Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis

TANG, Li; LI, Yu Zhe; CHEN, Chun Hui; CHEN, Dong; SUN, Piao; WU, Ai-Min

doi:10.5137/1019-5149.JTN.24799-18.2

Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis

Yu Zhe LI, (The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Zhejiang Spine Surgery Center, Department of Spine Surgery, Wenzhou, China)

Piao SUN, (The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Zhejiang Spine Surgery Center, Department of Spine Surgery, Wenzhou, China)

Dong CHEN, (The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Zhejiang Spine Surgery Center, Department of Spine Surgery, Wenzhou, China)

Li TANG, (The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Zhejiang Spine Surgery Center, Department of Spine Surgery, Wenzhou, China)

Chun Hui CHEN, (The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Zhejiang Spine Surgery Center, Department of Spine Surgery, Wenzhou, China)

Ai-Min WU (The Second Affiliated Hospital and Yuying Children’s Hospital of Wenzhou Medical University, The Second School of Medicine Wenzhou Medical University, Zhejiang Spine Surgery Center, Department of Spine Surgery, Wenzhou, China)

Turkish Neurosurgery

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Yıl: 2020 Cilt: 30 Sayı: 1 Sayfa Aralığı: 1 - 10 Metin Dili: İngilizce DOI: 10.5137/1019-5149.JTN.24799-18.2 İndeks Tarihi: 11-11-2020

Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis

Öz:

AIM: To conduct an updated systematic review and meta-analysis to compare the efficacy and safety between total disc replacement(TDR) and fusion surgery for lumbar degenerative disc disease (LDDD).MATERIAL and METHODS: We comprehensively searched meta-analyses comparing TDR with fusion through the PubMed,Embase, and Cochrane Library databases. Only randomized controlled trials (RCTs) were selected and collected. The end of theretrieval time was June 2017. Two authors independently extracted the data from the studies after assessing their quality. Thestatistical software STATA version 12.0 was used to analyze the data.RESULTS: A total of seven RCTs (1706 patients) were included in our analysis. The patients in the TDR group had significantlyimproved. A greater percentage of these patients were satisfied with the surgery concerning Oswestry disability index, visual analogscale score, and complication rate. In addition, the clinical success in the TDR group was greater than that in the fusion group.Meanwhile, the TDR group had shorter operative time and hospital stay. However, there was no clinical significance regarding bloodloss, work status, and reoperation rate between the two groups.CONCLUSION: Our current updated meta-analysis suggests that TDR could be an alternative treatment for LDDD, since it yieldedbetter clinical success and patient satisfaction, shorter hospital stay and operative time, less pain, and lower complication ratesthan lumbar fusion.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

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APA	LI Y, SUN P, CHEN D, TANG L, CHEN C, WU A (2020). Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis. , 1 - 10. 10.5137/1019-5149.JTN.24799-18.2
Chicago	LI Yu Zhe,SUN Piao,CHEN Dong,TANG Li,CHEN Chun Hui,WU Ai-Min Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis. (2020): 1 - 10. 10.5137/1019-5149.JTN.24799-18.2
MLA	LI Yu Zhe,SUN Piao,CHEN Dong,TANG Li,CHEN Chun Hui,WU Ai-Min Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis. , 2020, ss.1 - 10. 10.5137/1019-5149.JTN.24799-18.2
AMA	LI Y,SUN P,CHEN D,TANG L,CHEN C,WU A Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis. . 2020; 1 - 10. 10.5137/1019-5149.JTN.24799-18.2
Vancouver	LI Y,SUN P,CHEN D,TANG L,CHEN C,WU A Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis. . 2020; 1 - 10. 10.5137/1019-5149.JTN.24799-18.2
IEEE	LI Y,SUN P,CHEN D,TANG L,CHEN C,WU A "Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis." , ss.1 - 10, 2020. 10.5137/1019-5149.JTN.24799-18.2
ISNAD	LI, Yu Zhe vd. "Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis". (2020), 1-10. https://doi.org/10.5137/1019-5149.JTN.24799-18.2

APA	LI Y, SUN P, CHEN D, TANG L, CHEN C, WU A (2020). Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis. Turkish Neurosurgery, 30(1), 1 - 10. 10.5137/1019-5149.JTN.24799-18.2
Chicago	LI Yu Zhe,SUN Piao,CHEN Dong,TANG Li,CHEN Chun Hui,WU Ai-Min Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis. Turkish Neurosurgery 30, no.1 (2020): 1 - 10. 10.5137/1019-5149.JTN.24799-18.2
MLA	LI Yu Zhe,SUN Piao,CHEN Dong,TANG Li,CHEN Chun Hui,WU Ai-Min Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis. Turkish Neurosurgery, vol.30, no.1, 2020, ss.1 - 10. 10.5137/1019-5149.JTN.24799-18.2
AMA	LI Y,SUN P,CHEN D,TANG L,CHEN C,WU A Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis. Turkish Neurosurgery. 2020; 30(1): 1 - 10. 10.5137/1019-5149.JTN.24799-18.2
Vancouver	LI Y,SUN P,CHEN D,TANG L,CHEN C,WU A Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis. Turkish Neurosurgery. 2020; 30(1): 1 - 10. 10.5137/1019-5149.JTN.24799-18.2
IEEE	LI Y,SUN P,CHEN D,TANG L,CHEN C,WU A "Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis." Turkish Neurosurgery, 30, ss.1 - 10, 2020. 10.5137/1019-5149.JTN.24799-18.2
ISNAD	LI, Yu Zhe vd. "Artificial Total Disc Replacement Versus Fusion for Lumbar Degenerative Disc Disease: An Update Systematic Review and Meta-Analysis". Turkish Neurosurgery 30/1 (2020), 1-10. https://doi.org/10.5137/1019-5149.JTN.24799-18.2