Posterior Laminoforaminotomy for Radiculopathy

  • James S. HarropEmail author
  • John L. Gillick


Cervical spondylosis is a commonly encountered degenerative condition and represents one of the most frequently treated diagnoses in neurosurgery. Its prevalence has recently been demonstrated as 89.7% in patients with a mean age of 56.4. Additionally, these patients may have more severe symptoms from nerve root or spinal cord compression, resulting in radicular pain or myelopathy, possibly causing a neurological deficit. Posterior cervical laminoforaminotomy (PCLF) was first described by Spurling and Scoville in 1944 and represents a safe and effective surgical technique by which to treat cervical radiculopathy in patients who have failed conservative therapy. The aim of this chapter is to describe the indications, contraindications, techniques, and complications of PCLF while providing a review of the current literature regarding this approach.


Posterior laminoforaminotomy Radiculopathy PCLF Cervical spondylosis Cervical radiculopathy Compression Microendoscopic foraminotomy MEF 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Neurological and Orthopedic Surgery, Division of Spine and Peripheral Nerve Surgery, Delaware Valley SCI CenterThomas Jefferson UniversityPhiladelphiaUSA
  2. 2.Department of NeurosurgeryThomas Jefferson UniversityPhiladelphiaUSA
  3. 3.Department of NeurosurgeryRutgers-New Jersey Medical SchoolNewarkUSA

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