Clinical Results of Microsurgical Anterior Foraminotomy for Cervical Radiculopathy.

Park, Dae Hoon; Ryu, Ki Young; Seok, Kyung Sik; Kang, Dong Gee; Kim, Sang Chul

Original Article

Journal of Korean Neurosurgical Society 2003;34(2): 125-129.

Dae Hoon Park, Ki Young Ryu, Kyung Sik Seok, Dong Gee Kang, Sang Chul Kim

Department of Neurosurgery, Fatima Hospital, Daegu, Korea. blue203040@hanmail.net

ABSTRACT

OBJECTIVE
The authors present the clinical and radiologic outcomes of microsurgical anterior foraminotomy in 36 cases of cervival radiculopathy. METHODS: Thirty-six patients were treated with anterior cervical foraminotomy between January 1998 and June 2002. There were 13 men and 23 women(age range, 34-74 years). Twenty-nine had symptomatic soft disc herniation and 7 had uncovertebral osteophytes confirmed by magnetic resonance imaging and computed tomography. Thirty-one patients had single anterior cervical microforaminotomy and five had procedures at adjacent levels.
RESULTS
Good or excellent result were obtained in 75% of the patients. On roentgenographic examination, the height of intervertebral space was maintained at twenty-one levels(51%) and was decreased at seventeen levels(42%). Two patients who underwent anterior cervical microforaminotomy developed kyphosis of the cervical spine and one patient developed instability of the cervical spine.
CONCLUSION
Anterior cervical foraminotomy appears to be a good alternative procedure for carefully selected patients with unilateral cervical radiculopathy and avoids a fusion of the disc space.

Key Words: Cevical radiculopathy; Anterior foraminotomy; Radiologic outcomes