the foraminotomía is an interventionón wantúrgica, which seeks to release the nerves that are compressed by a narrowing of the intervertebral foramen or intervertebral foramen. Hereí yesínerve cells exit the spinal canalídeo. This condition is known as vertebral foramen stenosis..
The intervertebral foramen is an opening located between the Vévertebrae, specíphysically between the pedíglasses. A través of them the nerves leave the medulla and go to the rest of the body. the foraminotomíHe tries to widen that opening in order to free the nerve from oppression.ón has that isá subjected and can be performed at any level of the spine.
The foramen constitutes a protective passage for the nerves, but when these nerves become compressed in this túIn the, cause pain and weakness in the limbs.
Index
Procedure in a foraminotomía
The patient is fully anesthetized (general anesthesia), so that you do not feel pain or move during the operationón, since to beá asleep. Éste to putá face down, leaving the back fully for the interventionón.
The surgeon makes an incisionón in the spine, where the pinched nerve is, of the tamañwhat you think is convenient. Little by little the skin is parting, the Múmuscles and ligaments to meet the vertebral column. It uses a surgical microscopeúrgic, special to be able to visualize the objective well.
Once the source of the problem is found, the surgeon proceeds to shave or even cut (themselvesún the severity of oppressionón) to widen the opening of the foramen so that the nerve returns to its normal conditions. If this is not enough, a laminectomy is applied.ía.
To guarantee the ésurgery successíto the médoctor surgeon dutyá decide to make one vertebral arthrodesis, to make sure the spine remains stable.
It only remains to close to surgeryímoving the ligaments again, múmuscles and skin to their positionón original.
Sísymptoms of stenosis of the vertebral foramen
The patient may presentísymptoms that can be associated with problems with raínerve cessation due to narrowing of the intervertebral foramen.
Constant pain in the legs, región lumbar, shoulder and / or neck.- Pain in some positions or when doing certain movements.
- Intermittent numbness and tingling.
- General muscle weakness.
If you present any of these sísymptoms should go to the mésay as soon as possible, mayíto need a foraminotomeía.
Foraminotomía cervical posterior
the foraminotomíThe cervical is applied in cases of cervical spondylosis and the herniated disc cervical. This interventionón does not destabilize disk space, nor does it require vertebral arthrodesis.
The principle is the same: decompressionón de la raínerve z. In the case of cervical spondylosis
afterés of the surgeryíthe patient must wear a necklaceícervical n during the first ten días, after this you can resume your activities normally.
Risks of foraminotomyía
All surgical interventionsúSurgical procedures of the spine present risks including foraminotomyía.
Bleeding. At the time of making the incisionón, the mésaid surgeon to be foundá with numerous veins that can cause profuse bleeding and limitá the displayón of the foraminotomía.
infectionón. Infections are rare in this type of surgery.ía, but it is not ruled out that the wound and / or the bones of the spine can be infected.
Thrombophlebitis. A vein can be inflamed afterés of the interventionón and be complicated by an internal thrombus.
Pain that does not go away. after surgeryíthe pain may persist, or in the worst case, get worse. This can be attributed to malpractice. If it doesn't improve, to beá need a new interventionón.
This oneón of one or several raínervous stop. It may happen that during surgeryíto be caused andñor to a spinal nerve, resulting in muscle weakness and/or péloss of sensation.
Return of pain. In many people, back pain returns over time., This is because the cause recurs and the narrowing of the intervertebral foramen re-forms.
Foraminotom postoperativeía
If you feel pain after surgeryía, anesthesia may be given to mitigate it. There should not be much pain after surgery.ía.
And I apply themó a foraminotomía cervical, you will most likely be prescribed a neck braceéI say órtesis cervical. You may be cleared to move your neck hours later.és of the surgeryía. It is recommended that you do it slowly and carefully.
You can try to get up and walk assisted by the staff of the medical center.éI say. in a short time to beá discharged and will haveá to get out on your own two feet.
One month after the interventionóno dutyá hacer rehabilitationón. Éthis will help youá to restore mobility and strength of the múdogs.
You should avoid lifting heavy objects or playing sports until the médoctor doctor authorizes it. Spaghettién to avoid any movement or activity that may put stress on your back.
