Posterior Cervical Foraminotomy and Laminectomy

  • John E. O’Toole
  • Kurt M. Eichholz
  • Richard G. Fessler


Posterior decompressive procedures are fundamental tools in the surgical treatment of symptomatic cervical degenerative spine disease [1–4]. Even as anterior cervical procedures have gained prominence, posterior cervical laminoforaminotomy still provides symptomatic relief in 92–97% of patients with radiculopathy from foraminal stenosis or lateral herniated discs [3, 5]. Similarly, posterior cervical decompression for cervical stenosis achieves neurological improvement in 62.5–83% of myelopathic patients undergoing either laminectomy or laminoplasty [4, 6–8]. Moreover, these operations avoid the complications attendant to anterior approaches to the cervical spine, namely, esophageal injury, vascular injury, recurrent laryngeal nerve paralysis, dysphagia, and accelerated degeneration of adjacent motion segments after fusion [9–11].


Neck Disability Index Ligamentum Flavum Recurrent Laryngeal Nerve Paralysis Japanese Orthopedic Association Score Foraminal Stenosis 


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • John E. O’Toole
    • 1
  • Kurt M. Eichholz
    • 2
  • Richard G. Fessler
    • 3
  1. 1.Department of NeurosurgeryRush Medical College of Rush University Medical CenterChicagoUSA
  2. 2.Department of Neurological SurgeryVanderbilt University Medical CenterNashvilleUSA
  3. 3.Department of NeurosurgeryNorthwestern University; University of ChicagoChicagoUSA

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