Instagram and Anterior Cervical Discectomy and Fusion Surgery: An Analysis of Social Media and Its Relationship to Patient Perception of Surgery

Background: Multiple studies have utilized social media to evaluate patient-perceived outcomes after surgery. To the author; knowledge, no published studies have evaluated patient-perceived outcomes after ACDF surgery through social media analysis. Objective: To analyze posts shared on Instagram referencing anterior cervical discectomy and fusion (ACDF) for tone, gender. activities of daily living (ADLs), rehabilitation, incision, pain, neurological injury, complications, and content of post. Study Design: Cross-sectional study. Methods: Public instragram posts were isolated and evaluated using the hashtag "#ACDF." Each individual post was analyzed by the authors for the variables previously listed. In total, 529 posts were included for investigation and analysis of patient perception of ACDF through social media. Results: Of all included posts, approximately 95% of posts had a positive tone. There was statistical significance between positive tone and ADLs (P = 0.0379) and rehabilitation (P = 0.0118), as well as negative tone with persistent pain (P = 0.001), incision/scar (P = .0143), and surgical complications (need for reoperation/nonunion/infection) (P = 0.0259). Conclusions: Reported outcomes after ACDF have not been evaluated through social media avenues. This analysis of patients sharing their experiences on social media after ACDF demonstrates that returning to ADL, rehabilitation, pain, and incisions are of the utmost importance to patients.