The procedure starts with the patient being put under anesthesia and subdued. Then an incision in the front of the neck is made to access the damaged disc in the thoracic spine (upper spine) then the damaged disc is removed, instead of a bone graft which was more commonly used in the past an artificial disc is placed in the space the disc was removed from. Any fragments of the disc are also recovered to avoid any bone spurs which can cause discomfort. The hardware is a small pivot that can return mobility to the neck.
Treats pain, pressure, and discomfort, and instability caused by a damaged or degenerate spinal disc located in the neck region.
Necessary when two vertebras in the neck become compressed due to a damaged disc. ACDR is a process to decompress the vertebrae by replacing the disc with an artificial spinal disc.
While subdued a small incision is made in the front side of the neck of the patient. The inner jelly like core of the disc is removed and the damaged part of the disc is inspected. The Surgeon checks and cleans out any bone spurs (fragments) that may have gotten loose from the damaged disc.
Depending on the situation either a bone graft or cage will be placed in the location the disc had been previously removed. This prevents the upper vertebrae from collapsing and in the case of the fusion technique, makes it possible for the bone to fuse with the graft or cage to return comfort and mobility to the patient. Then a small titanium plate is attached with screws to the upper and lower vertebrae of the replaced disc. It is attached with screws and is used to create stability and aid in the fusion. The fusion can take up to 18 months but the surgery is relatively simple and often times the patient can leave that day.
Treats conditions causing pain, pressure, or discomfort from a damaged or jarred spinal disc located in the Cervical Spine (upper spine or neck).
A decompression is more of a broad term referring to any surgery that takes pressure off of the spinal nerve or the spinal cord which may be causing, pain, numbness, or any sort of discomfort. Surgeries included in this category are typically Lumbar Laminectomy [link] and Microdiscectomy.
Common conditions this treats are: Spinal Stinosis , Degenrative disc disease, and Synovial cyst
The surgery starts with a 2-5 inch incision in the patient's back. Then the left and right back muscles are cut off of the lamina. The damaged lamina is then removed and the facet joint is trimmed down to create more space for the spinal nerve. Once the surgeon has confirmed the pressure has been alleviated. This allows for the nerve roots to heal and the pain/discomfort to dissipate.
Treats spinal stenosis caused by degenerative disc disease. When the material lining the facet joint (the lamina) in the back of the vertebrae becomes swollen from use over time the expansion causes pressure on the spinal nerve which in turn cause pain or discomfort.
The surgery starts with a 1-1 ½ incision is made in the low back. The back muscles are then lifted off the spine, instead of cut because of the angle of entry. The surgeon then uses a microscope or operating glasses to get a visual on the nerve root. Usually a piece of the facet joint I removed to relieve pressure and gain access to the inner spine. Then the nerve root is pushed to the side and the damaged disc material is removed. This is a minimally invasive technique that keeps most of the tissue inside the body un touched allowing for a much swifter healing period.
Typically used to treat a herniated disc that causes lower back or leg pain.
A one inch incision is made on the side of the patients oblique. From this angle it allows the surgeon to access the spine with hardly any muscle damage. This also allows for a larger space to make the fusion and create even more stability then with previous procedures with significantly faster recovery time. Like the othe disc replacement surgeries, the surgeons removes the damaged or protruding disc, cleans out the area of any excess bone that may have been dispersed. The surgeon then inserts a bone or artificial disc in the place of the vertebrae. The surgeon will then use hardware and screws to stabilize an aid in the fusion. The opening is then closed shut with stitching.
A treatment for a damaged or herniated disc to restore.
A 3-5 inch incision is made on the left abdomen. The abdomen muscles are pulled to the side avoiding any damage to the area. There are two large blood vesicles that are then also pushed to the side to gain access to the spine. Then the damaged disc and any fragments are removed and carefully replaced with a cage that restores motion to the vertebrae. Then a bone graft will be placed into the cage for stability. Sometimes plated and screws will be added in addition to insure proper healing. In some cases the bone graft will be taken from the patient from an additional surgery before the ALIF. Over time the fusion will continue to grow around the cage and strength the patient's mobility.
Typically used to treat degenerative disc disease. A spinal disc which has been degraded over time.
One or more small incisions are made in the patient’s lower back. This allows for quicker recovery time than previous fusion surgery options. The surgeon then removes the damaged disc and any remaining fragments. Some of the disc will be left behind as a landing strip for the bone graft material. Then the hardware is placed in the vertebrae to aid the fusion and stability. Then a series of rods and screws may be added to insure the proper healing of the graft. More bone graft will also be placed along the side of the rods and screws creating a bridge between the vertebrae.
Treats back or leg pain typically from degenerative disc disease. This is when a spinal disc which has been degraded over time becomes damage and causes discomfort.
A very small tube is inserted into the spinal cavity be is inserted into the spine through the low back. Then a cord with electrodes is sent through the tube and into the epidural or the area in the center of the spine. Once inserted, the electrodes send out electronic signals that block the pain signals from the brain. The patient then tells the surgeon what area best blocks the pain receptors. The cord will be attached to an external battery for a week to test whether this is an effective measure. If so and bot the the patient and physician agree this is going to help the surgeon installs a permanent cord. Then a separate incision is made to install the battery pack into the body to power the cord. Then they are connected. Once the patient is patched up they will be given an external control for the implant. They can command the intensity, as well as the areas that the implant will effect or just turn it off.
Treats neurological spinal conditions.
In most cases clamps are inserted into the vertebrae then a rod is inserted in the back. An instrument is placed over the clamps on the vertebrae and the rod bringing the vertebrae into alignment over time with slight tightening. Once the spine is brought into alignment the clamps are removed as well as the rods and the instrumentation.
Performed on patients with an over exaggerated or loss of curve in neck or low back. Often used for extreme cases of a misshapen spine including scoliosis. Can be one of the most technical of surgeries.