Anterior cervical discectomy and fusion versus cervical arthroplasty for the management of cervical spondylosis: a meta-analysis

Purpose The aim of this study was to compare the efficacy and safety of anterior cervical discectomy and fusion (ACDF) and cervical arthroplasty for patients with cervical spondylosis. Methods PubMed, Embase, and Cochrane Library were used to search for relevant articles published prior to April 201...

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Veröffentlicht in:	European spine journal 2017-04, Vol.26 (4), p.998-1008
Hauptverfasser:	Ma, Zhuo, Ma, Xun, Yang, Huilin, Guan, Xiaoming, Li, Xiang
Format:	Artikel
Sprache:	eng
Schlagworte:	Arthroplasty - methods Cervical Vertebrae - surgery Diskectomy - methods Female Humans Medicine Medicine & Public Health Neck Pain - etiology Neurosurgery Patient Satisfaction Reoperation Review Article Spinal Fusion - methods Spondylosis - complications Spondylosis - surgery Surgical Orthopedics Time Factors Treatment Outcome
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Zusammenfassung:	Purpose The aim of this study was to compare the efficacy and safety of anterior cervical discectomy and fusion (ACDF) and cervical arthroplasty for patients with cervical spondylosis. Methods PubMed, Embase, and Cochrane Library were used to search for relevant articles published prior to April 2016 to identify studies comparing ACDF and cervical arthroplasty involving patients with cervical spondylosis. Relative risks (RR) and mean differences (MD) were used to measure the efficacy and safety of ACDF and cervical arthroplasty using the random effects model. Results The meta-analysis of 17 studies involved 3122 patients diagnosed with cervical spondylosis. Patients undergoing ACDF showed lower overall success rate (RR 0.84; 95 % CI 0.77–0.92; P
ISSN:	0940-6719 1432-0932
DOI:	10.1007/s00586-016-4779-7