Foraminotomies can be performed at any level in the cervical spine as long as the indications are correct ands there are no contra-indications (degenerative spondylolisthesis, central disc herniation, bone spur originating from anterior uncovertebral joint). The procedure is performed for nerve compression (arm pain) and not for neck pain.
After a single level ACDF, my patients can go back to the NFL. Even with a three level ACDF, patients can go back to golf. Two levels are the maximum if they are professional golfers. Artificial disc replacement allows more levels to be surgically involved.
Donald Corenman, MD, DC is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. Trained as both a Medical Doctor and Doctor of Chiropractic, Dr. Corenman earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles and two books.