Seminars in cervical disc herniation: Posterior cervical foraminotomy—Indications, technical nuances, and a review of outcomes

Posterior cervical foraminotomy for the treatment of symptomatic cervical disc herniation is a well-established and effective procedure providing long-lasting relief of radicular pain. Many patients will have partial to complete resolution of radicular symptoms without any surgical treatment, (Carette and Fehlings, 20051) and it is therefore reasonable to provide a trial of nonsurgical management in the absence of weakness, or pain causing significant disability. Attention to technique and anatomy is essential in limiting morbidity, which can include focal motor neuropathy and pain. Guidance for treatment of cervical radiculopathy with a posterolateral soft disc compression corresponding to the symptomatic level is through class III studies.