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Comparative Studies | Orthopaedic Surgery | India | Volume 13 Issue 10, October 2024 | Popularity: 5.2 / 10

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Comparative Outcomes of Anterior Cervical Discectomy and Fusion (ACDF) versus Posterior Cervical Foraminotomy (PCF) in the Treatment of Cervical Radiculopathy

Dr. Siddesh Patil, Dr. Jayanth Kaja

Abstract: This study evaluates and compares the clinical outcomes, complication rates, and patient satisfaction between two widely practiced surgical procedures for cervical radiculopathy: Anterior Cervical Discectomy and Fusion (ACDF) and Posterior Cervical Foraminotomy (PCF). Conducted as a randomized controlled trial at the Sanjay Gandhi Institute of Trauma and Orthopaedics, the study involved 30 patients diagnosed with cervical radiculopathy, randomly assigned to undergo either ACDF or PCF. Primary outcomes were measured using the Neck Disability Index (NDI), EQ - 5D scores, postoperative pain levels, and range of motion (ROM). The study followed patients for six months after surgery. The results revealed that both ACDF and PCF effectively relieved the symptoms of cervical radiculopathy. ACDF was associated with a slightly higher complication rate (7%) compared to PCF (4%). However, patients who underwent PCF had a higher reoperation rate (6%) compared to those who had ACDF (4%). In terms of patient satisfaction, those in the ACDF group reported higher satisfaction, primarily due to the stability provided by the procedure. In contrast, patients treated with PCF retained better postoperative ROM, making it a preferable option for those prioritizing mobility preservation. Both procedures were successful in reducing pain, with most patients reporting moderate pain relief by the second week and minimal pain by the third and sixth months. In conclusion, while both ACDF and PCF are effective in treating cervical radiculopathy, each offers distinct advantages and risks. The choice between these procedures should be individualized based on the patient?s age, activity level, and specific anatomical characteristics.

Keywords: Cervical Radiculopathy, ACDF, PCF, Surgical Outcomes, Patient Satisfaction

Edition: Volume 13 Issue 10, October 2024

Pages: 307 - 308

DOI: https://www.doi.org/10.21275/SR241002151751

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