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Updated: Nov 8, 2025
Transforaminal Full-Endoscopic Lumbar Foraminotomy Under Local Anesthesia for L5/S1 Adjacent Segment Foraminal Stenosis
Published on: October 17, 2025
Outcomes and technical issues of transcorporeal anterior cervical microforaminotomy in patients with cervical
M M Rahman1, L R Moscote-Salazar2, E Garcia-Ballestas2
1Neurosurgery department, Holy Family Red Crescent Medical College, 1, Eskaton Garden road, 1000 Dhaka, Bangladesh.
Introduction:
Transcorporeal anterior cervical microforaminotomy is a motion-preserving surgery. It addresses directly to the prolapsed disc in contrast to posterior laminoforaminotomy and does not affect facet joints; in the transuncal approach, there is a chance of vertebral artery injury and it also decreases disc height; hence, may alter the motion of that segment.
Objective:
Aim is to assess the outcome of surgery and its effectiveness.
Methods:
A total of 40 patients were observed retrospectively of which 33 were male and 7 were female. A single study of transcorporeal anterior cervical microforaminotomy was analyzed in a private hospital (Comfort Hospital), Dhaka, Bangladesh. Patients having pure brachialgia who were not relieved by conservative treatment over 6-8 weeks in cervical disc prolapse were included in the study. Patients having more than one level of disease, features of myelopathy, or instability were excluded from the study.
Results:
All patients were pain-free postoperatively, although after one to two months 2 out of 40 patients developed brachialgia and required anterior cervical discectomy and fusion.
Conclusion:
Transcorporeal microforaminotomy for brachialgia is a safe and effective approach that is motion preserving and minimally invasive as well.
