• World Neurosurg · Jun 2024

    Endoscopic Posterior Cervical Foraminotomy under Lateral Decubitus Position with Local Anesthesia.

    • Do H Lim, Samuel Kim, Jason K Lim, Sananthan Sivakanthan, MeyerR MichaelRMDepartment of Neurological Surgery, University of Washington, Seattle, Washington, USA., Patrick Kim, Christoph P Hofstetter, and Byeong Cheol Rim.
    • Department of Neurological Surgery, University of Washington, Seattle, Washington, USA. Electronic address: dolim@uw.edu.
    • World Neurosurg. 2024 Jun 1; 186: e456e460e456-e460.

    BackgroundEndoscopic posterior cervical foraminotomy is gaining popularity among endoscopic spine surgeons for the treatment of radiculopathy caused by foraminal stenosis.MethodsThis study describes a technique using the lateral decubitus position for endoscopic posterior cervical foraminotomy under monitored anesthesia care and local anesthesia only.ResultsA total of 10 patients with contraindications to general anesthesia underwent the procedure, resulting in improvement in cervical radicular pain with no perioperative complications.ConclusionsThe findings suggest that this approach is a viable alternative for patients at high risk of general anesthesia care, expanding the surgical options for the treatment of radiculopathy.Copyright © 2024 Elsevier Inc. All rights reserved.

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