BACKGROUND: Whether anterior cervical discectomy with fusion (ACDF) or anterior cervical corpectomy with fusion (ACCF) is superior in the treatment of cervical @entity602 remains controversial. Therefore, we conducted a meta-analysis to quantitatively compare the efficacy and safety of ACDF and ACCF in the treatment of cervical @entity602 . METHODS: PubMed, Embase, Web of Science, SinoMed (Chinese BioMedical Literature Service System, @entity1 's Republic of China), and CNKI (China National Knowledge Infrastructure, @entity1 's Republic of China) were systematically searched to identify all available studies comparing efficacy and safety between @entity1 receiving ACDF and ACCF. The @entity353 ( @entity353 ) was pooled to compare the Japanese Orthopaedic Association scores, visual analog scale scores, hospital stay, operation time, and @entity190 . The risk ratio was pooled to compare the incidence of complications and fusion rate. Pooled estimates were calculated by using a fixed-effects model or a random-effects model according to the heterogeneity among studies. RESULTS: Eighteen studies (17 observational studies and one randomized controlled trial) were included in this meta-analysis. Our results suggest that hospital stay ( @entity353 =-1.33, 95% confidence interval [CI]: -2.29, -0.27; P=0.014), operation time ( @entity353 =-26.9, 95% CI: -46.13, -7.67; P=0.006), @entity190 ( @entity353 =-119.36, 95% CI: -166.94, -71.77; P=0.000), and incidence of complications (risk ratio =0.51, 95% CI: 0.33, 0.80; P=0.003) in the ACDF group were significantly less than that in the ACCF group. However, other clinical outcomes, including post-Japanese Orthopaedic Association score ( @entity353 =-0.27, 95% CI: -0.57, 0.03; P=0.075), visual analog scale score ( @entity353 =0.03, 95% CI: -1.44, 1.50; P=0.970), and fusion rate (risk ratio =1.04, 95% CI: 0.99, 1.09; P=0.158), between the two groups were not significantly different. CONCLUSION: Evidence from the meta-analysis of 18 studies demonstrated that surgical options of cervical @entity602 using ACDF or ACCF seemed to have similar clinical outcomes. However, ACDF was found to be superior to ACCF in terms of hospital stay, operation time, @entity190 , and incidence of complications.

Comparison between anterior cervical discectomy with fusion and anterior cervical corpectomy with fusion for the treatment of cervical XXXX : a meta-analysis.

@entity1 :: ('9606', 'Species') :: ['patients', 'People'] @entity602 :: ('MESH:D013118', 'Disease') :: ['spondylotic myelopathy'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity353 :: ('MESH:D015431', 'Disease') :: ['WMD', 'weighted mean difference']
@entity602 :: (MESH:D013118,Disease) :: ['spondylotic myelopathy']
