Higher 10-yr success rate and lower rate of ASD requiring secondary surgery with CDA versus ACDF .
Symptomatic Adjacent Level Disease Requiring Surgery: Analysis of 10-Year Results From a Prospective, Randomized, Clinical Trial Comparing Cervical Disc Arthroplasty to Anterior Cervical Fusion
Neurosurgery. 2019 Feb 1;84(2):347-354. doi: 10.1093/neuros/nyy118463 patients with degenerative cervical disc disease were randomized to operative management with either cervical disc arthroplasty (BRYAN artificial disc; Medtronic) or anterior cervical discectomy and fusion (ACDF) with allograft. Patients were followed for 10 years postoperatively. Only 235 patients - 130 and 105 patients in the groups, respectively - were available after 10 years. Available data demonstrated a non-statistically significant difference between groups in the rate of secondary surgery due to adjacent segment degeneration. However, composite endpoint for success, success rate for response on the Neck Disability Index, and cervical range of motion at 10 years all favoured the CDA group compared to the ACDF group.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
0 of 4 monthly FREE articles unlocked
