Posterior endoscopic cervical foraminotomy (FE-PCF) has emerged as an
alternative to ACDF or open posterior foraminotomy for treating cervical radiculopathy
caused by foraminal stenosis or herniated discs. In this chapter, the authors provide an
overview of the surgically applied anatomy relevant to the FE-PCF. The procedure
involves using advanced endoscopic visualization and surgical instruments to achieve
precise decompression of the affected nerve root. Therefore, the authors summarize the
key features of posterior endoscopic cervical foraminotomy, including its advantages
over traditional open surgery, such as lower complication rates, reduced tissue
disruption, and faster recovery times. They employ illustrative step-by-step instructions
that the novice endoscopic spine surgeon can employ to execute the posterior
endoscopic cervical foraminotomy safely and effectively.
Keywords: Posterior endoscopic cervical foraminotomy, Cervical radiculopathy, Applied surgical anatomy.
