BMC Musculoskeletal Disorders · Published 2025-07-04 · Journal article · DOI 10.1186/s12891-025-08880-w · PMID: 40616052 · PMC · Cited by 2 (Crossref)
Chang Liu, Kun Wang, Chenggang Jie, Xiaolin Yin, Yiting Zhou, Wei Zhao, Jiaxing Xu
Abstract Purpose This study aimed to assess the preferences of spine surgeons in Heilongjiang Province regarding the duration of cervical collar use after single-level anterior cervical discectomy and fusion (ACDF) and to identify the factors influencing these preferences. Methods A cross-sectional survey was conducted in Heilongjiang Province from August 4 to August 11, 2024. A convenience sampling method was employed to survey 96 spine surgeons via an online questionnaire. Factors influencing the duration of cervical collar use were analysed via chi-square tests and binary logistic regression. Results Significant variation in the duration of cervical collar use was observed after single-level ACDF, with the shortest duration being no use (2.08%) and the longest being 12 weeks (4.17%). The most common duration was 3 weeks (65.63%). The factors influencing the duration of cervical collar use included the surgeon’s education level (χ²=10.902, P < 0.001), years of practice (χ²=12.565, P = 0.006), and annual case volume of single-level ACDF (χ²=9.438, P = 0.009). Notably, years of practice was identified as an independent factor influencing the duration of cervical collar use (OR = 0.572, 95% CI: 0.348~0.939; P = 0.027). Conclusions This survey shows that there are differences in the clinical practices of spine surgeons in Heilongjiang Province regarding the duration of cervical collar wearing after single-level ACDF. These research findings suggest the need to develop standardized guidelines and consensus, alongside improved postoperative health education, to reduce the related complications caused by the long-term use of cervical collars in patients, such as axial symptoms, and to improve patients’ quality of life after surgery.
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Liu, C., Wang, K., Jie, C., et al. (2025). The impact of surgeons’ experience and practice on postoperative cervical collar use after single-level anterior cervical discectomy and fusion: a cross-sectional survey in Heilongjiang province, China. BMC Musculoskeletal Disorders. https://doi.org/10.1186/s12891-025-08880-w