{
  "abstract": "Background\n\nPostoperative recovery following anterior cervical discectomy and fusion (ACDF) is commonly evaluated using the modified Japanese Orthopaedic Association (mJOA) score and/or neck disability index (NDI). Here, we examined the post-operative trends in mJOA and NDI outcomes following ACDF in a neurosurgical center located in a low- and middle-income country (LMIC).Methods\n\nTwenty-three demographic and clinical variables were collected. The primary outcome was good prognosis at 6 months, defined as a ≥50% change in post-operative mJOA. Secondary outcomes included minimum clinically important difference (MCID) in mJOA (≥2-point improvement) and NDI (≥7-point reduction). Patients averaged 54 years and were predominantly male (77.5%) undergoing single-level ACDF (67.5%).Results\n\nMedian mJOA improved from 8 pre-operatively to 13 at 6 months and 15.5 at 1 postoperative year. MCID for mJOA was achieved in 84.8% of patients at 6 months and 90% at 1 year. Median NDI decreased from 25 pre-operatively to 17 at 6 months and 15 at 1 year. MCID was achieved in 66.7% and 85% at these two latter time intervals, respectively. Multilevel disease and gait disturbance were both negative prognostic factors at 6 postoperative months.Conclusion\n\nIn a LMIC neurosurgical setting, ACDF was associated with sustained improvements in mJOA and NDI scores.",
  "abstract_shown": true,
  "affiliations": [
    "Specialized Foundation Doctor Training Programme, Edge Hill University, Ormskirk, United Kingdom.",
    "Department of Medicine, Lancashire Teaching Hospitals NHS Foundation Trust, Lancashire, Preston, United Kingdom.",
    "Department of Neurosurgery, Park Clinic, Kolkata, West Bengal, India.",
    "Department of Neurosurgery, University of Manchester, Manchester, United Kingdom."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Sayan Biswas"
    },
    {
      "affs": [
        1
      ],
      "name": "Saskia Swannack"
    },
    {
      "affs": [
        1
      ],
      "name": "Samuel Wiltshire"
    },
    {
      "affs": [
        2
      ],
      "name": "Sandip Chatterjee"
    },
    {
      "affs": [
        3
      ],
      "name": "K Joshi George"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/cxqj1nh9zagvs.bib",
  "cited_by": 0,
  "doi": "10.25259/sni_642_2026",
  "fulltext_url": "https://europepmc.org/articles/PMC13726933",
  "id": "cxqj1nh9zagvs",
  "issns": [
    "2229-5097",
    "2152-7806"
  ],
  "landing_url": "https://europepmc.org/article/MED/42974543",
  "language": "eng",
  "licence": "CC-BY-NC-SA",
  "licence_label": "CC BY-NC-SA",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Article"
    ],
    [
      "openalex",
      "2746|Cervical and Thoracic Myelopathy"
    ]
  ],
  "openalex": "W7224814097",
  "pdf_url": "https://europepmc.org/articles/PMC13726933?pdf=render",
  "pmcid": "PMC13726933",
  "pmid": "42974543",
  "published": "2026-10-30",
  "publisher": "Scientific Scholar",
  "ris": "https://research.draconitic.com/paper/cxqj1nh9zagvs.ris",
  "sources": [
    {
      "first_seen": "2026-11-04T15:20:47Z",
      "native_id": "MED:42974543",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42974543"
    },
    {
      "first_seen": "2026-11-05T12:23:09Z",
      "native_id": "PMC13726933",
      "source": "pmc",
      "url": "https://doi.org/10.25259/sni_642_2026"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Cervical and Thoracic Myelopathy",
      "subfield": "surgery"
    }
  ],
  "title": "Short-term outcomes after anterior cervical discectomy and fusion using mJOA and NDI scores in a low- and middle-income country.",
  "title_text": "Short-term outcomes after anterior cervical discectomy and fusion using mJOA and NDI scores in a low- and middle-income country.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-06T12:22:45Z",
  "url": "https://research.draconitic.com/paper/cxqj1nh9zagvs",
  "venue": "Surgical neurology international",
  "versions": []
}