BACKGROUND: The surgical management of cervical brachialgia utilising anterior cervical discectomy and fusion (ACDF) or @entity4048 (PCF) is a controversial area in spinal surgery. Previous studies are limited by utilisation of non-validated outcome measures and, importantly, absence of pre-operative analysis to ensure both groups are matched. The authors aimed to compare the effectiveness of ACDF and PCF using validated outcome measures. To our knowledge, it is the first study in the literature to do this. METHODS: The authors conducted a 5-year retrospective review (2008-2013) of outcomes following both the above procedures and also compared the effectiveness of both techniques. @entity1 with @entity602 and large central discs were excluded. The main outcome variables measured were the @entity717 (NDI) and @entity227 (VAS) for neck and arm @entity158 pre-operatively and again at 2-year follow-up. The Wilcoxon signed-rank test and Student t-tests were used to test differences. RESULTS: A total of 150 ACDFs and 51 PCFs were performed for brachialgia. There was no differences in the pre-operative NDI, VAS neck and arm scores between both groups (p   >   0.05). As expected, both ACDF and PCF delivered statistically significant improvement in NDI, VAS-neck and VAS-arm scores. The degree of improvement of NDI, VAS-neck and VAS-arm were the same between both groups of @entity1 (p   >   0.05) with a trend favouring the PCF group. In the ACDF group, two (1.3 %) @entity1 needed repeat ACDF due to adjacent segment disease. One @entity1 (0.7 %) needed further decompression via a foraminotomy. In the PCF group one (2.0 %) @entity1 needed ACDF due to persistent brachialgia. CONCLUSIONS: We found both interventions delivered similar improvements in the VAS and NDI scores in @entity1 . Both techniques may be appropriately utilised when treating a @entity1 with cervical brachialgia.

Anterior cervical discectomy and fusion versus XXXX in the treatment of brachialgia: the Leeds spinal unit experience (2008-2013).

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity227 :: ('MESH:D014786', 'Disease') :: ['visual analogue scores'] @entity602 :: ('MESH:D013118', 'Disease') :: ['myelopathy'] @entity4048 :: ('MESH:D019547', 'Disease') :: ['posterior cervical foraminotomy'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity717 :: ('MESH:D009069', 'Disease') :: ['neck disability index']
@entity4048 :: (MESH:D019547,Disease) :: ['posterior cervical foraminotomy']
