Cervical laminoforaminotomy for the treatment of cervical degenerative radiculopathy

Robert F. Heary, Timothy C. Ryken, Paul G. Matz, Paul A. Anderson, Michael W. Groff, Langston T. Holly, Michael G. Kaiser, Praveen V. Mummaneni, Tanvir F. Choudhri, Edward Vresilovic, Daniel K. Resnick

Research output: Contribution to journalReview article

31 Citations (Scopus)

Abstract

Object. The objective of this systematic review was to use evidence-based medicine to examine the efficacy of posterior laminoforaminotomy in the treatment of cervical radiculopathy. Methods. The National Library of Medicine and Cochrane Database were queried using MeSH headings and key words relevant to posterior laminoforaminotomy and cervical radiculopathy. Abstracts were reviewed, and studies meeting inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Classes I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations which contained the degree of strength based on the Scottish Intercollegiate Guidelines network. Validation was done through peer review by the Joint Guidelines Committee of the American Association of Neurological Surgeons/Congress of Neurological Surgeons. Results. Posterior laminoforaminotomy improves clinical outcome in the treatment of cervical radiculopathy resulting from soft lateral cervical disc displacement or cervical spondylosis with resulting narrowing of the lateral recess. All studies were Class III. The most frequent design flaw involved the lack of utilization of validated outcomes measures. In addition, few historical studies included a detailed preoperative analysis of the patients. As such, the vast majority of studies that included both pre- and postoperative assessments with legitimate outcomes measures have been performed since 1990. Conclusions. Posterior laminoforaminotomy is an effective treatment for cervical radiculopathy.

Original languageEnglish (US)
Pages (from-to)198-202
Number of pages5
JournalJournal of Neurosurgery: Spine
Volume11
Issue number2
DOIs
StatePublished - Aug 1 2009

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Radiculopathy
Guidelines
Outcome Assessment (Health Care)
Medical Subject Headings
National Library of Medicine (U.S.)
Spondylosis
Peer Review
Evidence-Based Medicine
Therapeutics
Consensus
Joints
Databases

All Science Journal Classification (ASJC) codes

  • Surgery
  • Neurology
  • Clinical Neurology

Cite this

Heary, R. F., Ryken, T. C., Matz, P. G., Anderson, P. A., Groff, M. W., Holly, L. T., ... Resnick, D. K. (2009). Cervical laminoforaminotomy for the treatment of cervical degenerative radiculopathy. Journal of Neurosurgery: Spine, 11(2), 198-202. https://doi.org/10.3171/2009.2.SPINE08722
Heary, Robert F. ; Ryken, Timothy C. ; Matz, Paul G. ; Anderson, Paul A. ; Groff, Michael W. ; Holly, Langston T. ; Kaiser, Michael G. ; Mummaneni, Praveen V. ; Choudhri, Tanvir F. ; Vresilovic, Edward ; Resnick, Daniel K. / Cervical laminoforaminotomy for the treatment of cervical degenerative radiculopathy. In: Journal of Neurosurgery: Spine. 2009 ; Vol. 11, No. 2. pp. 198-202.
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abstract = "Object. The objective of this systematic review was to use evidence-based medicine to examine the efficacy of posterior laminoforaminotomy in the treatment of cervical radiculopathy. Methods. The National Library of Medicine and Cochrane Database were queried using MeSH headings and key words relevant to posterior laminoforaminotomy and cervical radiculopathy. Abstracts were reviewed, and studies meeting inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Classes I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations which contained the degree of strength based on the Scottish Intercollegiate Guidelines network. Validation was done through peer review by the Joint Guidelines Committee of the American Association of Neurological Surgeons/Congress of Neurological Surgeons. Results. Posterior laminoforaminotomy improves clinical outcome in the treatment of cervical radiculopathy resulting from soft lateral cervical disc displacement or cervical spondylosis with resulting narrowing of the lateral recess. All studies were Class III. The most frequent design flaw involved the lack of utilization of validated outcomes measures. In addition, few historical studies included a detailed preoperative analysis of the patients. As such, the vast majority of studies that included both pre- and postoperative assessments with legitimate outcomes measures have been performed since 1990. Conclusions. Posterior laminoforaminotomy is an effective treatment for cervical radiculopathy.",
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Heary, RF, Ryken, TC, Matz, PG, Anderson, PA, Groff, MW, Holly, LT, Kaiser, MG, Mummaneni, PV, Choudhri, TF, Vresilovic, E & Resnick, DK 2009, 'Cervical laminoforaminotomy for the treatment of cervical degenerative radiculopathy', Journal of Neurosurgery: Spine, vol. 11, no. 2, pp. 198-202. https://doi.org/10.3171/2009.2.SPINE08722

