{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T16:11:42Z","timestamp":1789834302403,"version":"4.0.1"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,12,29]],"date-time":"2016-12-29T00:00:00Z","timestamp":1482969600000},"content-version":"vor","delay-in-days":58,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2016,11]]},"abstract":"Controversy remains over whether anterior cervical discectomy and fusion (ACDF<\/jats:styled-content>) or posterior cervical foraminotomy (PCF<\/jats:styled-content>) is superior for the treatment of cervical radiculopathy. We therefore performed a systematic review including three prospective randomized controlled trails (RCT<\/jats:styled-content>) and seven retrospective comparative studies (RC<\/jats:styled-content>oS<\/jats:styled-content>) by searching P<\/jats:styled-content>ubM<\/jats:styled-content>ed and EMBASE<\/jats:styled-content>. These studies were assessed on risk of bias according to the C<\/jats:styled-content>ochrane H<\/jats:styled-content>andbook for S<\/jats:styled-content>ystematic R<\/jats:styled-content>eviews of Interventions, and the quality of evidence and level of recommendation were evaluated according to the GRADE<\/jats:styled-content> approach. Clinical outcomes, complications, reoperation rates, radiological parameters, and cost\/cost\u2010utility were evaluated. The mean complication rate was 7% in the ACDF<\/jats:styled-content> group and 4% in the PCF<\/jats:styled-content> group, and the mean reoperation rate was 4% in the ACDF<\/jats:styled-content> group and 6% in the PCF<\/jats:styled-content> group within 2\u2009years of the initial surgery. There was a strong level of recommendation that no difference existed in clinical outcome, complication rate and reoperation rate between the ACDF<\/jats:styled-content> and the PCF<\/jats:styled-content> group. There was conflicting evidence that the ACDF<\/jats:styled-content> group had better clinical outcomes than the PCF<\/jats:styled-content> group (one study with weak level of recommendation). PCF<\/jats:styled-content> could preserve the range of motion (ROM<\/jats:styled-content>) of the operated segment but did not increase the ROM<\/jats:styled-content> of the adjacent segment (weak level of recommendation). Meanwhile, the average cost or cost\u2010utility of the PCF<\/jats:styled-content> group was significantly lower than that of the ACDF<\/jats:styled-content> group (weak level of recommendation). In conclusion, the PCF<\/jats:styled-content> was just as safe and effective as the ACDF<\/jats:styled-content> in the treatment of cervical radiculopathy. Meanwhile, PCF<\/jats:styled-content> might have lower medical cost than ACDF<\/jats:styled-content> and decrease the incidence of adjacent segment disease. Based on the available evidence, PCF<\/jats:styled-content> appears to be another good surgical approach in the treatment of cervical radiculopathy.<\/jats:p>","DOI":"10.1111\/os.12285","type":"journal-article","created":{"date-parts":[[2016,12,29]],"date-time":"2016-12-29T12:40:27Z","timestamp":1483015227000},"page":"425-431","source":"Crossref","is-referenced-by-count":94,"title":["Comparison of Anterior Cervical Discectomy and Fusion versus Posterior Cervical Foraminotomy in the Treatment of Cervical Radiculopathy: A<\/scp> Systematic Review"],"prefix":"10.1111","volume":"8","author":[{"given":"Wei\u2010jun","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Pu Ai Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Tianyou Hospital Wuhan University 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