Full Endoscopic Posterior Cervical Foraminotomy in Management of Foraminal Disc Herniation and Foraminal Stenosis.

Content Provider	Europe PMC
Author	Gatam, Asrafi Rizki Gatam, Luthfi Phedy Mahadhipta, Harmantya Luthfi, Omar Ajiantoro Husin, Syafrudin Aprilya, Dina
Copyright Year	2022
Abstract	BackgroundThe development of full endoscopic procedures enables surgeons to visualize the operative field very clearly. Posterior foraminotomy using endoscopy was developed as a minimally invasive procedure to reduce the complication of the anterior cervical approach and to preserve the segmental motion without decreasing the effectiveness of nerve decompression. Our aim is to evaluate the result of full endoscopic posterior cervical foraminotomy in our center.MethodsThis is a prospective single-arm study of 65 foraminal disc herniation and foraminal stenosis patients that underwent full endoscopic posterior foraminotomy procedures. All patients were routinely observed for 12-months duration to evaluate Visual Analog Score (VAS) of the neck, arm, and modified Macnab criteria.ResultsArm pain VAS decreased significantly compared with the pre-operation state (p < 0.001, 0.034, 0.001 on immediate post-operative, 6-months follow-up, and 12-months follow-up, respectively) even though 6.15% of patients had hypesthesia on follow-up. There was no neck pain observed during 1 year follow-up, and modified Macnab criteria showed a good outcome following full endoscopic posterior foraminotomy.ConclusionFull endoscopic posterior foraminotomy provides good nerve decompression with all the benefits of endoscopic spine procedure.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC8812322&blobtype=pdf
Page Count	7
Journal	Orthopedic Research and Reviews [Orthop Res Rev]
Volume Number	14
PubMed Central reference number	PMC8812322
PubMed reference number	35125894
e-ISSN	11791462
DOI	10.2147/orr.s349701
Language	English
Publisher	Dove
Publisher Date	2022-01-17
Access Restriction	Open
Rights License	This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). © 2022 Gatam et al.
Subject Keyword	cervical spine foraminal stenosis herniated disc cervical foraminotomy endoscopic minimally invasive
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine