A Novel Technique for Cervical Microscopic Foraminotomy Utilizing Spinous Process Splitting: Microscopic Mini-Open Foraminotomy

Introduction: In this study, we present “microscopic mini-open foraminotomy (MicroMOF)” as a new, less invasive method for posterior cervical foraminotomy. Technical Note: Using surgical microscope guidance, the spinous process is hemi-split, and the posterior muscle is detached from the laminar sub...

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Bibliographic Details
Main Authors: Shota Ikegami, Masashi Uehara, Yoshinari Miyaoka, Shugo Kuraishi, Hiroki Oba, Ryo Munakata, Takashi Takizawa, Takayuki Kamanaka, Terue Hatakenaka, Jun Takahashi
Format: Article
Language:English
Published: The Japanese Society for Spine Surgery and Related Research 2021-11-01
Series:Spine Surgery and Related Research
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Online Access:https://www.jstage.jst.go.jp/article/ssrr/5/6/5_2021-0055/_pdf/-char/en
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Summary:Introduction: In this study, we present “microscopic mini-open foraminotomy (MicroMOF)” as a new, less invasive method for posterior cervical foraminotomy. Technical Note: Using surgical microscope guidance, the spinous process is hemi-split, and the posterior muscle is detached from the laminar subperiosteal surface. Bony resection is then performed obliquely from medial posterior to lateral anterior under lateral-tilted surgical field exposure. MicroMOF has been performed successfully for cervical radiculopathy and cervical spondylotic amyotrophy, which achieved postoperative symptom improvement with few complications. Conclusions: The novel MicroMOF foraminotomy technique has been found to protect the nerve root and vertebral artery and help preserve muscle and cervical facet joint bone.
ISSN:2432-261X