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277, respectively). Prophylactic C4/5 foraminotomy did not specifically prevent postoperative C5 palsy due to foraminal stenosis at C4/5. C4/5 foraminotomy should not be recommended for avoidance of C5 palsy. Although the bony spinal parameters were similar between the F (+) and F (-) groups, the CSA in the F (+) group was significantly than that in the F (-) group in the patients without C5 palsy. C4/5 foraminotomy should not be recommended for avoidance of C5 palsy. Although the bony spinal parameters were similar between the F (+) and