Surgical Treatment of Cervical Radiculopathy

Gutman, Gabriel; Rosenzweig, Derek H.; Golan, Jeff D

doi:10.1097/brs.0000000000002324

Cited by 58 publications

(37 citation statements)

References 33 publications

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“…[5] However, the surgical treatment of CR is still controversial as a result of many complications after operation involving adjacent segment degeneration, loss in intervertebral disc height, and so on. [6] Conservative measures, including manual therapy, exercise, traction, cervical collar, and nonsteroidal antiinflammatory drugs, can relieve pain, improve neurologic function for CR patients. [2,3,7] However, none of the commonly recommended nonsurgical therapies for CR has been examined in randomized, placebo-controlled trials.…”

Section: Introductionmentioning

confidence: 99%

The effect of exercise on cervical radiculopathy

et al. 2019

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Section: Introductionmentioning

confidence: 99%

The effect of exercise on cervical radiculopathy

et al. 2019

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“…The recommended surgical options for this situation include ACDF with uncinated process removal or posterior cervical fusion and wide decompression through facet resection. 4 7 8) However, additional uncinated process removal during ACDF is associated with higher incidences of subsidence despite similar fusion rates. 18 19) …”

Section: Discussionmentioning

confidence: 99%

“…Although cervical posterior foraminotomy without fusion is a surgical option for the treatment of mild or moderate cervical FS, it is not recommended for the treatment of severe cervical FS, wherein the nerve root is compressed across the entire path of the cervical foramen. 5 7 8 13 14 23 25) ACDF or posterior facetectomy with fusion are reportedly the two surgical options when presented with compression of the entire foraminal path by bony spur as observed in the axial computed tomography (CT) scan. 4 7) …”

Section: Introductionmentioning

confidence: 99%

Posterior Facetectomy with Fusion Using a Pedicle Screw for Parallel-shaped Cervical Foraminal Stenosis

Park

Choi

Chon

et al. 2020

Korean J Neurotrauma

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Objective To assess the efficacy and safety of posterior facetectomy with fusion using pedicle screw (PF using FPS) for severe cervical foraminal stenosis of parallel shape. Methods Patients (n=8) with 1- or 2-level parallel-shaped cervical foraminal stenosis who underwent posterior facetectomy with fusion using cervical pedicle screw between March 2012 and August 2016 were enrolled. Patients were followed up immediately postoperatively and at 1, 3, 6, and 12 months postoperatively. We assessed arm and neck pains and clinical outcomes using a numeric rating scale (NRS) and neck disability index (NDI). We determined cervical Cobb's and segmental angles by radiological evaluations. We identified screw breech as a neurovascular complication. Results Neck and arm pains were significantly reduced postoperatively (neck visual analog scale [VAS]: 4.9±3.7 [preoperative] to 0.4±1.1 [final follow-up]; arm VAS: 9.0±0.8 to 0.4±1.1). Cobb's angle for cervical sagittal alignment improved from 11.1±8.4 to 17.0±5.9. Segmental angle of index surgery was maintained (3.4±7.0–4.9±5.6). NDI was also remained from 36.1±26.3 to 13.8±8.4. There are no injuries to the vertebral arteries and neural tissues because of screw insertion. Conclusion PF using FPS is a practical treatment option for parallel-shaped cervical foraminal stenosis.

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“…Chronic persistent neck pain may be secondary to a multitude of degenerative spine pathologies including disc herniation, cervical spondylosis, and spinal stenosis with multiple modalities of treatment ranging from over the counter medication to complex surgical fusions [ 8 9 10 11 12 13 14 15 16 17 18 19 20 21 ]. Surgical interventions have been increasing rapidly, for some disorders as much as 7-fold [ 14 15 16 17 ]. The outcomes with surgical interventions are sometimes associated with failure and also requiring repeat surgery with a rate of 13.4% to 32% [ 16 21 ].…”

Section: Introductionmentioning

confidence: 99%

“…Surgical interventions have been increasing rapidly, for some disorders as much as 7-fold [ 14 15 16 17 ]. The outcomes with surgical interventions are sometimes associated with failure and also requiring repeat surgery with a rate of 13.4% to 32% [ 16 21 ]. However, many patients are not candidates for surgery, nor are they willing to undergo extensive surgical interventions after failure of the initial surgical interventions [ 15 21 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of effectiveness for fluoroscopic cervical interlaminar epidural injections with or without steroid in cervical post-surgery syndrome

et al. 2018

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BackgroundNeck and back pain are leading sources of disability placing substantial burden on health care systems. Surgical interventions in managing chronic neck pain secondary to various disorders continue to increase. Even though surgical interventions are effective, a significant proportion of patients continue to have symptomatology and develop cervical post-surgery syndrome. This study was performed to know the effectiveness of cervical interlaminar epidural injections with or without steroids.MethodsThe effectiveness of fluoroscopic cervical interlaminar epidural injections in post-surgery syndrome was evaluated in a randomized, active controlled trial. The study population included 116 patients assigned to 2 groups. Group 1 received cervical interlaminar epidural injections with local anesthetic alone and Group 2 received injection with local anesthetic and steroids. The main outcomes were defined as significant improvement (greater than 50%) of pain relief using the numeric rating scale and/or functional status improvement using the Neck Disability Index (NDI).ResultsBoth groups had similar results with significant improvement (≥ 50% pain relief and functional status improvement) in 69% of the patients in Group I, whereas, in Group II, 71% of the patients showed significant improvement at the end of 2 years. During a 2-year period, the average number of procedures was 5 to 6, with an average of approximately 12 weeks of significant improvement per procedure.ConclusionsFluoroscopic cervical interlaminar epidural injections administered in cervical post-surgery syndrome using local anesthetic, regardless of the use of steroids, may be effective in approximately 70% of the patients at 2-year follow-up.

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Surgical Treatment of Cervical Radiculopathy

Abstract: 1.

Cited by 58 publications

References 33 publications

The effect of exercise on cervical radiculopathy

The effect of exercise on cervical radiculopathy

Posterior Facetectomy with Fusion Using a Pedicle Screw for Parallel-shaped Cervical Foraminal Stenosis

Comparison of effectiveness for fluoroscopic cervical interlaminar epidural injections with or without steroid in cervical post-surgery syndrome

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