STUDY DESIGN This technique article describes accomplishing multilevel posterior cervical decompression and lateral mass screw placement through a tubular retraction system. OBJECTIVE Multilevel foraminotomy and instrumented fusion using lateral mass screw fixation can be achieved through a minimally invasive technique using specialized retractors and intraoperative fluoroscopic imaging. SU...

BACKGROUND Minimally invasive posterior cervical foraminotomy for radicular symptoms has become more prevalent. The reported experience with microscopic tubular assisted posterior cervical laminoforaminotomy (MTPF) for the treatment of radicular pain is lacking. Tubular assisted techniques have been considered to offer significant benefit, over open procedures, in terms of minimizing tissue dam...

Aiming to achieve better results in microlumbar discectomy and foraminotomy, a double-hook retractor has been designed to retract lumbar paraspinal muscles away from the spinous process. A double-hook retractor obviates the limitations of single-hook systems.

Foraminal disc herniation at the C2–3 level is a very rare entity, for which consensus treatment protocol has not been established. This case report explains that unilateral biportal endoscopic foraminotomy effective, minimally invasive, and safe procedure this condition. A 62-year-old woman presented to our clinic with complaints of 6-week history posterior axial neck pain sudden onset hypoest...

T rise of minimally invasive techniques has returned the posterior cervical foraminotomy to the armamentarium of the spine surgeon. The morbidity associated with a midline exposure, especially with the complex insertion patterns of the posterior cervical musculature, has been difficult to reconcile with the well-tolerated anterior cervical approach. However, the development of minimally invasiv...

The technique we describe was developed for cervical foraminal stenosis for cases in which a keyhole foraminotomy would not be effective. Many cervical stenosis cases are so severe that keyhole foraminotomy is not successful. However, the technique outlined in this study provides adequate enlargement of an entire cervical foraminal diameter. This study reports on a novel foraminal expansion tec...

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...