At Texas Neurosurgery, LLP – Our team of skilled neurosurgeons provides advanced treatment solutions for individuals experiencing chronic neck pain, nerve compression, or spinal stenosis.
Posterior cervical laminectomy and foraminotomy are two highly effective procedures designed to relieve pressure on the spinal cord and nerves. They help to restore mobility and alleviate discomfort. We tailor each neurosurgery operation to your needs and provide the care necessary to enhance your quality of life.
Cervical posterior foraminotomy is a surgical procedure performed to treat foraminal stenosis, a condition in which the openings for nerve roots to exit the spinal canal have become too small, resulting in painful nerve compression. These openings, called foramen, may have gradually become clogged by herniated discs, calcified ligaments or joints, or bone spurs. Whatever the cause, once the foramen are narrowed, the pressure of bone against the cervical nerves may cause pain, numbness, weakness or tingling sensations.
Some patients with foraminal stenosis can be effectively treated with anti-inflammatory medications, corticosteroid shots, physical therapy exercises or a neck brace to immobilize the spine. When the condition does not respond to these conservative treatments, however, surgery may be required. The cervical posterior foraminotomy will eliminate the compression on the affected spinal nerve, providing relief from painful symptoms. As its name suggests, a cervical posterior foraminotomy is performed on the spine in the neck area with the surgeon making an approach through the upper back.
The Procedure
A cervical posterior foraminotomy is performed with the patient under general anesthesia. With the patient lying face down on the operating table, the surgeon makes an incision in the back of the neck. Muscles, ligaments and other tissues in the area are retracted to provide a view of the spine. The bone at the affected site is shaved down or cut back slightly to enlarge the size of the foramen and provide more room for the nerve roots to pass through.
The surgeon assesses the spine to see whether any other nearby structures are exerting pressure on the nerves. A portion of the lamina, the covering of the vertebrae, disc fragments, thickened tissue, or bone spurs are removed as necessary. For some patients, a spinal fusion is required to for greater stability. Once the procedure is completed, the surgeon repositions the muscles and other tissues and sutures the incision. A cervical posterior foraminotomy typically lasts for approximately 2 hours.
What Symptoms Might Indicate the Need for a Posterior Cervical Laminectomy or Foraminotomy?
Symptoms that may point to a need for a posterior cervical laminectomy or foraminotomy include:
- Chronic neck pain
- Numbness
- Tingling
- Weakness in the arms
- Difficulty with coordination or fine motor skills
These symptoms often stem from spinal stenosis or nerve compression in the cervical spine. Both conditions can restrict movement and cause discomfort.
How Is a Posterior Cervical Laminectomy Different From an Anterior Procedure?
A posterior cervical laminectomy is performed from the back of the neck to remove part of the vertebrae. It provides access to the spinal canal and relieves pressure placed on the spinal cord and nerves.
An anterior procedure, on the other hand, involves accessing the cervical spine from the front to address disc herniations or degenerative conditions.Â
Both surgeries aim to address nerve compression. However, the approach, risks, and recovery may differ depending on the patient's specific condition.
How Do I Prepare for a Posterior Cervical Laminectomy or Foraminotomy?
Patients are generally advised to follow specific pre-operative instructions to prepare for surgery. These may include:
- Discontinuing certain medications
- Fasting before the procedure
- Arranging for transportation home after surgery
Communicate any health concerns or medications you're taking with your surgeon beforehand. Staying active before the surgery can also promote a smoother recovery.
Will I Need Physical Therapy After Surgery?
Yes, physical therapy is often recommended after a posterior cervical laminectomy or foraminotomy.
Physical therapy can restore strength, flexibility, and range of motion in the neck. A customized physical therapy plan can also:
- Support the healing process
- Reduce stiffness
- Help patients regain mobility faster
The duration and intensity of therapy depend on individual recovery progress. However, most patients benefit from a guided rehabilitation program.
Why Choose Texas Neurosurgery?
Patients should choose Texas Neurosurgery, LLP, for posterior cervical laminectomy or foraminotomy surgery because of the extensive expertise and leadership of their three dedicated neurosurgeons: Dr. Barnett, Dr. Michael, and Dr. Bidiwala.
With a long-standing presence in Dallas, TX, Texas Neurosurgery has provided superior care since 1999. Dr. Barnett's leadership, along with Dr. Michael's and Dr. Bidiwala's expertise, has expanded the practice to multiple hospitals, including Baylor University Medical Center and Methodist Hospital for Surgery.
Schedule a Consultation
At Texas Neurosurgery, LLP, our goal is to provide the highest standard of care for patients suffering from chronic neck pain and nerve compression. Posterior cervical laminectomy and foraminotomy are advanced procedures that can offer significant relief, restore mobility, and improve your quality of life.
With our team's extensive experience and dedication to patient-centered care, you can trust us to deliver the transformative results you've been looking for. Schedule a consultation today by calling 214-823-2052 or submitting our online form.
