7 Posterior cervical foraminotomy minimally invasiveForaminotomy minimally invasive posterior cervicalCervical spineminimally invasive posterior foraminotomy forMinimally Invasive Posterior Cervical Foraminotomy

2020 ◽  
Keyword(s):  
Minimally Invasive ◽  
Posterior Cervical Foraminotomy ◽  
Posterior Foraminotomy ◽  
Cervical Foraminotomy

scholarly journals Technique of Minimally Invasive Cervical Foraminotomy

2017 ◽  
Vol 13 (6) ◽  
pp. 693-701 ◽  
Author(s):  
Donald A Ross ◽  
Kelly J Bridges
Keyword(s):  
Minimally Invasive ◽  
Specific Treatment ◽  
Large Series ◽  
Invasive Technique ◽  
Foraminal Stenosis ◽  
Posterior Cervical Foraminotomy ◽  
Posterior Foraminotomy ◽  
Invasive Techniques ◽  
Cervical Foraminotomy ◽  
Attention To Detail

Abstract BACKGROUND Posterior cervical foraminotomy is a long utilized and commonly performed procedure, but has been supplanted in many cases by anterior procedures. With the advent of minimally invasive techniques, posterior foraminotomy may again deserve a prominent place in the treatment of cervical foraminal stenosis. OBJECTIVE To report in detail a successfully utilized minimally invasive technique and the results in a large series of patients, by a single author. METHODS The technique is described and illustrated in detail. A retrospective review of the use of this technique in a large series is reported. RESULTS Precise details of the technique are described with specific attention to complication avoidance. In over 360 cases, there have been no nerve root injuries other than idiopathic C5 palsies, no wound infections, and a single durotomy that required no specific treatment. CONCLUSION Minimally invasive posterior cervical foraminotomy is a well-tolerated and effective procedure which can be performed with minimal complications when attention to detail is maintained.

scholarly journals Minimally Invasive Full-Endoscopic Posterior Cervical Foraminotomy Assisted by O-Arm-Based Navigation

2018 ◽  
Vol 1 (21;1) ◽  
pp. E217-E223
Author(s):  
Yue Zhou
Keyword(s):  
Minimally Invasive ◽  
Symptom Duration ◽  
Foraminal Stenosis ◽  
Arm Pain ◽  
Sf 36 ◽  
Posterior Cervical Foraminotomy ◽  
Invasive Method ◽  
Foraminal Disc Herniation ◽  
Cervical Foraminotomy

Background: Navigated percutaneous endoscopic cervical discectomy (PECD) is a promising minimally invasive surgery for treating cervical spondylotic radiculopathy. PECD has been described as a safe, effective, and minimally invasive method for patients with radiculopathy, but it comes with a steep learning curve. Due to the limited field of vision, anatomic localization is difficult for surgeons until using the O-arm based navigation. In this study, patients with radiculopathy due to foraminal disc herniation or foraminal stenosis in the lower cervical spine underwent the single level full endoscopic posterior cervical foraminotomy procedure assisted by O-arm-based navigation. Objective: The purpose of this study was to evaluate the clinical, radiological outcome and the factors predicting an excellent outcome of patients who underwent full endoscopic posterior cervical foraminotomy procedure assisted by O-arm-based navigation. Study Design: A retrospective analysis of consecutively prospectively collected data. Setting: This study was conducted by a university-affiliated hospital in a major Chinese city. Methods: Forty-two patients who had single-level foraminal disc herniation or foraminal stenosis were retrospectively reviewed. Radicular arm pain was the most common presenting symptom in patients. All patients underwent full-endoscopic posterior cervical foraminotomy assisted by O-arm-based navigation. Clinical outcomes were assessed by the visual analog scale (VAS) for neck and radicular arm pain, neck disability index (NDI), and the short form-36 health survey questionnaire (SF-36) in the immediate preoperative period, immediately postoperative, and at the final follow-up. The clinical parameters and radiological parameters included cervical curvature (CA), segmental angle (SA), and range of motion (ROM), which were assessed preoperatively and at the last follow-up. Results: The mean follow-up for the patients was 15 months. There were no perioperative complications. The VAS score for radicular arm pain and neck pain and the NDI score improved significantly in all of the patients. The SF-36 score reflected significant improvement in all 8 domains. Excellent and good outcomes were achieved in 38 out of 42 patients. The cervical curvature range of motion (CA-ROM) statistically and significantly improved at the final follow-up period compared with the preoperative period. The SA was less kyphotic after PECD at the final follow-up. The postoperative CA and CA-ROM improved but did not significantly change. On the univariate analysis, patients with a symptom duration of less than 3 months had a better outcome than patients with a symptom duration of more than 3 months (excellent, 83.33% vs. 50.00%). Limitations: This was a retrospective study with medium follow-up outcomes (mean 15 months). Conclusions: The results of this study show that the full endoscopic posterior foraminotomy assisted by O-arm-based navigation is a safe and effective option for cervical radiculopathy, with the advantages of a minimally invasive method. Patients with symptom duration less than 3 months had a better outcome than patients with symptom duration more than 3 months. Key words: Minimally invasive, cervical foraminotomy, endoscopic, navigation, O-arm, percutaneous endoscopic cervical discectomy

