الفهرس | Only 14 pages are availabe for public view |
Abstract This Prospective study was conducted to determine the indications, safety, efficacy, outcome and complications associated with performing posterior cervical foraminotomy for treatment of cervical radiculopathy associated with cervical foraminal disc herniation and/or cervical foraminal stenosis of degenerative etiology. The study was conducted on 30 patients with cervical radiculopathy confirmed by concordant clinical and radiological data, refractory to non-surgical measures for 3 months at least. Our patients were admitted and operated at EL-Qabbary Hospital and Menoufia University Hospitals. The following are the main conclusions that can be derived from this work: 1- Posterior cervical foraminotomy is a safe and effective motion preserving approach for treatment of cervical radiculopathy in well selected cases. It has comparable outcomes to the ACDF approach with avoidance of possible complications associated with anterior approaches. 2- This approach is as effective for both soft and hard disc pathologies. 3- The posterior cervical foraminotomy approach has comparable results regarding hospital stay, the return to normal level of daily activity or job and the final outcomes. 4- The preoperative loss or reversal of the normal cervical curve appears not to affect the outcome of this approach nor to be associated with symptomatic progressive kyphosis, however, this observation needs larger studies and longer follow up periods to be confirmed. |