Anterior Cervical Discectomy and Fusion vs Posterior Key-Hole Foraminotomy in Single Level Cervical Discopathy

Güven Gürsoy; Gönül Güvenç

Makale detayları

Anterior Cervical Discectomy and Fusion vs Posterior Key-Hole Foraminotomy in Single Level Cervical Discopathy

Yazarlar:

Güven Gürsoy | Gönül Güvenç

Yayıncı:

Mugla Sitki Kocman University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi Vol.12 Issue 2, pp.174-178

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357190

pISSN:

2148-8118

Anahtar kelimeler:

Özet:

 Anterior cervical microdiscectomy and fusion ACDF and posterior cervical foraminotomy PCF are frequently applied surgical approaches in cervical radiculopathies. It is planned to compare and discuss the clinical results, complications, amount of bleeding, recurrence and reoperation rates, and instability development between these two methods and examine the superiority of the techniques in this study. Patient archives were scanned and clinical and radiological documents were examined for this retrospective study. Short-term postoperative first 24 hours and long-term 1-6 months changes in preoperative complaints, preoperative and postoperative functional cervical spine radiographs and cervical MRI images, presence of complications, amount of bleeding, recurrence and reoperation status were recorded. Trauma patients, patients with instability and malignancy-related pathologies, patients with multilevel surgical intervention or previous cervical spine surgery anamnesis, patients under the age of 18, and patients whose data were not available were excluded from the study. No statistically significant difference was found between the amount of bleeding, pain in the first 24 hours postoperatively, pain in the 1st month, pain in the 6th month, development of complications, recurrence and reoperation rates, and development of instability. It was observed that the surgical time of posterior foraminotomy was shorter and was statistically significant. It was observed that neither surgical technique had any obvious superiority over the other in the 6-month postoperative period. Different results can be achieved with larger sample size and longer term follow-up.

 Anterior cervical microdiscectomy and fusion ACDF and posterior cervical foraminotomy PCF are frequently applied surgical approaches in cervical radiculopathies. It is planned to compare and discuss the clinical results, complications, amount of bleeding, recurrence and reoperation rates, and instability development between these two methods and examine the superiority of the techniques in this study. Patient archives were scanned and clinical and radiological documents were examined for this retrospective study. Short-term postoperative first 24 hours and long-term 1-6 months changes in preoperative complaints, preoperative and postoperative functional cervical spine radiographs and cervical MRI images, presence of complications, amount of bleeding, recurrence and reoperation status were recorded. Trauma patients, patients with instability and malignancy-related pathologies, patients with multilevel surgical intervention or previous cervical spine surgery anamnesis, patients under the age of 18, and patients whose data were not available were excluded from the study. No statistically significant difference was found between the amount of bleeding, pain in the first 24 hours postoperatively, pain in the 1st month, pain in the 6th month, development of complications, recurrence and reoperation rates, and development of instability. It was observed that the surgical time of posterior foraminotomy was shorter and was statistically significant. It was observed that neither surgical technique had any obvious superiority over the other in the 6-month postoperative period. Different results can be achieved with larger sample size and longer term follow-up.

 Anterior cervical microdiscectomy and fusion ACDF and posterior cervical foraminotomy PCF are frequently applied surgical approaches in cervical radiculopathies. It is planned to compare and discuss the clinical results, complications, amount of bleeding, recurrence and reoperation rates, and instability development between these two methods and examine the superiority of the techniques in this study. Patient archives were scanned and clinical and radiological documents were examined for this retrospective study. Short-term postoperative first 24 hours and long-term 1-6 months changes in preoperative complaints, preoperative and postoperative functional cervical spine radiographs and cervical MRI images, presence of complications, amount of bleeding, recurrence and reoperation status were recorded. Trauma patients, patients with instability and malignancy-related pathologies, patients with multilevel surgical intervention or previous cervical spine surgery anamnesis, patients under the age of 18, and patients whose data were not available were excluded from the study. No statistically significant difference was found between the amount of bleeding, pain in the first 24 hours postoperatively, pain in the 1st month, pain in the 6th month, development of complications, recurrence and reoperation rates, and development of instability. It was observed that the surgical time of posterior foraminotomy was shorter and was statistically significant. It was observed that neither surgical technique had any obvious superiority over the other in the 6-month postoperative period. Different results can be achieved with larger sample size and longer term follow-up.

