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Endoscopic Posterior Cervical Foraminotomy Under Lateral Decubitus Position with Local Anesthesia
Do H Lim1, Samuel Kim2, Jason K Lim3
1Department of Neurological Surgery, University of Washington, Seattle, Washington, USA.
Background:
Endoscopic posterior cervical foraminotomy is gaining popularity among endoscopic spine surgeons for the treatment of radiculopathy caused by foraminal stenosis.
Methods:
This study describes a technique using the lateral decubitus position for endoscopic posterior cervical foraminotomy under monitored anesthesia care and local anesthesia only.
Results:
A total of 10 patients with contraindications to general anesthesia underwent the procedure, resulting in improvement in cervical radicular pain with no perioperative complications.
Conclusions:
The findings suggest that this approach is a viable alternative for patients at high risk of general anesthesia care, expanding the surgical options for the treatment of radiculopathy.
