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Open, minimally invasive foraminotomy each effectively manage cervical radiculopathy
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Either an open or a minimally invasive approach to posterior cervical foraminotomy can effectively manage symptomatic cervical radiculopathy from foraminal stenosis, according to results of a recently published study.
Researchers conducted a systematic literature review and meta-analysis of three databases to identify studies regarding the treatment of posterior cervical foraminotomy (PCF) with an open or minimally invasive (MIS) approach.
A total of 20 articles found in the search were determined to be relevant. An open approach was performed in six studies and a MIS approach was performed in three studies. The pooled clinical success rate was 94.9% for MIS foraminotomy and 92.7% for the open approach — a difference that was not considered to be statistically significant, according to the researchers.
The researchers also found the MIS group demonstrated moderate heterogeneity, whereas the open group demonstrated minimal to moderate heterogeneity.
The researchers concluded patients with symptomatic cervical radiculopathy from foraminal stenosis can be effectively managed with either approach; however, because the open approach demonstrated minimal to moderate heterogeneity, it can be considered to produce more consistent results. – by Robert Linnehan
Disclosures: McAnany reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.
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