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A retrospective cohort study. A retrospective evaluation through the Kaiser Permanente Spine Registry identified a cohort of patients with cervical degenerative disc disease who underwent primary PCFs stopping at C7 with either LMS or CPS at C7. Demographic and operative data had been extracted from the registry and operative ASD and operative nonunions were adjudicated via chart analysis. Clients had been used until validated operative ASD or nonunion, membership cancellation, death, or