Cervical laminoforaminotomy for radiculopathy: Symptomatic and functional outcomes in a large cohort with long-term follow-up

Ephraim W. Church, Casey H. Halpern, Ryan W. Faught, Usha Balmuri, Mark A. Attiah, Sharon Hayden, Marie Kerr, Eileen Maloney-Wilensky, Janice Bynum, Stephen J. Dante, William C. Welch, Frederick A. Simeone

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21 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)S536-S543
JournalSurgical Neurology International
Volume5
Issue number15
DOIs
StatePublished - Dec 30 2014

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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    Church, E. W., Halpern, C. H., Faught, R. W., Balmuri, U., Attiah, M. A., Hayden, S., Kerr, M., Maloney-Wilensky, E., Bynum, J., Dante, S. J., Welch, W. C., & Simeone, F. A. (2014). Cervical laminoforaminotomy for radiculopathy: Symptomatic and functional outcomes in a large cohort with long-term follow-up. Surgical Neurology International, 5(15), S536-S543. https://doi.org/10.4103/2152-7806.148029