Spine
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Meta Analysis Comparative Study
The Statistical Fragility of Trials Comparing Cervical Disc Arthroplasty and Anterior Cervical Discectomy and Fusion: A Meta Analysis.
Meta-analysis. ⋯ RCTs comparing ACDF and CDA have fair to moderate statistical robustness and do not suffer from statistical fragility.
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A systematic review with meta-analysis of randomized controlled trials and comparative retrospective cohort studies. ⋯ The authors found that significantly fewer secondary surgeries and adverse events were seen after CDA than after ACDF at 10-year follow-up. CDA had statistically, but not clinically, improved neck disability index and visual analog scale scores but lower Japanese Orthopaedic Association scores in comparison to ACDF. CDA was not significantly different from ACDF in terms of a successful neurological outcome.
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A systematic review and meta-analysis. ⋯ Competency was achieved on the learning curve for endoscopic cervical foraminotomy after about 21 procedures. There is no significant difference in postoperative hospitalization time, postoperative recovery room time, intraoperative blood loss, and complication rates between the learning phase and the competency phase of the learning curve for endoscopic cervical foraminotomy, noting the relatively small sample size of this study that may underpower this finding.
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Meta Analysis Comparative Study
Comparison of the Safety of Inpatient versus Outpatient Lumbar Fusion: A Systematic Review and Meta-Analysis.
Systematic Review and Meta-analysis. ⋯ Preliminary data regarding the safety of outpatient lumbar fusion demonstrates a favorable safety profile in appropriately selected patients, with PROMs remaining comparable in this setting. There is no data in the form of prospective and randomized trials which is necessary to definitively change practice.
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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.