Comparing posterior cervical foraminotomy with anterior cervical discectomy and fusion in radiculopathic patients: an analysis from the Quality Outcomes Database

CONCLUSIONS: The two procedures were found to be offered to different populations, with ACDF being selected for patients with more complicated pathologies and symptoms. After individual matching, posterior foraminotomy was associated with a higher reoperation risk within 1 year after surgery compared to ACDF (4.2% vs 1.9%). In terms of 12-month PROs, posterior foraminotomy was noninferior to ACDF in improving quality of life and neck pain. The two procedures also performed similarly in improving NDI scores and arm pain, but ACDF patients had higher maximal satisfaction rates.PMID:38626479 | DOI:10.3171/2024.2.SPINE221280

Source: Journal of Neurosurgery.Spine - April 16, 2024 Category: Neurosurgery Authors: Praveen V Mummaneni Erica F Bisson Giorgos Michalopoulos William J Mualem Sally El Sammak Michael Y Wang Andrew K Chan Regis W Haid John J Knightly Dean Chou Brandon A Sherrod Oren N Gottfried Christopher I Shaffrey Jacob L Goldberg Michael S Virk Ibrahim Source Type: research