Three Levels, Two Philosophies, One Neck

By the time you’re tackling three cervical levels, you’re no longer debating if surgery is needed — you’re debating how bold you want to be. Do you lock it all down with a classic three-level ACDF (anterior cervical discectomy and fusion)? Or do you let one or two levels keep dancing with a hybrid construct that blends cervical disc arthroplasty (CDA) and fusion?