Comparison of anterior cervical foraminotomy and posterior cervical foraminotomy for treating single level unilateral cervical radiculopathy
Spine Sep 26, 2019
Kim SJ, et al. - A retrospective review of patients undergoing anterior cervical foraminotomy (ACF) or posterior cervical foraminotomy (PCF) for the treatment of single-level unilateral cervical radiculopathy from 2010 to 2012 was done to contrast clinical and radiological results following two surgical procedures. Both groups exhibited comparable clinical betterments following surgery. Radiographically, the ACF groups exhibited a profound reduction in disc height (DH) only in the first month following surgery and no important change in DH following 1 year was noted. The PCF group displayed no important variations in DH at follow-up. Respective to cervical lordosis (CL), ACF presented a notable reduction. No statistically important variation in C2–7 sagittal vertical axis prior to or following surgery in both groups was seen. Thus, both ACF and PCF revealed meaningful clinical progression of radiculopathy. In the ACF group, the DH declined, and CL reduced during the early postoperative period. In the PCF group following surgery, radiological parameters were preserved. Nonetheless, this group presented higher intraoperative bleeding and revision rates. Moreover, care should be taken to control complications according to specific surgical treatment.
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