Minimally Invasive Posterior Cervical Foraminotomy Versus Anterior Cervical Fusion and Arthroplasty: Systematic Review and Meta-Analysis.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2022;10(5):14 Global Spine J. 2021 Dec 8;21925682211055094.What this means for my practice?
Based on the results of the current study, there are no clear differences between MIS-PCF and ACDF with respect to operative time, length of stay and overall complication rates. However, there is a lack of patient-reported outcomes and prospective comparative data. Further research is required.
Study Summary
A meta-analysis of 5 comparative studies comparing anterior cervical discectomy and fusion (ACDF) to minimally invasive posterior cervical foraminotomy (MIS-PCF) was performed. Outcomes of interest included complication rates, reoperation rates, operative time and hospital length of stay. Pooled analysis demonstrated no significant differences between overall complication rates or reoperation rates. No differences in operative time or length of stay were found between groups.
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