Long-term clinical and radiological outcomes of anterior uncoforaminotomy for unilateral single-level cervical radiculopathy: retrospective cohort study
Anterior cervical discectomy and fusion is a common procedure for degenerative cervical radiculopathy. In 1996, Dr. H.D. Jho reported an operative technique allowing nerve root decompression via anterior uncoforaminotomy whereas avoiding fusion. To assess long-term clinical and radiological outcomes...
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| Veröffentlicht in: | The spine journal 2021-06, Vol.21 (6), p.915-923 |
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| creator | Klimov, Vladimir S. Kelmakov, Vladislav V. Clyde, Brent L. Evsyukov, Aleksey V. Loparev, Evgeniy A. Amelina, Evgenia V. Bervitskiy, Anatoliy V. Ponomarenko, Anton P. Rzaev, Jamil A. |
| description | Anterior cervical discectomy and fusion is a common procedure for degenerative cervical radiculopathy. In 1996, Dr. H.D. Jho reported an operative technique allowing nerve root decompression via anterior uncoforaminotomy whereas avoiding fusion.
To assess long-term clinical and radiological outcomes of anterior uncoforaminotomy in patients with degenerative cervical spine pathology.
A single clinic, retrospective cohort study.
Adult patients who underwent anterior uncoforaminotomy from 2013 to 2018.
Clinical outcomes were assessed using VAS, NDI, SF-36 criteria. Radiological parameters included sagittal balance, disc height and White anPanjabi criterion.
All patients underwent unilateral single-level anterior uncoforaminotomy, and long-term clinical and radiologic follow up was carried out. Clinical outcomes were assessed using VAS, NDI, SF-36 criteria. Radiological parameters evaluated included sagittal balance, disc height and White and Panjabi criteria (3.5 mm of translation, 11 degrees of kyphosis). The mean follow-up period was 33.3 ± 10.6 months (range 12–57 months).
All measures of clinical outcome improved. VAS (neck) and VAS (arm) decreased 3 [2; 4] and 5 [3; 5.2] points (median [interquartile range]), respectively (p |
| doi_str_mv | 10.1016/j.spinee.2021.01.024 |
| format | Article |
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To assess long-term clinical and radiological outcomes of anterior uncoforaminotomy in patients with degenerative cervical spine pathology.
A single clinic, retrospective cohort study.
Adult patients who underwent anterior uncoforaminotomy from 2013 to 2018.
Clinical outcomes were assessed using VAS, NDI, SF-36 criteria. Radiological parameters included sagittal balance, disc height and White anPanjabi criterion.
All patients underwent unilateral single-level anterior uncoforaminotomy, and long-term clinical and radiologic follow up was carried out. Clinical outcomes were assessed using VAS, NDI, SF-36 criteria. Radiological parameters evaluated included sagittal balance, disc height and White and Panjabi criteria (3.5 mm of translation, 11 degrees of kyphosis). The mean follow-up period was 33.3 ± 10.6 months (range 12–57 months).
All measures of clinical outcome improved. VAS (neck) and VAS (arm) decreased 3 [2; 4] and 5 [3; 5.2] points (median [interquartile range]), respectively (p<0.001); NDI improved from 0.38 [0.36; 0.4], to 0.29 [0.22; 0.34] (p<0.001). Two patients (6%) required additional surgery one year after operation. There were no complications in the perioperative period. Disc height decreased 0.8 mm [0.1; 2.1] (p<0.001). All patients retained stability of the cervical spine based on White and Panjabi criteria. Sagittal balance parameters did not change significantly.
Uncoforaminotomy is an effective and safe method to decompress a unilateral single-level nerve root in degenerative cervical radiculopathy whereas preserving anatomy and motion of the cervical spine.</description><identifier>ISSN: 1529-9430</identifier><identifier>EISSN: 1878-1632</identifier><identifier>DOI: 10.1016/j.spinee.2021.01.024</identifier><identifier>PMID: 33545373</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anterior uncoforaminotomy ; Cervical radiculopathy ; Cervical spine ; Minimally invasive procedure ; Sagittal cervical balance</subject><ispartof>The spine journal, 2021-06, Vol.21 (6), p.915-923</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright © 2021 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c362t-d7391028af874f12e843090be5e776dcbf8bd0e49622197d00d92a32c7e90b783</citedby><cites>FETCH-LOGICAL-c362t-d7391028af874f12e843090be5e776dcbf8bd0e49622197d00d92a32c7e90b783</cites><orcidid>0000-0001-7537-3846 ; 0000-0001-9034-2212</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1529943021000577$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33545373$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Klimov, Vladimir S.</creatorcontrib><creatorcontrib>Kelmakov, Vladislav V.</creatorcontrib><creatorcontrib>Clyde, Brent L.</creatorcontrib><creatorcontrib>Evsyukov, Aleksey V.</creatorcontrib><creatorcontrib>Loparev, Evgeniy A.</creatorcontrib><creatorcontrib>Amelina, Evgenia V.</creatorcontrib><creatorcontrib>Bervitskiy, Anatoliy V.</creatorcontrib><creatorcontrib>Ponomarenko, Anton P.</creatorcontrib><creatorcontrib>Rzaev, Jamil A.</creatorcontrib><title>Long-term clinical and radiological outcomes of anterior uncoforaminotomy for unilateral single-level cervical radiculopathy: retrospective cohort study</title><title>The spine journal</title><addtitle>Spine J</addtitle><description>Anterior cervical discectomy and fusion is a common procedure for degenerative cervical radiculopathy. In 1996, Dr. H.D. Jho reported an operative technique allowing nerve root decompression via anterior uncoforaminotomy whereas avoiding fusion.
