Outcomes and technical issues of transcorporeal anterior cervical microforaminotomy in patients with cervical brachialgia - 06/05/21
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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.
Conclusion |
Transcorporeal microforaminotomy for brachialgia is a safe and effective approach that is motion preserving and minimally invasive as well.
Le texte complet de cet article est disponible en PDF.Keywords : Transcorporeal, Microforaminotomy, Cervical, Brachialgia
Abbreviations : ACDF, ACMF, LCM, ASD, VAS
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