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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.
Objective:
To objectively compare the efficacy of single-level cervical radiculopathy decompression with and without fusion, with a focus on randomized controlled trials.
Methods:
There were six randomized-controlled studies included in the analysis. Systematic review and meta-analysis were conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The risk of bias was assessed, data were organized into predefined tables, and calculations were performed using the Review Manager (RevMan) software.
Results:
From the analysis of 726 patients (Fusion: 374, Nonfusion: 352), no significant differences were found in kyphotic ( p = 0.11), satisfaction ( p = 0.73), complication ( p = 0.53), recurrence ( p = 0.63), or reoperation ( p = 0.36) rates. Postoperative pain relief and functional outcomes were comparable between techniques.
Conclusions:
Fusion and nonfusion techniques offer comparable efficacy for single-level cervical radiculopathy. However, patient-specific characteristics should be considered. Level of Evidence I.
