Complex Spine Surgery

Lumbar Fusions

Spinal fusion, also called arthrodesis, is a surgical technique used to join two or more vertebrae (bones) within the spine. Lumbar fusion technique is the procedure of fusing the vertebrae in lumbar portion of the spine (lower back). Lumbar fusion surgery may be used to treat spondylolisthesis (slipping of the spine bones), degenerated discs, scoliosis or kyphosis (abnormal curvature of the spine), spinal infections or tumors, traumatic injury of the spine, recurrent disc herniation, and unstable spine.

Lumbar Artificial Disc Replacements

Lumbar artificial disc replacement is a surgical method of replacing the diseased or damaged intervertebral discs of the spinal column with an artificial disc to restore motion to the spine. It can be considered as an alternative to spinal fusion for patients with low back pain.

Minimal Exposure Tubular Retractor (METRx) System

Minimally invasive surgery is a technique of performing surgeries through the tiny incisions and is an alternative to open surgery. Moreover, minimally invasive surgery offers certain advantages over open surgery. Minimally invasive surgeries are done by using various techniques and the Minimal Exposure Tubular Retractor (METRx) system is a more evolved technology than micro endoscopic discectomy system.

Minimally Invasive Lumbar Fusions

Spinal fusion is a surgical technique used to join together two or more vertebrae in the spine and to minimize the pain caused by movement of these vertebrae. Fusion of vertebrae in the lumbar portion of the spine is called as lumbar fusion and the surgery can be done as an open or minimally invasive procedure.

Posterior Lumbar Fusions

Spinal fusion, also called arthrodesis, is a surgical technique used to join two or more vertebrae (bones) within the spine. Lumbar fusion technique is the procedure of fusing the vertebrae in lumbar portion of the spine (lower back).Lumbar fusion surgery may be used to treat spondylolisthesis (slipping of the spine bones), degenerated discs, scoliosis or kyphosis (abnormal curvature of the spine), spinal infections or tumors, traumatic injury of the spine, recurrent disc herniation, and unstable spine.

Posterior Lumbar Interbody Fusion Surgery

Spinal fusion is a surgical technique used to join together two or more vertebrae in the spine and to minimize the pain caused by movement of these vertebrae. Fusion of vertebrae in lumbar portion of the spine is called as lumbar fusion and the surgery can be done as an open or minimally invasive procedure.

Posterolateral Lumbar Fusion

Posterolateral lumbar fusion is a surgical technique that involves correction of spinal problems from the back of the spine by placing bone graft between segments in the back and leaving the disc space intact. Minimally invasive surgical techniques may be used to perform the procedure.

Spondylolisthesis Reduction & Fusion

Spondylolisthesis is a condition characterized by displacement of one vertebra over the other. Excessive displacement may compress the surrounding spinal nerves and cause pain. Treatment depends on the age, extent of the slip and the severity of symptoms. Surgery is an option, if daily activities are difficult to perform because the vertebra continues to slip and the pain does not improve with conservative treatment.

Transforaminal Lumbar Interbody Fusion (TLIF)

Transforaminal lumbar interbody fusion (TLIF) is a type of spinal fusion procedure in which bone graft is placed between the affected vertebrae in the lower back (lumbar) region through an incision on the patient’s back.

Minimally Invasive Lumbar Discectomy

Lumbar discectomy is a spinal surgery that involves removal of damaged intervertebral disc to relieve pressure on the spinal nerves (decompression) in the lumbar (lower back) region. Minimally invasive technique is implemented to perform the surgery. The lumbar region forms the lower portion of the spine and comprises of five vertebrae (L1-L5).

Lumbar Microdiscectomy

Microdiscectomy is a surgical procedure employed to relieve the pressure over the spinal cord and/or nerve roots, caused by a ruptured (herniated) intervertebral disc. A herniated disc, common in the lower back (lumbar spine) occurs when the inner gelatinous substance of the disc escapes through a tear in the outer, fibrous ring (annulus fibrosis). This may compress the spinal cord or the surrounding nerves, resulting in pain, sensory changes, or weakness in the lower extremities.

Lumbar Laminectomy

Lumbar laminectomy, also known as decompression laminectomy, is a spinal surgery done to relieve excess pressure on the spinal nerve(s) in the lumbar (lower back) region. The term laminectomy originated from the Latin word ‘lamina’ refers to a thin plate and the word ‘ectomy’ means removal.

Anterior Lumbar Corpectomy and Fusion

Anterior Lumbar Corpectomy and Fusion is a surgical technique performed to remove the vertebral bone or disc material between the vertebrae to alleviate pressure on the spinal cord and spinal nerves (decompression) in the lumbar (lower back) region. The term corpectomy originates from the Latin word ‘corpus’ which means ‘body’ and the word ‘ectomy’ means ‘removal’.