scholarly journals Single-level anterior cervical discectomy and fusion versus minimally invasive posterior cervical foraminotomy for patients with cervical radiculopathy: a cost analysis

2014 ◽  
Vol 37 (5) ◽  
pp. E9 ◽  
Author(s):  
Haley E. Mansfield ◽  
W. Jeffrey Canar ◽  
Carter S. Gerard ◽  
John E. O'Toole
Keyword(s):  
Minimally Invasive ◽  
Smoking Status ◽  
Cervical Radiculopathy ◽  
Direct Costs ◽  
Total Direct Cost ◽  
Single Level ◽  
Posterior Cervical Foraminotomy ◽  
The Mean ◽  
The Cost ◽  
Cervical Foraminotomy

Object Patients suffering from cervical radiculopathy in whom a course of nonoperative treatment has failed are often candidates for a single-level anterior cervical discectomy and fusion (ACDF) or posterior cervical foraminotomy (PCF). The objective of this analysis was to identify any significant cost differences between these surgical methods by comparing direct costs to the hospital. Furthermore, patient-specific characteristics were also considered for their effect on component costs. Methods After obtaining approval from the medical center institutional review board, the authors conducted a retrospective cross-sectional comparative cohort study, with a sample of 101 patients diagnosed with cervical radiculopathy and who underwent an initial single-level ACDF or minimally invasive PCF during a 3-year period. Using these data, bivariate analyses were conducted to determine significant differences in direct total procedure and component costs between surgical techniques. Factorial ANOVAs were also conducted to determine any relationship between patient sex and smoking status to the component costs per surgery. Results The mean total direct cost for an ACDF was $8192, and the mean total direct cost for a PCF was $4320. There were significant differences in the cost components for direct costs and operating room supply costs. It was found that there was no statistically significant difference in component costs with regard to patient sex or smoking status. Conclusions In the management of single-level cervical radiculopathy, the present analysis has revealed that the average cost of an ACDF is 89% more than a PCF. This increased cost is largely due to the cost of surgical implants. These results do not appear to be dependent on patient sex or smoking status. When combined with results from previous studies highlighting the comparable patient outcomes for either procedure, the authors' findings suggest that from a health care economics standpoint, physicians should consider a minimally invasive PCF in the treatment of cervical radiculopathy.

scholarly journals Microendoscopic posterior cervical foraminotomy: a cadaveric model and clinical application for cervical radiculopathy

1999 ◽  
Vol 7 (5) ◽  
pp. E6
Author(s):  
Timothy G. Burke ◽  
Anthony Caputy
Keyword(s):  
Cervical Radiculopathy ◽  
Herniated Disc ◽  
Surgical Approaches ◽  
Foraminal Stenosis ◽  
Posterior Cervical Foraminotomy ◽  
The Mean ◽  
Posterior Foraminotomy ◽  
Cervical Foraminotomy ◽  
Cadaveric Model ◽  
Length Of Hospitalization

Cervical radiculopathy that is caused by either soft herniated disc material or foraminal stenosis is a common problem. Anterior and posterior surgical approaches are commonly performed to decompress the nerve root. The authors describe an endoscopic posterior foraminotomy procedure in which they use a rigid endoscope, in both a cadaveric model and in three clinical cases, including a multiple level case. Postoperatively, all patients returned to functional work status within 4 weeks. The mean length of hospitalization was 1.3 days. The advantages of this technique include improved visualization, a smaller incision, and significantly less postoperative discomfort when compared with a matched group of patients in whom open nonendoscopic foraminotomy has been performed.

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