Cervical Foraminotomy Helena MT

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Don Lewis Bishop, MD
(406) 442-6410
724 Monroe Ave
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mc Gill Univ, Fac Of Med, Montreal, Que, Canada
Graduation Year: 1963

Data Provided By:
Daniel Raymond Fiehrer, DDS
(406) 442-3720
1111 N Rodney St
Helena, MT
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Boyd M Iverson
(406) 457-4100
2442 Winne Ave Ste 1
Helena, MT
Specialty
Orthopedic Surgery

Data Provided By:
David Brent Heetderks, MD
(406) 442-4811
2442 Winne Ave
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nv Sch Of Med, Reno Nv 89557
Graduation Year: 1985

Data Provided By:
John David Michelotti, MD
(406) 457-4100
2442 Winne Ave
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wa Sch Of Med, Seattle Wa 98195
Graduation Year: 1994

Data Provided By:
Peter Damien Hanson, MD
(406) 457-4100
2442 Winne Ave
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nd Sch Of Med, Grand Forks Nd 58201
Graduation Year: 1996

Data Provided By:
Kenneth V Carpenter
(406) 457-4100
2442 Winne Ave Ste 1
Helena, MT
Specialty
Orthopedic Surgery

Data Provided By:
Kenneth Vance Carpenter, MD
(406) 457-4100
2442 Winne Ave
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1974
Hospital
Hospital: St Peters Hospital, Helena, Mt
Group Practice: Helena Orthopedic Clinic

Data Provided By:
Peter Paul Wendt, MD
(406) 563-2727
1956 University St Helena
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wi Med Sch, Madison Wi 53706
Graduation Year: 1979

Data Provided By:
Harris D Hanson, MD
(406) 442-4811
2442 Winne Ave
Helena, MT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduation Year: 1951

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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