This article summarizes the outcomes of a meta-analysis comparing cervical disc arthroplasty (CDA) with anterior cervical discectomy with fusion (ACDF) in randomized clinical trials. The study analyzed various factors, including functional and pain scores, range of motion, adjacent segment degeneration, adverse events, and the need for reoperation. The results showed that the CDA group had a higher overall success rate, better improvement in the neck disability index, less arm pain, and better physical health outcomes compared to the ACDF group. The CDA group also had a higher motion rate, less adjacent syndrome, and a lower reoperation rate. No significant differences were found in neck pain, mental health outcomes, and adverse events between the two groups. In conclusion, CDA demonstrated better long-term outcomes compared to ACDF
Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most established sugical centre in London
Published article
In long-term follow-up, CDA showed a better overall success rate, better improvement in NDI, less VAS arm pain, better health questionnaire SF-36 physical component, a higher motion rate, less adjacent syndrome, and less reoperation rate than ACDF. No significant differences were found in the neck pain scale, SF-36 mental component, and in adverse events.
Cervical Disc Arthroplasty Surgery Expert. Best Spinal Surgeon UK
Abstract Purpose: Compare the outcomes of randomized clinical trials of cervical disc arthroplasty (CDA) versus anterior cervical discectomy with fusion (ACDF), with a minimum follow-up of 7 years. Methods: Nine randomized clinical trials were selected. The clinical, radiological, and surgical outcomes were analyzed, including functional and pain scores, range of motion, adjacent segment degeneration, adverse,
Abstract
Purpose: Compare the outcomes of randomized clinical trials of cervical disc arthroplasty (CDA) versus anterior cervical discectomy with fusion (ACDF), with a minimum follow-up of 7 years.
Methods: Nine randomized clinical trials were selected. The clinical, radiological, and surgical outcomes were analyzed, including functional and pain scores, range of motion, adjacent segment degeneration, adverse events, and need for reoperation.
Results: 2664 patients were included in the study. Pooled results indicated that the CDA group had a significantly higher overall success rate (p < 0.001), a higher improvement in the neck disability index (NDI) (p = 0.002), less VAS arm pain (p = 0.01), and better health questionnaire SF-36 physical component (p = 0.01) than ACDF group. Likewise, the pooled results indicated a significantly higher motion rate (p < 0.001), less adjacent syndrome (p < 0.05), and a lower percentage of reoperation (p < 0.001) in the CDA group. There were no significant differences between the CDA and ACDF groups in the neck pain scale (p = 0.11), the health questionnaire SF-36 mental component (p = 0.10), and in adverse events (p = 0.42).
In long-term follow-up, CDA showed a better overall success rate, better improvement in NDI, less VAS arm pain, better health questionnaire SF-36 physical component, a higher motion rate, less adjacent syndrome, and less reoperation rate than ACDF. No significant differences were found in the neck pain scale, SF-36 mental component, and in adverse events.
Keywords: Arthrodesis; Arthroplasty; Cervical; Meta-analysis; Outcomes; Spine.
The London Spine Unit : most established sugical centre in London
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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
