Cervical Posterior Foraminotomy

Overview:

For cases where Stenosis has already begun, we may recommend a Cervical Posterior Foraminotomy over an artifical disc as it is necessary to remove the bone growth in order to take pressure off of spinal nerves. This surgery removes bone and/or portions of a herniated or diseased disc to relieve neck and radiating arm pain caused by parts of the disc pressing on nerve roots. The video below gives a detailed overview of the procedure.




 

Recovery:

This was one of the early approaches to the spine. With the advent of anterior cervical discectomy, fusion and, later, plating it was not commonly used.

The reasons for this had to do with positioning for surgery and accurate localization. I am unique in using the lateral position for these procedures. This allows accurate localization and diminished soft tissue dissection.

Generally this helps reduce the amount of postoperative discomfort patients experience allowing most patients to be done as an outpatient. Obviously, there is a period of time immediately after the surgery were neck range of motion appears reduced, because of the spasm associated with the surgery. However, after adequate healing, neck range of motion is restored through exercise.

Patients do not lose range of motion through this procedure. Multiple levels can be addressed at the same time, again without any restriction of range of motion that might be experienced with multiple levels of fusion anteriorly.

schedule_appointment_icon

  • Artificial Disc Replacement

    Artificial Disc Replacement

    An artificial cervical disc is a device inserted between two vertebrae in the neck to replace a damaged disc. It is best used for patients who are suffering from a herniated disc without much narrowing of the spine.

    Learn how you can begin to recover from an artificial disk replacement in less than 4 hours with Dr. Bookwalter.

    Read more

  • Cervical Fusion

    Cervical Fusion

    Though motion preservation is very important, there are times when cervical fusion is appropriate. One example is a during Laminectomy which removes a section of bone from the rear of one or more vertebrae to relieve the painful and disabling pressure of stenosis.

    Read more

  • Lumbar Microdiscectomy

    Lumbar Microdiscectomy

    A herniated disc is a common injury that can affect any part of the spine. A herniated disc can cause severe pain and other problems in the arms or legs.

    Discectomy is surgery to remove lumbar (low back) herniated disc material that is pressing on a nerve root or the spinal cord . It tends to be done as microdiscectomy, which uses a special microscope to view the disc and nerves.

    Read more

  • Minimally Invasive Lumbar Decompression

    Minimally Invasive Lumbar Decompression

    Spinal stenosis is a narrowing of the open spaces within your spine. To the right you can see a healthy spine with lots of room for the spinal cord. When that room is filled in by calcium buildup and other factors the space around the spinal cord begins to close up. The buildup begins to put pressure on your spinal cord and the nerves that travel through the spine to your arms and legs. Spinal stenosis occurs most often in the lower back and the neck. Pain, tingling, numbness, muscle weakness, and problems with normal bladder or bowel function are all signs of Spinal Stenosis.

    Read more

  • Posterior Cervical Foraminotomy

    Posterior Cervical Foraminotomy

    This surgery removes bone and/or portions of a herniated or diseased disc to relieve neck and radiating arm pain caused by parts of the disc pressing on nerve roots.

    I am unique in using the lateral position for these procedures. This allows accurate localization and diminished soft tissue dissection. Generally this helps reduce the amount of postoperative discomfort patients experience.

    Read more