 Servikal radikülopatilerde anterior servikal mikrodiskektomi ve füzyon ACDF ve posterior servikal foraminotomi PCF sık uygulanan cerrahi yaklaşımlardır. Bu çalışmada bu iki yöntem arasındaki klinik sonuçların, komplikasyonların, kanama miktarının, nüks ve reoperasyon oranlarının ve instabilite gelişiminin karşılaştırılarak tekniklerin birbirine üstünlüklerinin incelenmesi planlanmıştır. Retrospektif olarak planlanan çalışma için otomasyon sisteminden hasta arşivleri taranarak klinik ve radyolojik dökümanları incelendi. Ameliyat öncesi var olan şikayetlerin ameliyat sonrası kısa postop ilk 24 saat ve uzun dönemde değişimi 1-6 ay, preoperatif ve postoperatif fonksiyonel servikal vertebra grafileri ve servikal MR görüntüleri, komplikasyon varlığı, kanama miktarı, nüks ve reoperasyon durumu kayıt edildi. Travma hastaları, instabilite varlığı ve maligniteye bağlı patolojileri olan hastalar, multiseviye cerrahi girişim bulunan veya daha önce servikal omurga cerrahisi geçiren hastalar, 18 yaş altındaki hastalar ve verilerine ulaşılamayan hastalar çalışma dışında bırakıldı. Kanama miktarı, postoperatif ilk 24 saatte ağrı, 1. ayda ağrı, 6. ayda ağrı, komplikasyon gelişimi, nüks ve reoperasyon oranları ve instabilite gelişimi arasında istatistiksel olarak anlamlı farklılık saptanmamıştır. Posterior foraminotominin cerrahi süresinin daha kısa olduğu ve istatistiksel olarak anlamlı olduğu görülmüştür. Her iki cerrahi tekniğin ameliyat sonrası 6 aylık süre içinde birbirine bariz üstünlüğü bulunmadığı izlenmiştir. Daha büyük örneklem büyüklüğü ve daha uzun dönem takip ile farklı sonuçlara ulaşılabilir.

Makale detayları

Anterior Cervical Discectomy and Fusion vs Posterior Key-Hole Foraminotomy in Single Level Cervical Discopathy

Yazarlar:

Güven Gürsoy | Gönül Güvenç

Yayıncı:

Mugla Sitki Kocman University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi Vol.12 Issue 2, pp.174-178

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357190

pISSN:

2148-8118

Anterior Cervical Discectomy and Fusion

Posterior Cervical Foraminotomy

RadiculopathyAnterior Servikal Diskektomi ve Füzyon

Posterior Servikal Foraminotomi

Radikulopati

Sayı

Makale detayları

Anterior Cervical Discectomy and Fusion vs Posterior Key-Hole Foraminotomy in Single Level Cervical Discopathy

Yazarlar: Güven Gürsoy | Gönül Güvenç

Yayıncı: Mugla Sitki Kocman University

Ana Başlıklar: Klinik Tıp Bilimleri (Diğer)

Dergi: Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi Vol.12 Issue 2, pp.174-178

Belge Tipi: Makale

Yayın Tarihi: 8/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001357190

pISSN: 2148-8118

Anterior Cervical Discectomy and Fusion

Posterior Cervical Foraminotomy

RadiculopathyAnterior Servikal Diskektomi ve Füzyon

Posterior Servikal Foraminotomi

Radikulopati

Sayı

Yazarlar:

Güven Gürsoy | Gönül Güvenç

Yayıncı:

Mugla Sitki Kocman University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Muğla Sıtkı Koçman Üniversitesi Tıp Dergisi Vol.12 Issue 2, pp.174-178

Belge Tipi:

Makale

Yayın Tarihi:

8/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357190

pISSN:

2148-8118