{"id":"https://openalex.org/W7204233128","doi":"https://doi.org/10.1186/s13018-026-07158-8","title":"Comparison of two zero-profile implants for treating degenerative cervical disc disease: a quantitative synthesis analysis comparing artificial cervical disc prosthesis and zero-profile cage","display_name":"Comparison of two zero-profile implants for treating degenerative cervical disc disease: a quantitative synthesis analysis comparing artificial cervical disc prosthesis and zero-profile cage","publication_year":2026,"publication_date":"2026-08-26","ids":{"openalex":"https://openalex.org/W7204233128","doi":"https://doi.org/10.1186/s13018-026-07158-8"},"language":"en","primary_location":{"id":"doi:10.1186/s13018-026-07158-8","doi":"https://doi.org/10.1186/s13018-026-07158-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13018-026-07158-8","pdf_url":null,"source":{"id":"https://openalex.org/S160567915","display_name":"Journal of Orthopaedic Surgery and Research","issn_l":"1749-799X","issn":["1749-799X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Surgery and Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s13018-026-07158-8","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5092077323","display_name":"Yu Zhang","orcid":"https://orcid.org/0000-0003-0397-8955","observed_orcids":["https://orcid.org/0000-0003-0397-8955"]},"institutions":[{"id":"https://openalex.org/I78978612","display_name":"Yangzhou University","ror":"https://ror.org/03tqb8s11","country_code":"CN","type":"education","lineage":["https://openalex.org/I78978612"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yu Zhang","raw_affiliation_strings":["Department of Orthopaedics, Jingjiang People\u2019s Hospital Affiliated to Yangzhou University, Jingjiang, Taizhou, 214500, Jiangsu Province, China"],"raw_orcid":"https://orcid.org/0000-0003-0397-8955","affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Jingjiang People\u2019s Hospital Affiliated to Yangzhou University, Jingjiang, Taizhou, 214500, Jiangsu Province, China","institution_ids":["https://openalex.org/I78978612"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090939167","display_name":"Jidong Ju","orcid":"https://orcid.org/0009-0007-3197-7171","observed_orcids":["https://orcid.org/0009-0007-3197-7171"]},"institutions":[{"id":"https://openalex.org/I78978612","display_name":"Yangzhou University","ror":"https://ror.org/03tqb8s11","country_code":"CN","type":"education","lineage":["https://openalex.org/I78978612"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Jidong Ju","raw_affiliation_strings":["Department of Orthopaedics, Jingjiang People\u2019s Hospital Affiliated to Yangzhou University, Jingjiang, Taizhou, 214500, Jiangsu Province, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Jingjiang People\u2019s Hospital Affiliated to Yangzhou University, Jingjiang, Taizhou, 214500, Jiangsu Province, China","institution_ids":["https://openalex.org/I78978612"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5020905412","display_name":"Jinchun Wu","orcid":"https://orcid.org/0009-0006-4646-5374","observed_orcids":["https://orcid.org/0009-0006-4646-5374"]},"institutions":[{"id":"https://openalex.org/I78978612","display_name":"Yangzhou University","ror":"https://ror.org/03tqb8s11","country_code":"CN","type":"education","lineage":["https://openalex.org/I78978612"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Jinchun Wu","raw_affiliation_strings":["Department of Orthopaedics, Jingjiang People\u2019s Hospital Affiliated to Yangzhou University, Jingjiang, Taizhou, 214500, Jiangsu Province, China"],"raw_orcid":"https://orcid.org/0009-0006-4646-5374","affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Jingjiang People\u2019s Hospital Affiliated to Yangzhou University, Jingjiang, Taizhou, 214500, Jiangsu