Adverse Events Following Cervical Disc Arthroplasty: A Systematic Review.

Title

Adverse Events Following Cervical Disc Arthroplasty: A Systematic Review.

Creator

Xu Jordan C; Goel Chandni; Shriver Michael F; Tanenbaum Joseph E; Steinmetz Michael P; Benzel Edward C; Mroz Thomas E

Publisher

Global spine journal

Date

2018
2018-04

Description

Study Design: Systematic review. Objectives: Cervical arthroplasty is an increasingly popular treatment of cervical radiculopathy and myelopathy. An understanding of the potential adverse events (AEs) is important to help both clinicians and patients. We sought to provide a comprehensive systematic review of the AEs reported in all randomized controlled trials (RCTs) of cervical disc arthroplasty in an attempt to characterize the quality of reporting. Methods: We conducted a systematic review of MEDLINE and Web of Science for RCTs of cervical disc arthroplasty reporting AEs. We reported the most frequently mentioned AEs, including dysphagia/dysphonia, vascular compromise, dural injury, and infections. We recorded the presence of industry funding and scored the quality of collection methods and reporting of AEs. Results: Of the 3734 identified articles, 29 articles met full inclusion criteria. The quality of AE reporting varied significantly between studies, and a combined meta-analysis was not feasible. The 29 articles covered separate 19 RCTs. Eight studies were US Food and Drug Administration (FDA) investigational device exemption (IDE) trials. Rates were recorded for the following AEs: dysphagia/dysphonia (range = 1.3% to 27.2%), vascular compromise (range = 1.1% to 2.4%), cervical wound infection (range = 1.2% to 22.5%), and cerebrospinal fluid leak (range = 0.8% to 7.1%). Conclusions: There is a lack of consistency in reporting of AEs among RCTs of cervical arthroplasty. FDA IDE trials scored better in AE event reporting compared to other studies. Standardized definitions for AEs and standardized data collection methodology are needed to improve future studies.

Subject

adverse events; cervical disc arthroplasty; complications; industry funding; systematic review

Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

Pages

178–189

Issue

2

Volume

8

Citation

Xu Jordan C; Goel Chandni; Shriver Michael F; Tanenbaum Joseph E; Steinmetz Michael P; Benzel Edward C; Mroz Thomas E, “Adverse Events Following Cervical Disc Arthroplasty: A Systematic Review.,” NEOMED Bibliography Database, accessed March 5, 2021, https://neomed.omeka.net/items/show/4824.

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