Lumbar Discectomy

Intervertebral discs are fibrocartilagenous cushions between adjacent vertebrae in the spine. The normal intervertebral disc is composed of a semi-liquid substance (nucleus pulposus) at the center surrounded by a fibrous ring (annulus fibrosis). A herniated disc, also known as a bulging disc, is a condition in which the inner gelatinous substance of the disc is forced out through a tear in the outer, fibrous ring (annulus fibrosus). This may compress the spinal cord or the nerves around the spinal cord.

Thoracic Spine Decompression

Thoracic spine decompression is a procedure to relieve pressure on the spinal nerves in the middle portion of the back. Spine decompression surgery is indicated in treating spinal stenosis. Spinal stenosis is the narrowing of the spinal canal caused by degeneration of the facet joints and the thickening of the ligaments.

Thoracic Spine Fusion

Thoracic spine fusion is a surgical procedure in which two or more bones (vertebrae) of the thoracic spine are joined together so as to eliminate the movement between them. The thoracic spine is the center part of the spine and is formed of 12 vertebrae. Thoracic spine fusion is done by placing bone grafts or bone graft substitutes in between the affected vertebrae.

Foraminoplasty

Neural foramina are small canals at every level of the spine through which nerves leave the spinal cord and go to the limbs and other parts of the body. Narrowing of this canal is called foramina stenosis. Narrowing may be caused by bone spurs, a herniated or bulging disc, arthritis, ligament thickening or enlargement of a joint in the spinal canal.

Thoracic Vertebroplasty

Osteoporosis is a “silent” disease characterized by weakening of bones, making them more susceptible to fractures, typically in the hip and spine. Elderly people and especially post-menopausal women are at greater risk of developing osteoporosis. The mid to lower back area of the spine is mainly involved in weight- bearing, making these regions of spine more prone to collapse when bone weakness is present.

Thoracic Discectomy

The human spine provides support to the body allowing you to stand upright, bend, and twist. The spine can be broadly divided into cervical, thoracic and lumbar spine. Thoracic spine lies in the mid back region between the neck and lower back and is protected by the rib cage.

Spinal Manipulation

Spinal manipulation is a non-surgical “hands-on” technique in which professional chiropractic specialists use leverage and exercises to adjust spinal structures and restore mobility of the back. During pain, the nerve that is interconnected with the muscles, joints, bone becomes weak and loses its ability to function. With this therapy, the nerve will be made to work normally and the blood circulation in these areas also increases.

Spine Injections

Spine injection is a nonsurgical treatment modality recommended for treatment of chronic back pain. Injection of certain medicinal agents relieves the pain by blocking the nerve signals between specific areas of the body and the brain. The treatment approach involves injections of local anesthetics, steroids, or narcotics into the affected soft tissues, joints, or nerve roots.

Revision Spinal Surgery

Revision spine surgery is surgery performed in certain patients to correct the problems of earlier spine surgery. Revision surgery is indicated in patients with chronic pain even after surgery.The goal of revision spine surgery is to reduce pain and resume normal activities. The revision spine surgery is performed in certain conditions such as re-herniation of a disc, infection, pseudoarthorsis, hardware failure, non-surgery related spine degeneration, flat back syndrome, instability, or adjacent segment degeneration.

Minimally Invasive Spine Surgery (MISS)

MISS is the latest advanced technology available to perform spinal surgeries through small, less than one inch long, incisions. It involves the use of special surgical instruments, devices and advanced imaging techniques to visualize and perform the surgery through such small incisions. MISS is aimed at minimizing damage to the muscles and surrounding structures.

X-LIF Extreme Lateral Interbody Fusion

Extreme lateral interbody fusion (XLIF) is a minimally-invasive surgery that involves the fusing of two degenerative spinal vertebrae. The procedure is conducted to relieve painful motion in the back caused by spinal disorders. Spinal problems occur primarily between vertebrae, where they are packed with a cushioning material called intervertebral disc.

Spine Osteotomy

Spine osteotomy is a surgical procedure in which a section of the spinal bone is cut and removed to allow for correction of spinal alignment. Spine osteotomy is usually needed for correction of severe, , rigid and fixed spinal deformity when nonsurgical treatments do not relieve symptoms such as numbness, weakness, or pain due to nerve compression or when deformity is getting worse over time.

