Collectively, these results suggest that the clinical benefits of PCDF are robust and largely unaffected by the use of postoperative cervical collars. An additional observation was a near-significant imbalance in the number of patients undergoing five-level fusion, with more cases in the no-collar group (eight patients) compared with the collar group (two patients; p = 0.051).
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Rigid Cervical Collars after Posterior Cervical Fusion: Do They Improve Outcomes? A Randomized Clinical Trial.
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The sentences
While this difference did not reach statistical significance, it may indicate a slightly higher surgical complexity in the no-collar group.