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How I do it: total uncinatectomy during anterior diskectomy and fusion for cervical radiculopathy caused by uncovertebral joint hypertrophy

  • William CliftonEmail author
  • David Williams
  • Mark Pichelmann
How I Do it - Neurosurgical Anatomy
Part of the following topical collections:
  1. Neurosurgical anatomy

Abstract

Background

Cervical radiculopathy from uncovertebral joint hypertrophy and foraminal stenosis is a common indication for anterior cervical diskectomy and fusion (ACDF). Often, the uncinate hypertrophy extends lateral to the foramen and impinges on the nerve close to the vertebral artery as it travels in between the transverse foramina.

Method

Using an injected cadaveric specimen to highlight the vital neurovascular and bony structures pertinent to this procedure, we demonstrate the technical details of complete uncinatectomy for cervical foraminal stenosis.

Conclusion

Total uncinatectomy is a useful adjunct during ACDF for complete foraminal decompression in cases of uncovertebral joint hypertrophy.

Keywords

Cervical radiculopathy Foraminal stenosis Uncinatectomy Uncinate process ACDF Diskectomy Surgical video 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Informed consent

This article does not contain any studies with human participants performed by any of the authors.

Supplementary material

701_2019_4033_MOESM1_ESM.m4v (55.2 mb)
Video 1. Preoperative considerations, operative technique, and vital neurovascular anatomy pertaining to total anterior cervical uncinatectomy with diskectomy are highlighted in this video by use of an injected cadaveric specimen. (M4V 56531 kb).

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Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Neurological SurgeryMayo Clinic FloridaJacksonvilleUSA
  2. 2.Marine Corps Air StationBeaufortUSA

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