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A Novel Technique for Cervical Microscopic Foraminotomy Utilizing Spinous Process Splitting: Microscopic Mini-Open
Shota Ikegami1, Masashi Uehara1, Yoshinari Miyaoka1
1Department of Orthopaedic Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Spine Surgery and Related Research
|December 30, 2021
Summary
A new microscopic mini-open foraminotomy (MicroMOF) offers a less invasive approach to posterior cervical foraminotomy, preserving key anatomical structures and improving patient symptoms with minimal complications.
Area of Science:
- Neurosurgery
- Spinal Surgery
Background:
- Posterior cervical foraminotomy is a surgical procedure to decompress nerve roots.
- Minimally invasive techniques aim to reduce surgical trauma and improve outcomes.
Purpose of the Study:
- To introduce and describe the microscopic mini-open foraminotomy (MicroMOF) technique.
- To evaluate the safety and efficacy of MicroMOF for cervical radiculopathy and spondylotic amyotrophy.
Main Methods:
- MicroMOF utilizes surgical microscope guidance for precise bone resection.
- The technique involves hemi-splitting the spinous process and oblique bony resection.
- Muscle detachment and preservation of the facet joint are key aspects of the procedure.
Main Results:
- MicroMOF was successfully performed in patients with cervical radiculopathy and spondylotic amyotrophy.
- The procedure achieved significant postoperative symptom improvement.
- Few complications were observed following the MicroMOF procedure.
Conclusions:
- MicroMOF is a novel, less invasive technique for posterior cervical foraminotomy.
- The technique effectively protects the nerve root and vertebral artery.
- MicroMOF aids in preserving paraspinal muscles and cervical facet joint bone integrity.
