Anterior Cervical Discectomy And Fusion Versus Anterior Cervical Corpectomy And Fusion In Multilevel Cervical Spondylotic Myelopathy A Meta-analysis

Objective:Both ACDF and ACCF are common treatment of mCSM;However,for mCSM,which procedure is the better treatment is still quite controversial.A meta-analysis was performed to provide evidence in this question,which compare the clinical prognosis,radiographic outcomes and surgical complication between ACDF and ACCF as the surgical treatment of mCSM.Methods: Extensive search of paper was performed on Pubmed/MEDLINE,Embase,the Cochrane library,CNKI,and WANFANG databases using ACDF versus ACCF treatment for mCSM as key words,from January 2011 to September 2018.Data analysis was conducted with RevMan 5.3 and STATA 12.0.Results: The meta-analysis contains 8 studies which include 878 patients.The results of meta-analysis indicated that ACDF is superior to ACCF in the angle of C2 to C7 at the final follow-up,C5 plasy,blood loss,fusion rate,graft subsidence,and total complications.However,there are no significant differences in length of hospital stay,operation time,JOA scores,NDI scores,preoperative angle of C2 to C7,dysphagia,hoarseness and pseudoarthrosis.Conclusions: The results of our meta-analysis shows that both ACDF and ACCF are good plans in clinical outcomes;however,ACDF is a better choice in radiographic outcomes and total complications for the treatment of multilevel CSM...