Technique for Open Posterior Cervical Foraminotomy: 2-Dimensional Operative Video

Area of Science:

• Neurosurgery
• Spinal Surgery

Background:

• Foraminal stenosis is a common cause of cervical radiculopathy.
• Treatment options include anterior or posterior surgical approaches, chosen based on stenosis etiology, patient factors, and surgeon preference.

Purpose of the Study:

• To provide a step-by-step guide for performing an open posterior cervical foraminotomy.
• To illustrate the surgical technique for addressing C6-7 disc herniation causing foraminal stenosis.

Main Methods:

• Detailed surgical technique for open posterior cervical foraminotomy.
• Case presentation of a 33-year-old male with C6-7 disc herniation and radiculopathy.
• Guidance on patient positioning, anatomical considerations, and extent of bony decompression.

Main Results:

• The described surgical technique was successfully applied to a patient with symptomatic left-sided C6-7 foraminal stenosis.
• The patient tolerated the procedure without complications.
• Significant improvement in radicular arm pain and triceps weakness was observed post-operatively.

Conclusions:

• Open posterior cervical foraminotomy is an effective surgical option for treating cervical radiculopathy secondary to foraminal stenosis.
• The presented technique provides valuable guidance for surgeons performing this procedure.