REVIEW
A foraminotomia cervical posterior tem sido descrita como uma técnica segura e eficaz desde 1944, portanto, desde então, o desenvolvimento de técnicas menos invasivas demonstrou vantagens. Este estudo teve como objetivo avaliar os benefícios atuais da foraminotomia cervical posterior endoscópica para o alívio da dor em pacientes com radiculopatia. A pesquisa foi realizada utilizando os termos: endoscópica completa, posterior, cervical, foraminotomia, descompressão, discectomia. Os artigos incluídos continham descrições dos desfechos clínicos após foraminotomia endoscópica posterior completa. A diminuição da dor cervical nos grupos avaliados pelo EVA variou de 5,9% a 90,1%, nos grupos avaliados pela NRS, os valores variaram de 50% a 87,2%. A redução da dor no braço variou de 60,0% a 91,6% para os pacientes avaliados pelo EVA e os grupos avaliados pelo NRS demonstraram uma variação de 65,7% até 69,7%. As abordagens endoscópicas completas são eficazes no tratamento de hérnias discais cervicais, oferecendo resultados semelhantes aos métodos tradicionais com menos trauma e recuperação mais rápida. Estudos mostram taxas comparáveis de alívio da dor e complicações entre procedimentos minimamente invasivos e abertos. A foraminotomia cervical posterior endoscópica deve ser incorporada ao repertório terapêutico dos cirurgiões da coluna para aliviar a dor crônica, considerando suas indicações.
Posterior cervical foraminotomy has been described as a safe and effective technique since 1944, so ever since, the development of less invasive techniques demonstrated advantages. This study aimed to assess the current benefits of endoscopic posterior cervical foraminotomy for pain relief in patients with radiculopathy. The research was performed using the terms: full-endoscopic, posterior, cervical, foraminotomy, decompression, discectomy. The included articles contained descriptions of clinical outcomes after full endoscopic posterior foraminotomy. The decrease in neck pain within the VAS-assessed groups ranged from 5.9% to 90.1%, in the NRS-assessed groups, the values varied from 50% to 87.2%. Arm pain reduction ranged from 60.0% to 91.6% for VAS-assessed patients and NRS-assessed groups demonstrated a variation of 65.7% up to 69.7%. Full-endoscopic approaches are effective for treating cervical disc herniations, offering similar outcomes to traditional methods with less trauma and quicker recovery. Studies show comparable pain relief and complication rates between minimally invasive and open procedures. Full endoscopic posterior cervical foraminotomy should be incorporated into the therapeutic repertoire of spine surgeons to relieve chronic pain considering his indications.
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1Hospital Beneficência Portuguesa de São Paulo, Instituto de Ciências Neurológicas de São Paulo, São Paulo, SP, Brasil
2Universidade Municipal de São Caetano do Sul, São Caetano do Sul, SP, Brasil 3Hospital Beneficência Portuguesa de São Paulo, São Paulo, Brazil.
Received Oct 7, 2024
Corrected Jan 16, 2025
Accepted Jan 17, 2025
