Transcorporeal Tunnel Approach for Cervical Radiculopathy and Myelopathy: A Systematic Review and Meta-Analysis
| Autor: | Sotirios Apostolakis |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Less invasive Intervertebral Disc Degeneration Spinal Cord Diseases 03 medical and health sciences Cervical radiculopathy Myelopathy 0302 clinical medicine Discectomy medicine Humans Minimally Invasive Surgical Procedures Diskectomy Percutaneous Pooled data Favorable outcome Radiculopathy business.industry Decompression Surgical medicine.disease Surgery Spinal Fusion 030220 oncology & carcinogenesis Meta-analysis Cervical decompression Cervical Vertebrae Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | World Neurosurgery. 138:318-327 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2020.03.082 |
| Popis: | Objective The transcorporeal tunnel approach is a relatively new alternative of anterior cervical decompression and fusion for the treatment of cervical radiculopathy and myelopathy, with its main presumed advantage being the preservation of the intervertebral space. The aim of the present article is to present the outcomes of the systematic review and meta-analysis regarding the short-term outcomes of this surgical technique. Methods A systematic review and a meta-analysis using the random-effects method of the available studies were performed to assess the safety and efficiency of the transcorporeal tunnel approach for cervical radiculopathy and myelopathy. Results In total, 15 eligible studies were identified, with a cumulative number of 254 patients. Pooled data yielded a complication rate of 0.053 and a failure rate of the technique of 0.081; a patient-reported favorable outcome of 0.94 was documented. The available data did not allow for a definite conclusion on the effects of the technique on the intervertebral space height. Conclusions Although technically challenging, like all minimally invasive methods, the transcorporeal tunnel approach seems to be a safe and efficient option for the treatment of cervical radiculopathy and myelopathy, presenting comparable outcome profiles to alternative open or less invasive techniques. |
| Databáze: | OpenAIRE |
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