The Bonati Foraminotomy is performed to relieve pressure on nerves that are being compressed at the site of the intervertebral foramina, also called neural foramena. Foramina are small openings present between every pair of vertebrae in the spine. Nerve bundles that connect to the spinal cord pass through these openings. The Bonati Foraminotomy involves a very small incision through which the patented Bonati tube system is inserted to view the surgical area using endoscopic assistance. Spine surgery instrumentation is passed through the tubular system to remove the small portion of bone or disc material that is compressing the nerve(s).

a spine surgeon performing a foraminotomy

The Bonati Foraminotomy does not use general anesthesia. Through the use of local anesthesia and conscious IV sedation the patient is comfortable, responsive, and able to provide feedback to the doctors throughout the procedure. This allows our spine surgeons to target the source of pain with pinpoint accuracy. While in the operating room, the surgical team will confirm the patient is able to complete a series of mobility exercises and verify that the pain has been successfully treated. After the procedure, the patient is transferred to the post-operative care unit for rest and observation, and then a post-operative consultation with the surgeon will help determine if additional procedures included in the surgical plan are necessary. Follow-up surgeries are usually scheduled within a few days of the first surgery, to allow any swelling to subside. During this time, the patient will be given a regimen of walking therapy.

Are You A Candidate For The Bonati Spine Foraminotomy?

Signs You May Need Neural Foramina Treatment

Symptoms of all of these conditions may include:

Pain, tingling and numbness in your back, legs or arms

Increased pain when performing certain physical movements

Leg and arm weakness

Radiating pain (radicular or Sciatica pain)

Loss of range of motion


The Bonati Spine Institute offers complimentary MRI or CT Scan reviews for patients suffering from chronic pain which can be caused by a variety of spine problems. A surgeon will provide feedback and possible treatment options, for suitable Bonati Spine Procedures candidates. Request your MRI review now.

Begin Your Road to Recovery Now!