Laminoforaminotomy is a spine surgery performed to address a pinched nerve in the neck and resulting cervical radiculopathy; a type of neck pain that spreads (radiates) into the upper back, shoulder(s), and down the arm(s). Patients can experience electrical or radiating pain, numbness, and/or tingling down the arms, sometimes down to one or both hands. Patients may also suffer from weakness in the arms or hands. “Lamino” refers to the spine’s lamina; a thin plate of bone at the back of the neck that helps to protect the spinal canal. The goal of a laminoforaminotomy is to relieve nerve root compression (e.g., unpinch the exiting nerve root) and symptoms related to it. Laminoforaminotomy is generally performed as a minimally-invasive outpatient procedure, done through a “Band-Aid” incision. A Band-Aid incision, as the size of the incision is so small that once sutured, the wound can be covered with a small adhesive strip. To learn more about Dr. Stieber's NYC laminoforaminotomy, please reach out to us today.
Dr. Stieber's NYC laminoforaminotomy is performed under general anesthesia. In preparation for the surgery, the neck is shaved, cleaned, and prepared. The surgery is generally performed with the patient face down on the operating table. A special computerized monitoring system checks the spinal cord and nerve function throughout the procedure to prevent any injury.
The procedure is customarily performed by approaching the spine from behind (posterior) using minimally invasive techniques. A sophisticated operative microscope enables Dr. Stieber to perform the procedure under excellent direct visualization with enhanced magnification and illumination. Dr. Stieber will determine which surgical approach is best and discuss the entire procedure with the patient well in advance of the scheduled surgery date.
Fluoroscopy (real-time x-ray) captures pictures of the patient’s anatomy before, during, and after surgery. Whether the procedure is performed in an open manner or using minimally invasive surgical instruments and techniques, part of the lamina is removed to expose the tissue that has been compressing nerve structures. Dr. Stieber removes disc, bone, and/or other tissue that is crowding nerves in the neuroforamen. When the procedure is complete, the wound is closed and bandaged.
A “pinched nerve” in the neck will often require surgical intervention to resolve, particularly when radiating pain is caused by the compressed nerve structures. Advances in medical science allows this painful condition to be resolved with minimally-invasive treatment called laminoforaminotomy to remove the tissue compressing the nerve structures.
Unfortunately, if a pinched nerve is left untreated, the condition can advance, leading to permanent nerve damage with the potential for numbness, weakness, and/or pain. It is often necessary for treatment to be performed early for a fast and full recovery.
An MRI identifies changes in the spine that have been caused by disease, aging, or trauma. This test can reveal a range of spinal conditions, including the presence of a pinched nerve.
Radiculopathy, or a “pinched nerve”, is a symptom related to compression on a nerve root. While chiropractic treatment may relieve the symptoms in some minor cases, if the compression is the result of a narrowing of the spinal canal, disc herniation, or bone spurs, one will often require surgical treatment.
If left untreated, a pinched nerve can lead to very serious symptoms. The narrowing of the spinal canal that protects the nerves may first lead to numbness, tingling, pain, discomfort, or other symptoms. If left untreated, nerve compression can lead to permanent neurologic injury and weakness. It is imperative in these cases that treatment be performed in the early stages to protect your overall health.
Dr. Stieber provides his New York laminoforaminotomy patients with information about what to expect and self-care after hospital discharge. This information includes instructions on how to control pain, any prescribed medications, use of a brace and care (if applicable), diet and managing constipation, bathing, incision care, activity restrictions, and any surgical follow-up appointments. As always, Dr. Stieber and his staff welcome questions and ensure that all patient concerns are thoroughly addressed.