Endoscopic foraminoplasty is the least invasive spine surgery that effectively treats foraminal stenosis or narrowing and compression of the exiting nerve.
Foraminal stenosis patients usually suffer from low back pain, sciatica, and leg pain. Stenosis can be caused by a bone spur, herniated disc, or enlarged facet joints in the spinal canal pinching the exiting nerve.
Endoscopic foraminoplasty surgery is also an effective treatment option for failed back surgery patients suffering from leg or back pain. Failed back syndrome is often related to residual pressure from bone spurs on the spinal nerve. Your previous surgery may not have relieved all the pressure on the exiting nerve enough to provide adequate pain relief.
Traditional midline (middle of your back) surgical access sometimes has difficulty accessing the lateral recess, leading to failed back surgery. The endoscopic foraminoplasty surgical approach starting from the patient’s side instead of the midline more effectively targets the lateral recess
FIGURE 1: ILLUSTRATION OF SIDE FIRING LASER ABLATING BONE UNDER THE SUPERIOR ARTICULAR PROCESS1
This innovative approach avoids and preserves the significant muscles of the back while also affording the surgeon an excellent view and working access to the foramen. Unlike many spine surgeons, an endoscopic spine surgeon can treat some patients suffering from low back or leg pain without a spinal fusion.
FIGURE 2: ENDOSCOPIC FORAMINAL DECOMPRESSION OF FACET JOINT THAT IS COMPRESSING AN EXITING NERVE.2 | FIGURE 3: ENDOSCOPIC FORAMINOPLASTY ALLOWS A SCOPE, CANULA, AND INSTRUMENTS ACCESS TO THE LATERAL RECESS AND EPIDURAL SPACE. THE ENDOSCOPIC SURGEON CAN SELECTIVELY EXPLORE AND DECOMPRESS THE HERNIATED DISC AND BONE SPURS RELATED TO FAILED BACK SURGERY SYNDROME.3 | FIGURE 4: ILLUSTRATION OF SURGICAL FORAMINOPLASTY3 |
You may be a candidate for endoscopic foraminoplasty if you:
Due to evolving physicians treatment methodology, certain degenerative conditions, if not too severe, can be helped, but only after individual evaluation of each patient and their response to evocative discography, and other diagnostic injections can our surgeons tell if the endoscopic procedure is recommended for you.
If, after reading the above, you believe endoscopic foraminoplasty may help you, feel free to contact us for an appointment. Out-of-state and interested in a second opinion? Click here fill out an online “Obtain Second Opinion” request, upload your current MRI and submit payment, and a member of the DISC staff will reach out to you immediately.
No matter the painful spine condition, a second opinion consultation with one of our expert spine surgeons can help you find the right customized solution that gets you back to enjoying life.
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