Evidence map›Paper›PMID 41489662›Full record

ArticleGlobal spine journal2026

Cervical Disc Arthroplasty for the Treatment of Degenerative Cervical Myelopathy: What's the Evidence?

Anson Bautista, Ivan Z Liu, Ankit I Mehta, Aditya Vedantam, C Rory Goodwin, Nathan Evaniew, Paula Valerie Ter Wengel, Daipayan Guha, Vafa Rahimi-Movaghar, Ryan Quisling and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global spine journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Anson BautistaDepartment of Orthopaedic Surgery, Dwight David Eisenhower Army Medical Center, Augusta, GA, USA.
Ivan Z LiuDepartment of Orthopaedic Surgery, Medical College of Georgia at Augusta University, Augusta, GA, USA.
Ankit I MehtaDepartment of Neurosurgery, University of Illinois College of Medicine at Chicago, Chicago, IL, USA.ORCID 0000-0001-6931-6095
Aditya VedantamDepartment of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID 0000-0002-5212-0640
C Rory GoodwinSection of Orthopaedic Surgery, Department of Surgery, University of Calgary, Calgary, AB, Canada.ORCID 0000-0002-6540-2751
Nathan EvaniewSection of Orthopaedic Surgery, Department of Surgery, University of Calgary, Calgary, AB, Canada.
Paula Valerie Ter WengelDepartment of Neurosurgery, Haaglanden Medisch Centrum, Haaglanden, Netherlands.ORCID 0000-0003-1073-8239
Daipayan GuhaDivision of Neurosurgery, Department of Surgery, McMaster University, Hamilton, ON, Canada.
Vafa Rahimi-MovagharSina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-7347-8767
Ryan QuislingMedical College of Georgia at Augusta University, Augusta, GA, USA.
Jonathan PalmerMedical College of Georgia at Augusta University, Augusta, GA, USA.ORCID 0009-0001-8943-4870
Keith L JacksonDepartment of Orthopaedic Surgery, Dwight David Eisenhower Army Medical Center, Augusta, GA, USA.ORCID 0000-0002-3883-8760
John G DeVineDepartment of Orthopaedic Surgery, Medical College of Georgia at Augusta University, Augusta, GA, USA.ORCID 0000-0002-8958-2996
Jefferson R WilsonDivision of Neurosurgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-5965-0305
Uzondu F AgochukwuDepartment of Orthopaedic Surgery, Medical College of Georgia at Augusta University, Augusta, GA, USA.ORCID 0009-0007-9439-0132

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study DesignSystematic Literature Review.ObjectiveThe aim of this literature review is to examine the results of total disc arthroplasty in the setting of cervical myelopathy.MethodsA systematic review of the relevant literature examining the efficacy of cervical disc arthroplasty (CDA) in patients with cervical myelopathy was conducted using the Medline database.ResultsOur query identified 288 potentially relevant articles. After eliminating duplicate articles and screening by title and abstract 115 articles underwent full-text review. Of these, 15 were deemed relevant to the research questions posed. Evaluation of references identified 2 additional relevant articles.ConclusionEvaluation of outcomes measures, radiographic analysis, and failure due to implant related complications is equivalent in comparing CDA to Anterior Cervical Discectomy and Fusion (ACDF). From the literature available, the outcomes in patients undergoing cervical disc arthroplasty are at least equal to those of ACDF. The concern for persistent symptoms in patients treated with CDA due to the dynamic component on myelopathy is theoretic and not supported by the available literature.

Indexed as

anterior cervical discectomy and fusioncervical myelopathydegenerative cervical myelopathytotal disc arthroplasty

Identifiers

PMID41489662
PMCPMC12775276

What OpenQuestion holds

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Registered trials

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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.