Foraminotomy Techniques â Bilateral, Posterior, and Anterior. With the different ways that a surgery can be performed it can be a little overwhelming trying to understand what will happen when you are on the operating table. Whether it is a bilateral foraminotomy, a posterior foraminotomy, or an anterior foraminotomy the goal of the surgery will be the same; enlarge the foramen to relieve nerve compression. The main difference in these foraminotomy techniques is the direction the surgeon approaches the foramen.
Achieving and managing compliance with requirements of the National Environmental Policy Act of 1969 (NEPA) requires a thorough understanding of the Actâs intent, its regulatory requirements, and professionally accepted methods for effectively addressing the many difficult elements of the regulation.
(NEPA)1 in 1969, it required that all major federal actions that. might have an impact on the environment be preceded by a thorough. review and analysis of potential environmental impacts.2 Because. Congress limited NEPA to cases involving major federal actions,.