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Cervical disc hernia operations through posterior laminoforaminotomy

OBJECTIVE: The most common used technique for posterolateral cervical disc herniations is anterior approach. However, posterior cervical laminotoforaminomy can provide excellent results in appropriately selected patients with foraminal stenosis in either soft disc prolapse or cervical spondylosis. T...

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Autores principales: Yolas, Coskun, Ozdemir, Nuriye Guzin, Okay, Hilmi Onder, Kanat, Ayhan, Senol, Mehmet, Atci, Ibrahim Burak, Yilmaz, Hakan, Coban, Mustafa Kemal, Yuksel, Mehmet Onur, Kahraman, Umit
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4872569/
https://www.ncbi.nlm.nih.gov/pubmed/27217655
http://dx.doi.org/10.4103/0974-8237.181854
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author Yolas, Coskun
Ozdemir, Nuriye Guzin
Okay, Hilmi Onder
Kanat, Ayhan
Senol, Mehmet
Atci, Ibrahim Burak
Yilmaz, Hakan
Coban, Mustafa Kemal
Yuksel, Mehmet Onur
Kahraman, Umit
author_facet Yolas, Coskun
Ozdemir, Nuriye Guzin
Okay, Hilmi Onder
Kanat, Ayhan
Senol, Mehmet
Atci, Ibrahim Burak
Yilmaz, Hakan
Coban, Mustafa Kemal
Yuksel, Mehmet Onur
Kahraman, Umit
author_sort Yolas, Coskun
collection PubMed
description OBJECTIVE: The most common used technique for posterolateral cervical disc herniations is anterior approach. However, posterior cervical laminotoforaminomy can provide excellent results in appropriately selected patients with foraminal stenosis in either soft disc prolapse or cervical spondylosis. The purpose of this study was to present the clinical outcomes following posterior laminoforaminotomy in patients with radiculopathy. MATERIALS AND METHODS: We retrospectively evaluated 35 patients diagnosed with posterolateral cervical disc herniation and cervical spondylosis with foraminal stenosis causing radiculopathy operated by the posterior cervical keyhole laminoforaminotomy between the years 2010 and 2015. RESULTS: The file records and the radiographic images of the 35 patients were assessed retrospectively. The mean age was 46.4 years (range: 34-66 years). Of the patients, 19 were males and 16 were females. In all of the patients, the neurologic deficit observed was radiculopathy. The posterolaterally localized disc herniations and the osteophytic structures were on the left side in 18 cases and on the right in 17 cases. In 10 of the patients, the disc level was at C5-6, in 18 at C6-7, in 2 at C3-4, in 2 at C4-5, in 1 at C7-T1, in 1 patient at both C5-6 and C6-7, and in 1 at both C4-5 and C5-6. In 14 of these 35 patients, both osteophytic structures and protruded disc herniation were present. Intervertebral foramen stenosis was present in all of the patients with osteophytes. Postoperatively, in 31 patients the complaints were relieved completely and four patients had complaints of neck pain and paresthesia radiating to the arm (the success of operation was 88.5%). On control examinations, there was no finding of instability or cervical kyphosis. CONCLUSION: Posterior cervical laminoforaminotomy is an alternative appropriate choice in both cervical soft disc herniations and cervical stenosis.
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spelling pubmed-48725692016-05-23 Cervical disc hernia operations through posterior laminoforaminotomy Yolas, Coskun Ozdemir, Nuriye Guzin Okay, Hilmi Onder Kanat, Ayhan Senol, Mehmet Atci, Ibrahim Burak Yilmaz, Hakan Coban, Mustafa Kemal Yuksel, Mehmet Onur Kahraman, Umit J Craniovertebr Junction Spine Original Article OBJECTIVE: The most common used technique for posterolateral cervical disc herniations is anterior approach. However, posterior cervical laminotoforaminomy can provide excellent results in appropriately selected patients with foraminal stenosis in either soft disc prolapse or cervical spondylosis. The purpose of this study was to present the clinical outcomes following posterior laminoforaminotomy in patients with radiculopathy. MATERIALS AND METHODS: We retrospectively evaluated 35 patients diagnosed with posterolateral cervical disc herniation and cervical spondylosis with foraminal stenosis causing radiculopathy operated by the posterior cervical keyhole laminoforaminotomy between the years 2010 and 2015. RESULTS: The file records and the radiographic images of the 35 patients were assessed retrospectively. The mean age was 46.4 years (range: 34-66 years). Of the patients, 19 were males and 16 were females. In all of the patients, the neurologic deficit observed was radiculopathy. The posterolaterally localized disc herniations and the osteophytic structures were on the left side in 18 cases and on the right in 17 cases. In 10 of the patients, the disc level was at C5-6, in 18 at C6-7, in 2 at C3-4, in 2 at C4-5, in 1 at C7-T1, in 1 patient at both C5-6 and C6-7, and in 1 at both C4-5 and C5-6. In 14 of these 35 patients, both osteophytic structures and protruded disc herniation were present. Intervertebral foramen stenosis was present in all of the patients with osteophytes. Postoperatively, in 31 patients the complaints were relieved completely and four patients had complaints of neck pain and paresthesia radiating to the arm (the success of operation was 88.5%). On control examinations, there was no finding of instability or cervical kyphosis. CONCLUSION: Posterior cervical laminoforaminotomy is an alternative appropriate choice in both cervical soft disc herniations and cervical stenosis. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4872569/ /pubmed/27217655 http://dx.doi.org/10.4103/0974-8237.181854 Text en Copyright: © Journal of Craniovertebral Junction and Spine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution NonCommercial ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Yolas, Coskun
Ozdemir, Nuriye Guzin
Okay, Hilmi Onder
Kanat, Ayhan
Senol, Mehmet
Atci, Ibrahim Burak
Yilmaz, Hakan
Coban, Mustafa Kemal
Yuksel, Mehmet Onur
Kahraman, Umit
Cervical disc hernia operations through posterior laminoforaminotomy
title Cervical disc hernia operations through posterior laminoforaminotomy
title_full Cervical disc hernia operations through posterior laminoforaminotomy
title_fullStr Cervical disc hernia operations through posterior laminoforaminotomy
title_full_unstemmed Cervical disc hernia operations through posterior laminoforaminotomy
title_short Cervical disc hernia operations through posterior laminoforaminotomy
title_sort cervical disc hernia operations through posterior laminoforaminotomy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4872569/
https://www.ncbi.nlm.nih.gov/pubmed/27217655
http://dx.doi.org/10.4103/0974-8237.181854
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