Anterior Cervical Discectomy Fusion Versus Posterior Decompression and Fusion in Octogenarians with Cervical Myelopathy: Clinical Outcomes and Complications with a 3-Year Follow-Up

•Findings revealed PDF patients aged 80+experienced more operated levels, higher blood loss, and longer hospital stays, but both groups showed similar mortality rates and neurological improvements.•The study concluded that while both ACDF and PDF led to improved neurological conditions in elderly patients, careful procedure consideration is crucial due to potential postoperative complications.