• Anterolateral foraminotomy
  • Cervical foraminotomy
  • Cervical Discectomy & Fusion
  • Cervical Disc Replacement
  • Cervical Laminoplasty
  • Cervical Laminectomy
  • Thoracic Discectomy
  • Lumbar Microdiscectomy
  • Lumbar Decompression
  • Lumbar laminectomy
  • Spinal Fusion
  • Spinal Tumour Surgery
  • Intradural Spinal Surgery
  • Vertebroplasty

  • A plastic model demonstrates the small 3mm by 5mm disc sparing surgical approach utilised in an anterolateral foraminotomy

    A before and after MRI showing how a disc protrusion has been successfully removed whilst preserving most of the remaining functional disc

    Spinal Treatments

    Anterolateral foraminotomy

    Anterolateral foraminotomy is a relatively new and far less invasive surgical procedure than previous treatments, for the relief of arm pain arising from cervical nerve root compression in the neck.

    How does it work?
    By microsurgically through a small keyhole approach removing only that portion of the compressive disc or osteophyte (arthritic bone overgrowth) causing nerve compression whilst conserving the remaining and still functional portion of the patient’s own natural disc.

    What are the benefits over other surgical treatments?
    Arm pain due to a trapped nerve root in the neck has traditionally, since the early 1950’s, been treated by radically removing an entire cervical disc to gain access to what is usually just a very small portion of it causing pressure on the nearby nerve. The traditional procedure leads to the permanent loss of that functioning disc and requires either a fusion using a bone graft or the insertion of metallic or plastic implants. In 1987 Snyder and Bernhardt first described the technique of cervical foraminotomy by an anterolateral approach. The advantages of this technique are its less invasive nature, the preservation of the patient’s own disc with its mobility, avoidance of a painful bone
    graft or artificial implants and a generally
    quicker recovery time.

    How safe is the surgery?
    The surgical approach is initially similar to traditional techniques but then requires far less disturbance of natural anatomical structure. However as with all relatively new techniques it is advisable that a surgeon performing the procedure has had appropriate training in the procedure to ensure safety. Published series (1-3) have demonstrated the effectiveness and safety of this technique as compared to the traditional surgical treatments. Author: Mr Andre Jackowski, Consultant Neurosurgeon, MB BS, MD, FRCS

    References: 1. Snyder G, Bernhardt M. Clin. Orthopaed 1989; 246: 92-99 2. Jho H-D J Neurosur (Spine) 2001; 94: 121-125 3. Lee J.-Y et al. Acta Neurochir(Wien) 2006; 148: 951-958

    The Birmingham Spinal Clinic is a multidisciplinary team led by spinal surgeon
    Mr Andre Jackowski. The Spinal Clinic aims to provide the best possible evidence-based
    treatments for patients with spinal problems whether by simple advice, physiotherapy
    exercises, pain relief or if indicated by spinal surgery.