J Korean Neurosurg Soc.  2001 Jul;30(7):870-875.

Anterior Tunnelling Operation for Cervical Radiculopathy: A Report of First 32 Cases

• Cho TH
• Song JH
• Suh JK

Abstract

OBJECTIVES
Anterior tunnelling technique consist of anterior cervical fractional interspace decompression without fusion. This method provides sufficient space for adequate neuroforaminal decompression but avoids the need for fusion or fixation. We report early clinical results of 32 cases that underwent anterior tunnelling operation for treatment of cervical radiculopathy.
METHODS
This method is identical to conventional approach until the exposure of anterior cervical body and bilateral retraction of longus colli is made. A vertical window is then made at the vertebral bodies and disc space lateral to the insertion site of the longus colli. The window is deepened with drilling that follows a tunnelling fashion down to the compressive lesion. We analyzed clinical results from 32 patients who treated between December 1998 and August 2000.
RESULTS
Satisfactory results were obtained in 87% of the patients. Two patients required revision surgery. None revealed surgical spinal instability on last follow-up.
CONCLUSION
Anterior tunnelling operation is an acceptable surgical option for the treatment of cervical radiculopathy. Its advantages are short hospitalization, minimal postoperative discomfort, and technical feasibility.

Keyword

Cervical; Tunnelling; Anterior approach

MeSH Terms

Decompression
Follow-Up Studies
Hospitalization
Humans
Radiculopathy*