Evidence map›Paper›PMID 40211519›Full record

ArticleNeurospine2025

Clinical Outcomes and Patient Perspectives in Full Endoscopic Cervical Surgery: A Systematic Review.

Wongthawat Liawrungrueang, Sung Tan Cho, Ayush Sharma, Watcharaporn Cholamjiak, Meng-Huang Wu, Lo Cho Yau, Hyun-Jin Park, Ho-Jin Lee

Abstract read
In one paragraph

Article in Neurospine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Outcome of cervical cases operated with posterior cervical pedicle screw placement: a single-center retrospective study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025
    Article
  6. Review
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

8 authors.

Wongthawat LiawrungrueangDepartment of Orthopaedics, School of Medicine, University of Phayao, Phayao, Thailand.
Sung Tan ChoDepartment of Orthopedic Surgery, Seoul Seonam Hospital, Seoul, Korea.
Ayush SharmaDepartment of Orthopaedic, Dr B R Ambedkar Memorial Hospital, Mumbai, India.
Watcharaporn CholamjiakDepartment of Mathematics, School of Science, University of Phayao, Phayao, Thailand.
Meng-Huang WuDepartment of Orthopedics, Taipei Medical University Hospital, Taipei, Taiwan.
Lo Cho YauDepartment of Orthopaedics and Traumatology, North District Hospital, University of Hong Kong, Sheung Shui, Hong Kong.
Hyun-Jin ParkDepartment of Orthopedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Ho-Jin LeeDepartment of Orthopaedic Surgery, Chungnam National University College of Medicine, Daejeon, Korea.

Funding

School of Medicine, University of Phayao, ThailandThailand Science Research and Innovation Fund 5025/2567
6 · The paper itself

Abstract

objectiveFull endoscopic cervical surgery (FECS) is an evolving minimally invasive approach for treating cervical spine disorders. This systematic review synthesizes current evidence on the clinical outcomes and patient perspectives associated with FECS, specifically evaluating its safety, efficacy, and overall patient satisfaction.

methodsA systematic search of the PubMed/MEDLINE, Cochrane Library, Embase, and Web of Science databases was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies published between January 2000 and September 2024 that reported on clinical outcomes or patient perspectives related to FECS were included. Risk of bias was assessed using the ROBINS-I (Risk Of Bias In Non-randomized Studies - of Interventions) tool and the Cochrane Risk of Bias tool. Inclusion criteria encompassed randomized controlled trials, prospective cohort studies, retrospective studies, and observational studies focused on adult populations undergoing FECS for cervical spine surgery.

resultsThe final synthesis included 30 studies. FECS was associated with significant reductions in both cervical and radicular pain, as well as meaningful functional improvements, measured by standardized clinical scales such as the Neck Disability Index and visual analogue scale. Patient satisfaction rates were consistently high, with most studies reporting satisfaction exceeding 85%. Complication rates were low, primarily involving transient neurological deficits that were typically resolved without the need for further intervention. Nonrandomized studies generally presented a moderate risk of bias due to confounding and selection, whereas randomized controlled trials exhibited a low risk of bias.

conclusionFECS is a safe and effective minimally invasive surgical option for cervical spine disorders associated with substantial pain relief, functional improvement and high levels of patient satisfaction.

Indexed as

Cervical disc herniationClinical outcomesFull endoscopic cervical surgeryMinimally invasive spine surgeryPatient satisfaction

Identifiers

PMID40211519
PMCPMC12010841

What OpenQuestion holds

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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.