Acdf vs foraminotomy
Transcript of Acdf vs foraminotomy
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EBSSalem Al-Dwairy
Spine fellow: Macquarie Neurosurgery.Macquarie university.
December, 2015
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• 55years old.• Neck pain + severe left arm pain
for three months.• Not responding to conservative
treatment.
foraminotomy vs ACDF
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PICO: In patients with cervical radiculopathy does ACDF or foraminotomy lead to better resolution of arm pain and the need for further surgery?
• P: Patients with cervical radiculopathy.• I: Cervical fusion.• C: Foraminotomy• O: resolution of radicular pain, redo surgery.
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Data bases:• Medline.• Embase.• Scopus.
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MedlineACDF
Foraminotomy
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Embase
ACDF
Foraminotomy
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Medline186
Scopus84
Embase204
52
26
15
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Medline 286 Embase 204 Scopus 84
574
Duplicates 72
Total 16 (7 included, 1 local Egyptian journal, 1study protocol, 3 cost effectiveness)
387
After reviewing titles: 505 excluded,Posterior cervical fusion, surgery for C myelopathy, anterior C foraminotomy, laminoplasty,ASD, surgical techniques,case reports,…..
69
Reviewing abstracts
12
4 papers added from references
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Conclusion • Foraminotomy has comparable results as ACDF in relieving pain.• ? Both has similar reoperation rate at the index level.• ? ACDF might have more rapid relief in symptoms and/or motor
weakness while in hospital stay.