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Foraminotomy Surgery

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About Endoscopic Surgery

A common reference or term of endoscopic surgery is minimally invasive surgery.  This term is meant to emphasize the fact that both the diagnosis and the treatment administered are with the least amount of intrusion to the body.

With endoscopic surgery, a scope is used in small incisions or openings that allow the surgeon to both diagnose and treat medical conditions. 

Most conservative surgeries often result in general anesthetic, large incisions that result in lengthy recovery and prolonged periods of pain.  In addition to the foregoing, conservative surgery versus endoscopic surgery can often result in infections and complications as well as a lower success rate. 

Arthroscopic Surgery

Arthroscopic surgery is the use of a camera that allows a surgeon a view of the joint. This type of surgery has become quite common for certain surgeries, however there are other surgeries that are becoming more popular and widespread.  Common surgeries include ankle, knee, wrist, elbow, hip and shoulder.

What is a Foraminotomy

The term foraminotomy is derived from two words.  The first being foramen - defined as a natural opening, or a hollow passage, most often through bone, though it can be an opening through other tissue. The second part of this term is otomy, or to cut or incise. 

A foraminotomy is a medical procedure that relieves the pressure of compressed nerves in the intervertebral foramen.  The intervertebral foramen is the natural opening or the hollow passage in the vertebra that allows for nerve roots to exit from the spinal cord or the spinal canal to various targeted areas of our body.  Causes of nerve root compression may be bone, disc or scar tissue in the foramen causing a pinched nerve.  This procedure is done by enlarging the hollow passage at the exit point of the nerve roots. 

A foraminotomy can be performed either as a conservative or a minimally invasive procedure.  If performed as an endoscopic surgery, a small incision allows the surgeon to have access to the bone at the back of the neck. A small hole is then made in the vertebra and with a series of tubes that gradually increase in size. Once the last tube is inserted, the opening is then large enough to allow the surgeon to use the arthroscope and other instruments to remove the material causing the compression.  It is important to note that muscles are not torn or cut during this procedure. In so doing, the healing time is much faster than that of conservative surgery.

Candidates for a Foraminotomy

Patients who have been diagnosed with foraminal stenosis; herniated or bulging discs; pinched nerve; scar tissue formation; bone spurs; sciatica and arthritis of the spine are candidates for this procedure.