Anterior cervical discectomy and fusion versus posterior cervical foraminotomy for the treatment of single-level unilateral cervical radiculopathy: a meta- analysis
Journal of Orthopaedic Surgery and Research Jun 28, 2020
Fang W, Huang L, Feng F, et al. - This research was sought to correlate the efficacy and safety of anterior cervical discectomy and fusion (ACDF) with posterior cervical foraminotomy (PCF) for patients diagnosed with single-level unilateral cervical radiculopathy. Researchers carried out to search relevant studies comparing ACDF with PCF for cervical radiculopathy in an electronic database. A meta-analysis was done by applying the RevMan 5.3 software after data extraction and quality assessment of included studies. They applied a random effects model whether there was heterogeneity between studies; otherwise, the fixed impacts model was applied. They included a sum of 3 randomized controlled trials (RCT) and 12 retrospective studies examining a total of 5,2705 patients in the meta-analysis. It was noted that compared with ACDF, PCF has comparable effectiveness and complication rate among patients with single-level unilateral cervical radiculopathy. It appears that PCF is a sufficient alternative method with shorter operation time, shorter length of hospital stay, and less total hospital cost for the treatment of cervical radiculopathy. Nevertheless, the higher reoperation rate following PCF should be also taken into consideration.
-
Exclusive Write-ups & Webinars by KOLs
-
Daily Quiz by specialty
-
Paid Market Research Surveys
-
Case discussions, News & Journals' summaries