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Ohmori et al.                                                                                                                                                                                              FPCF for bony stenosis

                                                              Final approval of manuscript: K. Ohmori, K. Ono, T. Hori

                                                              Financial support and sponsorship
                                                              None.
                                                              Conflicts of interest
                                                              There are no conflicts of interest.

                                                              Patient consent
                                                              We obtained the patients’ consent for publication of the
                                                              present literature.
           Figure 6: On the final endoscopic view in this surgery, the C6   Ethics approval
           nerve root (*) and lateral margin of the dura mater (**) can be
           clearly observed. Left side: caudal; right side: cephalic; upper side:   All procedures used in the present literature approved
           medial; lower side: lateral
                                                              by the Ethical Committee of Nippon Koukan Hospital.
           because the surface of vertebral lamina is not smooth
           due to osteoarthrosis of the facet joint.          REFERENCES
                                                              1.   Bohlman HH, Emery SE, Goodfellow DB, Jones K. Robinsonanterior
           An average of 52% of the facet joint was resected in   cervical discectomy and arthrodesis for cervical radiculopathy. Long-
           both groups.  Although  the percentage  of facet joint   term follow-up of one hundred and twenty-two patients. J Bone Joint
           resection affects  postoperative outcomes, removing   Surg Am 1993;75:1298-307.
           the perineural membrane of the nerve root in patients   2.   Brigham CD, Tsahakis PJ.  Anterior cervical  foraminotomy  and
           with bony stenosis of the intervertebral foramen is also   fusion. Surgical technique and results. Spine 1995;20:766-70.
           key for  obtaining good results because it  increases   3.   Cauthen JC,  Kinard RE, Vogler JB, Jackson DE, DePaz OB,
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                                                                 a metaanalysis of fusion rates. J Neurosurg Spine 2007;6:298-303.
           In conclusion, we recommend that FPCF be considered   5.   Raaf JE. Surgical treatment of patient with cervical disc lesions. J
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                                                                 Fager CA. Management of cervical disc lesions and spondylosis by
           Conception and design: K. Ohmori                      posterior approaches. Clin Neurosurg 1977;24:488-507.
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           Collection and assembly of data: K. Ohmori, K. Ono  9.   Henderson CM, Hennessy  RG,  Shuey HM  Jr,  Shackelford EG.
                                                                 Posterior-lateral  foraminotomy  as an exclusive operative  technique
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           Manuscript writing: K. Ohmori                         cases. Neurosurgery 1983;13:504-12.


                    A                   B                               C
















           Figure 7: (A) The osteophyte, which is seen in the sagittal plane on preoperative computer tomography [Figure 5A], is completely resected
           (arrow); (B) the intervertebral foramen has expanded satisfactorily (arrow); (C) the percent of facet joint resection is 42% (arrow). R: right side
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