JOURNAL ARTICLE

Laser-assisted posterior cervical foraminotomy and discectomy for lateral and foraminal cervical disc herniation

Yong Ahn, Kang Seok Moon, Byung-Uk Kang, Sung Min Hur, Jin Duck Kim
Photomedicine and Laser Surgery 2012, 30 (9): 510-5
22793668

OBJECTIVE: Posterior cervical foraminotomy and discectomy (PCFD) is regarded as an effective treatment option for cervical radiculopathy. However, limited exposure of the disc space is one of its major disadvantages. To address this problem, we used a CO(2) laser for sophisticated decompression. The purpose of this study was to demonstrate the clinical outcomes of laser-assisted PCFD and to discuss the benefits of laser use.

METHODS: A total of 47 consecutive patients with cervical radiculopathy were treated with PCFD. Among them, 24 patients were treated with laser-assisted PCFD, and the remaining 23 patients were treated with conventional PCFD. After standard posterior cervical microscopic foraminotomy, a microscopic CO(2) laser was used for selective discectomy in the laser PCFD group. Clinical data were compared with a minimum 2-year follow-up period. Clinical outcomes were evaluated using the visual analogue scale (VAS), Neck Disability Index (NDI), and modified MacNab criteria.

RESULTS: The clinical outcomes of the two groups were similar. The mean VAS score for radicular arm pain improved from 7.42 to 1.83 in the laser PCFD group and from 8.30 to 1.65 in the conventional PCFD group. The mean NDI improved from 47.00% to 10.46% in the laser PCFD group and from 53.86% to 10.02% in the conventional PCFD group. The rate of excellent or good outcomes was 87.5% for the laser PCFD group and 86.9% for the conventional PCFD group. A significant difference between the groups was found for intraoperative bleeding. The laser PCFD group had significantly lower estimated blood loss values than did the conventional PCFD group (p<0.05).

CONCLUSIONS: Laser-assisted PCFD is an efficacious surgical option for treating lateral cervical disc herniation. The pinpoint accuracy of the laser scalpel facilitates sophisticated decompression within a limited surgical field, and may reduce the risk of intraoperative bleeding and neural damage.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
22793668
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.