Cochrane · systematic review · CD008326
Total disc replacement for chronic back pain in the presence of disc degeneration
Jacobs, W, Van der Gaag, NA, Tuschel, A, et al. · Cochrane Database of Systematic Reviews · 2012 · Cochrane Library
Back and NeckAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
8
No studies
2
Included studies
NR
No studies 2 · 20%Ungraded 0 · 0%Very low 4 · 40%Low 2 · 20%Moderate 2 · 20%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Disc arthroplasty versus fusion for chronic low‐back pain
Population: patients with chronic low‐back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Improvement in Back Pain VAS 100 mm scale Disc arthroplasty vs fusion | no estimate extracted | 2 studies · 676 participants | Low Downgraded: imprecision, publication bias |
Patient satisfaction Questionnaire Disc arthroplasty vs fusion | OR 1.93 [1.36, 2.76] | 4 studies · 958 participants | Moderate Downgraded: imprecision, inconsistency, publication bias |
Improvement in function Oswestry score. Scale from: ‐100 to 100. Disc arthroplasty vs fusion | no estimate extracted | 5 studies · 1207 participants | Moderate Downgraded: imprecision, inconsistency, publication bias |
Percentage of patients improved on function Oswestry score Disc arthroplasty vs fusion | OR 1.45 [1.06, 1.98] | 5 studies · 1244 participants | Low Downgraded: imprecision, inconsistency, publication bias |
Disability Roland Morris Disc arthroplasty vs fusion | no estimate extracted | NR | No studies |
Physical and mental health SF‐36, SF‐12 Disc arthroplasty vs fusion | no estimate extracted | 2 studies · 863 participants | Very low Downgraded: imprecision, inconsistency, publication bias |
Economic status Euro‐QoL; EQ‐5D Disc arthroplasty vs fusion | no estimate extracted | 1 study · 152 participants | Very low Downgraded: imprecision, inconsistency, publication bias |
Daily activity Disc arthroplasty vs fusion | no estimate extracted | NR | No studies |
Return to Work Disc arthroplasty vs fusion | no estimate extracted | 4 studies · 1188 participants | Very low Downgraded: imprecision, inconsistency, publication bias |
Adverse Effects Disc arthroplasty vs fusion | no estimate extracted | NR | Very low Downgraded: imprecision, inconsistency, publication bias |