The spine is comprised of vertebrae, discs, joints, plates and ligaments. Back pain may come about because of damage or degeneration “wearing out” of these structures delivering degenerative disc disease. Spondylolithesis (spine slippage), aspect Arthropathy (exhausted and thickened feature joints), and Spinal Stenosis (joint inflammation squeezing spinal nerves). Traditional surgery for these conditions included large incisions at the midline skin entry points, retractions and withdrawal of the muscles, increase blood loss, and bone removal. This brought about muscle and delicate tissue harm delivering increase post-op pain and delayed recovery.
MIS Posterior screw fixation has advanced to the use of percutaneous systems, specific spinal instrumentation, use of tiny cameras(endoscopic) and magnifying instruments made negligibly invasive spine surgery conceivable. Points of interest of minimally invasive spine surgery are little skin entry points, muscle expansion instead of withdrawal using size increasing dilators, reduced bone removal(laminotomy) and blood loss. Significant diminishing of pain post-op and quicker recovery time after surgery.
Minimally invasive lumbar fusion surgery involves the decompression, fusion and instrumentation of the spine through minimally invasive techniques.
- The levels of affected vertebra are identified with X-Ray.
- Specialized needles (Jamshidi needles) are placed via the pedicle (strongest area of bone in the spine) into the spine.
- The skin and soft tissues are sequentially dilated. K-wire and dilator tubes are placed into each pedicle (strongest area of bone in the spine). Intra-operative real time neuro-monitoring is utilized to ensure that spinal cords, nerves and neural structures were protected out of the surgical field.
- Pedicle screws are placed over the wire into the spine.
- Pre-contoured rods are placed to connect the screws and locked in place.
- Dissolvable sutures are placed and a small bandage will cover the incision site.
- The patient will be instructed to wear a back brace to support recovery and encourage proper healing.
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A bulging disc is quite common, and usually remains undetected until the disc bulge comes in contact with adjacent nerves leading to pain and other symptoms.
Degenerative Disc Disease
Degenerative disc disease is not truly a disease, but more of a chain of events that naturally occur as we age. There is no avoiding degenerative disc disease, but you may slow its progress.
As the outer shell of your disc begins to toughen or dry up, a painful crack or tear could happen. Learn what a disc tear is, and how you can recover from it.
Failed Back & Neck Surgery
There are many reasons why back or neck surgery may provide lackluster results. Bad diagnosis, unskilled surgeon, or improper healing; which is it?
Facet Joint Syndrome
Facet Joint Syndrome refers to the degeneration of the arthritic changes that occur in your facet joints. Age and daily wear and tear are the most common culprits.
Foraminal Stenosis describes the narrowing of the foramen. As the foramen narrows, exiting nerves can become compressed causing pain and other symptoms.
Pain presents itself in many different ways, at different times and in many cases is triggered by specific activities. We will be happy to answer your questions in conjunction with a personal phone call follow up with one of our doctors.
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