Clinical Outcomes and Complications of Unilateral Biportal Endoscopic Posterior Cervical Foraminotomy: A Systematic Review and Meta-Analysis With a Comparison to Full-Endoscopic Posterior Cervical Foraminotomy.

IF 3.8 2区 医学 Q1 CLINICAL NEUROLOGY Neurospine Pub Date : 2024-09-01 Epub Date: 2024-09-30 DOI:10.14245/ns.2448430.215
Sang Hyub Lee, Junghan Seo, Dain Jeong, Jin Seop Hwang, Jae-Won Jang, Yong Eun Cho, Dong-Geun Lee, Choon Keun Park
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引用次数: 0

Abstract

Objective: The unilateral biportal endoscopic posterior cervical foraminotomy (UBE-PCF) has been recently adopted for unilateral radiating arm pain due to cervical herniated intervertebral disc or foraminal stenosis. We systematically meta-analyzed clinical outcomes and complications of the UBE-PCF and compared them with those of full-endoscopic PCF (FE-PCF).

Methods: We systematically searched the PubMed, Embase, and Web of Science until February 29, 2024. Clinical outcomes and complications of the UBE-PCF and FE-PCF were collected and analyzed using the fixed-effect or random-effects model. Clinical outcomes of the UBE-PCF were compared with minimal clinically important difference (MCID) following PCF to evaluate the efficacy of UBE-PCF.

Results: Ten studies were included in the meta-analysis. In the random-effects meta-analysis, the Neck Disability Index (NDI), visual analogue scale (VAS) neck, and VAS arm were significantly decreased after the UBE-PCF (p<0.001). The improvement of NDI, VAS neck, and VAS arm were significantly higher than MCID (p<0.05). The improvement of NDI, VAS neck, and VAS arm were not significantly different between the UBE-PCF and FE-PCF (p>0.05). Overall incidence of complications of the UBE-PCF was 6.2% (24 of 390). The most common complication was dura tear (2.1%, 8 of 390). The incidence in overall complications was not significantly different between the UBE-PCF and FE-PCF (p=0.813).

Conclusion: We found that the UBE-PCF significantly improved clinical outcomes. Regarding clinical outcomes and complications, the UBE-PCF and FE-PCF were not significantly different. Therefore, the UBE-PCF would be an advantageous surgical option comparable to FE-PCF for unilateral radiating arm pain.

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单侧双腹腔镜颈椎后椎板切除术的临床结果和并发症:与全内窥镜颈椎后椎板切除术比较的系统回顾和荟萃分析。
目的:单侧双腔内镜颈椎后椎板切开术(UBE-PCF)最近被用于治疗颈椎间盘突出或椎间孔狭窄引起的单侧手臂放射痛。我们对 UBE-PCF 的临床疗效和并发症进行了系统的荟萃分析,并与全内镜 PCF(FE-PCF)进行了比较:方法:我们系统检索了PubMed、Embase和Web of Science,检索时间截至2024年2月29日。收集了 UBE-PCF 和 FE-PCF 的临床结果和并发症,并使用固定效应或随机效应模型进行了分析。将 UBE-PCF 的临床结果与 PCF 后的最小临床重要差异(MCID)进行比较,以评估 UBE-PCF 的疗效:荟萃分析纳入了 10 项研究。在随机效应荟萃分析中,UBE-PCF术后颈部残疾指数(NDI)、颈部视觉模拟量表(VAS)和手臂视觉模拟量表(VAS)均显著下降(P0.05)。UBE-PCF 并发症的总发生率为 6.2%(390 例中有 24 例)。最常见的并发症是硬脑膜撕裂(2.1%,390 例中有 8 例)。UBE-PCF 和 FE-PCF 的总体并发症发生率无明显差异(P=0.813):结论:我们发现 UBE-PCF 能明显改善临床疗效。在临床疗效和并发症方面,UBE-PCF 和 FE-PCF 没有明显差异。因此,UBE-PCF 与 FE-PCF 相比,是治疗单侧放射臂痛的一种有利手术选择。
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来源期刊
Neurospine
Neurospine Multiple-
CiteScore
5.80
自引率
18.80%
发文量
93
审稿时长
10 weeks
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