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

2022 ◽  
Vol Volume 14 ◽  
pp. 1-7
Author(s):  
Asrafi Rizki Gatam ◽  
Luthfi Gatam ◽  
. Phedy ◽  
Harmantya Mahadhipta ◽  
Omar Luthfi ◽  
...  
Keyword(s):  
Disc Herniation ◽  
Foraminal Stenosis ◽  
Posterior Cervical Foraminotomy ◽  
Foraminal Disc Herniation ◽  
Cervical Foraminotomy

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

Endoscopic Posterior Cervical Foraminotomy as a Treatment for Osseous Foraminal Stenosis

2016 ◽  
Vol 91 ◽  
pp. 50-57 ◽  
Author(s):  
Joachim M.K. Oertel ◽  
Mark Philipps ◽  
Benedikt W. Burkhardt
Keyword(s):  
Foraminal Stenosis ◽  
Posterior Cervical Foraminotomy ◽  
Cervical Foraminotomy

Seminars in cervical disc herniation: Posterior cervical foraminotomy—Indications, technical nuances, and a review of outcomes

2016 ◽  
Vol 28 (2) ◽  
pp. 75-79
Author(s):  
George M. Ghobrial ◽  
Thana N. Theofanis ◽  
Hareindra Jeyamohan ◽  
Shiveindra Jeyamohan ◽  
James S. Harrop
Keyword(s):  
Disc Herniation ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Posterior Cervical Foraminotomy ◽  
Cervical Foraminotomy

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.

Feasibility of Posterior Cervical Foraminotomy in Cervical Foraminal Stenosis

Spine ◽  
2017 ◽  
Vol 42 (5) ◽  
pp. E267-E271 ◽  
Author(s):  
Bon Sub Gu ◽  
Jin Hoon Park ◽  
Han Yu Seong ◽  
Sang Ku Jung ◽  
Sung Woo Roh
Keyword(s):  
Foraminal Stenosis ◽  
Posterior Cervical Foraminotomy ◽  
Cervical Foraminotomy

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

2000 ◽  
Vol 93 (1) ◽  
pp. 126-129 ◽  
Author(s):  
Timothy G. Burke ◽  
Anthony Caputy
Keyword(s):  
Cervical Radiculopathy ◽  
Herniated Disc ◽  
Surgical Approaches ◽  
Foraminal Stenosis ◽  
Content Type ◽  
Posterior Cervical Foraminotomy ◽  
Keyhole Approach ◽  
Posterior Foraminotomy ◽  
Cervical Foraminotomy ◽  
Fine Print

Object. Cervical radiculopathy caused by either soft herniated disc material or foraminal stenosis is a common problem. Anterior and posterior surgical approaches are commonly used to decompress the nerve root. The authors undertook a study to establish the feasibility of performing a microendoscopic posterior approach for cervical foraminotomy in the clinical setting. Methods. The authors performed an endoscopic posterior foraminotomy technique in which they used a rigid endoscope, in both a cadaver model and in three clinical cases, including one in which a multiple-level procedure was undertaken. Postoperatively, all patients returned to functional work status within 4 weeks. The mean length of hospitalization was 1.3 days. Conclusions. The advantages to this technique include improved intraoperative visualization, a smaller incision, and significantly less postoperative discomfort compared with a traditional keyhole approach.

Surgical Techniques Ensuring Success in Posterior Endoscopic Cervical Foraminotomy and Discectomy at C6-7 in Patients with Prominent Shoulders and Short Necks

2021 ◽  
Author(s):  
Kaixuan Liu ◽  
Praveen Kadimcherla
Keyword(s):  
Disc Herniation ◽  
Surgical Techniques ◽  
Cervical Radiculopathy ◽  
The Novel ◽  
Anatomic Site ◽  
Study Objective ◽  
Steep Learning Curve ◽  
Arm Pain ◽  
Foraminal Disc Herniation ◽  
Cervical Foraminotomy

Introduction: There is a steep learning curve for a successful posterior endoscopic cervical foraminotomy and discectomy (PECFD), an important surgery for cervical foraminal or lateral disc herniation, and cervical radiculopathy due to a small operation field. PECFD becomes even more challenging in patients who have prominent shoulders and/or short necks with C6–7-disc herniation, because of the difficulty to localize C6–7 vertebral structure under fluoroscopy. The study objective is to prove that the PECFD can be performed safely and successfully to C6–7-disc herniation on patients with prominent shoulders and/or short necks following our novel surgical techniques under fluoroscopic guidance. Materials and Methods: PECFD was performed on a patient who had an extruded foraminal disc herniation at C6–7 on the left with left arm pain and weakness. Due to his prominent shoulders and a short neck, the C6–7 anatomic site was not visible under traditional anterior-posterior (AP) and lateral fluoroscopic views. The authors inserted a reference needle to C4–5 facets between C4 and C5 pedicles under AP and lateral fluoroscopic views. Following the reference needle, the C6–7 facets were easily located with an oblique fluoroscopic view. A large endoscopic cannula was used initially for adequate resection of C6–7 facets, followed by a small cannula for nerve root handling with minimal pressure and discectomy. Results: The novel surgical techniques resulted in a complete resection of the C6–7-disc herniation and resolution of the patient’s radiculopathy with no postoperative complications. Conclusion: PECFD can be safely and successfully applied for C6–7-disc herniation in patients with prominent shoulders and/or short necks using our novel surgical techniques.

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.

Minimally Invasive Posterior Cervical Foraminotomy Using 3-Dimensional Total Navigation: 2-Dimensional Operative Video

2020 ◽  
Author(s):  
Sertac Kirnaz ◽  
Raj Nangunoori ◽  
Taylor Wong ◽  
Franziska Anna Schmidt ◽  
Roger Härtl
Keyword(s):  
Minimally Invasive ◽  
Neck Pain ◽  
Computer Navigation ◽  
Foraminal Stenosis ◽  
Open Approach ◽  
3D Navigation ◽  
Intraoperative Computed Tomography ◽  
Patient Consent ◽  
Posterior Cervical Foraminotomy ◽  
Cervical Foraminotomy

Abstract Minimally invasive posterior cervical foraminotomy (MPCF) has shown comparable outcomes to those of an open approach, with shorter operation times and length of hospital stays, as well as decreased blood loss and inpatient analgesic use. This surgical technique is mainly used to treat unilateral radiculopathy due to foraminal soft disc fragments or bone spurs. Three-dimensional (3D) navigation-guidance facilitates the surgical workflow, and it is utilized in planning the incision, determining the extent of the medial facetectomy, and confirming sufficient decompression, especially in the lower cervical spine and cervicothoracic junction, where the shoulders make localization with fluoroscopy difficult. In this video, we present the case of a 49-yr-old male patient with mechanical neck pain and C8 radiculopathy due to multilevel cervical spinal stenosis with disc herniations and C7-T1 right-sided foraminal stenosis. There was loss of cervical lordosis at the upper levels. The patient underwent anterior cervical discectomy and fusion (ACDF) at the C4-5, C5-6, and C6-7 levels to treat mechanical neck pain and restore lordosis. In order to avoid an extra-level fusion and preserve motion, we performed a right-sided C7-T1 MPCF using a portable intraoperative computed tomography (iCT) scanner (Airo®; Brainlab AG, Feldkirchen, Germany), combined with 3D computer navigation to address the patient's radicular symptoms. Patient consent was obtained prior to performing the procedure.

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