Posterior approach in cervical spondylotic myeloradiculopathy

Casotto, A; Buoncristiani, P

doi:10.1007/bf01664844

Cited by 20 publications

(3 citation statements)

References 7 publications

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“…In the 1980s, Casotto and Buoncristiani, Fager, and Epstein et al popularized a method referred to as a "keyhole" laminoforaminotomy; the reported success rates with this method are as high as 90%. [19][20][21] The primary advantage of minimally invasive posterior keyhole foraminotomy is that it minimizes muscle injury and decreases the incidence of postoperative pain. This in turn reduces the length of the hospital stay and facilitates an early return to work.…”

Section: Discussionmentioning

confidence: 99%

Posterior Endoscope-Assisted Diskectomy Is an Effective Technique for Cervical Soft Disk Herniation

Karaoğlu

Polat

Uçkun

et al. 2021

J Neurol Surg A Cent Eur Neurosurg

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Objective To evaluate the clinicoradiologic conditions of patients with a herniated cervical disk who were treated with percutaneous endoscope-assisted cervical diskectomy. Materials and Methods The medical data of 27 patients (16 men and 11 women; mean age: 40.9 years) who were operated on with the posterior endoscope-assisted cervical diskectomy method were reviewed retrospectively. The mean follow-up was 35.1 months, and the patients were assessed with combined preoperative and postoperative visual analog scale (VAS), Prolo Functional Economic Outcome Rating scale, MacNab scale, and clinical imaging. Results The mean preoperative VAS level was 8.6 (range: 7–10), and mean Prolo score was 2.5 (range: 2–5). A postoperative assessment performed 1 week postsurgery found a mean VAS level of 2.1 (range: 0–4). At the final examination, the mean VAS level was 0.81 (range: 0–3), and the mean Prolo score was 4.5 (range: 3–5). The final MacNab scale scores were 62.9%, excellent; 25.9%, good; 7.4%, moderate; and 3.7%, poor. Conclusion Percutaneous endoscope-assisted cervical diskectomy is a suitable and effective treatment method for soft cervical disk herniation.

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Section: Discussionmentioning

confidence: 99%

Posterior Endoscope-Assisted Diskectomy Is an Effective Technique for Cervical Soft Disk Herniation

Karaoğlu

Polat

Uçkun

et al. 2021

J Neurol Surg A Cent Eur Neurosurg

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“…In 1980s, several authors reported case series, and so-called "key-hole" laminoforaminotomy was popularized. It was proven that posterior cervical foraminotomy (PCF) was effective in managing of cervical foraminal stenosis 3 7 8 13) .…”

Section: Introductionmentioning

confidence: 99%

Long-Term Outcome of Posterior Cervical Inclinatory Foraminotomy

Heo

Chang

Park

2016

J Korean Neurosurg Soc

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ObjectiveA modified surgical technique of posterior cervical foramintomy called posterior cervical inclinatory foraminotomy (PCIF) was introduced in previous preliminary article. PCIF allows better preservation of facet joint and capsule than conventional techniques. The authors conducted a study to investigate long-term outcomes of PCIF.MethodsWe retrospectively reviewed demographic, radiologic, and clinical data from the patients who underwent PCIFs at our institution. Criteria included a minimum of 48 month follow-up and PCIFs for patients with radiculopathy from foraminal stenosis (C2–T1; single or multilevel) with persistent or recurrent root symptoms despite conservative treatment for more than 3 months. Patients who had undergone previous cervical operation were excluded. The visual analogue scale (VAS) score was used for clinical follow-up, and radiologic follow-up was performed to compare the changes of cervical sagittal alignment, focal angle and disc-space height of treated segment.ResultsThe PCIFs were performed between April 2007 and March 2011 on 46 patients (32 males and 14 females) with a total of 73 levels affected. The average duration of follow-up was 74.4 months. Improvements in radiculopathic pain were seen in 39 patients (84.7%), and VAS score decreased from 6.82±1.9 to 2.19±1.9. Posterior neck pain also improved in 25 patients (71.4%) among 35 patients, and VAS score decreased from 4.97±2.0 to 2.71±1.9. The mean disc-space heights of treated segment were 5.41±1.03 mm preoperatively and decreased to 5.17±1.12 mm postoperatively. No statistically significant changes in cervical sagittal alignment, focal angle were seen during the follow-up period (Cox proportional hazards analysis and Student t-test, p>0.05).ConclusionThe PCIF is highly effective in treating patients with cervical spondylotic radiculopathy, leading to long-lasting relief in pain. Long-term radiologic follow-up showed no significant spinal angular imbalance.

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“…Ante rior compression of the spina l cord at th e cervical leve l can be re lea sed by a post eri or (5,7,16) or an a nte rior approac h (3,4. 14, 17 -21.…”

Section: Introductionmentioning

confidence: 99%

Oblique Transcorporeal Drilling to Treat Anterior Compression of the Spinal Cord at the Cervical Level

George¹,

Lot²

1994

Minim Invasive Neurosurg

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Oblique transcorporeal drilling is a new surgical technique in which the transverse foramina with the vertebral artery and lateral aspects of the bodies of the cervical vertebrae are exposed; it allows to drill out obliquely from the antero-lateral to the opposite postero-lateral corner, half of one or several cervical vertebral bodies. The technique is shortly described and its indications are discussed. It can mainly be applied to release osteophytic compression and to remove anteriorly developed tumors. The advantages are to work in a wide field with all important structures kept medially and protected and to keep a sufficient portion of the vertebral bodies to preserve the spine stability. This technique has been used in 39 cases with spondylosis in 27 cases, tumor in 11 cases and kyphosis in 2 cases including one with neurofibroma. Results in term of decompression were excellent in all cases. Mortality was none and morbidity was limited to a transient Horner's syndrome in almost all cases and to a CSF leak in three cases. This technique is therefore alternative to the anterior transcorporeal approach. In our experience, the oblique transcorporeal drilling provides a wider and safer access to lesions located anterior to the spinal cord.

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Posterior approach in cervical spondylotic myeloradiculopathy

Cited by 20 publications

References 7 publications

Posterior Endoscope-Assisted Diskectomy Is an Effective Technique for Cervical Soft Disk Herniation

Posterior Endoscope-Assisted Diskectomy Is an Effective Technique for Cervical Soft Disk Herniation

Long-Term Outcome of Posterior Cervical Inclinatory Foraminotomy

Oblique Transcorporeal Drilling to Treat Anterior Compression of the Spinal Cord at the Cervical Level

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