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Minimally Invasive Cervical Foraminotomy.

Steven J McAnany1, Sheeraz A Qureshi2

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Minimally invasive posterior cervical foraminotomy effectively treats radiculopathy from herniated discs or stenosis. Both minimally invasive and open techniques show high success rates, with no significant difference between them.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery

Background:

  • Posterior cervical foraminotomy is a motion-preserving procedure for unilateral radiculopathy.
  • It is indicated for conditions like laterally located herniated discs or foraminal stenosis.

Purpose of the Study:

  • To compare the clinical success rates of minimally invasive surgery (MIS) versus open techniques for posterior cervical foraminotomy.

Main Methods:

  • Systematic review and meta-analysis of studies comparing open and MIS posterior cervical foraminotomy.
  • Pooled clinical success rates were calculated for both techniques.

Main Results:

  • Pooled clinical success rate for open posterior cervical foraminotomy was 92.7% (509 patients).
  • Pooled clinical success rate for MIS posterior cervical foraminotomy was 94.9% (208 patients).
  • The difference in success rates between open and MIS techniques was not statistically significant (p = 0.418).

Conclusions:

  • Both open and minimally invasive posterior cervical foraminotomy offer high clinical success rates.
  • MIS techniques provide comparable outcomes to open procedures for posterior cervical foraminotomy.