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Posterior Laminoforaminotomy for Radiculopathy

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Degenerative Cervical Myelopathy and Radiculopathy

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Abstract

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.

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Author information

Authors and Affiliations

  1. Department of Neurological and Orthopedic Surgery, Division of Spine and Peripheral Nerve Surgery, Delaware Valley SCI Center, Thomas Jefferson University, Philadelphia, PA, USA

    James S. Harrop

  2. Department of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA

    John L. Gillick

  3. Department of Neurosurgery, Rutgers-New Jersey Medical School, Newark, NJ, USA

    John L. Gillick

Authors
  1. James S. Harrop
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  2. John L. Gillick
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Correspondence to James S. Harrop .

Editor information

Editors and Affiliations

  1. Columbia University Medical Center, New York, NY, USA

    Michael G. Kaiser

  2. Atlanta Brain and Spine Care, Atlanta, GA, USA

    Regis W. Haid

  3. Duke University Health System, Durham, NC, USA

    Christopher I. Shaffrey

  4. Toronto Western Hospital, University of Toronto, Toronto, ON, Canada

    Michael G. Fehlings

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Harrop, J.S., Gillick, J.L. (2019). Posterior Laminoforaminotomy for Radiculopathy. In: Kaiser, M., Haid, R., Shaffrey, C., Fehlings, M. (eds) Degenerative Cervical Myelopathy and Radiculopathy . Springer, Cham. https://doi.org/10.1007/978-3-319-97952-6_18

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  • DOI: https://doi.org/10.1007/978-3-319-97952-6_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-97951-9

  • Online ISBN: 978-3-319-97952-6

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