Cervical Foraminotomy Flagstaff AZ

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Roman T. Lewicky, MD
(928) 774-7757
1485 N. Tourquoise Dr.
Flagstaff, AZ
Business
Northern Arizona Orthopaedics, LTD.
Specialties
Orthopedics
Insurance
Insurance Plans Accepted: Blue CrossUnited Healthcare
Medicare Accepted: Yes
Workmens Comp Accepted: Yes
Accepts Uninsured Patients: Yes
Emergency Care: No

Doctor Information
Primary Hospital: Flagstaff Medical Center
Residency Training: Northwestern University Medical Center Orthopaedic Surgery 1975
Medical School: Northwestern University Medical School, 1968
Additional Information
Member Organizations: ABOS AAOS AANA ArMA
Awards: Arizona Sports Medicine Doctor of the Year, 1982.
Languages Spoken: English,Spanish,Ukrainian,Polish

Data Provided By:
Timothy John Bonatus, DO
(928) 774-7757
1485 N Turquoise Dr Ste 200
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Chicago Coll Of Osteo Med, Midwestern Univ, Chicago Il 60615
Graduation Year: 1983

Data Provided By:
Mark D Hopkin, MD
(928) 526-9189
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Dr.Amber Randall
(928) 773-2534
77 W Forest Ave # 301
Flagstaff, AZ
Gender
F
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 3, reviews.

Data Provided By:
William Michael Mc Fadden, DDS
(928) 774-4982
1425 N Beaver St
Flagstaff, AZ
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Paul Kingsley Forberg, MD
(928) 527-0904
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1967

Data Provided By:
Donald Dean Hales, MD
(928) 774-7757
1485 N Turquoise Dr Ste 200
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Johns Hopkins Univ Sch Of Med, Baltimore Md 21205
Graduation Year: 1982

Data Provided By:
Yuri Lewicky
(928) 774-7757
1485 N Turquoise Dr
Flagstaff, AZ
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
Stephen Linney Knecht, MD
(928) 774-7757
1485 N Turquoise Dr Ste 200
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1998

Data Provided By:
Darius Mirza Moezzi, MD
(928) 773-2280
77 W Forest Ave Ste 301
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nv Sch Of Med, Reno Nv 89557
Graduation Year: 1998

Data Provided By:
Data Provided By:

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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