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Ümraniye Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, İstanbul, Türkiye Cervical keyhole foraminotomy is indicated for the treatment of nerve root compression secondary to posterolateral disc herniation or spondylotic foraminal stenosis. It is proper for cases with normal cervical aligenement and in cases who can be decompressed with foraminotomy. However, a successful foraminotomy requires knowledge about the three dimensional anatomy of the cervical neural foramen. In this study, technical aspects of this technique is reviewed. Anahtar Kelimeler : Cervical radiculopathy, Foraminal stenosis, Key hole foraminatomy