Microsurgical cervical nerve root decompression by anterolateral approach.
OBJECTIVE
Cervical radiculopathy caused by a posterolateral soft disc herniation or spondylosis is a common pathology.


METHODS
Decompression of a stressed cervical nerve root is a routine neurosurgical procedure. Most of the time it is achieved through an anterior approach and, less frequently, through a posterior approach in specific indications.


RESULTS
According to the principles that an anterolateral compression must directly be reached and that working in the vicinity of the vertebral artery is safe under visual control, we developed the anterolateral approach to the cervical intervertebral foramen and the nerve root using a minimally invasive technique to remove the offending process.


CONCLUSIONS
Microsurgical cervical nerve root decompression by anterolateral approach is a minimally invasive technique, permitting one to remove the offending process staightforwardly. The disc and bone resections are minimal. This method avoids osteoarthrodesis or arthroplasty with disc prosthesis. This technique is efficient with good results and low morbidity.
Department of Neurosurgery, Lariboisière Hospital, Paris, France. mbruneau@ulb.ac.be
Michaël
M
Bruneau
Jan Frédérick
JF
Cornelius
Bernard
B
George
D002574:Cervical Vertebrae / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D009408:Nerve Compression Syndromes / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods*; D013117:Spinal Cord Compression / Q000601:surgery*; D013126:Spinal Nerve Roots / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods