Evidence map›Paper›PMID 27756345›Full record

SynthesisBMC musculoskeletal disorders2016

The new Zero-P implant can effectively reduce the risk of postoperative dysphagia and complications compared with the traditional anterior cage and plate: a systematic review and meta-analysis.

Mengchen Yin, Junming Ma, Quan Huang, Ye Xia, Qixing Shen, Chenglong Zhao, Jun Tao, Ni Chen, Zhingxing Yu, Jie Ye and 2 more

Open access · goldAbstract readComparative StudyMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC musculoskeletal disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. 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
  2. Intravenous and local steroid use in the management of dysphagia after anterior cervical spine surgery: a systematic review of prospective randomized controlled trails (RCTs).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 · 2019
    Pooled it
  3. Two-level ACDF with a zero-profile stand-alone spacer compared to conventional plating: a prospective randomized single-center study.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
    Trial
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Anterior cervical X-shape-corpectomy and fusion vs. anterior cervical corpectomy and fusion for two-level cervical spondylosis.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 · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. 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

12 authors at 3 institutions in 1 country.

Mengchen YinDepartment of Orthopaedics, LongHua hospital, Shanghai university of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Junming MaDepartment of Orthopaedics, LongHua hospital, Shanghai university of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Quan HuangDepartment of Bone Tumor Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Ye XiaDepartment of Orthopaedics, LongHua hospital, Shanghai university of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Qixing ShenDepartment of Orthopaedics, LongHua hospital, Shanghai university of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Chenglong ZhaoDepartment of Bone Tumor Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Jun TaoDepartment of Bone Tumor Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China.
Ni ChenDepartment of Orthopaedics, LongHua hospital, Shanghai university of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Zhingxing YuDepartment of Orthopaedics, LongHua hospital, Shanghai university of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Jie YeDepartment of Orthopaedics, LongHua hospital, Shanghai university of Traditional Chinese Medicine, Shanghai, People's Republic of China.
Wen MoDepartment of Orthopaedics, LongHua hospital, Shanghai university of Traditional Chinese Medicine, Shanghai, People's Republic of China. mw2218@126.com.
Jianru XiaoDepartment of Bone Tumor Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, People's Republic of China. jianruxiao83@163.com.
Longhua Hospital Shanghai University of Traditional Chinese Medicine · CNSecond Military Medical University · CNShanghai University of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe low-profile angle-stable spacer Zero-P is a new kind of cervical fusion system that is claimed to limit the potential drawbacks and complications. The purpose of this meta-analysis was to compare the clinical and radiological results of the new Zero-P implant with those of the traditional anterior cage and plate in the treatment of symptomatic cervical spondylosis, and provides clinicians with evidence on which to base their clinical decision making.

methodsThe following electronic databases were searched: PMedline, PubMed, EMBASE, the Cochrane Central Register of Controlled Trials, Evidence Based Medicine Reviews, VIP, and CNKI. Conference posters and abstracts were also electronically searched. The efficacy was evaluated in intraoperative time, intraoperative blood loss, fusion rate and dysphagia.

resultsFor intraoperative time and intraoperative blood loss, the meta-analysis revealed that the Zero-P surgical technique is not superior to the cage and plate technique . For fusion rate, the two techniques both had good bone fusion, however, this difference is not statistically significant. For decrease of JOA and dysphagia, the pooled data showed that the Zero-P surgical technique is superior to the cage and plate technique.

conclusionsZero-P interbody fusion can attain good clinical efficacy and a satisfactory fusion rate in the treatment of symptomatic cervical spondylosis. It also can effectively reduce the risk of postoperative dysphagia and its complications. However, owing to the lack of long-term follow-up, its long-term efficacy remains unknown.

Indexed as

Prosthesis FailureBlood Loss, SurgicalBone PlatesCervical VertebraeClinical Decision-MakingDeglutition DisordersHumansInternal FixatorsOperative TimePostoperative ComplicationsPostoperative PeriodRadiographySpinal FusionSpondylosisTreatment OutcomeCageCervical spineCervical spondylosisSystematic reviewZero-P plate

Identifiers

PMID27756345
PMCPMC5069983
OpenAlexW2534559805

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.