Clinical Outcomes and Patient Perspectives in Full Endoscopic Cervical Surgery: A Systematic Review

医学 随机对照试验 科克伦图书馆 观察研究 梅德林 系统回顾 物理疗法 患者满意度 可视模拟标度 颈部疼痛 混淆 心理干预 循证医学 外科 内科学 替代医学 精神科 病理 法学 政治学
作者
Wongthawat Liawrungrueang,Sung Tan Cho,Ayush Sharma,Watcharaporn Cholamjiak,Meng–Huang Wu,Lo Cho Yau,Hyun‐Jin Park,Ho-Jin Lee
出处
期刊:Neurospine [Korean Spinal Neurosurgery Society]
卷期号:22 (1): 81-104
标识
DOI:10.14245/ns.2449086.534
摘要

Objective: Full endoscopic cervical surgery (FECS) is an evolving minimally invasive approach for treating cervical spine disorders. This systematic review synthesizes current evidence on the clinical outcomes and patient perspectives associated with FECS, specifically evaluating its safety, efficacy, and overall patient satisfaction.Methods: A systematic search of the PubMed/MEDLINE, Cochrane Library, Embase, and Web of Science databases was conducted following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Studies published between January 2000 and September 2024 that reported on clinical outcomes or patient perspectives related to FECS were included. Risk of bias was assessed using the ROBINS-I (Risk Of Bias In Non-randomized Studies - of Interventions) tool and the Cochrane Risk of Bias tool. Inclusion criteria encompassed randomized controlled trials, prospective cohort studies, retrospective studies, and observational studies focused on adult populations undergoing FECS for cervical spine surgery.Results: The final synthesis included 30 studies. FECS was associated with significant reductions in both cervical and radicular pain, as well as meaningful functional improvements, measured by standardized clinical scales such as the Neck Disability Index and visual analogue scale. Patient satisfaction rates were consistently high, with most studies reporting satisfaction exceeding 85%. Complication rates were low, primarily involving transient neurological deficits that were typically resolved without the need for further intervention. Nonrandomized studies generally presented a moderate risk of bias due to confounding and selection, whereas randomized controlled trials exhibited a low risk of bias.Conclusion: FECS is a safe and effective minimally invasive surgical option for cervical spine disorders associated with substantial pain relief, functional improvement and high levels of patient satisfaction.
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