Anterior cervical discectomy and fusion versus posterior cervical foraminotomy in the treatment of brachialgia: the Leeds spinal unit experience (2008-2013)

Selvanathan, Senthil; Beagrie, Chris; Thomson, Simon; Corns, Rob; Derham, Chris; Towns, Gerry; Timothy, Jake; Pal, Debashish

doi:10.1016/j.spinee.2014.12.025

Cited by 41 publications

(1 citation statement)

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“…This technique was initially described in the 1940s (91,92) and later, its minimally invasive modifications were developed by adapting tubular retractors and endoscopes (93,94). It has been shown that PCF has comparable clinical outcomes with conventional ACDF for the treatment of unilateral cervical radiculopathy while the risk of complications including dysphagia, recurrent laryngeal nerve injury, and adjacent segment disease is significantly reduced (95)(96)(97). The risk of requiring a revision fusion at the index level for patients undergoing PCF ranged from 1.1% to 5% in the literature (98,99).…”

Section: Pcfmentioning

confidence: 99%

Intraoperative image guidance for cervical spine surgery

Kırnaz¹,

Gebhard²,

Wong³

et al. 2021

Ann Transl Med

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Intraoperative image-guidance in spinal surgery has been influenced by various technological developments in imaging science since the early 1990s. The technology has evolved from simple fluoroscopic-based guidance to state-of-art intraoperative computed tomography (iCT)-based navigation systems. Although the intraoperative navigation is more commonly used in thoracolumbar spine surgery, this newer imaging platform has rapidly gained popularity in cervical approaches. The purpose of this manuscript is to address the applications of advanced image-guidance in cervical spine surgery and to describe the use of intraoperative neuro-navigation in surgical planning and execution. In this review, we aim to cover the following surgical techniques: anterior cervical approaches, atlanto-axial fixation, subaxial instrumentation, percutaneous interfacet cage implantation as well as minimally invasive posterior cervical foraminotomy (PCF) and unilateral laminotomy for bilateral decompression. The currently available data suggested that the use of 3D navigation significantly reduces the screw malposition, operative time, mean blood loss, radiation exposure, and complication rates in comparison to the conventional fluoroscopic-guidance. With the advancements in technology and surgical techniques, 3D navigation has potential to replace conventional fluoroscopy completely.

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