Evidence map›Paper›PMID 39414640›Full record

ArticleNeurosurgical review2024

Comparative efficacy of unilateral biportal endoscopic and full-endoscopic posterior cervical foraminotomy in the treatment of cervical spondylotic radiculopathy: a retrospective analysis.

Zhongxin Tang, Lei Jian, Yang Liu, Wang Niu, Jun Tan, Mingkui Shen, Hejun Yang

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Neurosurgical review, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Zhongxin TangDepartment of Mini-invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, 450000, China.
Lei JianDepartment of Mini-invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, 450000, China.
Yang LiuDepartment of Mini-invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, 450000, China.
Wang NiuDepartment of Mini-invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, 450000, China.
Jun TanDepartment of Mini-invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, 450000, China.
Mingkui ShenDepartment of Mini-invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, 450000, China.
Hejun YangDepartment of Mini-invasive Spinal Surgery, The Third People's Hospital of Henan Province, Zhengzhou, 450000, China. hejunyang02@163.com.

Funding

Key Research and Development Project of Henan Province 241111313800Medical Science and Technology Research Project of Henan Province LHGJ20230670National Natural Science Foundation of China Yu Wei Medical Letter [2023] No.30)
6 · The paper itself

Abstract

objectiveThe aim of this study was to compare the clinical efficacy of the full-endoscopic posterior cervical foraminotomy (FE-PCF) and the unilateral biportal endoscopic posterior cervical foraminotomy (UBE-PCF) in the treatment of cervical spondylotic radiculopathy (CSR).

methodsPatients who underwent posterior cervical spine surgery in our hospital from January 2020 to December 2022 were retrospectively analyzed. According to the surgical method, the patients were divided into two groups: FE-PCF group and UBE-PCF group. Perioperative data included operation time, Intraoperative blood loss and postoperative hospital stay were collected. The Visual Analog Scale (VAS)-arm, VAS-neck, and Neck Diability Index (NDI) was used to evaluate the clinical outcomes at preoperative, postoperative 1 week and Last follow-up. Serum creatine phosphokinase (CPK) and C-reactive protein (CRP) levels were recorded to evaluate surgical invasiveness.

resultsA total of 160 patients were included, including 89 cases of FE-PCF and 71 cases of UBE-PCF. The demographic and preoperative data showed no significant differences between the two groups (P > 0.05). The mean operating time was significantly shorter in the UBE-PCF group compared to FE-PCF group (P < 0.05). Serum CRP and CPK levels of the two groups both exhibited a pattern of rising and then falling, peaking one day following surgery and decreasing to near normal values three days after the operation. Compared with preoperative, both groups showed significant improvement in postoperative VAS and NDI scores, with a statistically significant difference (P < 0.05). However, the differences in results between the groups were not significant.

conclusionsBoth UBE-PCF and FE-PCF are secure and efficient methods for treating CSR by continuous visualization. UBE-PCF offers predictable and adequate decompression within a reduced surgical duration, facilitated by its separate observation and operation channels.

Indexed as

Cervical VertebraeForaminotomyRadiculopathySpondylosisAdultAgedEndoscopyFemaleHumansMaleMiddle AgedNeuroendoscopyRetrospective StudiesTreatment OutcomeCervical spondylotic radiculopathyClinical efficacyPercutaneous endoscopicUnilateral biportal endoscopic

Identifiers

PMID39414640

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.