Cervical Foraminotomy Millsboro DE

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Charles Sentz Tjersland, DDS
(302) 856-3543
PO Box 1771
Millsboro, DE
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
David Sopa
(302) 645-4939
33718 Westcoats Rd
Lewes, DE
Specialty
Orthopedic Surgery

Data Provided By:
John Edward Spieker, MD
(302) 644-3311
17005 Old Orchard Rd
Lewes, DE
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Umdnj-Robt W Johnson Med Sch, New Brunswick Nj 08901
Graduation Year: 1981
Hospital
Hospital: Bay Health Med Ctr -Kent, Dover, De; Beebe Med Ctr, Lewes, De
Group Practice: Orthopaedic Associates

Data Provided By:
Wilson Choy, MD
(302) 644-3311
17005 Old Orchard Rd
Lewes, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Suny-Hlth Sci Ctr At Syracuse, Coll Of Med, Syracuse Ny 13210
Graduation Year: 1990
Hospital
Hospital: Beebe Med Ctr, Lewes, De
Group Practice: Orthopaedic Associates

Data Provided By:
Dr.EDMUND CARROLL
(302) 644-3311
17005 Old Orchard Road
Lewes, DE
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.3, out of 5 based on 3, reviews.

Data Provided By:
John Edward Spieker
(302) 644-3311
17005 Old Orchard Rd
Lewes, DE
Specialty
Orthopedic Surgery

Data Provided By:
James Ebbert Marvel, MD
(620) 441-0222
701 Savannah Rd
Lewes, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1968

Data Provided By:
Dr.Paul Harriott
(302) 645-2805
701 Savannah Rd # B
Lewes, DE
Gender
M
Education
Medical School: Harvard Med Sch
Year of Graduation: 1995
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
1.0, out of 5 based on 1, reviews.

Data Provided By:
John E. Spieker, MD, FACS
Lewes, DE
Specialty
Orthopaedic Sugeon

Data Provided By:
Ronald Caesar Sabbagh, MD
(302) 644-3311
17005 Old Orchard Rd
Lewes, DE
Specialties
Orthopedics
Gender
Male
Education
Medical School: Georgetown Univ Sch Of Med, Washington Dc 20007
Graduation Year: 1993

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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