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Posterior cervical transfacet fusion with facetal spacer for the treatment of single-level cervical radiculopathy: a randomized controlled prospective study.
World Neurosurg. 2017 Jan 05;:
Authors: Lenzi J, Nardone A, Passacantilli E, Caporlingua A, Lapadula G, Caporlingua F
Abstract
BACKGROUND: single level cervical radiculopathy may be treated conservatively with cervical tractions. Posterior cervical transfacet fusion with a facetal spacer is a viable option. The aim of the present study is to compare posterior cervical transfacet fusion to conservative physical treatment in single level cervical radiculopathy METHODS: 80 patients were randomized in 2 groups. A surgical group where patients were given posterior cervical transfacet fusion and a traction group where patients were treated conservatively with mechanical cervical tractions. Visual analog scale for arm and neck, Neck Disability Index and SF-36 questionnaires were administered preoperatively and after treatment up to 12 months.
RESULTS: Post treatment, visual analog scale arm scores were higher in traction group (4,7 vs. 1,5 the day after treatment) and at follow-up controls (traction group vs surgical group: 5,3 vs 0,6 at 1 month, 3,6 vs. 0,3 at 6 months, 1,8 vs. 0,2 at 12 months). Neck disability index scores were lower in the surgical group (surgical group vs. traction group: 4,4 vs. 20,3 at 1 month, 1,3 vs. 10,5 at 6 months). SF-36 scores were higher in the surgical group (surgical group vs. traction group: 96 vs. 70 at 1 month, 96,5 vs. 82,6 at 6 months). Neck disability index and SF-36 scores were superimposable between the groups at 12-month follow-up. No adjacent-segment arthrosis or late complications were reported at 1-year follow-up in the surgical group.
CONCLUSIONS: posterior cervical transfacet fusion is a safe and effective procedure to treat single level cervical radiculopathy.
PMID: 28065872 [PubMed - as supplied by publisher]
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