Opioid overuse is a substantial cause of morbidity and mortality, and orthopaedic surgeons are the third highest prescribers.

Data on factors associated with discharge opioid prescriptions after elective anterior cervica surgery (ACS) is limited. ACS includes anterior cervical discectomy and fusion(ACDF) and cervical disk replacement (CDR) for cervical radiculopathy and/or myelopathy.