Anterior Cervical Foraminotomy


The direct removal of compressive pathology while preserving the segmental motion has been a challenge in the surgical treatment of cervical radiculopathy or myelopathy. A classic anterior cervical approach for simple disc herniation or spondylotic stenosis involves surgical decompression followed by fusion using bone graft, often with metal implant. Although this procedure of anterior cervical discectomy with fusion can provide direct elimination of the compressive pathology, it also results in the loss of motion segments by spinal fusion. In attempts to maintain the segmental motion, disc arthroplasty has been recently introduced to the anterior approach. A classic posterior approach usually involves cervical laminectomy or laminoplasty, sometimes accompanied by foraminotomy.


Vertebral Artery Intervertebral Disc Posterior Longitudinal Ligament Magnetic Resonance Scan Cervical Radiculopathy 



The authors wish to thank Mi-Ja Jho and Robin Coret for their assistance with the preparation of the manuscript.


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© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.Department of NeurosurgeryHarvard Medical School, Massachusetts General HospitalBostonUSA
  2. 2.Department of NeurosurgeryAllegheny General Hospital, Drexel University College of MedicinePittsburghUSA

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