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Cervical posterior foraminotomy: how i do it.
Acta Neurochir (Wien). 2020 03; 162(3):675-678.AN

Abstract

BACKGROUND

Cervical pathologies are addressed through a variety of anterior and posterior approaches and minimally invasive procedures have been successfully applied during the last decades. Posterior cervical foraminotomy (PCF) should be proposed with isolated foraminal stenosis.

METHOD

We provide a step-by-step description of PCF through the use of tubular retractors. Its advantages and limitations were detailed.

CONCLUSION

PCF performed with tubular retractors represent a safe and efficient alternative to address an isolated level disease with unilateral radiculopathy. The risk of mechanical instability is limited when only the medial third of the facet is drilled. Patients present rapid functional recovery.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Cossu G
Department of Neurosurgery and Spine Surgery Unit, Lausanne University Hospital, Lausanne, Switzerland. giulia.cossu@chuv.ch. Department of Neuroscience, Spinal Surgery Unit, Lausanne University Hospital, Lausanne, Switzerland. giulia.cossu@chuv.ch.
Messerer M
Department of Neurosurgery and Spine Surgery Unit, Lausanne University Hospital, Lausanne, Switzerland. Department of Neuroscience, Spinal Surgery Unit, Lausanne University Hospital, Lausanne, Switzerland.
Barges-Coll J
Department of Neurosurgery and Spine Surgery Unit, Lausanne University Hospital, Lausanne, Switzerland. Department of Neuroscience, Spinal Surgery Unit, Lausanne University Hospital, Lausanne, Switzerland.

MeSH

Cervical VertebraeConstriction, PathologicForaminotomyHumansPostoperative ComplicationsRadiculopathy

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31938822

Citation

Cossu, Giulia, et al. "Cervical Posterior Foraminotomy: How I Do It." Acta Neurochirurgica, vol. 162, no. 3, 2020, pp. 675-678.
Cossu G, Messerer M, Barges-Coll J. Cervical posterior foraminotomy: how i do it. Acta Neurochir (Wien). 2020;162(3):675-678.
Cossu, G., Messerer, M., & Barges-Coll, J. (2020). Cervical posterior foraminotomy: how i do it. Acta Neurochirurgica, 162(3), 675-678. https://doi.org/10.1007/s00701-020-04221-z
Cossu G, Messerer M, Barges-Coll J. Cervical Posterior Foraminotomy: How I Do It. Acta Neurochir (Wien). 2020;162(3):675-678. PubMed PMID: 31938822.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cervical posterior foraminotomy: how i do it. AU - Cossu,Giulia, AU - Messerer,Mahmoud, AU - Barges-Coll,Juan, Y1 - 2020/01/14/ PY - 2019/12/23/received PY - 2020/01/07/accepted PY - 2020/1/16/pubmed PY - 2020/11/3/medline PY - 2020/1/16/entrez KW - Cervical spine KW - Foraminotomy KW - MetrX KW - Minimally invasive spine surgery KW - Tubular retractor SP - 675 EP - 678 JF - Acta neurochirurgica JO - Acta Neurochir (Wien) VL - 162 IS - 3 N2 - BACKGROUND: Cervical pathologies are addressed through a variety of anterior and posterior approaches and minimally invasive procedures have been successfully applied during the last decades. Posterior cervical foraminotomy (PCF) should be proposed with isolated foraminal stenosis. METHOD: We provide a step-by-step description of PCF through the use of tubular retractors. Its advantages and limitations were detailed. CONCLUSION: PCF performed with tubular retractors represent a safe and efficient alternative to address an isolated level disease with unilateral radiculopathy. The risk of mechanical instability is limited when only the medial third of the facet is drilled. Patients present rapid functional recovery. SN - 0942-0940 UR - https://www.unboundmedicine.com/medline/citation/31938822/Cervical_posterior_foraminotomy:_how_i_do_it_ DB - PRIME DP - Unbound Medicine ER -