Foraminoplasty

Foraminoplasty is a surgical procedure that involves the enlargement of the intervertebral foramen to alleviate pressure on a spinal nerve. This procedure is often performed in conjunction with other spinal surgeries, such as a laminectomy or discectomy, to treat conditions like spinal stenosis and herniated disc.

Indications

Foraminoplasty is indicated for patients suffering from radiculopathy due to nerve root compression at the intervertebral foramen. This compression can be caused by various conditions, including degenerative disc disease, spondylosis, and spinal stenosis. The procedure is also indicated for patients with failed back surgery syndrome (FBSS) who have persistent or recurrent radicular pain.

Procedure

The procedure is performed under general anesthesia. The surgeon makes a small incision in the back and uses specialized instruments to remove bone and other tissue that is compressing the nerve. The goal is to create more space for the nerve root to pass through the foramen, thereby relieving pressure and reducing pain.

Risks and Complications

As with any surgical procedure, foraminoplasty carries some risks. These may include infection, bleeding, nerve damage, and complications related to anesthesia. There is also a risk that the procedure may not relieve the patient's symptoms, or that symptoms may return over time.

Postoperative Care

After the procedure, patients are typically advised to rest and avoid strenuous activity for several weeks. Physical therapy may be recommended to help strengthen the back and improve flexibility. Pain medication may also be prescribed to manage postoperative discomfort.

See Also

• Spinal decompression
• Laminotomy
• Microdiscectomy