Neurosurgery notes/Procedures/Posterior cervical procedure/Cervical foraminotomy

Cervical foraminotomy

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Posterior cervical procedure

Evidence supportive foramintomy

  • Foraminotomy has a greater increases in foraminal size when compared to ACDF
  • Clinical outcome
    • FACET trial: Posterior cervical foramintomy is non inferior to ACDF for radiculopathy

Anatomy

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When performing a foraminotomy you do not need to enter the flavum as it does not cover the nerve root. Make sure to drill away the inferior and then superior articulating facet at the 3rd quadrant, where the nerve root lies.
When performing a foraminotomy you do not need to enter the flavum as it does not cover the nerve root.
Make sure to drill away the inferior and then superior articulating facet at the 3rd quadrant, where the nerve root lies.
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Endoscopic technique

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Video preview
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Outcome

  • Rates of ACDF after posterior cervical foraminotomy =5%
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