Objective Posterior cervical laminoforaminotomy is used to relieve cervical nerve root compression caused by a laterally herniated soft cervical disc or spondylotic spur and its several advantages and disadvantages compared with anterior cervical discectomy were reported. We compared surgical results between soft ruptured disc and foraminal stenosis in posterior cervical laminoforaminotomy. M...

BACKGROUND AND OBJECTIVES Ultrasound-guided cervical periradicular steroid injection (US-CPSI) is an attractive alternate to conventional C-arm guided transforaminal epidural injection for treatment of cervical radicular pain. We compared the technical differences and clinical outcomes between these two techniques. METHODS Following ultrasound-guided needle placement, the extent of contrast m...

Surgical approaches to the neural foramen and the lateral extraforaminal space in the lumbar spine are required to treat far lateral disc herniations and shwannomas. The MetRx tubular retractor system facilitates a minimally invasive technique that directly targets the region delineated by Kambin’s triangle. This study presents technical modifications, described in a step-wise fashion, to previ...

The author performed a microsurgical cervical combined transpedicular lateral and medical procedure with partial pediculotomy (CTPP) in 78 patients (51 men 27 women) foraminal stenosis to decompress the affected nerve root. 21 Patients (27%) had multilevel (2 - 4 levels).

Background and purpose Root cord irritation from cervical spinal degenerative disease (SDD) may share clinical features with progressive multiple sclerosis (MS), so diagnostic overshadowing occur. We hypothesized that stenotic SDD is commoner in people MS, compared to controls. Methods A retrospective case–control study of 111 cases (56 MS 55 age- sex-matched controls) was conducted. Five types...