Posterior Endoscopic Cervical Foraminotomy

Bhatia, Sanjay; Brooks, Nathaniel P.

doi:10.1016/j.nec.2019.08.001

Cited by 11 publications

(12 citation statements)

References 43 publications

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“…7 Although conventional foraminotomy procedure provides a good result for decompression of the foramen, development of minimally invasive techniques in the form of full endoscopic technique has been developed to encounter risk of complications. 8,9 Segmental stability can be preserved by reducing excessive bone resection in the facet joint and by reducing the paravertebral muscle injury around the neck. Preservation of stability will reduce postoperation axial neck pain and reduce the possibility of adjacent segment disease in the future.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, venous bleeding can be properly reduced due to the continuous flow of water irrigation with appropriate pressure. 8 Posterior foraminotomy is a procedure to widen the size of the foramen through a minimally invasive approach. 10 This technique has several advantages over anterior procedure such as direct visualization of the nerve structure and the fact that fusion is not necessary, this avoids the possibility of adjacent segment disease and loss of motion segment.…”

Section: Discussionmentioning

confidence: 99%

“…Basically, the surgery follows the conventional posterior cervical foraminotomy procedure. 8,9 Marking of the incision site was done under fluoroscopic images (Figure 1). An anteroposterior view was used to mark the lamino-facet junction over the affected cervical foramen.…”

Section: Operative Techniquementioning

confidence: 99%

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Full Endoscopic Posterior Cervical Foraminotomy in Management of Foraminal Disc Herniation and Foraminal Stenosis

Gatam¹,

Gatam²,

Phedy³

et al. 2022

ORR

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Background:The development of full endoscopic procedures enables surgeons to visualize the operative field very clearly. Posterior foraminotomy using endoscopy was developed as a minimally invasive procedure to reduce the complication of the anterior cervical approach and to preserve the segmental motion without decreasing the effectiveness of nerve decompression. Our aim is to evaluate the result of full endoscopic posterior cervical foraminotomy in our center. Methods: This is a prospective single-arm study of 65 foraminal disc herniation and foraminal stenosis patients that underwent full endoscopic posterior foraminotomy procedures. All patients were routinely observed for 12-months duration to evaluate Visual Analog Score (VAS) of the neck, arm, and modified Macnab criteria. Results: Arm pain VAS decreased significantly compared with the pre-operation state (p < 0.001, 0.034, 0.001 on immediate post-operative, 6-months follow-up, and 12-months follow-up, respectively) even though 6.15% of patients had hypesthesia on follow-up. There was no neck pain observed during 1 year follow-up, and modified Macnab criteria showed a good outcome following full endoscopic posterior foraminotomy. Conclusion: Full endoscopic posterior foraminotomy provides good nerve decompression with all the benefits of endoscopic spine procedure.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Full Endoscopic Posterior Cervical Foraminotomy in Management of Foraminal Disc Herniation and Foraminal Stenosis

Gatam¹,

Gatam²,

Phedy³

et al. 2022

ORR

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“…Additionally, studies have reported reduced surgery time, shortened hospitalization period, and quicker return to daily life [ 100 - 102 ]. The surgical indication for cervical foraminotomy using endoscopy is similar to the conventional method, although this should be avoided when the spinal cord is compressed [ 103 ]. Recently, anterior foraminotomy with endoscopy has been performed in patients with cervical radiculopathy to protect the intervertebral disc and maintain the functional motion segment during surgery.…”

Section: Posterior Cervical Foraminotomymentioning

confidence: 99%

Cervical Radiculopathy: Focus on Factors for Better Surgical Outcomes and Operative Techniques

2022

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For patients with cervical radiculopathy, most studies have recommended conservative treatment as the first-line treatment; however, when conventional treatment fails, surgery is considered. A better understanding of the prognosis of cervical radiculopathy is essential to provide accurate information to the patients. If the patients complain of persistent and recurrent arm pain/numbness not respond to conservative treatment, or exhibit neurologic deficits, surgery is performed using anterior or posterior approaches. Anterior cervical discectomy and fusion (ACDF) has historically been widely used and has proven to be safe and effective. To improve surgical outcomes of ACDF surgery, many studies have been conducted on types of spacers, size/height/position of cages, anterior plating, patients’ factors, surgical techniques, and so forth. Cervical disc replacement (CDR) is designed to reduce the incidence of adjacent segment disease during long-term follow-up by maintaining cervical spine motion postoperatively. Many studies on excellent indications for the CDR, proper type/size/shape/height of the implants, and surgical techniques were performed. Posterior cervical foraminotomy is a safe and effective surgical option to avoid complications associated with anterior approach and fusion surgery. Most recent literature demonstrated that all three surgical techniques for patients with cervical radiculopathy have clear advantages and disadvantages and reveal satisfactory surgical outcomes under a proper selection of patients and application of appropriate surgical methods. For this, it is important to fully understand the factors for better surgical outcomes and to adequately practice the operative techniques for patients with cervical radiculopathy.

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“…Unlike anterior cervical discectomy and fusion (ACDF) and cervical disc replacement, PCF permits nerve root decompression without the need for instrumentation. The operation was initially described using an open approach,1,2 but the increased neck pain, muscle spasm, and blood loss associated with open posterior cervical surgery likely contributed to the relative popularity of anteriorly based operations 3,4. In the progression of the field toward less invasive procedures, PCF was later adapted to tubular retractors5 and more recently to fully endoscopic systems 6,7…”

mentioning

confidence: 99%

Endoscopic Posterior Cervical Foraminotomy

Derman¹

2022

Contemporary Spine Surgery

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Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. This activity expires on November 30, 2024.LEARNING OBJECTIVES: After participating in this CME activity, the spine surgeon should be better able to: 1. Select appropriate indications for endoscopic posterior cervical foraminotomy. 2. Describe the operating room setup and surgical technique. 3. Review the existing literature regarding the complications and outcomes of endoscopic posterior cervical foraminotomy.

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Posterior Endoscopic Cervical Foraminotomy

Cited by 11 publications

References 43 publications

Full Endoscopic Posterior Cervical Foraminotomy in Management of Foraminal Disc Herniation and Foraminal Stenosis

Full Endoscopic Posterior Cervical Foraminotomy in Management of Foraminal Disc Herniation and Foraminal Stenosis

Cervical Radiculopathy: Focus on Factors for Better Surgical Outcomes and Operative Techniques

Endoscopic Posterior Cervical Foraminotomy

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