Hirvonen T, Siironen J, Marjamaa J, et al. - A retrospective study was designed to evaluate the long-term outcomes of anterior cervical discectomy and fusion (ACDF) surgery among those members of the young adult population who have been operated on between the ages of 18 and 40. A total of 476 patients were included between 18 and 40 years of age at the time of surgery who had undergone ACDF due to degenerative cervical disorders at Helsinki University Hospital between the years of 1990 and 2005. The results for different types of ACDF surgeries (ie, discectomy only vs. synthetic cage or bone autograft implantation for fusion) were compared in propensity-score-matched groups. The data showed high long-term satisfaction with the surgery, and the employment rate among patients resembled that of the general population in Finland. Therefore, at a younger age, the long-term prognosis after having ACDF surgery seems to be good, even though nearly half of the patients experienced some persistent neck symptoms later in life.