Clinical Outcomes of Single-level Posterior Percutaneous Endoscopic Cervical Foraminotomy for Patients with Less Cervical Lordosis
Objective Posterior percutaneous endoscopic cervical foraminotomy (P-PECF) is a minimally invasive surgical technique for treatment of cervical radiculopathies. Application of P-PECF to patients with preexisting loss of cervical curvature (<10°) is still controversial because violation to facet j...
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| Format: | Article |
| Language: | English |
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Korean Minimally Invasive Spine Surgery Society
2016-09-01
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| Series: | Journal of Minimally Invasive Spine Surgery and Technique |
| Subjects: | |
| Online Access: | http://www.jmisst.org/upload/pdf/jmisst-2016-00073.pdf |
| _version_ | 1797951558998032384 |
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| author | Samuel Jaeyoon Won Chi Heon Kim Chun Kee Chung Yunhee Choi Sung Bae Park Jung Hyeon Moon Won Heo Sung-Mi Kim |
| author_facet | Samuel Jaeyoon Won Chi Heon Kim Chun Kee Chung Yunhee Choi Sung Bae Park Jung Hyeon Moon Won Heo Sung-Mi Kim |
| author_sort | Samuel Jaeyoon Won |
| collection | DOAJ |
| description | Objective Posterior percutaneous endoscopic cervical foraminotomy (P-PECF) is a minimally invasive surgical technique for treatment of cervical radiculopathies. Application of P-PECF to patients with preexisting loss of cervical curvature (<10°) is still controversial because violation to facet joint may lead to kyphotic change. Clinical outcomes of P-PECF was analyzed and compared according to preoperative cervical curvature. Methods In this retrospective nested case-control study, 71 patients who underwent P-PECF due to foraminal soft disc herniation or bony stenosis were reviewed. P-PECF was performed by a single senior surgeon, and surgical methods were as previously described. Visual analogue pain scale on arm (Arm-VAS) was assessed preoperatively and postoperatively (1, 3, 6, 12 month and yearly thereafter). All patients were clinically followed for 24.5±20.0 months. The minimal clinically important difference of the Arm-VAS was set at 2.5. Patients with preoperative cervical curvature ≥10° were included in group I (n=32) and cervical curvature <10° or kyphosis were included in the group II (n=39). Results At the last follow up, 68/71 (96%) patients showed significant reduction of arm pain (Pre-operation, 7.4±2.0; post-operation, 1.5±2.0) after 1.74±0.29 months (95% CI; 1.18-2.31). The preoperative cervical curvature did not influence the outcome (p=0.4, T-test) and time to reach the clinical endpoint (p=0.34, Cox-logistic regression analysis). Conclusion P-PECF effectively reduced radicular pain due to foraminal soft disc herniation or stenosis. Preexisting loss of lordosis is not a risk factor for outcomes of P-PECF. |
| first_indexed | 2024-04-10T22:33:32Z |
| format | Article |
| id | doaj.art-fcb92fbbed1d4477be28d414a67826c6 |
| institution | Directory Open Access Journal |
| issn | 2508-2043 |
| language | English |
| last_indexed | 2024-04-10T22:33:32Z |
| publishDate | 2016-09-01 |
| publisher | Korean Minimally Invasive Spine Surgery Society |
| record_format | Article |
| series | Journal of Minimally Invasive Spine Surgery and Technique |
| spelling | doaj.art-fcb92fbbed1d4477be28d414a67826c62023-01-17T04:07:14ZengKorean Minimally Invasive Spine Surgery SocietyJournal of Minimally Invasive Spine Surgery and Technique2508-20432016-09-0111111710.21182/jmisst.2016.000734Clinical Outcomes of Single-level Posterior Percutaneous Endoscopic Cervical Foraminotomy for Patients with Less Cervical LordosisSamuel Jaeyoon Won0Chi Heon Kim1Chun Kee Chung2Yunhee Choi3Sung Bae Park4Jung Hyeon Moon5Won Heo6Sung-Mi Kim7 Department of Medicine, Seoul National University College of Medicine, Seoul, Korea Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea Medical Research Collaborating Center, Seoul National University College of Medicine, Seoul, Korea Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea Department of Neurosurgery, Seoul National University Hospital, Seoul, KoreaObjective Posterior percutaneous endoscopic cervical foraminotomy (P-PECF) is a minimally invasive surgical technique for treatment of cervical radiculopathies. Application of P-PECF to patients with preexisting loss of cervical curvature (<10°) is still controversial because violation to facet joint may lead to kyphotic change. Clinical outcomes of P-PECF was analyzed and compared according to preoperative cervical curvature. Methods In this retrospective nested case-control study, 71 patients who underwent P-PECF due to foraminal soft disc herniation or bony stenosis were reviewed. P-PECF was performed by a single senior surgeon, and surgical methods were as previously described. Visual analogue pain scale on arm (Arm-VAS) was assessed preoperatively and postoperatively (1, 3, 6, 12 month and yearly thereafter). All patients were clinically followed for 24.5±20.0 months. The minimal clinically important difference of the Arm-VAS was set at 2.5. Patients with preoperative cervical curvature ≥10° were included in group I (n=32) and cervical curvature <10° or kyphosis were included in the group II (n=39). Results At the last follow up, 68/71 (96%) patients showed significant reduction of arm pain (Pre-operation, 7.4±2.0; post-operation, 1.5±2.0) after 1.74±0.29 months (95% CI; 1.18-2.31). The preoperative cervical curvature did not influence the outcome (p=0.4, T-test) and time to reach the clinical endpoint (p=0.34, Cox-logistic regression analysis). Conclusion P-PECF effectively reduced radicular pain due to foraminal soft disc herniation or stenosis. Preexisting loss of lordosis is not a risk factor for outcomes of P-PECF.http://www.jmisst.org/upload/pdf/jmisst-2016-00073.pdfcervicalendoscopekyphosisoutcomepainspinesurgery |
| spellingShingle | Samuel Jaeyoon Won Chi Heon Kim Chun Kee Chung Yunhee Choi Sung Bae Park Jung Hyeon Moon Won Heo Sung-Mi Kim Clinical Outcomes of Single-level Posterior Percutaneous Endoscopic Cervical Foraminotomy for Patients with Less Cervical Lordosis Journal of Minimally Invasive Spine Surgery and Technique cervical endoscope kyphosis outcome pain spine surgery |
| title | Clinical Outcomes of Single-level Posterior Percutaneous Endoscopic Cervical Foraminotomy for Patients with Less Cervical Lordosis |
| title_full | Clinical Outcomes of Single-level Posterior Percutaneous Endoscopic Cervical Foraminotomy for Patients with Less Cervical Lordosis |
| title_fullStr | Clinical Outcomes of Single-level Posterior Percutaneous Endoscopic Cervical Foraminotomy for Patients with Less Cervical Lordosis |
| title_full_unstemmed | Clinical Outcomes of Single-level Posterior Percutaneous Endoscopic Cervical Foraminotomy for Patients with Less Cervical Lordosis |
| title_short | Clinical Outcomes of Single-level Posterior Percutaneous Endoscopic Cervical Foraminotomy for Patients with Less Cervical Lordosis |
| title_sort | clinical outcomes of single level posterior percutaneous endoscopic cervical foraminotomy for patients with less cervical lordosis |
| topic | cervical endoscope kyphosis outcome pain spine surgery |
| url | http://www.jmisst.org/upload/pdf/jmisst-2016-00073.pdf |
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