Spine

Spine

The spine is an interconnected complex of bones, nerves, muscles, tendons, and ligaments that provide support to the body as well as our ability to stand straight up. The vertebrae are the bony building blocks of the spine which are supported by the discs in between them. Unfortunately as part of the aging process as well as many other conditions, these components can become damaged and cause pain, neurological symptoms, or loss of mobility.

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Spine Procedures

Microlumbar Discectomy (MLD)

A microdiscectomy is a procedure used to treat a lumbar herniated disc, and subsequently treat leg pain, known as radiculopathy. During this procedure, the herniated portion of the vertebrae is removed to relieve the neural impingement and create more room for the nerve to heal. Impingement on the nerve is typically the culprit of substantial leg pain. While it takes some time to fully heal, most patients experience relief almost immediately following surgery.

Lumbar Decompression / Laminectomy

Another surgery for lumbar disc herniation is lumbar decompression. A small piece of bone impinging on the nerve is removed to give the nerve adequate room to heal. Typically patients have immediate relief in their leg pain however, it is hard to gauge everyone’s specific recovery period and how soon their symptoms with be relieved. Symptoms of weakness, numbness etc will often time take much longer to subside.

Laminectomy is a form of decompression surgery whereby the lamina is removed, creating more space in the spinal canal, thus relieving pressure on the spinal cord and nerves. This pressure is typically the result of bony overgrowths in the spinal canal.

ALIF- Anterior Lumbar Interbody Fusion

Spinal fusion surgery is essentially a welding process where painful vertebrae are fused together creating a single, solid bone. With interbody fusion, the intervertebral disc is removed and a spacer is implanted between the vertebrae promoting bone healing and facilitating the fusion. After the spacer is inserted, screws, plates and rods are implanted to further stabilize the spine.

In an anterior lumbar fusion (ALIF), the surgery is performed through the front of the body. Depending on your specific symptoms and diagnosis, Dr. Yashar will recommend the best approach to your spinal fusion surgery.

PLIF- Posterior Lumbar Interbody Fusion

Spinal fusion surgery is essentially a welding process where painful vertebrae are fused together creating a single, solid bone. With interbody fusion, the intervertebral disc is removed and a spacer is implanted between the vertebrae promoting bone healing and facilitating the fusion. After the spacer is inserted, screws, plates and rods are implanted to further stabilize the spine.

In a posterior lumbar fusion (PLIF), the surgery is performed through the back of the body. Depending on your specific symptoms and diagnosis, Dr. Yashar will recommend the best approach to your spinal fusion surgery.

XLIF- eXtreme Lateral Interbody Fusion

Spinal fusion surgery is essentially a welding process where painful vertebrae are fused together creating a single, solid bone. With interbody fusion, the intervertebral disc is removed and a spacer is implanted between the vertebrae promoting bone healing and facilitating the fusion. After the spacer is inserted, screws, plates and rods are implanted to further stabilize the spine.

In an extreme lateral lumbar fusion (XLIF), the surgery is performed through the side of the body. Depending on your specific symptoms and diagnosis, Dr. Yashar will recommend the best approach to your spinal fusion surgery.

DLIF- Direct Lateral Interbody Fusion

Spinal fusion surgery is essentially a welding process where painful vertebrae are fused together creating a single, solid bone. With interbody fusion, the intervertebral disc is removed and a spacer is implanted between the vertebrae promoting bone healing and facilitating the fusion. After the spacer is inserted, screws, plates and rods are implanted to further stabilize the spine.

In a direct lumbar interbody fusion (DLIF), the surgery is performed through the side of the body. Depending on your specific symptoms and diagnosis, Dr. Yashar will recommend the best approach to your spinal fusion surgery.

Anterior Cervical Discectomy and Fusion (ACDF)

Discectomies involve removing a small piece of disc impinging on a nerve, giving the nerve adequate room to heal. Spinal fusion surgery is essentially a welding process where painful vertebrae are fused together creating a single, solid bone. With interbody fusion, the intervertebral disc is removed and a spacer is implanted between the vertebrae promoting bone healing and facilitating the fusion. After the spacer is inserted, screws, plates and rods are implanted to further stabilize the spine.

The goal of an anterior cervical discectomy and fusion (ACDF) is to remove a problematic disc and relieve the spinal cord and nerve roots of pressure and alleviate symptoms of pain, weakness, numbness and tingling. The approach is done through the front of the neck, which has many advantages for doing so. The discectomy is coupled with a fusion, helping to provide stabilization of the cervical spine.

Total Cervical Disc Replacement

An artificial cervical disc is a device inserted between two cervical vertebrae after surgical removal of an intervertebral disc. Cervical disc replacement surgery would most typically be done for patients with cervical disc herniations that have not responded to non-surgical treatment options and are significantly affecting the individuals’ quality of life and ability to function.

Total Lumbar Disc Replacement

An artificial lumbar disc is a device inserted between two lumbar discs after surgical removal of the intervertebral disc. Lumbar disc replacement surgery would most typically be done for patients with lumbar disc herniations that have not responded to non-surgical treatment options and are significantly affecting the individuals’ quality of life and ability to function.

Cervical Laminoplasty

A cervical laminoplasty is a procedure that removes pressure from the spinal cord in the neck. Pressure on the spinal cord can be due to various sources. Frequently this spinal cord pressure, called spinal stenosis, can occur at multiple levels of the cervical spine at the same time. If this pressure is severe enough, symptoms such as myelopathy can develop. Laminoplasty may be an excellent option to relieve the pressure, allow the spinal cord to heal, and possibly reverse the symptoms.

Vertebroplasty

The goal of vertebroplasty is to stabilize a spinal fracture. Through a small puncture (not incision) a biopsy needle is guided to the fractured vertebrae and cement (medical grade) is injected into the fractured vertebrae filling the spaces of the fracture. The needle is removed and the cement hardens.

Kyphoplasty

Kyphoplasty is another surgery for spinal fracture designed to stabilize the bone and hopefully restore some or all of the lost vertebral body height due to compression fracture. A small incision is made posteriorly through which a tube is guided to the fractured area of the vertebrae. Using xray imaging, a small balloon passes through the tube and into the vertebrae where it is inflated, lifting up the fracture and putting it into a more normal position. It creates a cavity inside the vertebrae which will then be filled with cement-like material, stabilizing the bone.

Cervical Foraminotomy

Cervical foraminotomy is a procedure to remove bone and/or portions of a diseased or herniated disc to relieve neck and arm pain. Posterior cervical foraminotomy relieves spinal nerve root compression by creating more room for the nerve root to pass through the foramen. Depending on the type of material that is causing pressure upon the nerve, a cervical foraminotomy can be performed to relieve the nerve of compression by a bone spur, thickened ligament, or inflamed joint/facet.

The procedure is performed in the back of the neck, with the patient laying face down on the operating room table. A small incision can be made and the correct bony anatomy is identified. Various instruments are used to remove a small amount of bone material, therefore opening the nerve window or foramen.

Spinal Cord Stimulation

Coming Soon…

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