Rajan PV, Emara AK, Ng M, et al. - A retrospective database analysis was conducted to define the relationships between a single-level anterior cervical discectomy and fusion (ACDF) operative time and 1)30-day postoperative healthcare utilization, and 2)the incidence of local wound complications, need for transfusion, and mechanical ventilation. Using current procedural terminology codes, the American College of Surgeons National Surgical Quality Improvement Program database was queried for single-level ACDF cases(2012–2018). Researchers enrolled a total of 24,593 cases. The results demonstrate that prolonged operative time is correlated with elevated odds of healthcare utilization and transfusion after single-level ACDF. It has been considered that operative times greater than 91 minutes may carry higher odds of postoperative complications.