Effect of Arthroplasty vs Fusion for Patients With Cervical Radiculopathy

Abstract

Key Points Question In patients with cervical radiculopathy, are there any differences in long-term outcomes after surgery with arthroplasty or fusion? Findings In this randomized clinical trial that included 136 patients with cervical radiculopathy, there were similar and significant improvements in Neck Disability Index scores for both treatment groups at the 5-year follow-up. There was no statistically significant difference in change of Neck Disability Index score at 5 years between patients who underwent arthroplasty and fusion. Meaning These findings suggest that arthroplasty and fusion are both good treatment options for cervical radiculopathy and have similar long-term efficacy.