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411 Higher Perioperative Costs of Anterior Cervical Discectomy and Fusion in Patients Aged 66 and Older: A Retrospective Analysis of 10 Years of Data from an Urban Academic Institution

412 Evolving Patient Selection Profile for the Utilization of Cervical Disk Arthroplasty (2015-2020): A Retrospective Analysis

414 What Effect Does T1 Slope Have on Sagittal Balance and the Relationship with Caudal End of Three or More Level Posterior Cervical Fusions?

415 Are We Getting Better at Treating Adult Cervical Deformity? Complication Rate Trends Analysis in Adult Cervical Deformity Over 10 Years

416 Perioperative Change in Bone Quality following Posterior Cervical Fusion and its Effects on Postoperative Outcomes