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Comparison of discover cervical disc arthroplasty and anterior cervical discectomy and fusion for the treatment of cervical degenerative disc diseases: A meta-analysis of prospective, randomized controlled trials.

作者信息

Wang Ziqi, Luo Gan, Yu Hongwei, Zhao Hui, Li Tianhao, Yang Houzhi, Sun Tianwei

机构信息

School of Medicine, Nankai University, Tianjin, China.

Graduate School of Tianjin Medical University, Tianjin, China.

出版信息

Front Surg. 2023 Feb 21;10:1124423. doi: 10.3389/fsurg.2023.1124423. eCollection 2023.

DOI:10.3389/fsurg.2023.1124423
PMID:36896262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9989026/
Abstract

OBJECTIVE: This study aims to evaluate the clinical efficacy and safety between Discover cervical disc arthroplasty (DCDA) and anterior cervical discectomy and fusion (ACDF) in Cervical degenerative disc diseases. METHODS: Two researchers independently conducted a search of PubMed, EMBASE, and Cochrane Central Register of Controlled Trails (CENTRAL) for randomized controlled trials (RCTs) following the Cochrane methodology guidelines. A fixed-effects or random-effects model was applied based on different heterogeneity. Review Manager (Version 5.4.1) software was used to perform data analysis. RESULTS: A total of 8 RCT studies were included in this meta-analysis. The results indicate that the DCDA group had a higher incidence of reoperation ( = 0.03) and a lower incidence of ASD ( = 0.04) than the CDA group. There was no significant difference between two groups regarding NDI score ( = 0.36), VAS ARM score ( = 0.73), VAS NECK score ( = 0.63), EQ-5D score ( = 0.61) and dysphagia incidence (0.18). CONCLUSION: DCDA and ACDF have similar results in terms of NDI scores, VAS scores, EQ-5D scores, and dysphagia. In addition, DCDA can reduce the risk of ASD but increases the risk of reoperation.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/579077461ee0/fsurg-10-1124423-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/4a91bc28cdb7/fsurg-10-1124423-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/1ed1679e7eed/fsurg-10-1124423-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/6f1a2c46c452/fsurg-10-1124423-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/363024d00606/fsurg-10-1124423-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/7d4ebbbe412a/fsurg-10-1124423-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/275e8b65572f/fsurg-10-1124423-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/3f9afa20dfe3/fsurg-10-1124423-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/3175e5ef5607/fsurg-10-1124423-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/579077461ee0/fsurg-10-1124423-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/4a91bc28cdb7/fsurg-10-1124423-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/1ed1679e7eed/fsurg-10-1124423-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/6f1a2c46c452/fsurg-10-1124423-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/363024d00606/fsurg-10-1124423-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/7d4ebbbe412a/fsurg-10-1124423-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/275e8b65572f/fsurg-10-1124423-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/3f9afa20dfe3/fsurg-10-1124423-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/3175e5ef5607/fsurg-10-1124423-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a60/9989026/579077461ee0/fsurg-10-1124423-g009.jpg

相似文献

[1]
Comparison of discover cervical disc arthroplasty and anterior cervical discectomy and fusion for the treatment of cervical degenerative disc diseases: A meta-analysis of prospective, randomized controlled trials.

Front Surg. 2023-2-21

[2]
Cervical disc arthroplasty (CDA) versus anterior cervical discectomy and fusion (ACDF) in symptomatic cervical degenerative disc diseases (CDDDs): an updated meta-analysis of prospective randomized controlled trials (RCTs).

Springerplus. 2016-7-27

[3]
Anterior cervical discectomy and fusion (ACDF) versus cervical disc arthroplasty (CDA) for two contiguous levels cervical disc degenerative disease: a meta-analysis of randomized controlled trials.

Eur Spine J. 2017-4

[4]
Mid- to Long-Term Outcomes of Cervical Disc Arthroplasty versus Anterior Cervical Discectomy and Fusion for Treatment of Symptomatic Cervical Disc Disease: A Systematic Review and Meta-Analysis of Eight Prospective Randomized Controlled Trials.

PLoS One. 2016-2-12

[5]
Comparison of cervical disc arthroplasty and anterior cervical discectomy and fusion for the treatment of cervical disc degenerative diseases on the basis of more than 60 months of follow-up: a systematic review and meta-analysis.

BMC Neurol. 2020-4-20

[6]
Long-term Results Comparing Cervical Disc Arthroplasty to Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Orthop Surg. 2019-12-21

[7]
Discover cervical disc arthroplasty versus anterior cervical discectomy and fusion in symptomatic cervical disc diseases: A meta-analysis.

PLoS One. 2017-3-30

[8]
Cervical Disc Arthroplasty Versus Anterior Cervical Discectomy and Fusion for Incidence of Symptomatic Adjacent Segment Disease: A Meta-Analysis of Prospective Randomized Controlled Trials.

Spine (Phila Pa 1976). 2016-10-1

[9]
Cervical Disc Arthroplasty (CDA) versus Anterior Cervical Discectomy and Fusion (ACDF) for Two-Level Cervical Disc Degenerative Disease: An Updated Systematic Review and Meta-Analysis.

J Clin Med. 2024-5-29

[10]
The change of adjacent segment after cervical disc arthroplasty compared with anterior cervical discectomy and fusion: a meta-analysis of randomized controlled trials.

Spine J. 2017-10

本文引用的文献

[1]
Outcomes of cervical arthroplasty versus anterior cervical arthrodesis: a systematic review and meta-analysis of randomized clinical trials with a minimum follow-up of 7-year.

Eur J Orthop Surg Traumatol. 2023-7

[2]
A meta-analysis comparing the short- and mid- to long-term outcomes of artificial cervical disc replacement(ACDR) with anterior cervical discectomy and fusion (ACDF) for the treatment of cervical degenerative disc disease.

Int Orthop. 2022-7

[3]
Current Concepts of Cervical Disc Arthroplasty.

Int J Spine Surg. 2021-12

[4]
The Incidence of Adjacent Segment Pathology After Cervical Disc Arthroplasty Compared with Anterior Cervical Discectomy and Fusion: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.

World Neurosurg. 2022-4

[5]
Effect of Arthroplasty vs Fusion for Patients With Cervical Radiculopathy: A Randomized Clinical Trial.

JAMA Netw Open. 2021-8-2

[6]
Metal-on-metal versus metal-on-plastic artificial discs in two-level anterior cervical disc replacement: a meta-analysis with follow-up of 5 years or more.

Spine J. 2021-11

[7]
Comparison of cervical disc arthroplasty and anterior cervical discectomy and fusion for the treatment of cervical disc degenerative diseases on the basis of more than 60 months of follow-up: a systematic review and meta-analysis.

BMC Neurol. 2020-4-20

[8]
Cervical disc arthroplasty versus anterior cervical discectomy and fusion: a meta-analysis of rates of adjacent-level surgery to 7-year follow-up.

J Spine Surg. 2020-3

[9]
Mid-Term to Long-Term Outcomes After Total Cervical Disk Arthroplasty Compared With Anterior Diskectomy and Fusion: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Clin Spine Surg. 2020-6

[10]
Radiological and clinical outcomes of 3-level cervical disc arthroplasty.

J Neurosurg Spine. 2019-11-1

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