• Neurosurg Focus · Jan 2008

    Case Reports

    Minimally invasive cervical microendoscopic laminoforaminotomy.

    • Domagoj Coric and Tim Adamson.
    • Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina 28207, USA. dom@cnsa.com
    • Neurosurg Focus. 2008 Jan 1; 25 (2): E2.

    AbstractSpine surgery has seen parallel interest and development in the areas of motion preservation and minimally invasive surgery. Posterior microendoscopic laminoforaminotomy (MELF) allows for neural decompression while maintaining motion via a minimally invasive approach. This technique shares the advantage of maintenance of motion with arthroplasty, but without the need for instrumentation. Therefore, the procedure is motion preserving, minimally invasive and cost-effective. The ideal indications for posterior MELF include unilateral radiculopathy secondary to "hard disc" or spondylosis, as well as soft disc herniations. The authors present a modified surgical technique for posterior MELF as well as a case study illustrating its synergy with anterior arthroplasty.

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