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Single Level Cervical Radiculopathy with and without Fusion Technique: A Systematic Review and Meta-Analysis
Maria Florencia Deslivia1,2, Sherly Desnita Savio2, Benedictus Satmoko2
1Bone and Joint Center, St Carolus Hospital, Jakarta, Indonesia.
Revista Brasileira De Ortopedia
|July 29, 2026
Summary
For single-level cervical radiculopathy, both fusion and nonfusion decompression techniques show similar effectiveness. Patient factors are key when choosing between fusion and nonfusion surgical options.
Area of Science:
- Neurosurgery
- Orthopedic Surgery
- Evidence-Based Medicine
Background:
- Cervical radiculopathy is a common condition causing neck pain and radiating symptoms.
- Surgical options include decompression with or without spinal fusion.
Purpose of the Study:
- To compare the efficacy of single-level cervical radiculopathy decompression with and without fusion.
- Focus on randomized controlled trials (RCTs) for objective comparison.
Main Methods:
- Systematic review and meta-analysis of six RCTs.
- Adherence to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
- Risk of bias assessment and data analysis using Review Manager (RevMan).
Main Results:
- Analysis of 726 patients (374 fusion, 352 nonfusion).
- No significant differences in kyphotic, satisfaction, complication, recurrence, or reoperation rates.
- Comparable postoperative pain relief and functional outcomes between fusion and nonfusion techniques.
Conclusions:
- Fusion and nonfusion techniques demonstrate comparable efficacy for single-level cervical radiculopathy.
- Patient-specific characteristics are crucial for treatment selection.
- Level of Evidence: I.