, Kelsen de Oliveira Teixeira , Fernando Flores de Araújo , Edgar Takao Utino , Rangel Roberto de Assis , André Luis Rousselet Lafratta , Diogo Sales Archangel dos Santos , Jorge Luis Garcia Ferrabone , Victor da Silva Pereira , Wilson Faglioni , Aluizio Augusto Arantes , Sophia Sales Silva , Caio Tomita Ferreira , João Herval Maia , Sonja Ellen Lobo , João Paulo Machado Bergamaschi DOI: http://dx.doi.org/10.1590/S1808-185120262502303081
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ABSTRACT
Posterior endoscopic cervical discectomy (PECD) and foraminotomy (PECF) present comparable clinical outcomes to traditional open surgeries. The objective of this study is to evaluate, through systematic review and meta-analysis, the clinical and surgical outcomes of cervical endoscopy techniques using the posterior approach. The search criteria followed the following pattern: “((posterior endoscopic surgery) AND ((clinical outcomes) OR (surgical outcomes))) AND (cervical spine) Filters: from 2013 to 2023”. Only original articles in English or Portuguese were included in the review. The search resulted in the inclusion of 45 studies, totaling 1,973 patients. The estimated mean surgical time was 76 minutes, while the estimated mean blood loss was 42 mL. The mean hospital stay was 4 days, with a mean ICU stay of 0.25 days. The techniques were able to promote significant improvements in quality-of-life scores. It was concluded that endoscopic techniques can significantly improve quality scores, with very low blood loss and surgical time.
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