Province, China","institution_ids":["https://openalex.org/I78978612"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5020905412"],"corresponding_institution_ids":["https://openalex.org/I78978612"],"apc_list":{"value":3090,"currency":"USD","value_usd":3090},"apc_paid":{"value":3090,"currency":"USD","value_usd":3090},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.72000256,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/degenerative-cervical-disc-disease","display_name":"degenerative cervical disc disease","score":0.9679999947547913},{"id":"https://openalex.org/keywords/artificial-disc-replacement","display_name":"artificial disc replacement","score":0.8460000157356262},{"id":"https://openalex.org/keywords/anterior-cervical-discectomy-and-fusion","display_name":"anterior cervical discectomy and fusion","score":0.9789999723434448},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.6489999890327454},{"id":"https://openalex.org/keywords/range-of-motion","display_name":"range of motion","score":0.9419999718666077},{"id":"https://openalex.org/keywords/cage-subsidence","display_name":"cage subsidence","score":0.875},{"id":"https://openalex.org/keywords/adjacent-segment-degeneration","display_name":"adjacent segment degeneration","score":0.8420000076293945},{"id":"https://openalex.org/keywords/neck-disability-index","display_name":"Neck Disability Index","score":0.5239999890327454}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9609000086784363},{"id":"https://openalex.org/C60465272","wikidata":"https://www.wikidata.org/wiki/Q494478","display_name":"Range of motion","level":2,"score":0.6442000269889832},{"id":"https://openalex.org/C2778051963","wikidata":"https://www.wikidata.org/wiki/Q11773731","display_name":"Degenerative disc disease","level":3,"score":0.6365000009536743},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5885999798774719},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.5396999716758728},{"id":"https://openalex.org/C2781430139","wikidata":"https://www.wikidata.org/wiki/Q4771328","display_name":"Anterior cervical discectomy and fusion","level":3,"score":0.5339999794960022},{"id":"https://openalex.org/C14184104","wikidata":"https://www.wikidata.org/wiki/Q1362526","display_name":"Visual analogue scale","level":2,"score":0.5317999720573425},{"id":"https://openalex.org/C2778715743","wikidata":"https://www.wikidata.org/wiki/Q181802","display_name":"Prosthesis","level":2,"score":0.4323999881744385},{"id":"https://openalex.org/C2780596822","wikidata":"https://www.wikidata.org/wiki/Q623289","display_name":"Dysphagia","level":2,"score":0.4050000011920929},{"id":"https://openalex.org/C2776944266","wikidata":"https://www.wikidata.org/wiki/Q900457","display_name":"Cervical vertebrae","level":2,"score":0.39100000262260437},{"id":"https://openalex.org/C2991743468","wikidata":"https://www.wikidata.org/wiki/Q166019","display_name":"Blood loss","level":2,"score":0.39070001244544983},{"id":"https://openalex.org/C2985379065","wikidata":"https://www.wikidata.org/wiki/Q900457","display_name":"Cervical spine","level":2,"score":0.3880999982357025},{"id":"https://openalex.org/C2780375110","wikidata":"https://www.wikidata.org/wiki/Q770609","display_name":"Spinal fusion","level":2,"score":0.3343000113964081},{"id":"https://openalex.org/C160272327","wikidata":"https://www.wikidata.org/wiki/Q841007","display_name":"Cage","level":2,"score":0.31679999828338623},{"id":"https://openalex.org/C2781038967","wikidata":"https://www.wikidata.org/wiki/Q3567802","display_name":"Neck pain","level":3,"score":0.3027999997138977},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.289900004863739},{"id":"https://openalex.org/C2777427615","wikidata":"https://www.wikidata.org/wiki/Q954257","display_name":"Degenerative disease","level":3,"score":0.28130000829696655}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s13018-026-07158-8","doi":"https://doi.org/10.1186/s13018-026-07158-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13018-026-07158-8","pdf_url":null,"source":{"id":"https://openalex.org/S160567915","display_name":"Journal