Chris Brown, Rayiz Nazeer, Austin Gibbs, Pierre Le Page, Andrew Rj Mitchell
Breaking Bias: The Role of Artificial Intelligence in Improving Clinical Decision-Making
Cureus
assess compare efficacy anterior endoscopic cervical discectomy aecd anterior cervical discectomy fusion acdf major databases registries relevant material screened prospective trials directly comparing aecd acdf restrictions imposed metaanalysis conducted due high heterogeneity screening total 1339 articles 2 studies enrolling 225 patients included one randomizedcontrolled trial including 120 patients 14 lost followup showing statistically significant differences clinical outcomes according visual analogue scale vas neckarm north american spine society criteria regarding painneurological status radiological followup showed adjacentsegment disease groups presenting statistically nonsignificant progression preexisting adjacentdisc degeneration difference kyphosis recurrence registered 74 61 patients underwent aecd acdf respectively statistically apparent differences complications observed second cohort study including 135 patients 148 lost followup statistically significant difference found clinical outcomes assessed using vas neckarm neck disability index radiological data provided recurrence reported 4 2 patients aecd acdf group respectively remarkable differences complications reported studies reported surgical time statistically shorter aecd definitive conclusion cannot drawn singlelevel aecd seems results equivalent acdf presenting even benefits technical limitations combined required surgical skills experience considered recommend cautious employment anticipation future updates