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Circumferential Decompression Technique of Posterior Endoscopic Cervical Foraminotomy

OBJECTIVE: Cervical osseous foraminal stenosis (COFS) results from the uncinate process and facet hyperostosis. Currently, the optimal surgical technique for the treatment of COFS remains controversial. MATERIALS AND METHODS: Patients with COFS presenting radiculopathy underwent posterior endoscopic...

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Autores principales: Hou, Guo-Li, Chen, Chien-Min, Chen, Kuo-Tai, Xu, San-En, Tao, Lin, Kong, Ling-Tong, Lai, Guo-Zhong, Shi, Lei, Chu, Lei, Chen, Ying-Dong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8803431/
https://www.ncbi.nlm.nih.gov/pubmed/35111847
http://dx.doi.org/10.1155/2022/5873333
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author Hou, Guo-Li
Chen, Chien-Min
Chen, Kuo-Tai
Xu, San-En
Tao, Lin
Kong, Ling-Tong
Lai, Guo-Zhong
Shi, Lei
Chu, Lei
Chen, Ying-Dong
author_facet Hou, Guo-Li
Chen, Chien-Min
Chen, Kuo-Tai
Xu, San-En
Tao, Lin
Kong, Ling-Tong
Lai, Guo-Zhong
Shi, Lei
Chu, Lei
Chen, Ying-Dong
author_sort Hou, Guo-Li
collection PubMed
description OBJECTIVE: Cervical osseous foraminal stenosis (COFS) results from the uncinate process and facet hyperostosis. Currently, the optimal surgical technique for the treatment of COFS remains controversial. MATERIALS AND METHODS: Patients with COFS presenting radiculopathy underwent posterior endoscopic cervical foraminotomy by the circumferential decompression technique. The neck disability index (NDI), the visual analogue scale (VAS), and the modified MacNab criteria were used to evaluate the outcomes. In addition, the range of motion (ROM) and the slippage distance between the operated vertebrae in flexion-extension position were measured to evaluate the stability of the cervical spine. RESULTS: There were 24 consecutive patients in the study. The mean follow-up period was 16.2 months (range: 12-26 months). The NDI and VAS scores for arm/neck pain improved significantly from preoperatively to the last follow-up. The satisfaction rate by modified MacNab criteria was 91.7% on the third postoperative day and 100% on the day of final follow-up. There were no significant differences in intervertebral ROM or slippage distance between the last follow-up and preoperatively (P = 0.968, P = 0.394). Arm pain occurred in one patient, and sustained fingers numbness in two patients, but these symptoms resolved at the last follow-up. CONCLUSIONS: Posterior endoscopic cervical foraminotomy by the circumferential decompression technique is a safe and effective treatment for COFS. Moreover, it preserves the stability and physiological mobility of the cervical spine.
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spelling pubmed-88034312022-02-01 Circumferential Decompression Technique of Posterior Endoscopic Cervical Foraminotomy Hou, Guo-Li Chen, Chien-Min Chen, Kuo-Tai Xu, San-En Tao, Lin Kong, Ling-Tong Lai, Guo-Zhong Shi, Lei Chu, Lei Chen, Ying-Dong Biomed Res Int Research Article OBJECTIVE: Cervical osseous foraminal stenosis (COFS) results from the uncinate process and facet hyperostosis. Currently, the optimal surgical technique for the treatment of COFS remains controversial. MATERIALS AND METHODS: Patients with COFS presenting radiculopathy underwent posterior endoscopic cervical foraminotomy by the circumferential decompression technique. The neck disability index (NDI), the visual analogue scale (VAS), and the modified MacNab criteria were used to evaluate the outcomes. In addition, the range of motion (ROM) and the slippage distance between the operated vertebrae in flexion-extension position were measured to evaluate the stability of the cervical spine. RESULTS: There were 24 consecutive patients in the study. The mean follow-up period was 16.2 months (range: 12-26 months). The NDI and VAS scores for arm/neck pain improved significantly from preoperatively to the last follow-up. The satisfaction rate by modified MacNab criteria was 91.7% on the third postoperative day and 100% on the day of final follow-up. There were no significant differences in intervertebral ROM or slippage distance between the last follow-up and preoperatively (P = 0.968, P = 0.394). Arm pain occurred in one patient, and sustained fingers numbness in two patients, but these symptoms resolved at the last follow-up. CONCLUSIONS: Posterior endoscopic cervical foraminotomy by the circumferential decompression technique is a safe and effective treatment for COFS. Moreover, it preserves the stability and physiological mobility of the cervical spine. Hindawi 2022-01-24 /pmc/articles/PMC8803431/ /pubmed/35111847 http://dx.doi.org/10.1155/2022/5873333 Text en Copyright © 2022 Guo-Li Hou et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Hou, Guo-Li
Chen, Chien-Min
Chen, Kuo-Tai
Xu, San-En
Tao, Lin
Kong, Ling-Tong
Lai, Guo-Zhong
Shi, Lei
Chu, Lei
Chen, Ying-Dong
Circumferential Decompression Technique of Posterior Endoscopic Cervical Foraminotomy
title Circumferential Decompression Technique of Posterior Endoscopic Cervical Foraminotomy
title_full Circumferential Decompression Technique of Posterior Endoscopic Cervical Foraminotomy
title_fullStr Circumferential Decompression Technique of Posterior Endoscopic Cervical Foraminotomy
title_full_unstemmed Circumferential Decompression Technique of Posterior Endoscopic Cervical Foraminotomy
title_short Circumferential Decompression Technique of Posterior Endoscopic Cervical Foraminotomy
title_sort circumferential decompression technique of posterior endoscopic cervical foraminotomy
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8803431/
https://www.ncbi.nlm.nih.gov/pubmed/35111847
http://dx.doi.org/10.1155/2022/5873333
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