Evidence map›Paper›PMID 42035304›Full record

ReviewGlobal spine journal2026

Is Motion Preservation With Three-Level Hybrid Cervical Surgery Achieved Without Compromising Clinical Outcomes? A Systematic Review and Meta-Analysis.

Vibhu Krishnan Viswanathan, Sathish Muthu, Vaishnavi Sampathkumar, Dhibin Vikash Kolarpatti Ponnusamy, Satish Kumar Rajappan Chandra, Khan Sharun, Sakthivel Rajan Rajaram Manoharan, Steven Theiss

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review 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

8 authors.

Vibhu Krishnan ViswanathanDepartment of Orthopaedic Surgery, University of Alabama, Birmingham, AL, USA.ORCID 0000-0002-3804-1698
Sathish MuthuDepartment of Spine Surgery, Orthopaedic Research Group, Coimbatore, India.ORCID 0000-0002-7143-4354
Vaishnavi SampathkumarDepartment of Radiology, Swamy Vivekananda Medical College and Research Institute, Tiruchengode, India.
Dhibin Vikash Kolarpatti PonnusamyDepartment of Orthopaedics, Government Medical College, Karur, India.ORCID 0000-0003-1071-0084
Satish Kumar Rajappan ChandraClinical Trial & Research Unit, Interdisciplinary Institute of Indian System of Medicine (IIISM), SRM Institute of Science and Technology, Kattankulathur, India.
Khan SharunGraduate Institute of Medicine, Yuan Ze University Taoyuan, Taiwan.ORCID 0000-0003-1040-3746
Sakthivel Rajan Rajaram ManoharanDepartment of Orthopaedic Surgery, University of Alabama, Birmingham, AL, USA.
Steven TheissDepartment of Orthopaedic Surgery, University of Alabama, Birmingham, AL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study designSystematic review and meta-analysis.ObjectiveTo compare the clinical, radiographic, fusion and complication outcomes between three-level anterior cervical discectomy and fusion (ACDF) and hybrid constructs combining ACDF and cervical disc arthroplasty (CDA).MethodsSystematic search of PubMed, Embase, Scopus, and Web of Science was performed in accordance with PRISMA guidelines. Comparative studies evaluating three-level ACDF and three-level hybrid surgery were included. Primary outcomes included neck disability index(NDI), visual analogue scale(VAS) scores, Japanese Orthopaedic Association (JOA) scores, C2-C7 Cobb angle, C2-7 range of motion (ROM), fusion rates, and complications. Random-effects meta-analyses were performed. Heterogeneity and publication bias were assessed using standard statistical methods.ResultsTwelve studies comprising 1008 patients (553 hybrid and 455 ACDF) met the inclusion criteria. Both surgical strategies demonstrated significant improvements in NDI (

Indexed as

cervical disc arthroplastyhybrid cervical surgerymeta-analysisrange of motionsystematic reviewthree-level ACDF

Identifiers

PMID42035304
PMCPMC13111551

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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.