To assess long-term clinical and radiological outcomes of anterior uncoforaminotomy in patients with degenerative cervical spine pathology.
A single clinic, retrospective cohort study.
Adult patients who underwent anterior uncoforaminotomy from 2013 to 2018.
Clinical outcomes were assessed using VAS, NDI, SF-36 criteria. Radiological parameters included sagittal balance, disc height and White anPanjabi criterion.
All patients underwent unilateral single-level anterior uncoforaminotomy, and long-term clinical and radiologic follow up was carried out. Clinical outcomes were assessed using VAS, NDI, SF-36 criteria. Radiological parameters evaluated included sagittal balance, disc height and White and Panjabi criteria (3.5 mm of translation, 11 degrees of kyphosis). The mean follow-up period was 33.3 ± 10.6 months (range 12–57 months).
All measures of clinical outcome improved. VAS (neck) and VAS (arm) decreased 3 [2; 4] and 5 [3; 5.2] points (median [interquartile range]), respectively (p<0.001); NDI improved from 0.38 [0.36; 0.4], to 0.29 [0.22; 0.34] (p<0.001). Two patients (6%) required additional surgery one year after operation. There were no complications in the perioperative period. Disc height decreased 0.8 mm [0.1; 2.1] (p<0.001). All patients retained stability of the cervical spine based on White and Panjabi criteria. Sagittal balance parameters did not change significantly.
Uncoforaminotomy is an effective and safe method to decompress a unilateral single-level nerve root in degenerative cervical radiculopathy whereas preserving anatomy and motion of the cervical spine.</description><subject>Anterior uncoforaminotomy</subject><subject>Cervical radiculopathy</subject><subject>Cervical spine</subject><subject>Minimally invasive procedure</subject><subject>Sagittal cervical balance</subject><issn>1529-9430</issn><issn>1878-1632</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kU2LFDEQhoMo7rr6D0Ry9NJjPro73R4EWfyCAS96DpmkejZDOtUm6YH5J_5cMzOrR6EgofLUW6l6CXnN2YYz3r87bPLiI8BGMME3rIZon5BbPqih4b0UT-u9E2MztpLdkBc5Hxhjg-LiObmRsms7qeQt-b3FuG8KpJna4KO3JlATHU3GeQy4vyRwLRZnyBSn-lhhj4mu0eKEycw-YsH5RKdL0gdTgVqUfdwHaAIcIVAL6XiROuvaNeBiysPpPU1QEuYFbPFHoBYfMBWay-pOL8mzyYQMrx7PO_Lz86cf91-b7fcv3-4_bhsre1Eap-TImRjMNKh24gKGOu7IdtCBUr2zu2nYOQbt2AvBR-UYc6MwUlgFlVKDvCNvr7pLwl8r5KJnny2EYCLgmrVo6846XptVtL2itv45J5j0kvxs0klzps-e6IO-eqLPnmhWQ7S17M1jh3U3g_tX9NeECny4AlDnPHpIOlsP0YLzqW5GO_T_7_AHASOjug</recordid><startdate>20210601</startdate><enddate>20210601</enddate><creator>Klimov, Vladimir S.</creator><creator>Kelmakov, Vladislav V.</creator><creator>Clyde, Brent L.</creator><creator>Evsyukov, Aleksey V.</creator><creator>Loparev, Evgeniy A.</creator><creator>Amelina, Evgenia V.</creator><creator>Bervitskiy, Anatoliy V.</creator><creator>Ponomarenko, Anton P.</creator><creator>Rzaev, Jamil A.</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7537-3846</orcidid><orcidid>https://orcid.org/0000-0001-9034-2212</orcidid></search><sort><creationdate>20210601</creationdate><title>Long-term clinical and radiological outcomes of anterior uncoforaminotomy for unilateral single-level cervical radiculopathy: retrospective cohort study</title><author>Klimov, Vladimir S. ; Kelmakov, Vladislav V. ; Clyde, Brent L. ; Evsyukov, Aleksey V. ; Loparev, Evgeniy A. ; Amelina, Evgenia V. ; Bervitskiy, Anatoliy V. ; Ponomarenko, Anton P. ; Rzaev, Jamil A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c362t-d7391028af874f12e843090be5e776dcbf8bd0e49622197d00d92a32c7e90b783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Anterior uncoforaminotomy</topic><topic>Cervical radiculopathy</topic><topic>Cervical spine</topic><topic>Minimally invasive procedure</topic><topic>Sagittal cervical balance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Klimov, Vladimir S.