Single-Incision Posterior Endoscopic Cervical Foraminotomy for 2-Level Cervical Radiculopathy

This report demonstrates the preoperative workup, surgical planning, and execution for performing 2-level posterior endoscopic foraminotomy. Unilateral radiating arm pain, resulting from degenerative changes in the cervical spine, typically stems from lateral disc herniations or osteophytes within the intervertebral foramen. Posterior endoscopic cervical foraminotomy is a minimally invasive surgical technique to decompress the cervical nerve root without sacrificing a motion segment. A 42-year-old male patient with C6 and C7 radiculopathy experienced insufficient pain relief in response to nonoperative therapy. Radiological imaging demonstrated a neuroforaminal nerve compression at the left side of the C6 and C7 levels. Two-level single-incision posterior cervical endoscopic foraminotomy was performed. In this detailed demonstration of the case, the reader will learn the surgical technique and anatomical considerations to safely perform this cervical endoscopic procedure.