Evidence map›Paper›PMID 26381236›Full record

SynthesisJournal of orthopaedic surgery and research2015

Zero-profile implant versus conventional cage-plate implant in anterior cervical discectomy and fusion for the treatment of degenerative cervical spondylosis: a meta-analysis.

Haiyu Shao, Jinping Chen, Bin Ru, Feifei Yan, Jun Zhang, Shaonan Xu, Yazeng Huang

Open access · goldAbstract readComparative StudyMeta-Analysis
In one paragraph

Synthesis in Journal of orthopaedic surgery and research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 5 pooled it
3.2field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Locking stand-alone cage versus anterior plate construct in anterior cervical discectomy and fusion: a systematic review and meta-analysis based on randomized controlled trials.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2020
    Pooled it
  4. Locking stand-alone cages versus anterior plate constructs in single-level fusion for degenerative cervical disease: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2017
    Pooled it
  5. Zero-profile anchored cage reduces risk of postoperative dysphagia compared with cage with plate fixation after anterior cervical discectomy and fusion.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2017
    Pooled it
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Haiyu ShaoDepartment of Orthopaedics, Zhejiang Provincial People's Hospital, No.158, Shangtang Road, Hangzhou, 310000, Zhejiang, China. shaohaiyu@163.com.
Jinping ChenDepartment of Orthopaedics, Zhejiang Provincial People's Hospital, No.158, Shangtang Road, Hangzhou, 310000, Zhejiang, China. y1028263755@126.com.
Bin RuDepartment of Orthopaedics, Zhejiang Provincial People's Hospital, No.158, Shangtang Road, Hangzhou, 310000, Zhejiang, China.
Feifei YanDepartment of Medicine, Zhejiang University, No.268, Kaixuan Road, Hangzhou, 310000, Zhejiang, China.
Jun ZhangDepartment of Orthopaedics, Zhejiang Provincial People's Hospital, No.158, Shangtang Road, Hangzhou, 310000, Zhejiang, China.
Shaonan XuDepartment of Orthopaedics, Zhejiang Provincial People's Hospital, No.158, Shangtang Road, Hangzhou, 310000, Zhejiang, China.
Yazeng HuangDepartment of Orthopaedics, Zhejiang Provincial People's Hospital, No.158, Shangtang Road, Hangzhou, 310000, Zhejiang, China.
Zhejiang Provincial People's Hospital · CNZhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundZero-profile implant has become more and more popular in anterior cervical discectomy and fusion (ACDF) for the treatment of degenerative cervical spondylosis. However, there was no enough evidence judging its efficiency and safety. The aim of this analysis was to evaluate the efficacy and safety of Zero-profile implant compared with conventional cage-plate (CCP) in ACDF.

methodsAll studies directly comparing the outcomes between the Zero-profile implant and CCP implant in ACDF were included, and the search strategy followed the requirements of the Cochrane Library Handbook. Two of the authors extracted relevant data and checked the accuracy independently using standardized data collection form.

resultsSeven studies involving 560 patients were included, 262 in the Zero-profile group and 298 in the CCP group. Zero-profile implant had a lower rate of postoperative dysphagia at 2 weeks, 6 months, and 1 year (p = 0.0002, p = 0.008, and p = 0.001, respectively) than CCP implant. Zero-profile also reduced blood loss (p = 0.0001), while operation time and incidence of postoperative transient dysphagia had no statistical significance (p = 0.92, p = 0.42, respectively) between two groups.

conclusionBased on the results of our analysis, the application of Zero-profile implant in ACDF had a lower rate of postoperative dysphagia at 2 weeks, 6 months, and 1 year than CCP implant. Zero-profile implant also had fewer blood loss during operation. More rigorous and adequately powered prospective randomized controlled trials with larger sample size are required to elucidate a more objective outcome.

Indexed as

Prostheses and ImplantsCervical VertebraeDiskectomyHumansPostoperative ComplicationsProspective StudiesRandomized Controlled Trials as TopicRetrospective StudiesSpinal FusionSpondylosisTreatment Outcome

Identifiers

PMID26381236
PMCPMC4574194
OpenAlexW1790773278

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.