stay in Anterior Cervical Discectomy and Fusion in Single Level: Free-Hand versus Navigation-Guided Approaches. Preprints 2024, 2024070937. https://doi.org/10.20944/preprints202407.0937.v1

Abstract

The integration of navigation technologies into spine surgery has improved precision and safety, yet traditional free-hand techniques are still widely used in anterior cervical discectomy and fusion (ACDF). This study uses the National Inpatient Sample (NIS) database to compare free-hand ver-sus navigation-guided ACDF, analyzing complications, costs, mortality, and hospital stay. Data from 2016 to 2019 identified 85,085 ACDF patients, including 560 navigation-guided surgeries. Propensity score matching balanced the cohorts for demographics and comorbidities. Navigation-guided surgeries showed higher total costs (p

Keywords

Navigation technologies; Anterior Cervical Discectomy and Fusion (ACDF); free-hand techniques.

Subject

Medicine and Pharmacology, Orthopedics and Sports Medicine

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