Anterior cervical discectomy and fusion versus posterior cervical foraminotomy in the treatment of brachialgia: the Leeds spinal unit experience (2008–2013)

Selvanathan, Senthil; Beagrie, Chris; Thomson, Simon; Corns, Rob; Deniz, Kenan; Derham, Chris; Towns, Gerry; Timothy, Jake; Pal, Debashish

doi:10.1007/s00701-015-2491-8

Cited by 55 publications

(43 citation statements)

References 20 publications

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“…); 1 trial protocol article and 1 expert opinion article were excluded. The remaining 10 studies were finally included, comprising 3 prospective randomized controlled trails (RCT) and 7 retrospective comparative studies (RCoS). Details of these studies are listed in Table .…”

Section: Resultsmentioning

confidence: 99%

“…Clinical outcomes were reported in 6 studies, including 3 RCT and 3 RCoS (Table ). Ruetten et al evaluated visual analogue scale (VAS), German version North American Spine Society Instrument, and Hilibrand criteria in an RCT, and no significant difference was observed between ACDF and PCF groups at preoperative and 2‐year follow‐up time points; the satisfaction rate was 91% in the ACDF group and 96% in the PCF group.…”

Section: Resultsmentioning

confidence: 99%

“…Three RCoS also compared clinical outcomes of both groups. Selvanathan et al report that the improvement of neck disability index (NDI), VAS‐neck and VAS‐arm were similar between both groups with a trend favoring the PCF group. Korinth et al report that the success rate (Odom I + II) was significantly higher in the ACDF group (93.6%) than the PCF group (85.1%).…”

Section: Resultsmentioning

confidence: 99%

“…Complications were reported in 6 studies, including 2 RCT and 4 RCoS. A total of 809 cases were involved, including 441 cases of ACDF and 368 cases of PCF.…”

Section: Resultsmentioning

confidence: 99%

“…Anterior cervical discectomy and fusion (ACDF) and posterior cervical foraminotomy (PCF) are safe and effective surgical approaches for the treatment of cervical radiculopathy. The two surgical approaches were initially reported in the 1940s and1950s and have been modified over time.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Anterior Cervical Discectomy and Fusion versus Posterior Cervical Foraminotomy in the Treatment of Cervical Radiculopathy: A Systematic Review

Liu

Chou

et al. 2016

Orthopaedic Surgery

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Controversy remains over whether anterior cervical discectomy and fusion (ACDF) or posterior cervical foraminotomy (PCF) is superior for the treatment of cervical radiculopathy. We therefore performed a systematic review including three prospective randomized controlled trails (RCT) and seven retrospective comparative studies (RCoS) by searching PubMed and EMBASE. These studies were assessed on risk of bias according to the Cochrane Handbook for Systematic Reviews of Interventions, and the quality of evidence and level of recommendation were evaluated according to the GRADE approach. Clinical outcomes, complications, reoperation rates, radiological parameters, and cost/cost-utility were evaluated. The mean complication rate was 7% in the ACDF group and 4% in the PCF group, and the mean reoperation rate was 4% in the ACDF group and 6% in the PCF group within 2 years of the initial surgery. There was a strong level of recommendation that no difference existed in clinical outcome, complication rate and reoperation rate between the ACDF and the PCF group. There was conflicting evidence that the ACDF group had better clinical outcomes than the PCF group (one study with weak level of recommendation). PCF could preserve the range of motion (ROM) of the operated segment but did not increase the ROM of the adjacent segment (weak level of recommendation). Meanwhile, the average cost or cost-utility of the PCF group was significantly lower than that of the ACDF group (weak level of recommendation). In conclusion, the PCF was just as safe and effective as the ACDF in the treatment of cervical radiculopathy. Meanwhile, PCF might have lower medical cost than ACDF and decrease the incidence of adjacent segment disease. Based on the available evidence, PCF appears to be another good surgical approach in the treatment of cervical radiculopathy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Complications were reported in 6 studies, including 2 RCT and 4 RCoS. A total of 809 cases were involved, including 441 cases of ACDF and 368 cases of PCF.…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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