Microendoscopic posterior cervical foraminotomy: a cadaveric model and clinical application for cervical radiculopathy. | |
MedLine Citation:
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PMID: 10879768 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECT: Cervical radiculopathy caused by either soft herniated disc material or foraminal stenosis is a common problem. Anterior and posterior surgical approaches are commonly used to decompress the nerve root. The authors undertook a study to establish the feasibility of performing a microendoscopic posterior approach for cervical foraminotomy in the clinical setting. METHODS: The authors performed an endoscopic posterior foraminotomy technique in which they used a rigid endoscope, in both a cadaver model and in three clinical cases, including one in which a multiple-level procedure was undertaken. Postoperatively, all patients returned to functional work status within 4 weeks. The mean length of hospitalization was 1.3 days. CONCLUSIONS: The advantages to this technique include improved intraoperative visualization, a smaller incision, and significantly less postoperative discomfort compared with a traditional keyhole approach. |
Authors:
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T G Burke; A Caputy |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Journal of neurosurgery Volume: 93 ISSN: 0022-3085 ISO Abbreviation: J. Neurosurg. Publication Date: 2000 Jul |
Date Detail:
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Created Date: 2000-07-25 Completed Date: 2000-07-25 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0253357 Medline TA: J Neurosurg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 126-9 Citation Subset: AIM; IM |
Affiliation:
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Department of Neurosurgery, The George Washington University, Washington, DC 20037, USA. timburke@gwu.edu |
Export Citation:
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MeSH Terms | |
Descriptor/Qualifier:
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Adult Cadaver Cervical Vertebrae / surgery* Decompression, Surgical Endoscopes Endoscopy* Feasibility Studies Hospitalization Humans Intervertebral Disk Displacement / complications Intraoperative Care Length of Stay Male Micromanipulation / instrumentation, methods Middle Aged Pain, Postoperative / prevention & control Radiculopathy / etiology, surgery* Recovery of Function Spinal Nerve Roots / surgery Spinal Stenosis / complications Surgical Procedures, Minimally Invasive / instrumentation, methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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