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Retracted: Comparison Outcomes of Discover Total Disk Arthroplasty and Anterior Cervical Discectomy with Fusion in Surgical Treatment of Cervical Disk Degenerative Disease: a Meta-Analysis of Randomized Trials
- Authors: Byvaltsev V.A.1,2,3, Stepanov I.A.1, Aliyev M.A.1, Avakov BM.1, Yussupov B.R.1, Shepelev V.V.1
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Affiliations:
- ФГБОУ ВО «Иркутский государственный медицинский университет»
- НУЗ «Дорожная клиническая больница на ст. Иркутск-Пассажирский»
- ФГБНУ «Иркутский научный центр хирургии и травматологии»4 ФГБОУ ДПО «Иркутская государственная медицинская академия последипломного образования»
- Issue: Vol 24, No 4 (2018)
- Pages: 137-147
- Section: Reviews
- URL: https://journal.rniito.org/jour/article/view/1107
- DOI: https://doi.org/10.21823/2311-2905-2018-24-4-137-147
- ID: 1107
Cite item
Abstract
The purpose — to compare the effectiveness of Discover cervical disk arthroplasty (CDA) and anterior cervical discectomy with fusion (ACDF) in the surgical treatment of cervical intervertebral disk (IVD) degenerative disease.
Study design — a meta-analysis of randomized clinical trials.
Material and Methods. Randomized clinical trials were conducted in the Pubmed, EMBASE, ELibrary and Cochrane Library databases published from 2008 to October 2018, which compared the results of Discover CDA and ACDF techniques in the surgical treatment of cervical IVD degenerative disease. For dichotomous variables, the relative risk and 95% confidence interval were calculated, standardized difference of mean values and their 95% confidence interval were used for continuous variables using the random effects model.
Results. This meta-analysis included 9 randomized controlled clinical trials, including the results of surgical treatment of 513 patients with degenerative disease of the cervical IVD. In the CDA group, the operation time was significantly shorter, in contrast to the group of patients who underwent ACDF (p<0.0001). The values of blood loss (p = 0.89), levels of quality of life for patients according to the Neck Disability Index (NDI) (p = 0.22), severity of pain in the cervical spine (p = 0.50) and upper limbs on a visual analogue scale (VAS) (p = 0.16), as well as the prevalence of secondary surgical procedures (p = 0.68) and adverse events (p = 0.40) between the compared groups did not have significant differences. At the same time, significantly large values of the range of motion at the operated level were noted in the CDA group (p<0.00001).
Conclusion. Discover CDA in comparison with ACDF has a significantly large values of range of motion at the operated level. At the same time, there were no statistically significant differences in the NDI scores, VAS pain scores in cervical spine and upper limbs, and the prevalence of secondary surgical procedures and adverse events between the compared groups of respondents were not identified.
About the authors
V. A. Byvaltsev
ФГБОУ ВО «Иркутский государственный медицинский университет»;НУЗ «Дорожная клиническая больница на ст. Иркутск-Пассажирский»;
ФГБНУ «Иркутский научный центр хирургии и травматологии»4
ФГБОУ ДПО «Иркутская государственная медицинская академия последипломного образования»
Author for correspondence.
Email: vadimabyvaltsev@gmail.com
Vadim A. Byvaltsev — Dr. Sci. (Med.), head of Neurosurgery and Innovative Medicine Department at Irkutsk State Medical University; chief of Neurosurgery in the JSC «Russian Railways»; head of Neurosurgical Center at Road Clinical Hospital at «Irkutsk-Passazhirskiy» Station; vice-president of Irkutsk Scientific Center of Surgery and Traumatology; professor of the Department of Traumatology, Orthopaedics and Neurosurgery, Irkutsk State Medical Academy of Continuing Education
Irkutsk
Russian FederationI. A. Stepanov
ФГБОУ ВО «Иркутский государственный медицинский университет»
Email: fake@neicon.ru
Ivan A. Stepanov — postgraduate student
Irkutsk
Russian FederationM. A. Aliyev
ФГБОУ ВО «Иркутский государственный медицинский университет»
Email: fake@neicon.ru
Marat A. Aliyev — doctoral student
Irkutsk
Russian FederationB M. Avakov
ФГБОУ ВО «Иркутский государственный медицинский университет»
Email: fake@neicon.ru
Bakhyt M. Avakov — postgraduate student
Irkutsk
Russian FederationB. R. Yussupov
ФГБОУ ВО «Иркутский государственный медицинский университет»
Email: fake@neicon.ru
Bobur R. Yussupov — postgraduate student
Irkutsk
Russian FederationV. V. Shepelev
ФГБОУ ВО «Иркутский государственный медицинский университет»
Email: fake@neicon.ru
Valerii V. Shepelev — doctoral student
Irkutsk
Russian Federation
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