孔切开术
医学
围手术期
外科
颈部神经根病变
麻醉
俯卧位
减压
颈椎
作者
Do H. Lim,Samuel Kim,Keong Mu Lim,Sananthan Sivakanthan,R. Michael Meyer,Patrick Kim,Christoph P. Hofstetter,Byeong Cheol Rim
标识
DOI:10.1016/j.wneu.2024.03.158
摘要
Endoscopic posterior cervical foraminotomy is gaining popularity among endoscopic spine surgeons for the treatment of radiculopathy caused by foraminal stenosis. This study describes a technique utilizing lateral decubitus position for an endoscopic posterior cervical foraminotomy under Monitored Anesthesia Care (MAC) and local anesthesia only. 10 patients with contraindications to general anesthesia underwent the procedure, resulting in an improvement in cervical radicular pain with no perioperative complications. The findings suggest that this approach is a viable alternative for high-risk patients for general anesthesia care, expanding the surgical options for the treatment of radiculopathy.
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