Anterior Cervical Foraminotomy: 2-Dimensional Operative Video

Anterior Cervical Foraminotomy: 2-Dimensional Operative Video SURGICAL VIDEO Anterior Cervical Foraminotomy: 2-Dimensional Operative Video ∗ ‡ Lee A. Tan, MD , K. Daniel Riew, MD ∗ ‡ Department of Neurosurgery, UCSF Medical Center, San Francisco, California; The Spine Hospital, Columbia University Medical Center, New York, New York Watch now at https://academic.oup.com/ons/article-lookup/doi/10.1093/ons/opy071 Correspondence: Lee A. Tan, MD, Department of Neurological Surgery, UCSF Medical Center, 505 Parnassus Ave, San Francisco, CA 94143. E-mail: Lee.Tan@ucsf.edu Weprovideastep-by-steptechniqueguideforperforming need for cervical spine fusion. Spine surgeons should be anterior cervical foraminotomy in this video. An illus- familiar with technique and use it as a motion-preserving trative case was presented with detailed narration surgical option in treating isolated cervical radiculopathy. and a discussion of surgical nuances. Anterior cervical There is no identifying information in this video. A patient foraminotomy canbeaneeff ctivetreatment strategy for consent was obtained for publishing of the material patients with unilateral cervical radiculopathy without the included in the video. KEY WORDS: Cervical radiculopathy, foraminotomy, anterior foraminotomy, uncinate process, foraminal stenosis Operative Neurosurgery 0:1, 2018 DOI:10.1093/ons/opy071 Received, January 22, 2018. Accepted, March 15, 2018. Disclosures discectomy and fusion (ACDF) or total disk replacement (TRD). As a result, many surgeons may not be familiar with the nuances and focused Dr Riew is a consultant for Medtronic and Biomet. The authors have no anatomy of this approach (ex: consideration of anterior joint integrity personal, financial, or institutional interest in any of the drugs, materials, or when not instrumenting). Current neurosurgery trainees also may not devices described in this article. be exposed to this surgery in their training programs. This operation is an excellent, less invasive alternative to fusion or arthroplasty. Like the posterior foraminotomy, younger patients with soft disk herniations COMMENT often can have excellent clinical results that are sustained over time. The current video and narration should serve as excellent instructional tool he authors provide a well-narrated video taking the viewer through for neurosurgeons who are either learning this approach of those would T each step of an anterior cervical foraminotomy. The authors discuss like to incorporate it into their practice. the details of the approach and show how this technique can be appro- priately applied through an illustrative case. Zachary A. Smith While the anterior cervical approach is well known to practicing Chicago, Illinois neurosurgeons, it is much more commonly applied for anterior cervical OPERATIVE NEUROSURGERY VOLUME 0 | NUMBER 0 | 2018 | 1 Downloaded from https://academic.oup.com/ons/advance-article-abstract/doi/10.1093/ons/opy071/4956240 by Ed 'DeepDyve' Gillespie user on 08 June 2018 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Operative Neurosurgery Oxford University Press

Anterior Cervical Foraminotomy: 2-Dimensional Operative Video

Free
1 page

Loading next page...
1 Page
 
/lp/ou_press/anterior-cervical-foraminotomy-2-dimensional-operative-video-vzhCvQ20Om
Publisher
Oxford University Press
Copyright
Copyright © 2018 by the Congress of Neurological Surgeons
ISSN
2332-4252
eISSN
2332-4260
D.O.I.
10.1093/ons/opy071
Publisher site
See Article on Publisher Site

Abstract

SURGICAL VIDEO Anterior Cervical Foraminotomy: 2-Dimensional Operative Video ∗ ‡ Lee A. Tan, MD , K. Daniel Riew, MD ∗ ‡ Department of Neurosurgery, UCSF Medical Center, San Francisco, California; The Spine Hospital, Columbia University Medical Center, New York, New York Watch now at https://academic.oup.com/ons/article-lookup/doi/10.1093/ons/opy071 Correspondence: Lee A. Tan, MD, Department of Neurological Surgery, UCSF Medical Center, 505 Parnassus Ave, San Francisco, CA 94143. E-mail: Lee.Tan@ucsf.edu Weprovideastep-by-steptechniqueguideforperforming need for cervical spine fusion. Spine surgeons should be anterior cervical foraminotomy in this video. An illus- familiar with technique and use it as a motion-preserving trative case was presented with detailed narration surgical option in treating isolated cervical radiculopathy. and a discussion of surgical nuances. Anterior cervical There is no identifying information in this video. A patient foraminotomy canbeaneeff ctivetreatment strategy for consent was obtained for publishing of the material patients with unilateral cervical radiculopathy without the included in the video. KEY WORDS: Cervical radiculopathy, foraminotomy, anterior foraminotomy, uncinate process, foraminal stenosis Operative Neurosurgery 0:1, 2018 DOI:10.1093/ons/opy071 Received, January 22, 2018. Accepted, March 15, 2018. Disclosures discectomy and fusion (ACDF) or total disk replacement (TRD). As a result, many surgeons may not be familiar with the nuances and focused Dr Riew is a consultant for Medtronic and Biomet. The authors have no anatomy of this approach (ex: consideration of anterior joint integrity personal, financial, or institutional interest in any of the drugs, materials, or when not instrumenting). Current neurosurgery trainees also may not devices described in this article. be exposed to this surgery in their training programs. This operation is an excellent, less invasive alternative to fusion or arthroplasty. Like the posterior foraminotomy, younger patients with soft disk herniations COMMENT often can have excellent clinical results that are sustained over time. The current video and narration should serve as excellent instructional tool he authors provide a well-narrated video taking the viewer through for neurosurgeons who are either learning this approach of those would T each step of an anterior cervical foraminotomy. The authors discuss like to incorporate it into their practice. the details of the approach and show how this technique can be appro- priately applied through an illustrative case. Zachary A. Smith While the anterior cervical approach is well known to practicing Chicago, Illinois neurosurgeons, it is much more commonly applied for anterior cervical OPERATIVE NEUROSURGERY VOLUME 0 | NUMBER 0 | 2018 | 1 Downloaded from https://academic.oup.com/ons/advance-article-abstract/doi/10.1093/ons/opy071/4956240 by Ed 'DeepDyve' Gillespie user on 08 June 2018

Journal

Operative NeurosurgeryOxford University Press

Published: Mar 29, 2018

There are no references for this article.

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off