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What is the superior surgical strategy for bi-level cervical spondylosis-anterior cervical disc replacement or anterior cervical decompression and fusion?
- Source :
- Medicine
- Publication Year :
- 2018
- Publisher :
- Wolters Kluwer Health, 2018.
-
Abstract
- Supplemental Digital Content is available in the text<br />Background: Nowadays, anterior cervical artificial disc replacement (ACDR) has achieved favorable outcomes in treatment for patients with single-level cervical spondylosis. However, It is still controversial that whether or not it will become a potent therapeutic alternation in treating 2 contiguous levels cervical spondylosis compared with anterior cervical decompression and fusion (ACDF). Therefore, we conducted a systematic review and meta-analysis to compare the efficacy and safety of ACDR and ACDF in patients with 2 contiguous levels cervical spondylosis. Methods: According to the computer-based online search, PubMed, Embase, Web of Science, and Cochrane Library for articles published before July 1, 2017 were searched. The following outcome measures were extracted: neck disability index (NDI), visual analog scale (VAS) neck, VAS arm, Short Form (SF)-12 mental component summary (MCS), SF-12 physical component summary (PCS), overall clinical success (OCS), patient satisfaction (PS), device-related adverse event (DRAE), subsequent surgical intervention (SSI), neurological deterioration (ND), and adjacent segment degeneration (ASD). Methodological quality was evaluated independently by 2 reviewers using the Furlan for randomized controlled trial (RCT) and MINORS scale for clinical controlled trials (CCT). The chi-squared test and Higgin I2 test were used to evaluate the heterogeneity. A P
- Subjects :
- Total Disc Replacement
bi-level cervical spondylosis
anterior cervical decompression and fusion
Decompression, Surgical
meta-analysis
Spinal Fusion
ComputingMethodologies_DOCUMENTANDTEXTPROCESSING
follow-up
Cervical Vertebrae
Humans
Spondylosis
anterior cervical artificial disc replacement
Systematic Review and Meta-Analysis
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 15365964 and 00257974
- Volume :
- 97
- Issue :
- 13
- Database :
- OpenAIRE
- Journal :
- Medicine
- Accession number :
- edsair.pmid..........e1c2d3303398795e861f8914074895d3