{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T05:21:49Z","timestamp":1740806509163,"version":"3.38.0"},"reference-count":12,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground<\/jats:title>\nCervical foraminotomy (CF) and anterior cervical discectomy and fusion (ACDF) are both used to treat 1\u20132 level cervical radiculopathy. We evaluated demographic and Patient-Reported Outcomes Measurement Information System (PROMIS) to match cohorts and compare the safety\/efficacy of performing CF versus ACDF for 1\u20132 level unilateral radiculopathy.<\/jats:p>\n<\/jats:sec>\n\nMethods<\/jats:title>\nThis was a retrospective review of 64 patients with similar clinical and radiological data that underwent 1\u20132 level unilateral CF versus ACDF for cervical radiculopathy. Variables studied included operative revision rates, adverse events, surgical costs, postoperative imaging, PROMIS scores, numeric pain scores, incidence of dysphagia, frequency of vocal cord paralysis, and postoperative neurological status.<\/jats:p>\n<\/jats:sec>\n\nResults<\/jats:title>\nWe found no clinical or radiological differences between patients undergoing ACDF versus CF for unilateral 1\u20132 level cervical radiculopathy. Surgical differences were observed; ACDF patients demonstrated a 6.25% revision rate versus 0% for CF patients, 40% of ACDF patients reported mild dysphagia versus 0% for CF, 3% undergoing ACDF exhibited vocal cord paralysis versus 0% for CF, and ACDF incurred high implant costs (i.e., $1,836.37 and $2,773.44 for one- and two-level ACDFs) versus 0% for CF warranting no implants.<\/jats:p>\n<\/jats:sec>\n\nConclusion<\/jats:title>\nPatients undergoing CF versus ACDF for 1\u20132 level unilateral cervical radiculopathy required 3.70 fewer postoperative X-rays, 40 min less operative time, and 10.95-h shorter lengths of hospital stay (P<\/jats:italic> < 0.001). Alternatively, ACDF patients had a 31.3% greater probability of achieving a minimum clinically important difference in PROMIS pain interference scores but incurred a 6.25% reoperation rate, a 40% incidence of dysphagia, and high implant costs versus 0% for CF.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_1017_2024","type":"journal-article","created":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T07:50:44Z","timestamp":1740729044000},"page":"77","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety and efficacy of cervical foraminotomy versus anterior cervical discectomy and fusion for 1\u20132 level radiculopathy"],"prefix":"10.25259","volume":"16","author":[{"given":"Jefferson","family":"Hunter","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Ramirez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Thirukumaran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Rubery","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2025,2,28]]},"reference":[{"key":"10.25259\/SNI_1017_2024\/ref-1","doi-asserted-by":"crossref","first-page":"727","DOI":"10.3171\/2014.7.SPINE131110","article-title":"Long-term patient outcomes after posterior cervical foraminotomy: An analysis of 151 cases","volume":"21","author":"Bydon","year":"2014","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_1017_2024\/ref-2","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1186\/s13018-020-01723-5","article-title":"Anterior cervical discectomy and fusion versus posterior cervical foraminotomy for the treatment of single-level unilateral cervical radiculopathy: A meta-analysis","volume":"15","author":"Fang","year":"2020","journal-title":"J Orthop Surg Res"},{"key":"10.25259\/SNI_1017_2024\/ref-3","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1097\/00007632-199015100-00009","article-title":"Surgical management of cervical soft disc herniation. A comparison between the anterior and posterior approach","volume":"15","author":"Herkowitz","year":"1990","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_1017_2024\/ref-4","doi-asserted-by":"crossref","first-page":"190s","DOI":"10.1016\/j.spinee.2004.07.007","article-title":"Adjacent segment degeneration and adjacent segment disease: The consequences of spinal fusion?","volume":"4","author":"Hilibrand","year":"2004","journal-title":"Spine J"},{"key":"10.25259\/SNI_1017_2024\/ref-5","first-page":"1266","article-title":"Single-level anterior cervical discectomy and fusion results in lower five-year revisions than posterior cervical foraminotomy in a large national cohort","volume":"48","author":"Jayaram","year":"2023","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_1017_2024\/ref-6","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.jamcollsurg.2016.11.015","article-title":"Patient-reported outcomes measurement information system (PROMIS) use in surgical care: A scoping study","volume":"224","author":"Jones","year":"2017","journal-title":"J Am Coll Surg"},{"key":"10.25259\/SNI_1017_2024\/ref-7","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1097\/BRS.0000000000001518","article-title":"Correlation of PROMIS Physical Function and Pain CAT instruments with oswestry disability index and neck disability index in spine patients","volume":"41","author":"Papuga","year":"2016","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_1017_2024\/ref-8","doi-asserted-by":"crossref","first-page":"E1357","DOI":"10.1097\/BRS.0000000000002347","article-title":"Concurrent validity and responsiveness of PROMIS health domains among patients presenting for anterior cervical spine surgery","volume":"42","author":"Purvis","year":"2017","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_1017_2024\/ref-9","doi-asserted-by":"crossref","first-page":"1731","DOI":"10.1097\/BRS.0000000000003156","article-title":"Minimally invasive posterior cervical foraminotomy as an alternative to anterior cervical discectomy and fusion for unilateral cervical radiculopathy: A systematic review and meta-analysis","volume":"44","author":"Sahai","year":"2019","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.25259\/SNI_1017_2024\/ref-10","doi-asserted-by":"crossref","first-page":"1653","DOI":"10.2106\/JBJS.23.00775","article-title":"Posterior cervical foraminotomy compared with anterior cervical discectomy with fusion for cervical radiculopathy: Two-year results of the FACET randomized noninferiority study","volume":"106","author":"Sim\u00f5es de Souza","year":"2024","journal-title":"J Bone Joint Surg Am"},{"key":"10.25259\/SNI_1017_2024\/ref-11","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1016\/j.spinee.2013.05.042","article-title":"Rates of anterior cervical discectomy and fusion after initial posterior cervical foraminotomy","volume":"15","author":"Wang","year":"2015","journal-title":"Spine J"},{"key":"10.25259\/SNI_1017_2024\/ref-12","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1093\/neuros\/nyy051","article-title":"Comparison of anterior cervical discectomy and fusion to posterior cervical foraminotomy for cervical radiculopathy: Utilization, costs, and adverse events 2003 to 2014","volume":"84","author":"Witiw","year":"2019","journal-title":"Neurosurgery"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/safety-and-efficacy-of-cervical-foraminotomy-versus-anterior-cervical-discectomy-and-fusion-for-12-level-radiculopathy\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/safety-and-efficacy-of-cervical-foraminotomy-versus-anterior-cervical-discectomy-and-fusion-for-12-level-radiculopathy\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T07:50:55Z","timestamp":1740729055000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/safety-and-efficacy-of-cervical-foraminotomy-versus-anterior-cervical-discectomy-and-fusion-for-12-level-radiculopathy\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,28]]},"references-count":12,"alternative-id":["10.25259\/SNI_1017_2024"],"URL":"https:\/\/doi.org\/10.25259\/sni_1017_2024","relation":{},"ISSN":["2152-7806","2229-5097"],"issn-type":[{"value":"2152-7806","type":"electronic"},{"value":"2229-5097","type":"print"}],"subject":[],"published":{"date-parts":[[2025,2,28]]},"article-number":"77"}}