Cervical Foraminotomy Kapaa HI

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Thomas Bird Grollman, MD
(808) 245-4824
PO Box 1607
Lihue, HI
Specialties
Orthopedics, Legal Medicine
Gender
Male
Education
Medical School: Univ Of Ca, Los Angeles, Ucla Sch Of Med, Los Angeles Ca 90024
Graduation Year: 1965

Data Provided By:
David Rovinsky
(808) 245-1523
3-3420 Kuhio Hwy
Lihue, HI
Specialty
Orthopedic Surgery

Data Provided By:
Gregory Paul Kassel, MD
(808) 245-1500
3-3420 Kuhio Hwy
Lihue, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Creighton Univ Sch Of Med, Omaha Ne 68178
Graduation Year: 1995

Data Provided By:
Michael R Bailey, DMD
(808) 245-1818
4370 Kukui Grove St Ste 212
Lihue, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David Rovinsky, MD
(808) 245-1524
3-3420 Kuhio Hwy Ste B
Lihue, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Pa Sch Of Med, Philadelphia Pa 19104
Graduation Year: 1995
Hospital
Hospital: Wilcox Mem Hosp, Lihue, Hi; Queens Med Ctr, Honolulu, Hi; Shriners Hosp For Crippled Chi, Honolulu, Hi
Group Practice: Kauai Med Grp Inc

Data Provided By:
Timothy Edmund Schendel
(808) 245-1500
3-3420 Kuhio Highway
Lihue, HI
Specialty
Orthopedic Surgery

Data Provided By:
Floyd Homer Pohlman
(808) 245-1500
3-3420 Kuhio Hwy
Lihue, HI
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Floyd Pohlman
(808) 245-1500
3-3420B Kuhio Hwy # B
Lihue, HI
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Richard Andre Gosselin
(808) 245-1500
3-3420 Kuhio Hwy
Lihue, HI
Specialty
Orthopedic Surgery

Data Provided By:
Timothy Edmund Schendel, MD
(808) 245-1523
3-3420 Kuhio Hwy
Lihue, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Washington Univ Sch Of Med, St Louis Mo 63110
Graduation Year: 1995

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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