Microsurgical cervical nerve root decompression by anterolateral approach.

Full Abstract

OBJECTIVE: Cervical radiculopathy caused by a posterolateral soft disc herniation or spondylosis is a common pathology. METHODS: Decompression of a stressed cervical nerve root is a routine neurosurgical procedure. Most of the time it is achieved through an anterior approach and, less frequently, through a posterior approach in specific indications. RESULTS: According to the principles that an anterolateral compression must directly be reached and that working in the vicinity of the vertebral artery is safe under visual control, we developed the anterolateral approach to the cervical intervertebral foramen and the nerve root using a minimally invasive technique to remove the offending process. CONCLUSION: Microsurgical cervical nerve root decompression by anterolateral approach is a minimally invasive technique, permitting one to remove the offending process staightforwardly. The disc and bone resections are minimal. This method avoids osteoarthrodesis or arthroplasty with disc prosthesis. This technique is efficient with good results and low morbidity.

Author information

Author/s: Bruneau, Michaël (M); Cornelius, Jan Frédérick (JF); George, Bernard (B);

Affiliation: Department of Neurosurgery, Lariboisière Hospital, Paris, France. mbruneau(-atsign-)ulb.ac.be

Journal and publication information

Publication Type: Comparative Study; Journal Article

Journal: Neurosurgery (Neurosurgery), published in United States. (Language: eng)

Reference: 2006-Feb; vol 58 (issue 1 Suppl) : pp ONS108-13; discussion ONS108-13

Dates: Created 2006/03/17; Completed 2006/05/31; Revised 2006/11/15;

PMID: 16543867, status: MEDLINE (last retrieved date: 2/18/2009)

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