Objective To evaluate the effect and safety of the conservative treatment for the protrusion of cervical vertebra intervertebral disc.
Methods We searched CBM disk (1978~2007), CNKI (1979~2007), VIP (1989~2007). Telephone interviewed the original authors of claimed randomized controlled trials(RCTs) to identify whether they are truly RCTs. Only true RCTs and quasi-randomized controlled trials were included and the quality of them was critically assessed.
Results Five RCTs and eleven quasi-randomized controlled trials were identified and included. It showed that lifting-massage, massage combining with traction or acupuncture, articulus mobilization combining with traction and electrotherapy, traction combining with computer intermediate frequency therapeusis and injectio ad acumen combining with massage have marked improvement. But it could hardly draw a conclusion that all the combining therapies had better curative effect.
Conclusions Weak evidence shows that combining conservative treatment can improve the curative effect of the protrusion of cervical vertebra intervertebral disc. The results need to be supported by well designed and high quality trials.
Citation： WANG Shizhong,LIN Hanling,SONG Hongmei,ZHONG Weihong,WU Taixiang,LIU Guanjian,CHEN Shaoqing. Conservative in the Treatment of Protrusion of Cervical Vertebra Intervertebral Disc: A Systematic Review. Chinese Journal of Evidence-Based Medicine, 2009, 09(3): 331-336. doi: 10.7507/1672-2531.20090063 Copy