Cochrane · systematic review · CD009173
Arthroplasty versus fusion in single-level cervical degenerative disc disease
Boselie Toon FM, Willems Paul C, van Mameren Henk, 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 2 · 28.6%Moderate 4 · 57.1%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
Arthroplasty compared to fusion for single‐level cervical degenerative disc disease
Population: patients with single‐level cervical degenerative disc disease
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Arm pain at 1 to 2 years VAS or NRS Arthroplasty vs fusion | no estimate extracted | 6 studies · 1310 participants | Low Downgraded: risk of bias, imprecision |
Neck pain at 1 to 2 years VAS or NRS Arthroplasty vs fusion | no estimate extracted | 6 studies · 1309 participants | Moderate Downgraded: risk of bias |
Neck‐related functional status at 1 to 2 years NDI Arthroplasty vs fusion | no estimate extracted | 6 studies · 1505 participants | Moderate Downgraded: risk of bias |
Patient satisfaction at 1 to 2 years Arthroplasty vs fusion | RR 1.06 [1, 1.12] | 2 studies · 498 participants | Very low Downgraded: risk of bias, inconsistency |
Neurological status at 1 to 2 years Percentage of participants with unchanged or improved neurological status Arthroplasty vs fusion | RR 1.05 [1.01, 1.09] | 3 studies · 1147 participants | Moderate Downgraded: risk of bias |
Global health status at 1 to 2 years SF36‐PCS Arthroplasty vs fusion | no estimate extracted | 3 studies · 950 participants | Moderate Downgraded: risk of bias |
Global health status at 1 to 2 years SF36‐MCS Arthroplasty vs fusion | no estimate extracted | 3 studies · 950 participants | Low Downgraded: risk of bias, imprecision |