Total disc replacement versus anterior cervical discectomy and fusion: a systematic review with meta-analysis of data from a total of 3160 patients across 14 randomized controlled trials with both short- and medium- to long-term outcomes https://boneandjoint.org.uk/Article/10.1302/0301-620X.100B8.BJJ-2018-0120.R1
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Seen loads of DRs that have gone badly. Usually at same level. Usually in a lot of pain.
To be fair...also seen a good nunber of ACDFs with ASD considering extension of fusion.
The DRs seemed to be in a lot more trouble tho.
“A total of 60,292 patient records were analyzed, where the overall reoperation incidence for symptomatic ASD was 6.57%”
Higher around 8.1% in 30-39 year olds. https://www.nassopenaccess.org/action/showPdf?pii=S2666-5484%2823%2900107-5
Yep. You will see younger patients again after any spinal surgery
Sand castles in the waves...
Matching a patient to a treatment is still an art rather than an algorithm...and i think it should stay that way.
A classic example of 'your seen population' isn't the whole population.