Objectives: comparing minimally invasive posterior cervical foraminotomy versus anterior cervical discectomy and fusion to determine the best approach in cases of cervical radiculopathy.
Methods: This study carried out in Zagazig University Hospital, Neurosurgery Department during the year from 2017 to 2019. It was an interventional prospective study. The sample size was 24(12for each group) all patients suffering from cervical radiculopathy examined and had full radiological and laboratory investigations fulfilling the inclusion criteria and all of them will be included in the study as a comprehensive sample and divided randomizally into two groups.
Results: 24 patients with posterolateral or foraminal cervical disc will be divided into two groups (12) for each and treated surgically.
Conclusion: Posterior microscopic cervical foraminotomy is a safe and effective motion preserving approach for treatment of cervical radiculopathy in well selected cases. It has comparable outcomes to the ACDF approach with avoidance of possible complications associated with anterior approaches.