Abstract：
OBJECTIVE: Surgical decompression is often indicated for symptomatic cases of cervical radiculopathy. In the cervical spine, minimally invasive posterior cervical foraminotomy (MIS-PCF) and the anterior transcorporeal approach (ATCA) are modern techniques available to surgeons. This systematic review and single-arm meta-analysis aimed to assess surgical and patient-reported outcomes of MIS-PCF and ATCA for cervical radiculopathy.
METHODS: A systematic review of the literature was conducted using 1) Ovid; 2) Epub Ahead of Print and In-Process, In-Data-Review & Other Non-Indexed Citations; and 3) Scopus databases, which reported outcomes following cervical decompression using MIS-PCF or the ATCA. Specifically, baseline characteristics, operative outcomes, and changes in visual analog scale (VAS) neck pain score were assessed. The quality of the studies was graded using the modified Newcastle-Ottawa Scale for observational studies.
RESULTS: Forty studies with 1661 patients were identified. The comparative analysis of both techniques revealed no significant differences in complication (7%, 95% CI 5%-10%, p = 0.75) or reoperation rates (5%, 95% CI 3%-7%, p = 0.41). Additionally, there were no significant differences in estimated blood loss (55.39, 95% CI 44.62-66.16 ml, p = 0.55) or operative time (85.15, 95% CI 65.38-104.92 minutes, p = 0.05). The ATCA showed significantly greater improvement (p < 0.01) in VAS neck pain scores following surgery (ATCA point reduction 6.7, 95% CI 6.0-7.5 points vs MIS-PCF 3.0, 95% CI 1.0-5.0 points).
CONCLUSIONS: The ATCA and MIS-PCF are effective modern techniques for the surgical treatment of radiculopathy. Both approaches showed comparable postoperative outcomes, including complication and reoperation rates. However, the ATCA was shown to provide significantly greater improvement in VAS neck pain scores.
METHODS: A systematic review of the literature was conducted using 1) Ovid; 2) Epub Ahead of Print and In-Process, In-Data-Review & Other Non-Indexed Citations; and 3) Scopus databases, which reported outcomes following cervical decompression using MIS-PCF or the ATCA. Specifically, baseline characteristics, operative outcomes, and changes in visual analog scale (VAS) neck pain score were assessed. The quality of the studies was graded using the modified Newcastle-Ottawa Scale for observational studies.
RESULTS: Forty studies with 1661 patients were identified. The comparative analysis of both techniques revealed no significant differences in complication (7%, 95% CI 5%-10%, p = 0.75) or reoperation rates (5%, 95% CI 3%-7%, p = 0.41). Additionally, there were no significant differences in estimated blood loss (55.39, 95% CI 44.62-66.16 ml, p = 0.55) or operative time (85.15, 95% CI 65.38-104.92 minutes, p = 0.05). The ATCA showed significantly greater improvement (p < 0.01) in VAS neck pain scores following surgery (ATCA point reduction 6.7, 95% CI 6.0-7.5 points vs MIS-PCF 3.0, 95% CI 1.0-5.0 points).
CONCLUSIONS: The ATCA and MIS-PCF are effective modern techniques for the surgical treatment of radiculopathy. Both approaches showed comparable postoperative outcomes, including complication and reoperation rates. However, the ATCA was shown to provide significantly greater improvement in VAS neck pain scores.
摘要：
目的：对于有症状的神经根型颈椎病，常需要手术减压。在颈椎上，微创后路颈经孔切开术(MIS-PCF)和前路经骨入路(ATCA)是外科医生可用的现代技术.本系统评价和单臂荟萃分析旨在评估MIS-PCF和ATCA治疗神经根型颈椎病的手术和患者报告结果。
方法：使用1）Ovid；2）Epub在打印和过程中，数据审查和其他非索引引文；以及3)Scopus数据库，报告了使用MIS-PCF或ATCA进行宫颈减压后的结局。具体来说,基线特征，手术结果，并评估视觉模拟量表(VAS)颈痛评分的变化。使用改良的纽卡斯尔-渥太华量表进行观察性研究，对研究质量进行分级。
结果：确定了40项研究，涉及1661名患者。两种技术的比较分析显示并发症没有显着差异（7％，95%CI5%-10%，p=0.75)或再手术率(5%，95%CI3%-7%，p=0.41）。此外,估计失血量没有显着差异（55.39，95％CI44.62-66.16ml，p=0.55）或手术时间（85.15，95%CI65.38-104.92分钟，p=0.05)。手术后，ATCA在VAS颈部疼痛评分方面显着改善（p<0.01）（ATCA点降低6.7，95％CI6.0-7.5点与MIS-PCF3.0，95％CI1.0-5.0点）。
结论：ATCA和MIS-PCF是神经根病外科治疗的有效现代技术。两种方法都显示出相当的术后结果，包括并发症和再手术率。然而,ATCA显示可显著改善VAS颈痛评分.
方法：使用1）Ovid；2）Epub在打印和过程中，数据审查和其他非索引引文；以及3)Scopus数据库，报告了使用MIS-PCF或ATCA进行宫颈减压后的结局。具体来说,基线特征，手术结果，并评估视觉模拟量表(VAS)颈痛评分的变化。使用改良的纽卡斯尔-渥太华量表进行观察性研究，对研究质量进行分级。
结果：确定了40项研究，涉及1661名患者。两种技术的比较分析显示并发症没有显着差异（7％，95%CI5%-10%，p=0.75)或再手术率(5%，95%CI3%-7%，p=0.41）。此外,估计失血量没有显着差异（55.39，95％CI44.62-66.16ml，p=0.55）或手术时间（85.15，95%CI65.38-104.92分钟，p=0.05)。手术后，ATCA在VAS颈部疼痛评分方面显着改善（p<0.01）（ATCA点降低6.7，95％CI6.0-7.5点与MIS-PCF3.0，95％CI1.0-5.0点）。
结论：ATCA和MIS-PCF是神经根病外科治疗的有效现代技术。两种方法都显示出相当的术后结果，包括并发症和再手术率。然而,ATCA显示可显著改善VAS颈痛评分.
