Abstract
Cervical radiculopathy may result from compression of the nerve root due to disc herniation or degenerative stenosis with osteophyte formation in the cervical intervertebral foramen.
Surgical decompression is an effective treatment method when conservative methods fail to relieve pain or when significant weakness occurs in the upper extremity muscles supplied by the compressed nerve root.
Cervical foraminotomy is a minimally invasive surgery performed anteriorly or posteriorly on the neck to relieve pressure on one or more spinal nerves. This foraminotomy involves carefully removing small portions of bones and joints and any soft tissue that could compress the spinal nerve roots. A prolapsed disc is also removed if necessary.
In this chapter, we would like to explain the anterior cervical foraminotomy and posterior foraminotomy with an anatomical understanding of the surgical technique.
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References
Henderson Charles M, Hennessy Robert G, Shuey Henry M, et al. Posterior-lateral foraminotomy as an exclusive operative technique for cervical radiculopathy: a review of 846 consecutively operated cases. Neurosurgery. 1983;13(5):504–12.
Krupp W, Schattke H, Müke R. Clinical results of the foraminotomy as described by Frykholm for the treatment of lateral cervical disc herniation. Acta Neurochir. 1990;107(1–2):22–9.
Aldrich F. Posterolateral microdiscectomy for cervical monoradiculopathy caused by posterolateral soft cervical disc sequestration. J Neurosurg. 1990;72(3):370–7.
Jho HD. Microsurgical anterior cervical foraminotomy for radiculopathy: a new approach to cervical disc herniation. J Neurosurg. 1996;84:155–60.
Jho HD, Kim WK, Kim MH. Anterior microforaminotomy for treatment of cervical radiculopathy: part 1: disc-preserving “functional cervical disc surgery”. Neurosurgery. 2002;51:S46–53.
Kim SJ, Seo JS, Lee SH, Bae J. Comparison of anterior cervical foraminotomy and posterior cervical foraminotomy for treating single level unilateral cervical radiculopathy. Spine (Phila Pa 1976). 2019;44:1339–47.
Liu WJ, Hu L, Chou PH, Wang JW, Kan WS. Comparison of anterior cervical discectomy and fusion versus posterior cervical foraminotomy in the treatment of cervical radiculopathy: a systematic review. Orthop Surg. 2016;8:425–31.
Park YK, Moon HJ, Kwon TH, Kim JH. Long-term outcomes following anterior foraminotomy for one or two-level cervical radiculopathy. Eur Spine J. 2013;22:1489–96.
Yi S, Lim JH, Choi KS, et al. Comparison of anterior cervical foraminotomy vs arthroplasty for unilateral cervical radiculopathy. Surg Neurol. 2009;71:677–80.
Grigorian IA, Stepanian MA, Onopchenko EV, Kadin LA, Khimochko EB, Lunina ES. Microsurgical anterior cervical foraminotomy in spondylogenous cervical radiculopathy. Zh Vopr Neirokhir Im N N Burdenko. 2008;(2):31–5.
Lee JY, Lohr M, Impekoven P, et al. Small keyhole transuncal foraminotomy for unilateral cervical radiculopathy. Acta Neurochir (Wien). 2006;148:951–8.
Saringer W, Nobauer I, Reddy M, Tschabitscher M, Horaczek A. Microsurgical anterior cervical foraminotomy (uncoforaminotomy) for unilateral radiculopathy: clinical results of a new technique. Acta Neurochir (Wien). 2002;144:685–94.
Selvanathan SK, Beagrie C, Thomson S, et al. Anterior cervical discectomy and fusion versus posterior cervical foraminotomy in the treatment of brachialgia: the Leeds spinal unit experience (2008–2013). Acta Neurochir (Wien). 2015;157:1595–600.
Lee DG, Park CK, Lee DC. Clinical and radiological results of posterior cervical foraminotomy at two or three levels: a 3-year follow-up. Acta Neurochir (Wien). 2017;159:2369–77.
Papavero L, Kothe R. Minimally invasive posterior cervical foraminotomy for treatment of radiculopathy: an effective, time-tested, and cost efficient motion-preservation technique. Oper Orthop Traumatol. 2018;30:36–45.
Ye ZY, Kong WJ, Xin ZJ, et al. Clinical observation of posterior percutaneous full-endoscopic cervical foraminotomy as a treatment for osseous foraminal stenosis. World Neurosurg. 2017;106:945–52.
Komp M, Oezdemir S, Hahn P, Ruetten S. Full endoscopic posterior foraminotomy surgery for cervical disc herniations. Oper Orthop Traumatol. 2018;30:13–24.
Kim M, Kim HS, Oh SW, et al. Evolution of spinal endoscopic surgery. Neurospine. 2019;16:6–14.
Jodicke A, Daentzer D, Kastner S, Asamoto S, Boker DK. Risk factors for outcome and complications of dorsal foraminotomy in cervical disc herniation. Surg Neurol. 2003;60:124–9; discussion 129–130.
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© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
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Ju, CI., Kim, SH. (2023). Minimally Invasive Spinal Decompression for Cervical Spine. In: Ahn, Y., Park, JK., Park, CK. (eds) Core Techniques of Minimally Invasive Spine Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-19-9849-2_20
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DOI: https://doi.org/10.1007/978-981-19-9849-2_20
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