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Tissue Sparing Posterior Cervical Indirect Decompression and Fusion in Foraminal Stenosis

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Cervical Spine

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Abstract

Treatment for patients with cervical foraminal stenosis that present with cervical radiculopathy has experienced rapid progress. Cervical spine surgical options have improved through advances in imaging, instrumentation, implant innovations and novel surgical techniques. While historical treatments are largely safe, comorbidities associated with procedures such as ACDF, TDR, and posterior foraminotomy beg the question if these procedures are too much surgery for select patients that could benefit from a tissue sparing approach. This chapter will introduce a novel, less disruptive surgical technique for achieving indirect decompression and fusion utilizing an intervertebral cervical implant. Clinical outcomes, radiographic evidence and biomechanical analysis reveal that the novel posterior approach and implant are effective for treatment of cervical radiculopathy.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Illinois, Chicago, IL, USA

    Kris B. Siemionow MD

  2. Department of Neurosurgery, University of California, San Francisco, CA, USA

    Bruce M. McCormack MD

  3. Minimally Invasive Spinal Surgery Department, Spine Center, Rome American Hospital, Rome, Italy

    Pier Paolo Maria Menchetti MD

  4. Department of Orthopaedics, University of Palermo, Palermo, Italy

    Pier Paolo Maria Menchetti MD

Authors
  1. Kris B. Siemionow MD
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  2. Bruce M. McCormack MD
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  3. Pier Paolo Maria Menchetti MD
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Corresponding author

Correspondence to Kris B. Siemionow MD .

Editor information

Editors and Affiliations

  1. Spine Center, Rome American Hospital, Rome, Italy

    Pier Paolo Maria Menchetti

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© 2016 Springer International Publishing Switzerland

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Siemionow, K.B., McCormack, B.M., Menchetti, P.P.M. (2016). Tissue Sparing Posterior Cervical Indirect Decompression and Fusion in Foraminal Stenosis. In: Menchetti, P. (eds) Cervical Spine. Springer, Cham. https://doi.org/10.1007/978-3-319-21608-9_11

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  • DOI: https://doi.org/10.1007/978-3-319-21608-9_11

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-21607-2

  • Online ISBN: 978-3-319-21608-9

  • eBook Packages: MedicineMedicine (R0)

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