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KMID : 0361620140490050394
Journal of the Korean Orthopaedic Association
2014 Volume.49 No. 5 p.394 ~ p.399
Total Uncinatectomy Revisited: Revision Surgery for Persistent Radiculopathy Following Anterior Cervical Discectomy and Fusion (ACDF)
Hong Wan-Kee

Kang Sung-Shik
Lee Dong-bong
Kim Ho-Joong
Lee Je-Min
Cho Hyeon-Guk
Chang Bong-Soon
Lee Choon-Ki
Yeom Jin-Sup
Abstract
We report on a case involving total en bloc uncinatectomy of C7 without removal of the previously inserted cage, performed on a patient with a history of previous anterior cervical discectomy and fusion without uncoforaminotomy at C5-6-7 who had persistent pain radiating to the upper extremity along with progressive weakness. Satisfactory results were achieved. This procedure should be regarded as an effective option for surgical treatment of persistent or recurrent radiculopathy caused by remaining foraminal stenosis following anterior cervical fusion, and we suggest it as a new indication for this procedure.
KEYWORD
uncinate process, uncovertebral joint, radiculopathy, total uncinatectomy, anterior cervical discectomy and fusion
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