Long term outcome after cervical foraminotomy

We recently demonstrated the effectiveness of dorsal foraminotomy in lateral herniated cervical disc after 1 year follow-up in a prospective study.1The goal of this paper is to confirm these results concerning long term outcome. We carried out a prospective, consecutive study on 54 patients, operate...

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Bibliographic Details
Published in:Journal of clinical neuroscience 2000-07, Vol.7 (4), p.312-315
Main Authors: Woertgen, Chris, Rothoerl, Ralf Dirk, Henkel, Jan, Brawanski, Alexander
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
cervical disc herniation, foraminotomy, prognostic factors
Cervical Vertebrae - pathology
Cervical Vertebrae - physiopathology
Cervical Vertebrae - surgery
Female
Follow-Up Studies
Humans
Intervertebral Disc - pathology
Intervertebral Disc - physiopathology
Intervertebral Disc - surgery
Intervertebral Disc Displacement - pathology
Intervertebral Disc Displacement - physiopathology
Intervertebral Disc Displacement - surgery
Male
Medical sciences
Middle Aged
Orthopedic surgery
Prospective Studies
Recovery of Function
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Time Factors
Treatment Outcome
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Summary:We recently demonstrated the effectiveness of dorsal foraminotomy in lateral herniated cervical disc after 1 year follow-up in a prospective study.1The goal of this paper is to confirm these results concerning long term outcome. We carried out a prospective, consecutive study on 54 patients, operated on for lateral herniated cervical disc. We analysed demographic data, the case history, the neurological examination on admission and imaging data. Ninety per cent were followed up for 3.5 years postoperatively. According to their ratings on a pain scale the group were divided into favourable and unfavourable outcomes. These groups were analysed in relation to the patient’s initial condition. At follow up, 90% of patients showed complete recovery or improvement. A long standing preoperative neurological deficit seems to be an important prognostic factor for unfavourable long term outcome after cervical foraminotomy.
ISSN:0967-5868
1532-2653
DOI:10.1054/jocn.1999.0669