Cervical laminoforaminotomy for radiculopathy: Symptomatic and functional outcomes in a large cohort with long-term follow-up
| Autor: | Marie Kerr, Janice Bynum, Eileen Maloney-Wilensky, Ryan W. Faught, Mark A. Attiah, Ephraim W. Church, Frederick A. Simeone, Stephen J. Dante, Casey H. Halpern, William C. Welch, Sharon Hayden, Usha Balmuri |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Weakness
medicine.medical_specialty medicine.diagnostic_test business.industry Incidence (epidemiology) posterior cervical foraminotomy Magnetic resonance imaging Disease surgical outcomes Surgical Neurology International: Spine Surgery Cervical radiculopathy Telephone interview laminoforaminotomy Cohort medicine Operative report Neurology (clinical) medicine.symptom business |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 2229-5097 |
| Popis: | BACKGROUND: The efficacy and safety of cervical laminoforaminotomy (FOR) in the treatment of cervical radiculopathy has been demonstrated in several series with follow-up less than a decade. However, there is little data analyzing the relative effectiveness of FOR for radiculopathy due to soft disc versus osteophyte disease. In the present study, we review our experience with FOR in a single-center cohort, with long-term follow-up. METHODS: We examined the charts of patients who underwent 1085 FORs between 1990 and 2009. A cohort of these patients participated in a telephone interview designed to assess improvement in symptoms and function. RESULTS: A total of 338 interviews were completed with a mean follow-up of 10 years. Approximately 90% of interviewees reported improved pain, weakness, or function following FOR. Ninety-three percent of patients were able to return to work after FOR. The overall complication rate was 3.3%, and the rate of recurrent radiculopathy requiring surgery was 6.2%. Soft disc subtypes compared to osteophyte disease by operative report were associated with improved symptoms (P < 0.05). The operative report of these pathologic subtypes was associated with the preoperative magnetic resonance imaging (MRI) interpretation (P < 0.001). CONCLUSIONS: These results suggest that FOR is a highly effective surgical treatment for cervical radiculopathy with a low incidence of complications. Radiculopathy due to soft disc subtypes may be associated with a better prognosis compared to osteophyte disease, although osteophyte disease remains an excellent indication for FOR. |
| Databáze: | OpenAIRE |
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