Skip to main content

Minimally Invasive Posterior Cervical Decompression

  • Chapter
  • First Online:
Minimally Invasive Spine Surgery Techniques
  • 1119 Accesses

Abstract

Minimally invasive surgical (MIS) procedures for posterior cervical laminectomy, laminoforaminotomy and discectomy techniques were developed to reduce muscle dissection and soft tissue trauma. MIS posterior cervical laminoforaminotomy has been shown to reduce operative times, blood loss, postoperative pain and duration of hospital stays. In carefully selected patients with lateral foraminal disease, excellent surgical results can be expected. In this chapter, we will discuss the indications, contraindications, surgical technique and common surgical nuances involved in a posterior cervical decompression. A video illustration of an MIS posterior cervical laminoforaminotomy is also included.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Henderson CM, Hennessy RG, Shuey HM, Shackelford EG. Posterior-lateral foraminotomy as an exclusive operative technique for cervical radiculopathy: a review of 846 consecutively operated cases. Neurosurgery. 1983;13(5):504–12.

    Article  CAS  PubMed  Google Scholar 

  2. Woertgen C, Holzschuh M, Rothoerl RD, Haeusler E, Brawanski A. Prognostic factors of posterior cervical disc surgery: a prospective, consecutive study of 54 patients. Neurosurgery. 1997;40(4):724–8.

    Article  CAS  PubMed  Google Scholar 

  3. Lidar Z, Salame K. Minimally invasive posterior cervical discectomy for cervical radiculopathy: technique and clinical results. J Spinal Disord Tech. 2011;24(8):521–4.

    PubMed  Google Scholar 

  4. Lawton CD, Smith ZA, Lam SK, Habib A, Wong RHM, Fessler RG. Clinical outcomes of microendoscopic foraminotomy and decompression in the cervical spine. World Neurosurg. 2014;81(2):422–7.

    Article  PubMed  Google Scholar 

  5. Skovrlj B, Gologorsky Y, Haque R, Fessler RG, Qureshi SA. Complications, outcomes, and need for fusion after minimally invasive posterior cervical foraminotomy and microdiscectomy. Spine J. 2014;14(10):2405–11.

    Article  PubMed  Google Scholar 

  6. Holly LT, Moftakhar P, Khoo LT, Wang JC, Shamie N. Minimally invasive 2-level posterior cervical foraminotomy: preliminary clinical results. J Spinal Disord Tech. 2007;20(1):20–4.

    Article  PubMed  Google Scholar 

  7. Kim K-T, Kim Y-B. Comparison between open procedure and tubular retractor assisted procedure for cervical radiculopathy: results of a randomized controlled study. J Korean Med Sci. 2009;24(4):649–53.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Fessler RG, Khoo LT. Minimally invasive cervical microendoscopic foraminotomy: an initial clinical experience. Neurosurgery. 2002;51(5 Suppl):S37–45.

    PubMed  Google Scholar 

  9. Clark JG, Abdullah KG, Steinmetz MP, Benzel EC, Mroz TE. Minimally invasive versus open cervical foraminotomy: a systematic review. Global Spine J. 2011;1(1):9–14.

    Article  PubMed  PubMed Central  Google Scholar 

  10. McAnany SJ, Kim JS, Overley SC, Baird EO, Anderson PA, Qureshi SA. A meta-analysis of cervical foraminotomy: open versus minimally-invasive techniques. Spine J. 2015;15(5):849–56.

    Article  PubMed  Google Scholar 

  11. Winder MJ, Thomas KC. Minimally invasive versus open approach for cervical laminoforaminotomy. Can J Neurol Sci. 2011;38(2):262–7.

    Article  PubMed  Google Scholar 

  12. Wirth FP, Dowd GC, Sanders HF, Wirth C. Cervical discectomy. A prospective analysis of three operative techniques. Surg Neurol. 2000;53(4):340–6.

    Article  CAS  PubMed  Google Scholar 

  13. Mansfield HE, Canar WJ, Gerard CS, O’Toole JE. Single-level anterior cervical discectomy and fusion versus minimally invasive posterior cervical foraminotomy for patients with cervical radiculopathy: a cost analysis. Neurosurg Focus. 2014;37(5):E9.

    Article  PubMed  Google Scholar 

  14. Liu W-J, Hu L, Chou P-H, Wang J-W, Kan W-S. Comparison of anterior cervical discectomy and fusion versus posterior cervical foraminotomy in the treatment of cervical radiculopathy: a systematic review. Orthop Surg. 2016;8(4):425–31.

    Article  PubMed  Google Scholar 

  15. Ruetten S, Komp M, Merk H, Godolias G. Full-endoscopic cervical posterior foraminotomy for the operation of lateral disc herniations using 5.9-mm endoscopes: a prospective, randomized, controlled study. Spine. 2008;33(9):940–8.

    Article  PubMed  Google Scholar 

  16. Soliman HM. Cervical microendoscopic discectomy and fusion: does it affect the postoperative course and the complication rate? A blinded randomized controlled trial. Spine. 2013;38(24):2064–70.

    Article  PubMed  Google Scholar 

  17. Gutman G, Rosenzweig DH, Golan JD. The surgical treatment of cervical radiculopathy: meta-analysis of randomized controlled trials. Spine. 2017. doi: 10.1097/BRS.0000000000002324. [Epub ahead of print].

  18. Shamji MF, Cook C, Pietrobon R, Tackett S, Brown C, Isaacs RE. Impact of surgical approach on complications and resource utilization of cervical spine fusion: a nationwide perspective to the surgical treatment of diffuse cervical spondylosis. Spine J. 2009;9(1):31–8.

    Article  PubMed  Google Scholar 

  19. Dahdaleh NS, Wong AP, Smith ZA, Wong RH, Lam SK, Fessler RG. Microendoscopic decompression for cervical spondylotic myelopathy. Neurosurg Focus. 2013;35(1):E8.

    Article  PubMed  Google Scholar 

  20. Abbas SF, Spurgas MP, Szewczyk BS, Yim B, Ata A, German JW. A comparison of minimally invasive posterior cervical decompression and open anterior cervical decompression and instrumented fusion in the surgical management of degenerative cervical myelopathy. Neurosurg Focus. 2016;40(6):E7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Richard G. Fessler .

Editor information

Editors and Affiliations

Electronic Supplementary Material

Minimally invasive posterior cervical laminectomy (MPG 153430 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kerolus, M.G., Molenda, J.E., Turel, M.K., Fessler, R.G. (2018). Minimally Invasive Posterior Cervical Decompression. In: Tender, G. (eds) Minimally Invasive Spine Surgery Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-71943-6_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-71943-6_18

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71942-9

  • Online ISBN: 978-3-319-71943-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics