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.
(1) The Corps of Engineers defines their policy and procedures for implementing NEPA in 33 CFR 230. Under these procedures, the Corps integrates NEPA requirements with other planning and environmental review and consultation requirements.