IRCT20241220064110N1 IRCT 2025-01-16 Neurosurgery Department, Pir Abdul Qadir Shah Jeelani Institute of Medical Sciences Gambat, Efficacy of Non-instrumented Versus Instrumented Fusion in Anterior Cervical Discectomy ACDF-NI Comparing the Efficacy of Non-instrumented Versus Instrumented Fusion in Anterior Cervical Discectomy 2023-05-01 anticipated 48 Complete https://irct.ir/trial/81024 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: simple randomization based on individual unit was done using a lottery method in a concealed envelop, mentioning the name of intervention group, Blinding description: in this study, the only participants of study i.e patients were blinded only regarding which type of intervention they will receives. The investigators and care takers were fully aware about the intervention groups and provided upto the mark care. 2-3 Degenerative cervical disease. Intervention 1: Anterior Cervical Dissectomy and fusion will serve as the Intervention group. After induction under general anesthesia, in a supine postion, a layer-by-layer blunt dissection will be performed. Discectomy was performed with loupe magnification to achieve precise surgical intervention. During surgery in cases of hypertrophy and OPLL posterior longitudinal ligament and dura matter were severed, foramina patency was assessed and stenosis was relieved with foraminotomy. Bone graft was placed with graft cage and anterior interlocking was done at specific positions. Plate positioning and sagittal alignment were confirmed intraoperatively using fluoroscopy. Intervention 2: Anterior Cervical Dissectomy will serve as the Control group: After induction under general anesthesia, in a supine postion, a layer-by-layer blunt dissection will be performed. Only Discectomy will be performed with loupe magnification to achieve precise surgical intervention. Yes - There is a plan to make this available What will be shared: Comparing the efficacy of non-instrumented versus instrumented fusion in anterior cervical discectomy; as soon as the study is completed, there is plan to a share the document as well as data When: Data will be available publicly forever To whom: To all the medical fraternity Conditions: document can be used for similar studies, esp carrying out meta-analysis Where to obtain: Data will be shared on demand via email, as well as from the publishers site How to obtain: Just a simple email will be required. Comments: Comparing the efficacy of non-instrumented versus instrumented fusion in anterior cervical discectomy, this work has been done with great responsibility, dedication, and honesty. It will be a rich source of decision-making for neurosurgeons.