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At 10 years, 76.2% CDA patients were employed to 64.1% ACDF patients (p = 0.057). Preoperative variables influencing work status at 10 years following CDA included preoperative work status, age and SF-36 MCS; whereas, no significant preoperative factor identified with ACDF. Time to return to work was influenced in both groups by preoperative work status; and in the ACDF group reaching age 65 at 10-year visit, preoperative arm pain and NDI score had significant influences. Conclusion More patients returned to work at 6 weeks after CDA comp