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March 26, 2026Brain and SpineOpen Access

The Association Between Cervical Sagittal Balance Parameters and Clinical Outcomes after Single-Level Surgery for Cervical Radiculopathy and/or Stenosis: A Systematic Review and Meta-analysis

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Meta-analysis reveals cervical sagittal balance parameters influence surgical outcomes in cervical radiculopathy.

This research investigates the correlation between cervical sagittal balance parameters and clinical outcomes following ACDF surgery.
Conducted a systematic review and meta-analysis of longitudinal studies.
Searched seven databases for studies evaluating sagittal balance and clinical outcomes.
Performed stratified meta-analyses using random-effects models for various parameters and outcome assessments.
Greater Cobb angle at the target level is associated with lower Neck Disability Index scores post-surgery.
No significant correlations were found between postoperative angles and Visual Analogue Scale pain scores.
Higher preoperative odontoid incidence correlates with improved outcomes for arm and neck pain.

Gul et al. (2026) studied this question.

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