Minimally invasive disc preserving surgery in cervical radiculopathies: The posterior microscopic and endoscopic approach

Angelo Franzini, Giuseppe Messina, Paolo Ferroli, Giovanni Broggi

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The aim of this paper is the report of the long-term results of a prospective study on spinal cervical lamino-foraminotomy via posterior route for the surgical treatment of cervical radiculopathies due to spondylodiscoarthrosis. The goal of the described surgical procedure is the bony decompression of the involved root leaving the intervertebral protruded or herniated discs intact. Indication, surgical technique, outcome and complications are discussed. Although anterior spinal cervical approach is the standard for centrally-located disc herniations with myelopathy, posterior foraminotomy appears to be a safe, minimally-invasive and effective treatment for postero-lateral radicular compression in the cervical spine. In our opinion, microscopic and/or endoscopic minimally invasive lamino-foraminotomy must be included within the surgical options for degenerative disc diseases of the cervical spine. This approach allowed us to reduce about 30% of the number of patients treated by the anterior approach, thus consistently reducing the need for intersomatic fixation.

Original languageEnglish
Title of host publicationActa Neurochirurgica, Supplementum
Pages197-201
Number of pages5
Edition108
DOIs
Publication statusPublished - 2011

Publication series

NameActa Neurochirurgica, Supplementum
Number108
ISSN (Print)00651419
ISSN (Electronic)00016268

Keywords

  • Cervical lamino-foraminotomy
  • Cervical radicular compression
  • Posterior foraminotomy

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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