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Posterior microlaminoforaminotomy for cervical disc herniation
Przemysław Kunert1, Marek Prokopienko, Andrzej Marchel
1Katedra i Klinika Neurochirurgii, Warszawski Uniwersytet Medyczny, ul. Banacha 1a, 02-097 Warszawa. pkunert@wp.pl
Neurologia I Neurochirurgia Polska
|September 10, 2010
Summary
Posterior microlaminoforaminotomy effectively treats lateral cervical disc herniation, offering significant pain relief and functional recovery. This minimally invasive surgical option demonstrates a low recurrence rate and promotes a faster return to daily activities.
Area of Science:
- Neurosurgery
- Spinal Surgery
- Minimally Invasive Procedures
Background:
- Lateral cervical disc herniation often causes radiculopathy.
- Posterior microlaminoforaminotomy is a surgical technique to address this condition.
- This approach preserves spinal mobility and avoids anterior structures.
Purpose of the Study:
- To evaluate the outcomes of posterior microlaminoforaminotomy for lateral cervical disc herniation.
- To assess the safety and efficacy of this minimally invasive technique.
Main Methods:
- Retrospective analysis of 20 patients undergoing posterior microlaminoforaminotomy.
- Patients presented with unilateral cervical radiculopathy due to lateral disc herniation, with or without coexisting osteophytes.
- Surgical procedures were performed at single cervical levels (C5/C6, C6/C7, C7/Th1).
Main Results:
- 95% of patients achieved satisfactory late outcomes (Odom's criteria).
- Significant relief in radicular pain (95%), neck pain (94%), sensory loss (82%), and motor deficit (78%) was observed.
- No cases of spinal instability or secondary operations were reported, with a mean follow-up of 22 months.
Conclusions:
- Posterior microlaminoforaminotomy is a safe and effective treatment for lateral cervical disc herniation.
- The presence of osteophytes does not contraindicate this surgical approach.
- The procedure is associated with a low risk of recurrence and instability, facilitating a quicker return to normal activities.