Summary
In 113 patients with radicular brachialgia and neuropathy without spinal cord affection surgical treatment consisted in facetectomy and exposure of the extrathecal part of the cervical root from the axilla to the lateral border of the root canal. In 27 patients disc herniation, and in 43 uncovertebral exostosis, was detected. In 59 patients a thick, fibrous periradicular cuff tightened the exposed root. The surgical pathology of radicular brachialgia is discussed. A total of 70 patients recovered.
Similar content being viewed by others
References
Adams, C. B. T., Logue, V., Studies in cervical spondylotic myelopathy. I movement of the cervical roots, dura and cord and their relation to the course of extrathecal roots. Brain94 (1971), 557–568.
Adams, C. B. T., Logue, V., Studies in cervical spondylotic myelopathy. II movement and contour of the spine in relation to the neural complications of Cervical spondylosis. Brain94 (1971), 569–586.
Cloward, R. B., The anterior approach for removal of ruptured cervical disks. J. Neurosurg.15 (1958), 602–614.
Epstein, J. A., Carras, R., Lavine, L. A., Epstein, B. S., The importance of removing osteophytes as part of the surgical treatment of myeloradiculopathy in cervical spondylosis. J. Neurosurg.30 (1969), 219–226.
Fager, C. A., Posterior surgical tactics for the neurological syndromes of cervical disc and spondylotic lesions. Clin. Neurosurg.25 (1978), 218–244.
Frykholm, R., Lower cervical vertebrae and intervertebral discs. Surgical anatomy and pathology. Acta Chir. Scand.101 (1951), 345–359.
Frykholm, R., Cervical epidural structures, periradicular and epineurial sheaths. Acta Chir. Scand.102 (1952), 10–20.
Mosdal, C., Cervical osteochondrosis and disc herniation. 18 years use of interbody fusion by Cloward's technique in 755 cases. Acta neurochir. (Wien)70 (1984), 207–225.
Murphey, F., Simmons, J. C. H., Brunson, B., Surgical treatment of laterally ruptured cervical disc. J. Neurosurg.38 (1973), 679–683.
Reid, J. D., Effects of flexion-extension movements of the head and spine upon the spinal cord and nerve roots. J. Neurol. Neurosurg. Psychiat.23 (1960), 214–221.
Scoville, W. B., Cervical spondylosis treated by bilateral facetectomy and laminectomy. J. Neurosurg.18 (1961), 423–428.
Scoville, W. B., Dohrmann, G. J., Corkill, G., Late results of cervical disc surgery. J. Neurosurg.45 (1976), 203–210.
Spurling, R. G., Scoville, W. B., Lateral rupture of the cervical intervertebral discs. A common cause of shoulder and arm pain. Surg. Gynec. Obstet.78 (1944), 350–358.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Mosdal, C., Overgaard, J. Lateral cervical facetectomy. The surgical pathology of radicular brachialgia. Acta neurochir 70, 199–205 (1984). https://doi.org/10.1007/BF01406649
Issue Date:
DOI: https://doi.org/10.1007/BF01406649