Cervical Foraminotomy Billings MT

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Matthew Alan Kopplin, MD
(406) 238-5200
2702 8th Ave N
Billings, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Tx Southwestern Med Ctr At Dallas, Med Sch, Dallas Tx 75235
Graduation Year: 1996

Data Provided By:
Dr.James Elliott
(406) 238-6540
2900 12th Ave N # 140W
Billings, MT
Gender
M
Education
Medical School: Univ Of Wa Sch Of Med
Year of Graduation: 1987
Speciality
Orthopedic Surgeon
General Information
Hospital: St Vincent Hosp &
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
James F Schwarten
(406) 238-6540
2900 12th Ave N
Billings, MT
Specialty
Orthopedic Surgery

Data Provided By:
Mark Catesby Willis Jr, MD
(406) 238-5200
2702 8th Ave N
Billings, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Va Commonwealth Univ, Med Coll Of Va Sch Of Med, Richmond Va 23298
Graduation Year: 1994

Data Provided By:
Dr.Steven Klepps
(406) 238-6700
2900 12th Ave N # 100E
Billings, MT
Gender
M
Education
Medical School: Washington Univ Sch Of Med
Year of Graduation: 1996
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, reviews.

Data Provided By:
Willard Hull
(406) 238-2500
2702 8th Ave N
Billings, MT
Specialty
Orthopedic Surgery

Data Provided By:
Steven Richard Fischer, MD
(406) 238-5200
2702 8th Ave N
Billings, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med, Los Angeles Ca 90024
Graduation Year: 1994

Data Provided By:
James Steven Elliott, MD
(406) 238-6540
2900 12th Ave N Ste 140W
Billings, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1987
Hospital
Hospital: St Vincent Hosp & Health Ctr, Billings, Mt; Deaconess Billings Clinic, Billings, Mt
Group Practice: Orthopedic Surgeons Yellowstone Medical Center W

Data Provided By:
John R Dorr
(406) 238-6700
2900 12th Ave N
Billings, MT
Specialty
Orthopedic Surgery

Data Provided By:
John Robert Wilson, MD
(406) 238-6588
2900 12th Ave N Ste 140W
Billings, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1986

Data Provided By:
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Cervical Foraminotomy

A Patient's Guide to Cervical Foraminotomy

Introduction

Foraminotomy is a surgical procedure for widening the area where the spinal nerve roots exit the spinal column. A foramen is the opening around the nerve root, and otomy refers to the medical procedure for enlarging the opening. In this procedure, surgeons widen the passageway to relieve pressure where the spinal nerve is being squeezed in the foramen.

This guide will help you understand

  • why the procedure becomes necessary
  • what surgeons hope to achieve
  • what to expect as you recover

Anatomy

What parts of the neck are affected?

The spine is made of a column of bones. Each bone, or vertebra, is formed by a round block of bone, called a vertebral body. The spinal canal is a hollow tube formed by the bony rings of all the vertebrae. The spinal canal surrounds and protects the spinal cord within the spine. There are seven vertebrae in the neck that form the area known as the cervical spine. The vertebrae are separated by intervertebral discs.

Traveling from the brain down through the spinal column, the spinal cord sends out nerve branches through openings on both sides of each vertebra. These openings are called the neural foramina. (The term used to describe a single opening is foramen.)

The intervertebral disc sits directly in front of the opening. A bulged or herniated disc can narrow the opening and put pressure on the nerve. A facet joint sits in back of the foramen. Bone spurs that form on the facet joint can project into the tunnel, narrowing the hole and pinching the nerve.

Rationale

What do surgeons hope to achieve?

Foraminotomy alleviates the symptoms of foraminal stenosis. In foraminal stenosis, a nerve root is compressed inside the neural foramen. This compression is usually the result of degenerative (or wear and tear) changes in the spine.

View animation of disc collapse

Wear and tear from repeated stresses and strains on the neck can cause a spinal disc to begin to collapse. As the space between the vertebral bodies shrinks, the opening around the nerve root narrows. This squeezes the nerve. The nerve root is further squeezed in the foramen when the facet joint lining the outer edge of the foramen becomes inflamed and enlarged as a result of the same degenerative changes.

The degenerative process can also cause bone spurs to develop and point into the foramen, causing further irritation. In a foraminotomy, the surgeon removes the tissues around the edges of the foramen, essentially widening the opening in order to take pressure off the nerve root.

Preparations

How will I prepare for surgery?

The decision to proceed with surgery must be made jointly by you and your surgeon. You should understand as much about the procedure as possible. If you have concerns or questions, you should talk to your surgeon.

Once you decide on surgery, you need to take several steps. Your surgeon may suggest a...

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