Medial cervical facetectomy performed on patients using a high speed drill
and-microscope represents an effective way for treatment of patients with r
adiculopathy due to multi-level, either uni- or bilateral, foraminal stenos
is. The author presents the results of medial cervical facetectomy performe
d in 71 cases during a 4 year period. Medial cervical facetectomy appears t
o provide significant benefits to patients with radiculopathy secondary to
foraminal stenosis. The procedure also appears to be superior to complete f
oraminotomy for relief of radiculopathy as the lateral third to half of the
facet joint is still preserved and there is no instability problem.