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ABSTRACT

Objective: To report the clinical outcomes obtained using AECF for cervical spondylarthrosis treatment. Methods: A retrospective study evaluated the patient-reported outcome measures (PROM) and complications of patients with radiating cervical pain and imaging findings of spondylarthrosis and foraminal stenosis treated with awake outpatient AECF. Results: AECF was performed in 18 patients. A satisfaction rate between excellent and good was obtained in 82.4% of the patients. Neck Disability Index significantly decreased 37.4% ± 14.3 (95% CI 29.8 – 45.0) to 11.5% ± 9.7 (95% CI 5.54 17.4) (P<0.001). VAS scores showed a statistically significant variation from a preoperative pain of 7.83 ±1.38 (95% CI 7.15 – 8.52) and then, at the 24-month follow-up, a score of 2.20 ± 1.79 (95% CI 1.31 – 3.09). There were two complications and two reoperations. Conclusion: This case series demonstrated favorable clinical outcomes using the anterior endoscopic technique for radiculopathy due to cervical spondylosis, supporting AECF as a feasible surgical alternative. Although current evidence suggests endoscopic treatment as an alternative for lateral stenosis, further high-quality studies are needed to strengthen the level of evidence.

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