6533b7cffe1ef96bd12583c8

RESEARCH PRODUCT

Tissue Sparing Posterior Cervical Indirect Decompression and Fusion in Foraminal Stenosis

Pier Paolo Maria MenchettiKris SiemionowBruce M. Mccormack

subject

Foraminal stenosismedicine.medical_specialtyNerve rootbusiness.industrymedicine.medical_treatmentRadiographyIndirect decompressionFacet jointSurgerymedicine.anatomical_structureForaminotomymedicineRadiologyImplantTissue sparingbusiness

description

Treatment for patients with cervical foraminal stenosis that present with cervical radiculopathy has experienced rapid progress. Cervical spine surgical options have improved through advances in imaging, instrumentation, implant innovations and novel surgical techniques. While historical treatments are largely safe, comorbidities associated with procedures such as ACDF, TDR, and posterior foraminotomy beg the question if these procedures are too much surgery for select patients that could benefit from a tissue sparing approach. This chapter will introduce a novel, less disruptive surgical technique for achieving indirect decompression and fusion utilizing an intervertebral cervical implant. Clinical outcomes, radiographic evidence and biomechanical analysis reveal that the novel posterior approach and implant are effective for treatment of cervical radiculopathy.

https://doi.org/10.1007/978-3-319-21608-9_11