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Incidence of dysphagia of zero-profile spacer versus cage-plate after anterior cervical discectomy and fusion
| Content Provider | Semantic Scholar |
|---|---|
| Author | Yang, Zhongmeng Zhao, Yao Luo, Jiaquan |
| Copyright Year | 2019 |
| Abstract | BACKGROUND The purpose of this study is to evaluate the rate of dysphagia between zero-profile spacer versus cage-plate for the treatment of multilevel cervical spondylotic myelopathy (CSM). METHODS The authors searched electronic databases for relevant studies that compared the clinical effectiveness of zero-profile spacer versus cage-plate for the treatment of patients with multilevel CSM. The following outcome measures were extracted: the Japanese Orthopaedic Association (JOA) scores, Neck Disability Index (NDI) score and fusion rate, dysphagia rate, adjacent segment degeneration, and cervical lordosis. Newcastle-Ottawa Quality Assessment Scale was used to evaluate the quality of each study. Data extraction and quality assessment were conducted, and RevMan 5.2 was used for data analysis. RESULTS A total of 10 studies were included in our meta-analysis. Our pooled data revealed that zero-profile spacer was associated with decreased dysphagia rate at postoperatively 1, 3, and 6 months, and the final follow-up when compared with cage-plate group. No significant difference was observed in terms of postoperative JOA score, NDI score, and fusion rate. Compared with zero-profile spacer, the postoperative adjacent segment degeneration was significant higher in cage-plate. Pooled data from the relevant studies revealed that cervical lordosis was significantly lower in zero-profile spacer compared with cage-plate. CONCLUSIONS Our meta-analysis reveals zero-profile spacer is better than the cage-plate in terms of dysphagia. This suggests zero-profile spacer is a superior alternative invention for the treatment of multilevel CSM to reduce the risk of dysphagia. |
| File Format | PDF HTM / HTML |
| DOI | 10.1097/MD.0000000000015767 |
| PubMed reference number | 31232918 |
| Journal | Medline |
| Volume Number | 98 |
| Alternate Webpage(s) | https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f5/2b/medi-98-e15767.PMC6636941.pdf |
| Alternate Webpage(s) | https://doi.org/10.1097/MD.0000000000015767 |
| Journal | Medicine |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
