Click any link below to jump to that procedure.
- Anterior Cervical Discectomy & Fusion
- Artificial Cervical Disc Replacement
- Posterior Cervical Foraminotomy
- Posterior Cervical Fusion
- Cervical Corpectomy
- Posterior Cervical laminectomy
- Posterior Cervical Laminoplasty
- Anterior Lumbar Interbody Fusion
- Lumbar Corpectomy
- Total Disc Replacement / Artificial Disc Replacement
- Posterior Lumbar Fusion
- Transforaminal Lumbar Interbody Fusion
- Lumbar Discectomy
- Lumbar Laminectomy
Cervical Neck and Spine Procedures
Anterior Cervical Discectomy Fusion
Anterior Cervical Discectomy & Fusion (ACDF) is a procedure used to treat cervical spine conditions that cause arm pain, neck pain and myelopathy. The procedure entails a surgical exposure from the front of the neck and an anterior exposure to the spine. The cervical disc is removed, the disc space is distracted and a bone graft material is used to hold the disc space distracted. This operation produces a reliable improvement in symptoms in carefully selected patients that have failed to improve with non surgical treatments.
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Artificial Cervical Disc Replacement
This procedure addresses the same conditions treated with a fusion but is designed to restore the disc height while maintaining motion. It involves an anterior exposure from the front of the neck. After removal of the disc material, the disc space is distracted and the disc replacement is inserted.
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Posterior Cervical Foraminotomy
A procedure that is performed using a microscope and small tubes. This procedure addresses nerve root compression that causes arm or shoulder pain. It involves a posterior approach to the neck and is aimed at freeing up the cervical nerve root. This procedure is reliable at alleviating the radiculopathy only and is not intended to alleviate neck pain. This is usually a same-day surgery.
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Posterior Cervical Fusion
This is a procedure performed from the back of the neck. It involves fusing the cervical vertebrae. This procedure may be used alone or in combination with an anterior cervical surgery to address conditions such as Cervical Myelopathy, Spinal Tumors and Spinal Cord Injuries and Fractures.
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Cervical Corpectomy
This procedure involves the almost complete removal of the cervical vertebrae and freeing up of the spinal cord and nerve roots. It is performed from the front of the neck and requires an anterior exposure. After the cervical vertebra is removed and the spinal cord is decompressed, the spinal column is reconstructed with bone graft and usually titanium spacers. Once the spinal column is reconstructed a titanium plate is often used with screws to secure the construct. This procedure is most commonly used for complex spinal reconstructions of cervical myelopathy, spinal tumors and spinal trauma.
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Posterior Cervical Laminectomy
This procedure is performed from the back of the neck through a posterior approach. It involves removal of the lamina, and decompression of the spinal cord. This procedure is often done for multilevel spinal cord compression from cervical stenosis and is often accompanied by a posterior cervical fusion.
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Posterior Cervical Laminoplasty
This procedure is performed from the back of the neck through a posterior approach. It achieves the same goal as a cervical laminectomy without completely disrupting the posterior elements and is thought to offer an alternative to a posterior cervical fusion. The procedure involves hinging the cervical lamina and keeping it hinged open with bone graft and often small titanium plates.
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Lumbar Spine / Lower Back Procedures
Anterior Lumbar Interbody Fusion
This procedure is performed from the front of the body through an anterior approach, this procedure is often used for degenerative conditions that cause back or leg pain as a result of degenerative disc disease, spondylolisthesis or scoliosis. The Disc space is entered from the front through a small incision in the abdomen and cleaned out. The disc space height is then restored with spacers that are filled with bone graft or Bone Morphogenic Protein. The goal of this surgery is to restore the spinal alignment, decompress the exiting nerve roots and obtain a fusion of the intervertebral space.
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Lumbar Corpectomy
This procedure is performed from the front or the side of the spine. It involves the almost complete removal of the vertebral body. It is usually used for tumors or cancers of the spine and for traumatic conditions such as Burst fractures. After the vertebral body is removed the space is reconstructed with a spacers and anterior instrumentation.
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Total Disc Replacement / Artificial Disc Replacement
This procedure is performed from the front of the spine and involves removal of the disc material, restoration of disc height and placement of a mobile prosthesis. This procedure mainly treats back pain that is caused by degenerative disc disease. This procedure offers an alternative to a fusion in a very select group of patients.
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Posterior Lumbar Fusion
This procedure is performed from the back of the body through a posterior approach. It is often done through a minimally invasive spine approach. This procedure may be done on its own or in combination with an anterior procedure. Posterior lumbar fusion is used to treat a variety of conditions such as degenerative disc disease, spondylolisthesis/stenosis, scoliosis, tumors, trauma and deformity. Most often the fusion is done with instrumentation and bone graft however certain conditions can be treated without the use of instrumentation.
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Transforaminal Lumbar Interbody Fusion
This procedure is performed from the back of the body through a posterior approach and involves the removal of the disc material and placement of a spacer filled with a bone graft material. This procedure is almost always supplemented with a posterior spinal fusion to enhance the fusion. This procedure is used to treat degenerative disc disease, spondylolisthesis and other conditions that cause back or leg pain.
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Lumbar Discectomy
This procedure is performed from the back of the body through a posterior approach. A microdiscectomy approach is used or a true minimally invasive spine approach through tubes. The procedure is used to treat patients with a disc herniation that causes predominately leg pain. It involves the removal of the disc fragment that is pressing on the nerve that causes the pain. This is usually a same day surgery.
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Lumbar Laminectomy
This procedure is performed from the back of the body through a posterior approach. It involves the removal of the Lamina. It is usually used to treat spinal stenosis that causes leg pains when walking. The surgery opens up the spinal canal and alleviates the pressure on the nerve roots. This procedure is sometimes done with a fusion when a Spondylolisthesis also exists.
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