Advantage of posterior cervical foraminotomy for treating spondylotic foraminal stenosis of cervical spine 허리나은 병원 이 재학.

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Presentation transcript:

Advantage of posterior cervical foraminotomy for treating spondylotic foraminal stenosis of cervical spine 허리나은 병원 이 재학.

 Cervical radiculopathy caused by spondylotic foraminal stenosis may require surgical treatment. Surgical options include anterior cervical foraminotomy and fusion or posterior cervical foraminotomy.  The surgical approach is subject to controversy since treatment decisions are predominantly made by the individual surgeon's preference and skill. Objectives I

 The objective of this study is to evaluate efficacy and safety of posterior cervical foraminotomy for the treatment of spondylotic foraminal stenosis. Objectives II

 이 ㅇ 자 (F/45)  c/c pnp(+) c radiating pain Rt u/ext c numbness & subjective motor weakness on Rt U/ext  Spurling sign(+), Lt shoulder abd, relief sign(+)  Duration : several moths ago Case

Preop study

Post op study

Others example

 38 patients were treated by posterior cervical foraminotomy from January 2013 through December 2014 in the hospital.  M : 22 F: 16  1 level : 34 2 level : 4  The average operation time Level 1 : 54 minutes 2 level : 78 minute Method & results

 Based on Vas score before the operation and two weeks after the operations, outcomes were classified as excellent, good, fair and poor.  34 patients were observed as excellent, 4 patients as good and there was no case of fair and poor outcomes.  No complication post operatively Method & results

 Excellent surgical results were obtained from conducting posterior cervlcal foraminotomy to patients with spondylotic cervical foraminal stenosis. Comparing with ACDF, the posterior cervical foraminotomy is cost-effective and has an advantage of preserving motions in segment. Conclusion