Abstract
In the cervical spine, neural impingement can occur in two main locations: within the spinal canal, affecting the spinal cord, the nerve root(s), or both, or within the neuro foramen, where the exiting root can be affected. Cervical radiculopathy (CR) is the condition where one or two nerve roots are mechanically compressed. Degenerative disorders like cervical soft disk herniation, osteochondrotic bone spurs with consecutive foraminal stenosis, or a combination of both are the most common causes.
Degenerative soft disk herniation occurs when intervertebral disks desiccate and the disk space reduces with consequent protrusion of the annulus fibrosus or prolapse of the nucleus pulposus through a defect in the annulus fibrosus.
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Caridi JM, Pumberger M, Hughes AP (2011) Cervical radiculopathy: a review. HSS J Musculoskelet J Hosp Spec Surg 7:265–272
Bono CM, Ghiselli G, Gilbert TJ, Kreiner DS, Reitman C, Summers JT, Baisden JL, Easa J, Fernand R, Lamer T, Matz PG, Mazanec DJ, Resnick DK, Shaffer WO, Sharma AK, Timmons RB, Toton JF, North American Spine S (2011) An evidence-based clinical guideline for the diagnosis and treatment of cervical radiculopathy from degenerative disorders. Spine J 11:64–72
Frykholm R (1951) Cervical nerve root compression resulting from disc degeneration and root-sleeve fibrosis. Acta Chir Scand 160(Suppl):1–149
Barakat M, Hussein Y (2012) Anatomical study of the cervical nerve roots for posterior foraminotomy: cadaveric study. Eur Spine J 21:1383–1388
Tanaka N, Fujimoto Y, An HS, Ikuta Y, Yasuda M (2000) The anatomic relation among the nerve roots, intervertebral foramina, and intervertebral discs of the cervical spine. Spine (Phila Pa 1976) 25:286–291
Webb KM, Kaptain G, Sheehan J, Jane JA Sr (2002) Pediculotomy as an adjunct to posterior cervical hemilaminectomy, foraminotomy, and discectomy. Neurosurg Focus 12:E10
Zdeblick TA, Zou D, Warden KE, McCabe R, Kunz D, Vanderby R (1992) Cervical stability after foraminotomy. A biomechanical in vitro analysis. J Bone Joint Surg Am 74:22–27
Jagannathan J, Sherman JH, Szabo T, Shaffrey CI, Jane JA (2009) The posterior cervical foraminotomy in the treatment of cervical disc/osteophyte disease: a single-surgeon experience with a minimum of 5 years’ clinical and radiographic follow-up. J Neurosurg Spine 10:347–356
Chang JC, Park HK, Choi SK (2011) Posterior cervical inclinatory foraminotomy for spondylotic radiculopathy preliminary. J Korean Neurosurg Soc 49:308–313
Caglar YS, Bozkurt M, Kahilogullari G, Tuna H, Bakir A, Torun F, Ugur HC (2007) Keyhole approach for posterior cervical discectomy: experience on 84 patients. Minim Invasive Neurosurg MIN 50:7–11
Choi KC, Ahn Y, Kang BU, Ahn ST, Lee SH (2013) Motor palsy after posterior cervical foraminotomy: anatomical consideration. World Neurosurg 79:405.e401–405.e404
Clark JG, Abdullah KG, Steinmetz MP, Benzel EC, Mroz TE (2011) Minimally invasive versus open cervical foraminotomy: a systematic review. Glob Spine J 1:9–14
Engquist M, Lofgren H, Oberg B, Holtz A, Peolsson A, Soderlund A, Vavruch L, Lind B (2013) Surgery versus nonsurgical treatment of cervical radiculopathy: a prospective, randomized study comparing surgery plus physiotherapy with physiotherapy alone with a 2-year follow-up. Spine (Phila Pa 1976) 38:1715–1722
Ruetten S, Komp M, Merk H, Godolias G (2008) Full-endoscopic cervical posterior foraminotomy for the operation of lateral disc herniations using 5.9-mm endoscopes: a prospective, randomized, controlled study. Spine (Phila Pa 1976) 33:940–948
Kim K, Kim Y (2009) Comparison between open procedure and tubular retractor assisted procedure for cervical radiculopathy: results of a randomized controlled study. J Korean Med Sci 24:649–653
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Brenke, C., Schmieder, K. (2016). Posterior Cervical Foraminotomy. In: van de Kelft, E. (eds) Surgery of the Spine and Spinal Cord. Springer, Cham. https://doi.org/10.1007/978-3-319-27613-7_14
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DOI: https://doi.org/10.1007/978-3-319-27613-7_14
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