Tags

Type your tag names separated by a space and hit enter

Complications of Full-Endoscopic Versus Microendoscopic Foraminotomy for Cervical Radiculopathy: A Systematic Review and Meta-Analysis.
World Neurosurg. 2018 Jun; 114:217-227.WN

Abstract

BACKGROUND

Minimally invasive surgery of posterior cervical foraminotomy (PCF) for symptomatic radiculopathy has gained popularity in the last decade. It remains to be determined whether the 2 dominant operation techniques, full-endoscopic (FE) or microendoscopic (MI), are associated with fewer complications.

METHODS

An electronic retrieval from PubMed, Embase, and Web of Science was performed to identify comparative or single-arm studies concerning FE-PCF and MI-PCF. The pooled incidence of complications was calculated.

RESULTS

A total of 26 studies with 2028 patients (FE, 402; MI, 1626) were identified. The overall complication rate was 5.8% for FE-PCF and 3.5% for MI-PCF, with no significant difference (P = 0.115). The pooled complication rate for single-level radiculopathy showed no statistical difference (FE, 4.5%; MI, 3.5%; P = 0.471), either. However, constituent of complications showed apparent disparity, with transient root palsy in FE-PCF (15/19, 78.9%) and dural tear (20/47, 42.6%) in MI-PCF being the most commonly reported. As for the subgroup analysis, both incidence of dural tear (FE, 1.5%; MI, 1.8%; P = 0.672) and superficial wound infection (FE, 2.2%; MI, 1.0%; P = 0.109) showed no statistical difference. Nevertheless, transient root palsy occurred at a higher incidence in the FE group than in the MI group (FE, 4.5%; MI, 1.5%; P = 0.002).

CONCLUSIONS

Both FE-PCF and MI-PCF can offer relatively safe treatment for cervical radiculopathy. There is no significant difference in overall complication rate between the 2 techniques. Dural tear is the most commonly reported complication of MI-PCF, whereas transient root palsy deserves to be noticed for surgeons performing FE-PCF.

Authors+Show Affiliations

Department of Spine Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.Department of Orthopaedic Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.Department of Spine Surgery, The Second Xiangya Hospital, Central South University, Changsha, China. Electronic address: wbxyeyy@csu.edu.cn.Department of Spine Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.Department of Spine Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.Department of Spine Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.Department of Spine Surgery, The Second Xiangya Hospital, Central South University, Changsha, China.

Pub Type(s)

Comparative Study
Journal Article
Meta-Analysis
Review
Systematic Review

Language

eng

PubMed ID

29602008

Citation

Wu, Peng-Fei, et al. "Complications of Full-Endoscopic Versus Microendoscopic Foraminotomy for Cervical Radiculopathy: a Systematic Review and Meta-Analysis." World Neurosurgery, vol. 114, 2018, pp. 217-227.
Wu PF, Liu BH, Wang B, et al. Complications of Full-Endoscopic Versus Microendoscopic Foraminotomy for Cervical Radiculopathy: A Systematic Review and Meta-Analysis. World Neurosurg. 2018;114:217-227.
Wu, P. F., Liu, B. H., Wang, B., Li, Y. W., Dai, Y. L., Qing, Y. L., & Lv, G. H. (2018). Complications of Full-Endoscopic Versus Microendoscopic Foraminotomy for Cervical Radiculopathy: A Systematic Review and Meta-Analysis. World Neurosurgery, 114, 217-227. https://doi.org/10.1016/j.wneu.2018.03.099
Wu PF, et al. Complications of Full-Endoscopic Versus Microendoscopic Foraminotomy for Cervical Radiculopathy: a Systematic Review and Meta-Analysis. World Neurosurg. 2018;114:217-227. PubMed PMID: 29602008.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Complications of Full-Endoscopic Versus Microendoscopic Foraminotomy for Cervical Radiculopathy: A Systematic Review and Meta-Analysis. AU - Wu,Peng-Fei, AU - Liu,Bo-Hao, AU - Wang,Bing, AU - Li,Ya-Wei, AU - Dai,Yu-Liang, AU - Qing,Ya-Long, AU - Lv,Guo-Hua, Y1 - 2018/03/28/ PY - 2017/11/29/received PY - 2018/03/12/revised PY - 2018/03/14/accepted PY - 2018/3/31/pubmed PY - 2018/6/8/medline PY - 2018/3/31/entrez KW - Cervical radiculopathy KW - Foraminotomy KW - Full-endoscopic KW - Meta-analysis KW - Microendoscopic SP - 217 EP - 227 JF - World neurosurgery JO - World Neurosurg VL - 114 N2 - BACKGROUND: Minimally invasive surgery of posterior cervical foraminotomy (PCF) for symptomatic radiculopathy has gained popularity in the last decade. It remains to be determined whether the 2 dominant operation techniques, full-endoscopic (FE) or microendoscopic (MI), are associated with fewer complications. METHODS: An electronic retrieval from PubMed, Embase, and Web of Science was performed to identify comparative or single-arm studies concerning FE-PCF and MI-PCF. The pooled incidence of complications was calculated. RESULTS: A total of 26 studies with 2028 patients (FE, 402; MI, 1626) were identified. The overall complication rate was 5.8% for FE-PCF and 3.5% for MI-PCF, with no significant difference (P = 0.115). The pooled complication rate for single-level radiculopathy showed no statistical difference (FE, 4.5%; MI, 3.5%; P = 0.471), either. However, constituent of complications showed apparent disparity, with transient root palsy in FE-PCF (15/19, 78.9%) and dural tear (20/47, 42.6%) in MI-PCF being the most commonly reported. As for the subgroup analysis, both incidence of dural tear (FE, 1.5%; MI, 1.8%; P = 0.672) and superficial wound infection (FE, 2.2%; MI, 1.0%; P = 0.109) showed no statistical difference. Nevertheless, transient root palsy occurred at a higher incidence in the FE group than in the MI group (FE, 4.5%; MI, 1.5%; P = 0.002). CONCLUSIONS: Both FE-PCF and MI-PCF can offer relatively safe treatment for cervical radiculopathy. There is no significant difference in overall complication rate between the 2 techniques. Dural tear is the most commonly reported complication of MI-PCF, whereas transient root palsy deserves to be noticed for surgeons performing FE-PCF. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/29602008/Complications_of_Full_Endoscopic_Versus_Microendoscopic_Foraminotomy_for_Cervical_Radiculopathy:_A_Systematic_Review_and_Meta_Analysis_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(18)30581-3 DB - PRIME DP - Unbound Medicine ER -