Skip to main content

Posterior ‘Motion Preserving’ Procedures (Frykholm)

  • Chapter
  • First Online:
  • 100k Accesses

Abstract

Cervical radiculopathy from degenerative disease is a common problem with an incidence of 0.83–1.79 per 1000 person years. It can be caused by a cervical disc herniation, bony foraminal stenosis or spinal canal stenosis. Upon failure of conservative therapy or a significant motor deficit surgical treatment is indicated. A posterior cervical foraminotomy is one surgical option for the treatment of selected patients with lateral cervical disc herniations.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Barakat M, Hussein Y. Anatomical study of the cervical nerve roots for posterior foraminotomy: cadaveric study. Eur Spine J. 2012;21(7):1383–8.

    Article  Google Scholar 

  2. Bydon M, Mathios D, Macki M, de la Garza-Ramos R, Sciubba DM, Witham TF, Wolinsky JP, Gokaslan ZL, Bydon A. Long-term patient outcomes after posterior cervical foraminotomy: an analysis of 151 cases. J Neurosurg Spine. 2014;21(5):727–31.

    Article  Google Scholar 

  3. Carette S, Fehlings MG. Clinical practice. Cervical radiculopathy. N Engl J Med. 2005;353(4):392–9.

    Article  CAS  Google Scholar 

  4. 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.

    Article  CAS  Google Scholar 

  5. Choi KC, Ahn Y, Kang BU, Ahn ST, Lee SH. Motor palsy after posterior cervical foraminotomy: anatomical consideration. World Neurosurg. 2013;79(2):405 e401–4.

    Article  Google Scholar 

  6. Clarke MJ, Ecker RD, Krauss WE, McClelland RL, Dekutoski MB. Same-segment and adjacent-segment disease following posterior cervical foraminotomy. J Neurosurg Spine. 2007;6(1):5–9.

    Article  Google Scholar 

  7. Dohrmann GJ, Hsieh JC. Long-term results of anterior versus posterior operations for herniated cervical discs: analysis of 6,000 patients. Med Princ Pract. 2014;23(1):70–3.

    Article  Google Scholar 

  8. Engquist M, Lofgren H, Oberg B, Holtz A, Peolsson A, Soderlund A, Vavruch L, Lind B. 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). 2013;38(20):1715–22.

    Article  Google Scholar 

  9. Faught RW, Church EW, Halpern CH, Balmuri U, Attiah MA, Stein SC, Dante SJ, Welch WC, Simeone FA. Long-term quality of life after posterior cervical foraminotomy for radiculopathy. Clin Neurol Neurosurg. 2016;142:22–5.

    Article  Google Scholar 

  10. Gu BS, Park JH, Seong HY, Jung SK, Roh SW. Feasibility of posterior cervical foraminotomy in cervical foraminal stenosis: prediction of surgical outcomes by the foraminal shape on preoperative computed tomography. Spine (Phila Pa 1976). 2017;42(5):E267–71.

    Article  Google Scholar 

  11. Heckmann JG, Lang CJ, Zobelein I, Laumer R, Druschky A, Neundorfer B. Herniated cervical intervertebral discs with radiculopathy: an outcome study of conservatively or surgically treated patients. J Spinal Disord. 1999;12(5):396–401.

    Article  CAS  Google Scholar 

  12. Jagannathan J, Sherman JH, Szabo T, Shaffrey CI, Jane JA. 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. 2009;10(4):347–56.

    Article  Google Scholar 

  13. Lee SB, Cho KS. Cervical arthroplasty versus anterior cervical fusion for symptomatic adjacent segment disease after anterior cervical fusion surgery: review of treatment in 41 patients. Clin Neurol Neurosurg. 2017;162:59–66.

    Article  Google Scholar 

  14. Liu WJ, Hu L, Chou PH, Wang JW, Kan WS. Comparison of anterior cervical discectomy and fusion versus posterior cervical foraminotomy in the treatment of cervical radiculopathy: a systematic review. Orthop Surg. 2016;8(4):425–31.

