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Retrospective analysis of prospectively collected registry data. The aim of this study was to compare the performance of 30% reduction to established absolute point-change values for measures of disability and pain in patients undergoing elective cervical spine surgery. Recent studies recommend using a proportional change from baseline instead of an absolute point-change value to define minimum clinically important difference (MCID). Analyses included 13,179 patients who underwent cervical spine surgery for degenerative disease between A