</creatorcontrib><creatorcontrib>Kelmakov, Vladislav V.</creatorcontrib><creatorcontrib>Clyde, Brent L.</creatorcontrib><creatorcontrib>Evsyukov, Aleksey V.</creatorcontrib><creatorcontrib>Loparev, Evgeniy A.</creatorcontrib><creatorcontrib>Amelina, Evgenia V.</creatorcontrib><creatorcontrib>Bervitskiy, Anatoliy V.</creatorcontrib><creatorcontrib>Ponomarenko, Anton P.</creatorcontrib><creatorcontrib>Rzaev, Jamil A.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Klimov, Vladimir S.</au><au>Kelmakov, Vladislav V.</au><au>Clyde, Brent L.</au><au>Evsyukov, Aleksey V.</au><au>Loparev, Evgeniy A.</au><au>Amelina, Evgenia V.</au><au>Bervitskiy, Anatoliy V.</au><au>Ponomarenko, Anton P.</au><au>Rzaev, Jamil A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term clinical and radiological outcomes of anterior uncoforaminotomy for unilateral single-level cervical radiculopathy: retrospective cohort study</atitle><jtitle>The spine journal</jtitle><addtitle>Spine J</addtitle><date>2021-06-01</date><risdate>2021</risdate><volume>21</volume><issue>6</issue><spage>915</spage><epage>923</epage><pages>915-923</pages><issn>1529-9430</issn><eissn>1878-1632</eissn><abstract>Anterior cervical discectomy and fusion is a common procedure for degenerative cervical radiculopathy. In 1996, Dr. H.D. Jho reported an operative technique allowing nerve root decompression via anterior uncoforaminotomy whereas avoiding fusion.
To assess long-term clinical and radiological outcomes of anterior uncoforaminotomy in patients with degenerative cervical spine pathology.
A single clinic, retrospective cohort study.
Adult patients who underwent anterior uncoforaminotomy from 2013 to 2018.
Clinical outcomes were assessed using VAS, NDI, SF-36 criteria. Radiological parameters included sagittal balance, disc height and White anPanjabi criterion.
All patients underwent unilateral single-level anterior uncoforaminotomy, and long-term clinical and radiologic follow up was carried out. Clinical outcomes were assessed using VAS, NDI, SF-36 criteria. Radiological parameters evaluated included sagittal balance, disc height and White and Panjabi criteria (3.5 mm of translation, 11 degrees of kyphosis). The mean follow-up period was 33.3 ± 10.6 months (range 12–57 months).
All measures of clinical outcome improved. VAS (neck) and VAS (arm) decreased 3 [2; 4] and 5 [3; 5.2] points (median [interquartile range]), respectively (p<0.001); NDI improved from 0.38 [0.36; 0.4], to 0.29 [0.22; 0.34] (p<0.001). Two patients (6%) required additional surgery one year after operation. There were no complications in the perioperative period. Disc height decreased 0.8 mm [0.1; 2.1] (p<0.001). All patients retained stability of the cervical spine based on White and Panjabi criteria. Sagittal balance parameters did not change significantly.
Uncoforaminotomy is an effective and safe method to decompress a unilateral single-level nerve root in degenerative cervical radiculopathy whereas preserving anatomy and motion of the cervical spine.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33545373</pmid><doi>10.1016/j.spinee.2021.01.024</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7537-3846</orcidid><orcidid>https://orcid.org/0000-0001-9034-2212</orcidid></addata></record> |
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| ispartof | The spine journal, 2021-06, Vol.21 (6), p.915-923 |
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| subjects | Anterior uncoforaminotomy Cervical radiculopathy Cervical spine Minimally invasive procedure Sagittal cervical balance |
| title | Long-term clinical and radiological outcomes of anterior uncoforaminotomy for unilateral single-level cervical radiculopathy: retrospective cohort study |
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