Cervical laminoforaminotomy for the treatment of cervical degenerative radiculopathy. / Heary, Robert F.; Ryken, Timothy C.; Matz, Paul G.; Anderson, Paul A.; Groff, Michael W.; Holly, Langston T.; Kaiser, Michael G.; Mummaneni, Praveen V.; Choudhri, Tanvir F.; Vresilovic, Edward; Resnick, Daniel K.

In: Journal of Neurosurgery: Spine, Vol. 11, No. 2, 01.08.2009, p. 198-202.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Cervical laminoforaminotomy for the treatment of cervical degenerative radiculopathy

AU - Heary, Robert F.

AU - Ryken, Timothy C.

AU - Matz, Paul G.

AU - Anderson, Paul A.

AU - Groff, Michael W.

AU - Holly, Langston T.

AU - Kaiser, Michael G.

AU - Mummaneni, Praveen V.

AU - Choudhri, Tanvir F.

AU - Vresilovic, Edward

AU - Resnick, Daniel K.

PY - 2009/8/1

Y1 - 2009/8/1

N2 - Object. The objective of this systematic review was to use evidence-based medicine to examine the efficacy of posterior laminoforaminotomy in the treatment of cervical radiculopathy. Methods. The National Library of Medicine and Cochrane Database were queried using MeSH headings and key words relevant to posterior laminoforaminotomy and cervical radiculopathy. Abstracts were reviewed, and studies meeting inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Classes I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations which contained the degree of strength based on the Scottish Intercollegiate Guidelines network. Validation was done through peer review by the Joint Guidelines Committee of the American Association of Neurological Surgeons/Congress of Neurological Surgeons. Results. Posterior laminoforaminotomy improves clinical outcome in the treatment of cervical radiculopathy resulting from soft lateral cervical disc displacement or cervical spondylosis with resulting narrowing of the lateral recess. All studies were Class III. The most frequent design flaw involved the lack of utilization of validated outcomes measures. In addition, few historical studies included a detailed preoperative analysis of the patients. As such, the vast majority of studies that included both pre- and postoperative assessments with legitimate outcomes measures have been performed since 1990. Conclusions. Posterior laminoforaminotomy is an effective treatment for cervical radiculopathy.

AB - Object. The objective of this systematic review was to use evidence-based medicine to examine the efficacy of posterior laminoforaminotomy in the treatment of cervical radiculopathy. Methods. The National Library of Medicine and Cochrane Database were queried using MeSH headings and key words relevant to posterior laminoforaminotomy and cervical radiculopathy. Abstracts were reviewed, and studies meeting inclusion criteria were selected. The guidelines group assembled an evidentiary table summarizing the quality of evidence (Classes I-III). Disagreements regarding the level of evidence were resolved through an expert consensus conference. The group formulated recommendations which contained the degree of strength based on the Scottish Intercollegiate Guidelines network. Validation was done through peer review by the Joint Guidelines Committee of the American Association of Neurological Surgeons/Congress of Neurological Surgeons. Results. Posterior laminoforaminotomy improves clinical outcome in the treatment of cervical radiculopathy resulting from soft lateral cervical disc displacement or cervical spondylosis with resulting narrowing of the lateral recess. All studies were Class III. The most frequent design flaw involved the lack of utilization of validated outcomes measures. In addition, few historical studies included a detailed preoperative analysis of the patients. As such, the vast majority of studies that included both pre- and postoperative assessments with legitimate outcomes measures have been performed since 1990. Conclusions. Posterior laminoforaminotomy is an effective treatment for cervical radiculopathy.

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