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Related Experiment Video

Updated: May 1, 2026

Full-Endoscopic Interlaminar Approach for Decompression of Lateral Recess Stenosis
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Long-Term Risk of Subsequent Cervical Fusion After Endoscopic Versus Open Cervical Decompression.

Ryan Wang1,2, Mohammed Rasheed1,2, William Zeng3

  • 1Chicago Medical School, Rosalind Franklin University, North Chicago, IL, USA.

Global Spine Journal
|April 30, 2026
PubMed
Summary

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This summary is machine-generated.

Endoscopic cervical decompression (ECD) shows similar short-term safety and lower readmission compared to open surgery. However, ECD is associated with a higher long-term risk of subsequent cervical fusion.

Area of Science:

  • Neurosurgery
  • Spine Surgery
  • Minimally Invasive Procedures

Background:

  • Endoscopic cervical decompression (ECD) is a minimally invasive alternative to open cervical decompression.
  • Large-scale comparative data on ECD's short-term safety and long-term reoperation rates are limited.

Purpose of the Study:

  • To compare the short-term safety and long-term reoperation risks of ECD versus open cervical decompression.
  • Evaluate perioperative outcomes, healthcare utilization, and time to cervical fusion.

Main Methods:

  • Retrospective cohort study using the TriNetX Global Collaborative Network.
  • Included adults undergoing either endoscopic or open cervical decompression.
  • Analyzed 30-day medical/surgical complications, readmissions, ED visits, and time-to-fusion using Kaplan-Meier and Cox models.
Keywords:
conversion to fusionendoscopic cervical decompressionendoscopic spine surgerypostoperative outcomesreoperation

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Main Results:

  • 17,251 patients in each matched cohort (ECD vs. open).
  • Similar 30-day medical and surgical complication rates.
  • Lower hospital readmission rates for ECD (2.8% vs. 3.9%).
  • Higher incidence of subsequent cervical fusion after ECD at 1 year (4.2% vs. 2.7%) and 5 years (5.9% vs. 3.9%).

Conclusions:

  • ECD provides comparable perioperative safety and reduced readmission rates.
  • ECD is associated with an increased long-term risk of requiring subsequent cervical fusion.
  • Patient counseling regarding potential reoperation is crucial when considering ECD.