Donald A Ross1,2, Kelly J Bridges2. 1. Section of Neurological Surgery, Operative Care Division, Portland Veterans Administration Medical Center, Portland, Oregon. 2. Department of Neurological Surgery, Oregon Health and Science University, Portland, Oregon.
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. Published by Oxford University Press on behalf of Congress of Neurological Surgeons 2017.
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. Published by Oxford University Press on behalf of Congress of Neurological Surgeons 2017.