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
Operative Neurosurgery – Oxford University Press
Published: Mar 29, 2018
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