    Article  Google Scholar 

  15. Lubelski D, Healy AT, Silverstein MP, Abdullah KG, Thompson NR, Riew KD, Steinmetz MP, Benzel EC, Mroz TE. Reoperation rates after anterior cervical discectomy and fusion versus posterior cervical foraminotomy: a propensity-matched analysis. Spine J. 2015;15(6):1277–83.

    Article  Google Scholar 

  16. Persson LC, Carlsson CA, Carlsson JY. Long-lasting cervical radicular pain managed with surgery, physiotherapy, or a cervical collar. A prospective, randomized study. Spine (Phila Pa 1976). 1997;22(7):751–8.

    Article  CAS  Google Scholar 

  17. Roh SW, Kim DH, Cardoso AC, Fessler RG. Endoscopic foraminotomy using MED system in cadaveric specimens. Spine (Phila Pa 1976). 2000;25(2):260–4.

    Article  CAS  Google Scholar 

  18. Sampath P, Bendebba M, Davis JD, Ducker T. Outcome in patients with cervical radiculopathy. Prospective, multicenter study with independent clinical review. Spine (Phila Pa 1976). 1999;24(6):591–7.

    Article  CAS  Google Scholar 

  19. Steinberg JA, German JW. The effect of minimally invasive posterior cervical approaches versus open anterior approaches on neck pain and disability. Int J Spine Surg. 2012;6:55–61.

    Article  Google Scholar 

  20. Thoomes EJ, Scholten-Peeters W, Koes B, Falla D, Verhagen AP. The effectiveness of conservative treatment for patients with cervical radiculopathy: a systematic review. Clin J Pain. 2013;29(12):1073–86.

    Article  Google Scholar 

  21. Ulrich C, Woersdoerfer O, Kalff R, Claes L, Wilke HJ. Biomechanics of fixation systems to the cervical spine. Spine (Phila Pa 1976). 1991;16(3 Suppl):S4–9.

    Article  CAS  Google Scholar 

  22. van Geest S, Kuijper B, Oterdoom M, van den Hout W, Brand R, Stijnen T, Assendelft P, Koes B, Jacobs W, Peul W, Vleggeert-Lankamp C. CASINO: surgical or nonsurgical treatment for cervical radiculopathy, a randomised controlled trial. BMC Musculoskelet Disord. 2014;15:129.

    Article  Google Scholar 

  23. Wang TY, Lubelski D, Abdullah KG, Steinmetz MP, Benzel EC, Mroz TE. Rates of anterior cervical discectomy and fusion after initial posterior cervical foraminotomy. Spine J. 2015;15(5):971–6.

    Article  Google Scholar 

  24. Yoo HJ, Park JH, Seong HY, Roh SW. Comparison of surgical results between soft ruptured disc and foraminal stenosis patients in posterior cervical laminoforaminotomy. Korean J Neurotrauma. 2017;13(2):124–9.

    Article  Google Scholar 

  25. Zdeblick TA, Zou D, Warden KE, McCabe R, Kunz D, Vanderby R. Cervical stability after foraminotomy. A biomechanical in vitro analysis. J Bone Joint Surg Am. 1992;74(1):22–7.

    Article  CAS  Google Scholar 

  26. Mansfield HE, Canar WJ, Gerard CS, O’Toole JE. Single-level anterior cervical discectomy and fusion versus minimally invasive posterior cervicalforaminotomy for patients with cervical radiculopathy: a cost analysis. Neurosurg Focus. 2014;37(5):E9.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Florian Ringel .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ringel, F., Gutenberg, A. (2019). Posterior ‘Motion Preserving’ Procedures (Frykholm). In: Meyer, B., Rauschmann, M. (eds) Spine Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-98875-7_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-98875-7_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98874-0

  • Online ISBN: 978-3-319-98875-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics