Comparison Between Open Procedure and Tubular Retractor Assisted Procedure for Cervical Radiculopathy: Results of a Randomized Controlled Study
نویسندگان
چکیده
Posterior cervical foraminotomy is an effective surgical technique for the treatment of radicular pain caused by foraminal stenosis or posterolateral herniated discs. The present study was performed to compare the clinical parameters and surgical outcomes of open foraminotomy/discectomy (OF/OFD) and tubular retractor assisted foraminotomy/discectomy (TAF/TAFD) in the treatment of cervical radiculopathy. A total of 41 patients were divided into two groups: 19 patients in Group 1 underwent OF/OFD and 22 patients in Group 2 underwent TAF/TAFD. Among the various clinical parameters, skin incision size, length of hospital stay, analgesic using time, and postoperative neck pain (for the first 4 weeks after the operation) were favorable in Group 2. Surgical outcomes were not different between the two groups. In conclusion, TAF/TAFD should increase patient's compliance and is as clinically effective as much as the OF/OFD.
منابع مشابه
Mini Open Foraminotomy for Cervical Radiculopathy: A Comparison of Large Tubular and TrimLine Retractors
STUDY DESIGN Retrospective chart review. PURPOSE A comparison of mini open foraminotomy (MOF) for cervical radiculopathy using either large tubular (LT) or TrimLine (TL) retractors. OVERVIEW OF LITERATURE Posterior foraminotomy relieves compression of the cervical nerve root in radiculopathy patients. However, invasion of the paravertebral muscle may cause major problems in these patients. ...
متن کاملMini Open Foraminotomy (MOF) for Cervical Radiculopathy: Technical Note
Background: Favorable surgical results had been reported in cervical posterior foraminotomy using endoscopy; however, the learning curve for the surgeon is steep. We therefore developed a procedure that can be performed more easily and with small incision, called “Mini Open Foraminotomy (MOF)”, using a tubular retractor (22mm diameter) under direct vision. The purpose of this study was to demon...
متن کاملThe learning curve of minimally-invasive lumbar microdiscectomy.
OBJECT The safe integration into practice of a new surgical technique requires an appreciation of the learning curve. The object of this study was to assess the learning curve for minimally invasive microdiscectomy (MIM) utilizing a tubular retractor system. METHODS A prospective evaluation of a single surgeon's first 52 consecutive MIM cases for radiculopathy secondary to single-level poster...
متن کاملMinimally invasive fully endoscopic two-level posterior cervical foraminotomy: technical note.
Posterior cervical foraminotomy is an effective surgical treatment method for relieving radicular symptoms that result from cervical nerve root compression. Minimally invasive techniques and tubular retractor systems are available to minimize tissue retraction, but minimally invasive approaches can carry with them the surgical challenge of trying to pass instruments through a long narrow retrac...
متن کاملComparison of outcomes and safety of using hydroxyapatite granules as a substitute for autograft in cervical cages for anterior cervical discectomy and interbody fusion
Background: After cervical discectomy, autogenetic bone is packed into the cage to increase the rate of union between adjacent vertebral bodies, but donor site–related complications can still occur. In this study we evaluate the use of hydroxyapatite granules as a substitute for autograft for interbody fusion. Methods: From November 2008 to November 2011, 236 patients participated in ...
متن کامل