Cervical Foraminotomy Frederick MD

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Adam Mitchell Mecinski, MD
(301) 739-7790
915 Toll House Ave Ste 309
Frederick, MD
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1993

Data Provided By:
Thomas Francis Ryan, MD
(301) 652-6616
5473 Prince William Ct
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1969

Data Provided By:
Shawn Kay Grandia
(301) 663-9573
52 Thomas Johnson Dr
Frederick, MD
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Alan Nagel, MD
(301) 663-0131
187 Thomas Johnson Dr Ste 1
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Howard Univ Coll Of Med, Washington Dc 20059
Graduation Year: 1986

Data Provided By:
Mihir Jani, MD
(301) 663-9573
52 Thomas Johnson Dr
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
C Jeffrey Bowman, DDS
(301) 662-3366
10 W College Ter
Frederick, MD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Mark David Charlson, MD
(301) 694-8311
184 Thomas Johnson Dr Ste 104
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1997

Data Provided By:
David Laverne Kowalk, MD
(301) 663-9573
52 Thomas Johnson Dr
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduation Year: 1991

Data Provided By:
Edward Lee Lancaster Jr, MD
(717) 569-1002
56 Thomas Johnson Dr
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Jefferson Med Coll-Thos Jefferson Univ, Philadelphia Pa 19107
Graduation Year: 1948
Hospital
Hospital: Lancaster Reg Med Ctr, Lancaster, Pa

Data Provided By:
Robert Thomas Fisher, MD
(301) 663-9590
52 Thomas Johnson Dr
Frederick, MD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1977

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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