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. 2023 Jan 6;9:1047504. doi: 10.3389/fsurg.2022.1047504

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© 2023 Zheng, Li, Song, Chen, Jiang and Jiang.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Female, 68 years old: three levels of ACDF was experienced. (A–C) Cervical spine x-ray showing C3/4, C4/5 and C5/6 instability. (D) Preoperative cervical CT sagittal image. (E) Magnetic resonance imaging (MRI) showing no significant compression of the spinal cord. (F) x-ray of cervical spine 3 months after surgery. (G) x-ray of cervical spine 12 months after surgery. (H) x-ray of cervical spine 24 months after surgery.