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Comparison between open procedure and tubular retractor assisted procedure for cervical radiculopathy: results of a randomized controlled study.

Kim KT, Kim YB - J. Korean Med. Sci. (2009)

Bottom Line: Among the various clinical parameters, skin incision size, length of hospital stay, analgesic using time, and postoperative neck pain (for the first 4 weeks after the operation) were favorable in Group 2.Surgical outcomes were not different between the two groups.In conclusion, TAF/TAFD should increase patient's compliance and is as clinically effective as much as the OF/OFD.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea.

ABSTRACT
Posterior cervical foraminotomy is an effective surgical technique for the treatment of radicular pain caused by foraminal stenosis or posterolateral herniated discs. The present study was performed to compare the clinical parameters and surgical outcomes of open foraminotomy/discectomy (OF/OFD) and tubular retractor assisted foraminotomy/discectomy (TAF/TAFD) in the treatment of cervical radiculopathy. A total of 41 patients were divided into two groups: 19 patients in Group 1 underwent OF/OFD and 22 patients in Group 2 underwent TAF/TAFD. Among the various clinical parameters, skin incision size, length of hospital stay, analgesic using time, and postoperative neck pain (for the first 4 weeks after the operation) were favorable in Group 2. Surgical outcomes were not different between the two groups. In conclusion, TAF/TAFD should increase patient's compliance and is as clinically effective as much as the OF/OFD.

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Postoperative CT shows the foramintomy defect. (A) Transverse diameter (B) Vertical diameter.
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Figure 1: Postoperative CT shows the foramintomy defect. (A) Transverse diameter (B) Vertical diameter.

Mentions: The preoperative and postoperative evaluation consisted of a radiologic finding, a neurological examination, and a pain scoring for the upper arm and neck using a Visual analogue scale (VAS). Postoperative evaluations were done on days 1 and 5, week 4, and months 3, 6, 12, and 24 after the operation. The clinical outcomes were evaluated using modified Odom et al. criteria (13) (Table 1). All patients underwent a preoperative MRI as well as preoperative and postoperative computed tomography (CT) scans. The postoperative CT scan was done on 5 days after the operation. We calculated the vertical and transverse diameters of the foraminotomy using the postoperative CT scan (Fig. 1).


Comparison between open procedure and tubular retractor assisted procedure for cervical radiculopathy: results of a randomized controlled study.

Kim KT, Kim YB - J. Korean Med. Sci. (2009)

Postoperative CT shows the foramintomy defect. (A) Transverse diameter (B) Vertical diameter.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2719221&req=5

Figure 1: Postoperative CT shows the foramintomy defect. (A) Transverse diameter (B) Vertical diameter.
Mentions: The preoperative and postoperative evaluation consisted of a radiologic finding, a neurological examination, and a pain scoring for the upper arm and neck using a Visual analogue scale (VAS). Postoperative evaluations were done on days 1 and 5, week 4, and months 3, 6, 12, and 24 after the operation. The clinical outcomes were evaluated using modified Odom et al. criteria (13) (Table 1). All patients underwent a preoperative MRI as well as preoperative and postoperative computed tomography (CT) scans. The postoperative CT scan was done on 5 days after the operation. We calculated the vertical and transverse diameters of the foraminotomy using the postoperative CT scan (Fig. 1).

Bottom Line: Among the various clinical parameters, skin incision size, length of hospital stay, analgesic using time, and postoperative neck pain (for the first 4 weeks after the operation) were favorable in Group 2.Surgical outcomes were not different between the two groups.In conclusion, TAF/TAFD should increase patient's compliance and is as clinically effective as much as the OF/OFD.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea.

ABSTRACT
Posterior cervical foraminotomy is an effective surgical technique for the treatment of radicular pain caused by foraminal stenosis or posterolateral herniated discs. The present study was performed to compare the clinical parameters and surgical outcomes of open foraminotomy/discectomy (OF/OFD) and tubular retractor assisted foraminotomy/discectomy (TAF/TAFD) in the treatment of cervical radiculopathy. A total of 41 patients were divided into two groups: 19 patients in Group 1 underwent OF/OFD and 22 patients in Group 2 underwent TAF/TAFD. Among the various clinical parameters, skin incision size, length of hospital stay, analgesic using time, and postoperative neck pain (for the first 4 weeks after the operation) were favorable in Group 2. Surgical outcomes were not different between the two groups. In conclusion, TAF/TAFD should increase patient's compliance and is as clinically effective as much as the OF/OFD.

Show MeSH
Related in: MedlinePlus