Foraminotomy/Foraminectomy

Overview

A minimally invasive foraminotomy is a surgical procedure to enlarge the foramina—the openings where nerve roots exit the spinal canal. This approach relieves nerve compression caused by conditions such as bone spurs, herniated discs, foraminal stenosis, spondylosis or spinal arthritis. Compared to traditional open surgery, minimally invasive techniques use small incisions and specialized tools for faster recovery and less tissue disruption.

Advantages of Nextgen Spine Care’s Minimally Invasive Spine Surgery

  • Smaller incisions with minimal muscle damage.
  • Minimal trauma to surrounding muscles and ligaments.
  • Reduced postoperative pain and scarring.
  • Faster recovery and return to daily activities.
  • Reduced risk of infection and complications compared to open surgery.
  • Performed as an outpatient procedure.
  • Conscious IV Sedation, no general anesthesia required
  • Precise decompression of compressed nerve roots.

Explanation of the Procedure

  • During a minimally invasive foraminotomy:
  • A small incision is made over the affected spinal segment.
  • A tubular retractor is inserted to gently separate soft tissues.
  • Specialized instruments and a microscope are used to remove bone and soft tissue
    narrowing the foramen.
  • The nerve root is decompressed.
  • The incision is closed with a few sutures.
    Patients are able to go home the same day.

Common Symptoms That Can Be Relieved

  • Radiating arm or leg pain (radiculopathy).
  • Numbness or tingling in hands, arms, feet, or legs.
  • Muscle weakness.
  • Pain worsened by certain movements or positions.
  • Difficulty with walking or balance due to nerve compression.

Conditions That Could Cause These Issues

  • Foraminal stenosis.
  • Herniated discs pressing on nerve roots.
  • Degenerative disc disease.
  • Bone spurs (osteophytes).
  • Thickened ligaments narrowing the foramen.