Spine
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Randomized Controlled Trial
20-year Radiographic Outcomes Following Single Level Cervical Disc Arthroplasty: Results from a Prospective Randomized Controlled Trial.
Prospective randomized controlled trial. ⋯ Cervical disc arthroplasty maintains index-level and total cervical ROM with very long-term follow-up. Total cervical ROM was higher at 20 years in CDA relative to ACDF. CDA results in lower rates of ASD and adjacent-level ossification development than ACDF.
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Meta Analysis Comparative Study
Network Meta-analysis of C5 Palsy after Anterior Cervical Decompression of 3-6 Levels: Comparing three Different Procedures.
Systematic review and meta-analysis. ⋯ Level III.
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A prospective multicenter study. ⋯ 3.
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A systematic review and meta-analysis. ⋯ These results support several advantages of spinal endoscopic techniques for the treatment of symptomatic TOLF. These include low complication rates, rapid postoperative recovery, and good functional recovery when used for single-segment, non-nodular ossification and no combined dural ossification.
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Multicenter Study
Comparison of Robotics and Navigation for Clinical Outcomes Following Minimally Invasive Lumbar Fusion.
Retrospective cohort. ⋯ Robotics did not seem to lead to significantly better clinical outcomes compared with navigation following MI-TLIF. Although the clinical outcomes may be similar, robotics offers the advantages of reduced radiation exposure, greater screw size, and slightly better accuracy over navigation. These advantages should be considered when determining the utility and cost-effectiveness of robotics in spine surgery. Larger multicenter prospective studies are required in the future to further investigate this subject.