Document Detail


Microendoscopic posterior cervical foraminotomy: a cadaveric model and clinical application for cervical radiculopathy.
MedLine Citation:
PMID:  10879768     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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:
T G Burke; A Caputy
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  93     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2000 Jul 
Date Detail:
Created Date:  2000-07-25     Completed Date:  2000-07-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  126-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Neurosurgery, The George Washington University, Washington, DC 20037, USA. timburke@gwu.edu
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MeSH Terms
Descriptor/Qualifier:
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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