Anterior Cervical Discectomy

Anterior cervical discectomy is an operative procedure to relieve pressure or compression on the nerve roots and/or the spinal cord because of a herniated disc (damaged disc) or a bone spur. Pain in the neck and extremities is a common symptom of intervertebral disc damage or herniation.

Anterior Cervical Discectomy with Fusion (ACDF)

Anterior cervical discectomy with fusion is an operative procedure to relieve compression or pressure on nerve roots and/or the spinal cord due to a herniated disc or bone spur in the neck. In anterior cervical discectomy with fusion, the surgeon approaches the cervical spine through a small incision in the front of the neck and removes the total disc or a part of the disc along with any bony material that is compressing or putting pressure on the nerves and producing pain.

Cervical Corpectomy

An anterior cervical corpectomy and fusion is an operative procedure to relieve pressure on the spinal cord and spinal nerves by removing the damaged vertebral bone and/or intervertebral disc material (decompression) at the cervical spine, or neck. Anterior cervical corpectomy involves removing the vertebral bone or disc material by approaching the cervical spine from the front side (anterior position) of the neck.

Cervical Disc Replacement

The cervical spine is located in the neck region and consists of seven bones arranged one on top of the other. Cushioning tissue called vertebral discs located between the vertebrae act as shock absorbers, allowing easy movement of the neck. Wear and tear and advancing age can damage these discs, leading to pain and disability. Artificial cervical disc replacement surgery is a procedure where the damaged intervertebral disc is removed and replaced with an artificial implant.

Cervical Foraminotomy

Cervical foraminotomy is an operative procedure to relieve the symptoms of pinched or compressed spinal nerve by enlarging the neural foramen, an opening for the nerve roots to exit from the spine and travel throughout the body. The neural foramen forms a protective passageway for nerves that transmit signals among the spinal cord and the rest of the body parts.

Cervical Laminectomy

A cervical laminectomy is an operative procedure of removing the bone at the neck (cervical spine) region to relieve pressure on the spinal nerves. It can also be performed to relieve the symptoms of narrowed spinal canal known as spinal stenosis. Laminectomy refers to removal or cutting of the lamina (roof) of the vertebral bones to provide space for the nerves to exit from the spine.

Cervical Laminoplasty

A cervical laminoplasty is an operative procedure that involves reshaping/repositioning the bone at the neck region (cervical spine) to relieve excess pressure on the spinal nerves. It can also be performed to relieve the symptoms of narrowed spinal canal known as spinal stenosis.

Minimally Invasive Cervical Discectomy

A cervical discectomy is an operative procedure which relieves pressure on the spinal nerves and/or spinal cord by removing the total or a part of the damaged intervertebral disc. Cervical discectomy is performed using minimally invasive approach in selected patients, if appropriate.

Multilevel Posterior Cervical Laminectomy and Fusion

Posterior cervical laminectomy and fusion is an operative procedure to relieve pressure or compression on the nerve structures due to herniated disc, spinal stenosis or spondylosis. It is often performed for multilevel spinal cord compression from cervical spinal stenosis to decompress the spinal cord and nerve roots in the cervical region (neck region) of the spine.

Posterior Cervical Microforaminotomy

Posterior cervical microforaminotomy/discectomy is an operative procedure that relieves pressure or compression on the nerve roots at the cervical spine. The cervical region (neck area) forms the upper portion of the spine. A series of cervical vertebrae, C1-C7 connects the cervical spine to the skull. The massive nerve supply to the head, neck, and upper portions of the shoulders and arms is by the spinal nerve roots that branch out from the cervical spine.

Anterior Lumbar Interbody Fusion (ALIF)

The ALIF surgery is usually performed under general anesthesia. The patient is positioned supine lying on the back. The surgeon makes an incision in the abdomen and retracts the muscles and various structures to enhance the clarity and accessibility to the anterior aspect of the vertebrae. The surgical approach is from the front of the vertebral body in the lower back region.

Anterior Lumbar Corpectomy and Fusion

Anterior Lumbar Corpectomy and Fusion is a surgical technique performed to remove the vertebral bone or disc material between the vertebrae to alleviate pressure on the spinal cord and spinal nerves (decompression) in the lumbar (lower back) region. The term corpectomy originates from the Latin word ‘corpus’ which means ‘body’ and the word ‘ectomy’ means ‘removal’.

Spinal Deformity Surgery

The Spine or backbone provides stability to the upper part of our body. It helps to hold the body upright. It consists of several irregularly shaped bones, called vertebrae appearing in a straight line. The spine has two gentle curves, when looked from the side and appears to be straight when viewed from the front. When these curves are exaggerated, pronounced problems can occur such as back pain, breathing difficulties and fatigue and the condition will be considered as deformity.