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Jay Jagannathan, MD | Michigan Neurosurgery Institute on Instagram: "Recently, I trialed a new expandable cervical cage system. One of my astute followers asked how this affects the development of arthritis and the effect on fusion rates when you expand the cage too much (“over distraction). Typically, you do not want to expand the cage more than 3 mm beyond the natural size of the disk. Too much can cause adjacent level disease which can lead to pain and the need for future surgery. Second, ove
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