of Orthopaedic Surgery and Research","issn_l":"1749-799X","issn":["1749-799X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Surgery and Research","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s13018-026-07158-8","doi":"https://doi.org/10.1186/s13018-026-07158-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13018-026-07158-8","pdf_url":null,"source":{"id":"https://openalex.org/S160567915","display_name":"Journal of Orthopaedic Surgery and Research","issn_l":"1749-799X","issn":["1749-799X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","medline","norway-1"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Orthopaedic Surgery and Research","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/3","score":0.50506991147995,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"},{"id":"https://openalex.org/study-designs/meta-analysis","display_name":"Meta-Analysis"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":[],"abstract_inverted_index":{"This":[0],"study":[1,174],"aimed":[2],"to":[3,58,194,210,213],"investigate":[4],"effectiveness":[5],"and":[6,17,44,119,188,222],"safety":[7],"of":[8,42,103,186,225],"artificial":[9],"disc":[10,28],"replacement":[11],"(ADR)":[12],"versus":[13,51],"anterior":[14],"cervical":[15,27,158],"discectomy":[16],"fusion":[18],"with":[19,134,179],"zero-profile":[20,201],"cages":[21],"(ZPC)":[22],"for":[23,47,53,196],"treating":[24,197],"single-segment":[25],"degenerative":[26],"disease":[29],"(DCDD).":[30],"Comprehensive":[31],"search":[32],"was":[33],"conducted":[34],"across":[35],"four":[36],"databases,":[37],"including":[38],"PubMed,":[39],"Embase,":[40],"Web":[41],"Science,":[43],"Cochrane":[45],"Library,":[46],"studies":[48],"comparing":[49],"ADR":[50,82,176,208],"ZPC":[52,195,214],"managing":[54,79],"DCDD":[55],"from":[56],"beginning":[57],"November":[59],"28,":[60],"2025.":[61],"Quantitative":[62],"synthesis":[63],"analyses":[64],"were":[65,73,139],"carried":[66],"out":[67],"via":[68],"Stata":[69],"17.":[70],"Eleven":[71],"publications":[72],"involved":[74],"in":[75,215],"our":[76],"analysis.":[77],"In":[78],"single-level":[80,198],"DCDD,":[81],"exhibited":[83],"significantly":[84,180],"shorter":[85,181],"surgical":[86,107,182,229],"duration":[87],"[WMD":[88,109],"=":[89,110,124],"\u2212":[90,96],"4.98,":[91],"95%":[92,112,126],"CI":[93,113,127],"(\u2212":[94],"7.8,":[95],"2.16),":[97],"p":[98,116,130,170],"<":[99,117,131],"0.01],":[100,118],"greater":[101],"range":[102,185,224],"motion":[104,226],"at":[105,227],"the":[106,228],"level":[108],"5.35,":[111],"(3.75,":[114],"6.96),":[115],"lower":[120],"subsidence":[121,190,220],"rates":[122,191],"[OR":[123],"0.35,":[125],"(0.23,":[128],"0.54),":[129],"0.01]":[132],"compared":[133,193],"ZPC.":[135],"No":[136],"significant":[137],"differences":[138],"observed":[140],"between":[141],"both":[142],"groups":[143],"concerning":[144],"blood":[145],"loss,":[146],"neck":[147],"disability":[148],"index,":[149],"Japanese":[150],"Orthopaedic":[151],"Association":[152],"scores,":[153,157],"visual":[154],"analog":[155],"scale":[156],"curvature,":[159],"reoperation":[160],"rate,":[161,163,221],"dysphagia":[162],"or":[164],"adjacent":[165],"segment":[166],"degeneration":[167],"rate":[168],"(":[169],">":[171],"0.05).":[172],"Our":[173],"indicates":[175],"is":[177],"associated":[178],"duration,":[183],"enhanced":[184],"motion,":[187],"reduced":[189],"when":[192],"DCDD.":[199],"Both":[200],"implants":[202],"yield":[203],"comparable":[204],"satisfactory":[205],"outcomes.":[206],"However,":[207],"appears":[209],"be":[211],"superior":[212],"shortening":[216],"operative":[217],"time,":[218],"decreasing":[219],"enhancing":[223],"level.":[230]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2026-08-27T00:00:00"}
