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Failed anterior cervical foraminotomy.

Robert J Hacker1, Christopher G Miller

  • 1Oregon Neurosurgery Specialists, Eugene, Oregon 97401, USA. BobH@oregonneurosurgery.com

Journal of Neurosurgery
|March 26, 2003
PubMed
Summary
This summary is machine-generated.

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Anterior cervical foraminotomy for degenerative cervical radiculopathy shows a high reoperation rate. This procedure is not recommended as a standalone treatment due to a significant number of patients experiencing unsatisfactory outcomes.

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Spine Surgery

Background:

  • Anterior cervical foraminotomy is proposed for radiculopathy from degenerative cervical disc disease, aiming to preserve motion segments.
  • Limited long-term follow-up and randomized studies exist for this procedure.

Purpose of the Study:

  • To evaluate the efficacy of anterior cervical foraminotomy by reviewing outcomes and failure cases.
  • To determine the reoperation rate and patient satisfaction following the procedure.

Main Methods:

  • Retrospective review of 23 patients with cervical radiculopathy treated with anterior cervical foraminotomy (1998-2000).
  • Procedure involved ipsilateral exposure, microsurgical removal of the uncovertebral joint, and partial lateral anulus/disc removal.
  • Analysis of reoperation data, including procedure type, interval, and number of procedures.

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Main Results:

  • 30% of patients required at least one additional surgical procedure.
  • Only 12 out of 23 patients achieved a good or excellent outcome at final follow-up.
  • The observed reoperation rate exceeded that reported in most anterior cervical surgery series.

Conclusions:

  • Anterior cervical foraminotomy demonstrated a high reoperation rate in this study.
  • A significant proportion of patients did not achieve satisfactory outcomes, challenging the presumed benefit of motion preservation.
  • Anterior cervical foraminotomy is not recommended as a standalone procedure.