Microendoscopic Posterior Cervical Foraminotomy Using TELIGEN: 2-Dimensional Operative Video

This operative video details the treatment of cervical radiculopathy caused by unilateral cervical foraminal stenosis through a microendoscopic posterior cervical foraminotomy in the sitting position using the TELIGEN system. A 67-year-old male patient presented with a unilateral C6-7 radiculopathy with imaging corroborating severe foraminal stenosis. Therefore, a microendoscopic posterior cervical foraminotomy was recommended rather than an anterior cervical diskectomy and fusion or arthroplasty to preserve segmental motion and minimize hardware-related complications. This video reviews the nuances of this approach and key surgical steps. Emphasis is given to the patient positioning and ergonomic favorability and enhanced visualization afforded by the TELIGEN endoscopic platform. The patient tolerated the procedure well and reported significant improvement of radiculopathy after surgery. At 2-week follow-up, the patient reported resolution of his preoperative symptoms and returned to normal activity without restrictions. The patient consented to the procedure, and the participants and any identifiable individuals consented to publication of his/her image.