Kraus Back and Neck Institute in Houston, TX spinehealth.com

Relief from Lower Back and Neck Pain

 
surgery optionsavoid surgery
      At the Kraus Back and Neck Institute (KBNI), we specialize
                 in non-surgical as well as surgical treatments
                                of Back and Neck  Pain
     Conservative to Surgical Options: MINIMALLY INVASIVE SPINE SUGERY 
              
 "Applying Science to the Art of Medicine"                                                  
                              .....................................................................
  
                       
                 Dr. Kraus is available for Neurosurgery consultation (surgical and non-surgical) in Houston.
                      Offices:  1) West Houston Medical Center
                                    2) Memorial Hermann Memorial City Hospital
                                    3) Katy
           FILM REVIEW:  send an e mail                                       
                                                         
      To arrange  an appointment, call 281-870-9292,  visit  neurosurgerypa.com
or   send an e mail
              For national and international patients, we can help with  travel arrangements
                                
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                                         top doctors houston texas 2007 top docs united states neurosurgery spine   top doctors houston texas 2008 top docs united states neurosurgery spine  top doctors houston texas 2009 top docs united states neurosurgery spine   best doctors in america, united states neurosurgery spine
                                            Dr. Kraus is honored to be listed in
                                            "Best Doctors in America" (2001-2008) and
                                             "Top Doctors of Houston, Texas" (2007, 2008, 2009)     

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Low Back Pain, can be very debilitating.  The effects of Low Back Pain in the USA are staggering!!
    
 
   

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   last updated
  June 19, 2009

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Foraminotomy and facetectomy

 

Nerves in the lumbar spine are often compressed in the neural foramen, where they leave the spinal canal.  These compressions may be due to arthritic degenerative changes within the facet joints, or may be the result of slippage or spondylolysthesis of one vertebral body segment upon the other.  Often, foraminal stenosis is seen as part of the bigger picture of lumbar spinal stenosis.

For an isolated level of foraminal stenosis, conservative measures may be best.  If surgery is desired, then the appropriate surgical intervention may depend upon what the larger disease process is.  If one is dealing with a slip of one vertebral body upon another, then it may be necessary to perform a facetectomy, which involves removing the facet joint beneath which the exiting nerve root passes, to free up the nerve.  Sometimes, only a "partial" or "medial" facetectomy is required.  Sometimes one can get by with a "foraminotomy" which is an opening of the foramen (opening in the bone, beneath the facet joint, through which the nerve travels) with bone biting instruments (known as Kerrison rongeurs, or foraminotomy punches), but often such a limited operation may result in disappointing recurrences of the problem.

When a facetectomy is performed, the entire joint is removed, and the surgeon must decide whether or not to fuse the spine at that level.

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