Outcomes and technical issues of transcorporeal anterior cervical microforaminotomy in patients with cervical brachialgia - 06/05/21

Doi : 10.1016/j.neuchi.2021.04.008

M.M. Rahman ^a,^⁎ , L.R. Moscote-Salazar ^b, E. Garcia-Ballestas ^b
^a Neurosurgery department, Holy Family Red Crescent Medical College, 1, Eskaton Garden road, 1000 Dhaka, Bangladesh
^b Faculty of medicine, University of Cartagena, Center for biomedical research (CIB), Cartagena, Colombia

^⁎Corresponding author.

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Abstract

Introduction

Transcorporeal anterior cervical microforaminotomy is a motion-preserving surgery. It addresses directly to the prolapsed disc in contrast to posterior laminoforaminotomy and does not affect facet joints; in the transuncal approach, there is a chance of vertebral artery injury and it also decreases disc height; hence, may alter the motion of that segment.

Objective

Aim is to assess the outcome of surgery and its effectiveness.

Methods

A total of 40 patients were observed retrospectively of which 33 were male and 7 were female. A single study of transcorporeal anterior cervical microforaminotomy was analyzed in a private hospital (Comfort Hospital), Dhaka, Bangladesh. Patients having pure brachialgia who were not relieved by conservative treatment over 6–8 weeks in cervical disc prolapse were included in the study. Patients having more than one level of disease, features of myelopathy, or instability were excluded from the study.

Results

All patients were pain-free postoperatively, although after one to two months 2 out of 40 patients developed brachialgia and required anterior cervical discectomy and fusion.