Reoperation and Perioperative Complications After Surgical Treatment of Cervical Radiculopathy: A Comparison Between Three Procedures

A retrospective database study. The purpose of our study was to compare the perioperative complications and reoperation rates after anterior cervical discectomy and fusion (ACDF), cervical disk arthroplasty (CDA), and posterior cervical foraminotomy (PCF) in patients treated for cervical radiculopat...

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Bibliographic Details
Published in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2023-02, Vol.48 (4), p.261-269
Main Authors: Nayak, Rusheel, Razzouk, Jacob, Ramos, Omar, Ruckle, David, Chiu, Anthony, Parel, Philip, Stoll, William T., Patel, Shalin, Thakkar, Savyasachi, Danisa, Olumide A.
Format: Article
Language:English
Subjects:
Cervical Vertebrae - surgery
Diskectomy - adverse effects
Humans
Neck Pain - surgery
Radiculopathy - surgery
Reoperation - adverse effects
Retrospective Studies
Spinal Fusion - methods
Surgical Wound Infection - surgery
Treatment Outcome
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Summary:A retrospective database study. The purpose of our study was to compare the perioperative complications and reoperation rates after anterior cervical discectomy and fusion (ACDF), cervical disk arthroplasty (CDA), and posterior cervical foraminotomy (PCF) in patients treated for cervical radiculopathy. Cervical radiculopathy results from compression or irritation of nerve roots in the cervical spine. While most cervical radiculopathy is treated nonoperatively, ACDF, CDA, and PCF are the techniques most commonly used if operative intervention is indicated. There is limited research evaluating the perioperative complications of these surgical techniques. A retrospective review was performed using the PearlDiver Patient Record Database to identify cases of cervical radiculopathy that underwent ACDF, CDA, or PCF at one or two levels from 2007 to 2016. Perioperative complications and reoperations following each of the procedures were assessed. During the study period, 25,051 patients underwent ACDF, 522 underwent CDA, and 3986 underwent PCF. After propensity score matching, each of the three groups consisted of 507 patients. Surgical site infection rates were highest after PCF (2.17%) compared with ACDF (0.20%) and CDA (0.59%) at 30 days and three months ( P =0.003, P
ISSN:0362-2436
1528-1159
DOI:10.1097/BRS.0000000000004506