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RCT
ACE Report #11480
Ace Report Cover Spine

Higher 10-yr success rate and lower rate of ASD requiring secondary surgery with CDA versus ACDF


Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

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/nyy118

Contributing Authors: KD Riew GM Ghobrial WF Lavelle JE Florman AD Levi

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Synopsis

463 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 da...

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