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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2004, Number 4

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Acta Ortop Mex 2004; 18 (4)

Posterior cervical microendoscopic foraminotomy.

Pimenta LLH, Da Silva MM, Bellera AF, León PM
Full text How to cite this article

Language: Spanish
References: 13
Page: 151-154
PDF size: 77.36 Kb.


Key words:

cervical vertebrae, surgical endoscopic..

ABSTRACT

The open anterior approach is more commonly performed for the treatment of degenerative cervical spine disease, but with the recent advances of endoscopical surgery it is possible to access the cervical spine to perform foraminotomy with a posterior approach or with an anterior one when discectomy and fusion techniques are needed, with superior clinical outcome and earlier post-operative recovery. Purpose. Evaluate endoscopic foraminotomy results. Material and methods. From january 1998 to july 2002, posterior microendoscopic foraminotomy (PMF) was ruled out for the treatment of unilateral radiculopathy plus lateral compression. Results. Seventy-one patients (86 levels) underwent PMF. The clinic outcome was based according to ODOM´s scale. The 82% of patients showed excellent and good results. Four patients underwent new foraminotomies and three required anterior endoscopic microdiscectomy and intersomatic fusion. Three patients presented transient numbness due to nerve root traction. The patient’s discharge from hospital was on the same day and 80.8% returned to their work during the first week.


REFERENCES

  1. Adamson TE: Microendoscopic posterior cervical laminoforaminotomy for unilateral radiculopathy: results of a new technique in 100 cases. J Neurosurg 2001; 95(1): 51-7.

  2. Burke TG, Caputy A: Microendoscopic posterior cervical foraminotomy: a cadaveric model and clinical application for cervical radiculopathy. J Neurosurg 2000; 93(1): 126-9.

  3. Chen BH, Natarajan RN, An HS, Andersson GB: Comparison of biomechanical response to surgical procedures used for cervical radiculopathy: posterior keyhole foraminotomy versus anterior foraminotomy and discectomy versus anterior discectomy with fusion. J Spinal Disord 2001; 14(1): 17-20.

  4. Ebersold M, Raynor R, Bovis G, Quast L: Cervical laminotomy, laminectomy, laminoplasty and foraminotomy. Spine Surgery, techniques, complication avoidance and management Vol 1. Philadelphia, PE: Churchill Livingstone 1999: 249-255.

  5. Epstein NE: A review of laminoforaminotomy for the management of lateral and foraminal cervical disc herniations or spurs. Surg Neurol 2002; 57(4): 226-34.

  6. Fessler RG, Khoo LT: Minimally invasive cervical microendoscopic foraminotomy: an initial clinical experience. Neurosurgery 2002; 51(5): 37-45.

  7. Gokaslan Z, Cooper P: Ventral and ventrolateral subaxial decompression. Spine Surgery, techniques, complication avoidance and management, Vol 1. Philadelphia, PE: Churchill Livingstone 1999: 219-227.

  8. Pimenta L: Foraminotomía microendoscópica cervical (resumen). IV Congreso Internacional de Neurocirugía Mínimamente invasiva. Barcelona, España. Minim Invas Neurosurg 1999; (42).

  9. Pimenta L, Prandini MN Tella O: Abordaje Endoscópico de la Columna Cervical. Séptimo Congreso Mundial de Cirugía Endoscópica, Singapur, Junio 2000.

  10. Roh SW, Kim DH, Cardoso AC, Fessler RG: Endoscopic foraminotomy using MED system in cadaveric specimens. Spine 2000; 25(2): 260-4.

  11. Saringer WF, Reddy B, Nobauer-Huhmann I, Regatschnig R, Reddy M, Tschabitcher M, Knosp E: Endoscopic anterior cervical foraminotomy for unilateral radiculopathy: anatomical morphometric analysis and preliminary clinical experience. J Neurosurg 2003; 98(2): 171-80.

  12. Wirth FP, Dowd GC, Sanders HF, Wirth C: Cervical discectomy. A prospective analysis of three operative techniques. Surg Neurol 2000; 53(4): 340-8.

  13. Woertgen C, Rothoerl R, Henkel J, Brawanski A: Long term outcome after cervical foraminotomy. J Clin Neurosci 2000; (4): 312-5.




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Acta Ortop Mex. 2004 Jul-Ago;18