Endoscopic Foraminotomy

This procedure can be used to alleviate pain stemming from the lumbar (lower back) or cervical (neck) portions of the spine.

There are a variety of disorders that can cause the different tissues in and around the spine to fall or slip out of place. When this happens, pain often occurs because the out-of-place tissue presses on one of the many nerves in the spine. An endoscopic foraminotomy uses endoscopic, minimally invasive techniques to remove pain-causing tissue.


  • Spinal stenosis
  • Foraminal stenosis
  • Cervical radiculopathy (pinched nerve)
  • Spondylolisthesis
  • Failed back surgery syndrome
  • Herniated disc
  • Lumbar radiculopathy (sciatica)
  • Bone spurs


  • A small metal tube is inserted into the lumbar spinal nerve through the neuroforman, a natural hole in the nerve (for a lumbar surgery)
  • A small metal tube is inserted into the cervical spine through the nerve canal using x-ray guidance
  • Through endoscopic techniques, a small camera is used to locate the spinal nerve
  • Damaged or degenerated tissue that is out of place and subsequently causing pain is removed
  • A laser, or radiowaves in some cases, can be used to destroy the damaged or degenerated tissue