Minimally invasive surgery: Our goal is always aimed at minimal disruption of the normal anatomy. We have been trained to properly utilize all of the latest techniques in minimally invasive surgery. Not only does this result in less disruption of normal anatomy, but may speed the healing and recovery process.
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Minimally Invasive Spine Surgery
During this procedure a portion of the skull is removed allowing access to blood clots, brain tumors, and vascular abnormalities. Variations include Burr Holes and Posterior Fossa Craniectomy for Trigeminal Neuralgia.
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Craniotomy
Lumbar disc surgery is performed to decompress a nerve which may be causing pain, numbness, or weakness resulting from a herniated disc. The portion of the disc immediately compressing the nerve is removed along with the portion of the diseased central nucleus pulposus to try to prevent a recurrent herniation. The entire disc is not removed, nor is anything put back in its place. This is usually done using microsurgical or minimally invasive techniques.
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Lumbar Microdiscectomy
Cervical disc surgery is usually performed in conjunction with a cervical fusion. This is approached from the front of the neck through a small incision. Removal of the diseased disc is done with the aid of an operating microscope to ensure complete decompression of the spinal cord and nerve roots.
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Anterior Cervical Discectomy With Fusion
Cervical Foraminotomy
The lumbar X-Stop™ device is a new technique for decompressing the spinal canal in patients with lumbar stenosis. This procedure is often appropriate for patients with lumbar claudication and leg pain resulting from narrowing of the spinal canal. A spacer is placed between the bones of the spine and can often prevent the need for a much more aggressive surgical procedure, such as laminectomy and/or fusion.
Lumbar fusion is performed to either stabilize the spine to aid in fusion, or to prevent abnormal movement of the spine. Usually this requires placement of some type of metallic plate, rods, and screws. It can often be accomplished using minimally invasive techniques.
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Lumbar Spinal Fusion
See Also
Spondylolisthesis
Kyphoplasty™ for vertebral fracture is done to provide early stabilization and pain relief for thoracic and lumbar spine compression fractures. This is accomplished by dilating a balloon within the fractured vertebrae, and then filling the cavity it creates with acrylic cement.
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Video : Kyphoplasty
Spinal tumors require precision surgical removal with the aid of the operating microscope, in order to remove the tumor and avoid damage to the spinal cord and/or nerve roots.
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Spinal Tumors
Cervical artificial disc surgery may be useful as an alternative to cervical spine fusion. The advantage is the ability of the artificial disc to preserve spinal motion. We are trained in the appropriate patient selection and placement of these devices.
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Cervical Disc Arthroplasty
Spinal instrumentation is the placement of various metallic screws, rods, and plates to aid in spinal fusion.
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Posterolateral Lumbar Fusion
Carpal tunnel surgery is performed to decompress the median nerve at the wrist. The surgery is done through a small incision in the palm of the affected hand.
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Carpal Tunnel Syndrome
Ulnar neuropathy usually results from compression of the ulnar nerve at the elbow or wrist. During surgery a small incision is made overlying the nerve, and the ligament compressing the nerve is incised to decompress the nerve.
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