Influence of Prior Cervical Surgery on Surgical Outcome of Endoscopic Posterior Cervical Foraminotomy for Osseous Foraminal Stenosis

Burkhardt, Benedikt W.; Müller, Simon; Oertel, Joachim

doi:10.1016/j.wneu.2016.07.075

Cited by 20 publications

(11 citation statements)

References 44 publications

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“…Instability issues after partial facetectomy during PF may lead problems that require fusion, in general fusion after PF have rates of up to 5%. Recent retrospective studies of minimal invasive PF with over 1000 cases shown that a good level of decompression is achieved, i.e., to same or better NDI in comparison to ACDF [22][23][24][25][26][27][28][29][30][31][32].…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

Operative treatment of cervical radiculopathy: anterior cervical decompression and fusion compared with posterior foraminotomy: study protocol for a randomized controlled trial

Holy

MacDowall

Sigmundsson

et al. 2021

Trials

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Background Cervical radiculopathy is the most common disease in the cervical spine, affecting patients around 50–55 year of age. An operative treatment is common clinical praxis when non-operative treatment fails. The controversy is in the choice of operative treatment, conducting either anterior cervical decompression and fusion or posterior foraminotomy. The study objective is to evaluate short- and long-term outcome of anterior cervical decompression and fusion (ACDF) and posterior foraminotomy (PF) Methods A multicenter prospective randomized controlled trial with 1:1 randomization, ACDF vs. PF including 110 patients. The primary aim is to evaluate if PF is non-inferior to ACDF using a non-inferiority design with ACDF as “active control.” The neck disability index (NDI) is the primary outcome measure, and duration of follow-up is 2 years. Discussion Due to absence of high level of evidence, the authors believe that a RCT will improve the evidence for using the different surgical treatments for cervical radiculopathy and strengthen current surgical treatment recommendation. Trial registration ClinicalTrials.gov NCT04177849. Registered on November 26, 2019

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Section: Background and Rationale {6a}mentioning

confidence: 99%

Operative treatment of cervical radiculopathy: anterior cervical decompression and fusion compared with posterior foraminotomy: study protocol for a randomized controlled trial

Holy

MacDowall

Sigmundsson

et al. 2021

Trials

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“…Burkhardt et al reported favorable outcomes of endoscopic posterior foraminotomy in patients with foraminal stenosis and also showed successful results with multilevel stenosis; moreover, the technique can be used for recurrent cervical disk herniation. 31 Although posterior procedures represent an indirect decompression because osteophyte compression is located anteriorly, posterior endoscopic foraminotomy is an effective alternative to the anterior approach in suitable cases.…”

Section: Discussionmentioning

confidence: 99%

Posterior Endoscope-Assisted Diskectomy Is an Effective Technique for Cervical Soft Disk Herniation

Karaoğlu

Polat

Uçkun

et al. 2021

J Neurol Surg A Cent Eur Neurosurg

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Objective To evaluate the clinicoradiologic conditions of patients with a herniated cervical disk who were treated with percutaneous endoscope-assisted cervical diskectomy. Materials and Methods The medical data of 27 patients (16 men and 11 women; mean age: 40.9 years) who were operated on with the posterior endoscope-assisted cervical diskectomy method were reviewed retrospectively. The mean follow-up was 35.1 months, and the patients were assessed with combined preoperative and postoperative visual analog scale (VAS), Prolo Functional Economic Outcome Rating scale, MacNab scale, and clinical imaging. Results The mean preoperative VAS level was 8.6 (range: 7–10), and mean Prolo score was 2.5 (range: 2–5). A postoperative assessment performed 1 week postsurgery found a mean VAS level of 2.1 (range: 0–4). At the final examination, the mean VAS level was 0.81 (range: 0–3), and the mean Prolo score was 4.5 (range: 3–5). The final MacNab scale scores were 62.9%, excellent; 25.9%, good; 7.4%, moderate; and 3.7%, poor. Conclusion Percutaneous endoscope-assisted cervical diskectomy is a suitable and effective treatment method for soft cervical disk herniation.

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“…Furthermore, recent studies could show good clinical results for endoscopic posterior cervical foraminotomy in patients suffering from bony foraminal stenosis [5,[12][13][14]. Thus, by the time, a randomized controlled study for the microscopic vs. endoscopic technique in patients suffering from bony stenosis is still lacking.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Posterior Cervical Foraminotomy in Bony Stenosis – A Review of the Literature

Hemmer¹,

Oertel²

2017

Int J Neurorehabilitation Eng

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Influence of Prior Cervical Surgery on Surgical Outcome of Endoscopic Posterior Cervical Foraminotomy for Osseous Foraminal Stenosis

Cited by 20 publications

References 44 publications

Operative treatment of cervical radiculopathy: anterior cervical decompression and fusion compared with posterior foraminotomy: study protocol for a randomized controlled trial

Operative treatment of cervical radiculopathy: anterior cervical decompression and fusion compared with posterior foraminotomy: study protocol for a randomized controlled trial

Posterior Endoscope-Assisted Diskectomy Is an Effective Technique for Cervical Soft Disk Herniation

Endoscopic Posterior Cervical Foraminotomy in Bony Stenosis – A Review of the Literature

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