Back to Search Start Over

Cervical disc hernia operations through posterior laminoforaminotomy

Authors :
Coskun Yolas
Nuriye Guzin Ozdemir
Hilmi Onder Okay
Ayhan Kanat
Mehmet Senol
Ibrahim Burak Atci
Hakan Yilmaz
Mustafa Kemal Coban
Mehmet Onur Yuksel
Umit Kahraman
Source :
Journal of Craniovertebral Junction and Spine, Vol 7, Iss 2, Pp 91-95 (2016)
Publication Year :
2016
Publisher :
Wolters Kluwer Medknow Publications, 2016.

Abstract

Objective: The most common used technique for posterolateral cervical disc herniations is anterior approach. However, posterior cervical laminotoforaminomy can provide excellent results in appropriately selected patients with foraminal stenosis in either soft disc prolapse or cervical spondylosis. The purpose of this study was to present the clinical outcomes following posterior laminoforaminotomy in patients with radiculopathy. Materials and Methods: We retrospectively evaluated 35 patients diagnosed with posterolateral cervical disc herniation and cervical spondylosis with foraminal stenosis causing radiculopathy operated by the posterior cervical keyhole laminoforaminotomy between the years 2010 and 2015. Results: The file records and the radiographic images of the 35 patients were assessed retrospectively. The mean age was 46.4 years (range: 34-66 years). Of the patients, 19 were males and 16 were females. In all of the patients, the neurologic deficit observed was radiculopathy. The posterolaterally localized disc herniations and the osteophytic structures were on the left side in 18 cases and on the right in 17 cases. In 10 of the patients, the disc level was at C5-6, in 18 at C6-7, in 2 at C3-4, in 2 at C4-5, in 1 at C7-T1, in 1 patient at both C5-6 and C6-7, and in 1 at both C4-5 and C5-6. In 14 of these 35 patients, both osteophytic structures and protruded disc herniation were present. Intervertebral foramen stenosis was present in all of the patients with osteophytes. Postoperatively, in 31 patients the complaints were relieved completely and four patients had complaints of neck pain and paresthesia radiating to the arm (the success of operation was 88.5%). On control examinations, there was no finding of instability or cervical kyphosis. Conclusion: Posterior cervical laminoforaminotomy is an alternative appropriate choice in both cervical soft disc herniations and cervical stenosis.

Details

Language :
English
ISSN :
09748237
Volume :
7
Issue :
2
Database :
Directory of Open Access Journals
Journal :
Journal of Craniovertebral Junction and Spine
Publication Type :
Academic Journal
Accession number :
edsdoj.7c879a4e0b354106b7e61b54d42d9f2d
Document Type :
article
Full Text :
https://doi.org/10.4103/0974-8237.181854