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Posterior cervical foraminotomy should aim for sufficient decompression while maintaining the stability of the vertebral segment [1]. During biportal endoscopic posterior cervical foraminotomy using a contralateral inclinatory approach (PCIF) surgery, the operative positioning requires the surgeon to be placed on the side opposite the targeted lesion, thereby establishing an inclined surgical trajectory. This strategic inclination is effective for achieving effective distal foraminal decompression, aided by enhanced endoscopic visualization. Also, it ensures sufficient neural decompression throughout the neural foramen while simultaneously conserving the facet joint’s functionality [2, 3].

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Biportal Endoscopic Posterior Cervical Foraminotomy Using Contralateral Inclinatory Approach (Biportal Endoscopic Posterior Cervical Inclinatory Foraminotomy)

  • 章节

  • 发表日期：

    2025年

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  • Kwan-Su Song,
  • Chung Kee Chough

摘要

Posterior cervical foraminotomy should aim for sufficient decompression while maintaining the stability of the vertebral segment [1]. During biportal endoscopic posterior cervical foraminotomy using a contralateral inclinatory approach (PCIF) surgery, the operative positioning requires the surgeon to be placed on the side opposite the targeted lesion, thereby establishing an inclined surgical trajectory. This strategic inclination is effective for achieving effective distal foraminal decompression, aided by enhanced endoscopic visualization. Also, it ensures sufficient neural decompression throughout the neural foramen while simultaneously conserving the facet joint’s functionality [2, 3].