Vonck CE, et al. - Herein, the surgical outcomes after posterior cervical fusion (PCF) for the treatment of cervical spondylotic myelopathy (CSM) were evaluated in the octogenarian patient population vs patients younger than 80 years old. Octogenarian patients with CSM were significantly more likely to be discharged to a location other than home compared to patients aged 60-69 and 70-79, following PCF. When compared to other age cohorts, after controlling for patient comorbidities and demographics, 80-89 year old CSM patients who underwent PCF did not differ in other outcomes. The preoperative risk counseling and surgical decision-making could be improved by the findings obtained in this study.