ArticleInternational journal of spine surgery2020
Patient Selection in Cervical Disc Arthroplasty.
Article in International journal of spine surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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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.
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.
Who cites it
17 citing papers in PubMed, 45 citations in OpenAlex.
- Cervical disc arthroplasty has higher preoperative costs than anterior cervical discectomy and fusion: a retrospective 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 · 2026Article
- Cervical Disc Replacement Does Not Increase Revision or Reoperation Risk Compared With Fusion in Osteoporotic Women: A Retrospective Matched Cohort Study.Global spine journal · 2026Article
- Assessing cervical intervertebral disc height on MRI and X-ray versus CT; a single center retrospective cohort study.Brain & spine · 2026Article
- Prediction of non-routine discharge following single-level cervical disc arthroplasty using machine learning.Journal of orthopaedics · 2025Article
- Is Cervical Disc Arthroplasty an Effective Treatment for Cervical Degenerative Disease With Osteopenia?Global spine journal · 2025Article
- Kinematic status of Bryan and Mobi-C artificial cervical discs post cervical hybrid surgery: a retrospective study.Journal of orthopaedic surgery and research · 2024Article
- Expectations of clinical improvement following corrective surgery for adult cervical deformity based on functional disability at presentation.Spine deformity · 2024Article
- No Difference in Two-Year Revisions Between Hybrid Fusion and Two-Level Anterior Discectomy and Fusion: A National Database Study.Global spine journal · 2024Article
- Changes in the centre of rotation and the anterior bone loss of the vertebral body in Mobi-C artificial disc replacement segments after cervical hybrid surgery: a retrospective 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 · 2024Article
- Cervical Disc Arthroplasty: Rationale, Designs, and Results of Randomized Controlled Trials.International journal of spine surgery · 2024Article
- Range of motion after 1, 2, and 3 level cervical disc arthroplasty.North American Spine Society journal · 2023Article
- Combining Laminoplasty With Artificial Disc Replacement for the Treatment of Cervical Spondylotic Myelopathy With Congenital Cervical Stenosis.International journal of spine surgery · 2023Article
- Trends in use, outcomes, and revision procedures of anterior cervical disc replacement in the United States: a premiere database analysis from 2006-2019.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 · 2023Article
- [Partial or full component exchange in hip revision? : The relevance of off-label use and mix & match].Orthopadie (Heidelberg, Germany) · 2022Review
- Cervical and Lumbar Disc Arthroplasty: A Review of Current Implant Design and Outcomes.Bioengineering (Basel, Switzerland) · 2022Review
- EFORT recommendations for off-label use, mix & match and mismatch in hip and knee arthroplasty.EFORT open reviews · 2021Review
- Increased rates of dysphagia, longer length of stay, nonroutine discharge, and higher hospital costs in patients over 65 undergoing single-level cervical disc arthroplasty: A propensity score-matched analysis.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient selection for cervical disc arthroplasty (CDA) in the United States remains a topic of debate among surgeons. Many surgeons base US patient selection for CDA implantation on the Food and Drug Administration (FDA) indications/contraindications. While off-label use does occur, the frequency and extent of off-label use in the US remains largely unknown. Outside the United States, patient selection is notably less stringent; however such data also remain largely unpublished or presented/published with a low level of evidence. Here, we will review the current approved US on-label patient selection criteria for CDA and discuss the rationale and supporting evidence to expand these criteria in the United States.
methodsA PubMed literature search was completed using the keywords "cervical disc arthroplasty" and "cervical disc replacement." The articles were evaluated by the authors for patient selection criteria.
conclusionsThe current published data do not conclusively prove that the patients excluded from CDA by strict adherence to FDA indications would benefit from CDA surgery over anterior cervical discectomy and fusion. As surgeons, it is a difficult decision regarding when to expand indications to include off-label use of CDA. In our practice, generally CDA patient selection agrees with the FDA indications and contraindications, as there is a lack of level 1 evidence to confirm effectiveness of CDA outside of the current FDA indications. We will likely need more well-constructed studies to include prospective and controlled trials that specifically evaluate the "off-label" applications before US surgeons are convinced to expand indications and insurance companies agree to reimburse.
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What OpenQuestion holds
Registered trials
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.