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work after about 2 weeks; manual or heavy work later, depending on spinal level and decompression extent."},"complication_rate_pct":{"min":2,"max":10,"unit":"percent","qualifier":"Any perioperative complication within 90 days, such as dural tear, wound issue or transient neurological worsening; serious ones under 2%."},"contraindications":["Active infection at the surgical site or systemic infection","Patient unfit for general anesthesia","Uncorrected bleeding disorder or unmanageable therapeutic anticoagulation","Instability or deformity needing fusion, not decompression alone (relative)","Symptoms not matching imaging findings (relative)","Pregnancy (relative)"],"days_in_clinic":{"min":0,"max":2,"unit":"nights","qualifier":"Single-level lumbar or cervical posterior foraminotomy; minimally invasive often same day, open often 1-2 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assessment, can be remote."}}],"indications":["Nerve root compression in the neural foramen (foraminal stenosis)","Foraminal disc herniation or osteophyte compressing a nerve root","Arm/leg radicular pain, numbness or weakness despite conservative treatment","Progressive neurological deficit with concordant imaging"],"main_risks":["Persistent or recurrent radicular symptoms","Nerve root injury or transient neurological worsening","Dural tear with cerebrospinal fluid leak","Infection","Bleeding or epidural hematoma","Segmental instability or later need for fusion","Anesthesia-related risks","Venous thromboembolism"],"pain":"Moderate incisional and muscle pain for the first days to weeks, controlled with oral analgesics; radicular pain often improves soon after surgery.","preparation":["Clinical neurological examination and correlation with MRI or CT","Preoperative anesthesia assessment and routine blood tests","Surgeon-directed review of current medications and blood thinners","Fasting before general anesthesia as instructed","Stop smoking if possible","Arrange help at home during early recovery"],"recovery_timeline":[{"phase":"First days","description":"Early mobilization, wound care and oral pain control; discharge same day or after 1-2 nights.","restrictions":["No heavy lifting","Avoid prolonged sitting or driving until cleared"]},{"phase":"Weeks 2-6","description":"Progressive walking and return to light activity or desk work; wound healed.","restrictions":["Avoid bending, twisting and lifting more than light weights"]},{"phase":"Weeks 6-12","description":"Gradual strengthening and return to normal activity as cleared by surgeon or physiotherapist.","restrictions":["Avoid high-impact or heavy loading until cleared"]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery for a single-level procedure; physiotherapy is optional or surgeon-directed."},"result_longevity":"Relief of nerve-root pain is often long-lasting, with many patients symptom-free for years. Recurrence or adjacent-level degeneration can occur over time.","revision_rate_pct":{"min":3,"max":12,"unit":"percent","qualifier":"Repeat decompression or later fusion at the same level within about 5 years."},"scars":"Small posterior midline or paramedian incision, about 1-3 cm for minimally invasive or 3-5 cm for open; usually fades to a thin line.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for the targeted level."},"stages":[{"code":"foraminotomy_surgery","label":"Foraminotomy decompression of the nerve root","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery."}}],"qualifier":"Single-stage standalone procedure."},"success":{"metric":"Meaningful relief of radicular arm or leg pain","value":85,"unit":"percent of patients","horizon":"1-2 years after surgery","population":"Adults with single-level foraminal radiculopathy unresponsive to conservative care","evidence_status":"limited"},"techniques":[{"name":"Open posterior foraminotomy (lumbar or cervical)","suits_whom":"Radiculopathy from lateral or foraminal compression without instability.","recovery":"Often 1-2 nights in hospital; return to light activity in a few weeks."},{"name":"Minimally invasive (tubular/microscopic) foraminotomy","suits_whom":"Selected patients with unilateral foraminal compression.","recovery":"Often same-day discharge or one night; usually somewhat quicker early recovery."},{"name":"Endoscopic foraminotomy","suits_whom":"Selected patients with foraminal stenosis or herniation at suitable levels.","recovery":"Often same-day discharge; early return to light activity."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1,"max":2.5,"unit":"hours","qualifier":"Single-level foraminotomy operating time; excludes anesthesia induction and recovery."},"initial_assessment_documents":["Spine MRI report and images","Recent CT scan of the spine (if available)","Flexion-extension spine X-rays (if available)","EMG or neurological examination report (if available)","Previous spine surgery or injection records (if available)","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days including 0-2 hospital nights and wound check. Later reviews can be remote."},"clinic_checks":null,"red_flags":null,"warning_signs":null,"take_home":null,"alternatives":null,"technique_details":null}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=mexico/city=gvadalahara/procedure=foraminotomia/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"procedureTexts":[{"operation_id":326,"operation_info":{"id":326,"name":"Kyphoplasty","alias":"kyphoplasty"},"texts":{"overview":{"text":"<h3>Kyphoplasty</h3> <p>Kyphoplasty is a minimally invasive procedure designed to treat vertebral compression fractures and restore spinal alignment.</p> <div>[icon-pros]<b>Pros:</b><span> It can significantly reduce pain in up to 90% of patients and helps restore vertebral height. The procedure is quick, often completed in less than 1 hour.</span></div> <div>[icon-cons]<b>Cons:</b><span> There is a risk of cement leakage, which occurs in about 5-10% of cases. Some patients may experience transient increase in back pain post-procedure.</span></div> <div>[icon-effect]<b>Effectiveness:</b><span> Success rate of pain relief is approximately 90%.</span></div> <div>[icon-clock]<b>Duration:</b><span> 1 hour</span></div> <div>[icon-run]<b>Recovery:</b><span> Initial recovery takes a few days, with full recovery in 2-6 weeks.</span></div> <div>[icon-thumbs]<b>Best for:</b><span> Patients with osteoporotic fractures or vertebral compression fractures. Effective for restoring spinal height and reducing pain.</span></div> <div>[icon-price]<b>Prices:</b><span> [txt-country]</span></div>"},"txt_short":{"text":"<p>The operation repairs fractured vertebrae, alleviating pain and restoring posture. It is a minimally invasive, balloon-assisted technique.</p>"}}}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}