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Subject Area

Neurosurgery

Article Type

Original Study

Abstract

Objective Assessment of the efficacy and clinical outcome of posterior cervical foraminotomy in patients suffering from cervical polyradiculopathy. Background Posterior cervical procedure was the first method for management of cervical disc disease, until the appearance of anterior cervical discectomy and fusion, but in recent years, posterior cervical foraminotomy has a comeback as it does not entail fusion. Patients and methods Thirty patients suffering from cervical polyradiculopathy were operated through posterior cervical foraminotomy at Menoufia University Hospital. Results A total of 30 patients were operated, the most common level affected in this series was C5/C6 presented in 23 (31.5%) cases, followed by C6/C7 level presented in 21 (28.7%) cases, 15 (20.5%) cases with C4/C5, and 14 (19.2%) cases with C3/C4 affection. In this study; 26 (86%) cases had excellent and good outcomes according to Odom's criteria of outcome grading, while four cases had a fair outcome. Conclusion Posterior cervical foraminotomy is a safe and effective motion-preserving approach for treatment of cervical radiculopathy in well-selected cases. It has comparable outcomes to anterior cervical discectomy and fusion approach with avoidance of possible complications associated with anterior approaches.

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