RT Journal Article SR Electronic T1 Instagram and Anterior Cervical Discectomy and Fusion Surgery: An Analysis of Social Media and Its Relationship to Patient Perception of Surgery JF International Journal of Spine Surgery JO Int J Spine Surg FD International Society for the Advancement of Spine Surgery SP 8259 DO 10.14444/8259 A1 Brendan Holderread A1 David Botros A1 Erin Orozco A1 Jonathan Liu A1 Ishaq Y. Syed A1 James Rizkalla YR 2022 UL http://ijssurgery.com//content/early/2022/05/20/8259.abstract AB Background Multiple studies have utilized social media to evaluate patient-perceived outcomes after surgery. To the authors 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.Level of Evidence 3.