Conditions of the Spine

Your spine is made up of the 26 discs of the vertebrae, which protect your spinal cord and allow you to stand and bend.  A number of conditions can cause wear and tear or damage the vertebrae and surrounding tissue, and limit movement.  Spinal diseases can cause pain if bone changes put pressure on the spinal cord or nerves.  In some cases surgery may be warranted.  Our surgeons will closely evaluate your condition and recommend different treatment options, including preventive back care, physical therapy, pain management, or surgery.

 

These symptoms……May be signs of this clinical condition……Which may be treated with this procedure
Significant weakness in the hand or arm; Pain in the arm is worse than in the neck; Weakness or pain does not improve after physical therapy or medication.Degenerative disc in the neck, including cervical herniated disc, spinal stenosis and/or osteoarthritis in the cervical spine.ACDF – Anterior Cervical Discectomy and Fusion —Surgeon uses a minimally invasive approach to remove a degenerative disc (or part of the disc) and inserts a graft to fuse together the bones above and below the disc.
Pain in the lower back and/or leg pain; Pain described as aching rather than searing or burning sensation; Pain may change (increase or decrease) when sittingLumbar degenerative disc disease; Lumbar spondylolisthesisPLIF - Posterior lumbar interbody fusion—A portion of the vertebral bone is removed on both the left and right sides of the lower back area. A bone cage with bone graft is inserted into the disc space to enable bone to grow between two vertebral elements at that segment of the spine.
Mechanical back pain; Low back and leg pain that is un-responsive to non-surgical treatmentsSpondylolisthesis; Degenerative disc disease; Herniated discTLIF - Transforaminal lumbar interbody fusion —Designed to enhance stability of the spinal vertebra and the discs between vertebra, TLIF is performed through the back part of the spine. It involves placing pedicle screws into the vertebra, removing degenerative disc material, and filling the disc space with the bone graft.
Pain radiating down one or both legs; Numbness or tingling and/or weakness in the leg or legs; Back or buttock pain; Bowel or bladder incontinenceHerniated disc; Disc prolapse; Bone spurs; Slipped or bulging disc in the lumbar spine (lower back)Lumbar Discectomy—A lumbar discectomy involves removing all or part of a herniated disc by way of a small incision in the skin over the lower spine. Some ligament and bone material may also be removed in order to access the affected disc.
Chronic pain; Muscle weakness; Numbness in legs or armsSpinal stenosis; Pressure on nerves in the lower backLumbar Laminectomy & Decompression—The lumbar laminectomy procedure relieves pressure on the nerves in the lower back. To reach the lamina that covers the spinal canal, the surgeon removes the ligament joining the vertebrae along with all the lamina in order to access the nerve root. That root is then moved back to the center of the spinal column and the surgeon removes part or all of an affected disc in the area.
Neck or back pain; Other nerve-related symptomsPressure on compressed nerves in the spineLumbar Laminotomy —During a lumbar laminotomy, surgeons remove part of the bony protective covering at the back of the spinal canal, the lamina. To gain access to a compressed nerve that may be causing pain, the surgeon removes a section of lamina and possibly part of a herniated disc or bone spur that may be contributing to pressure on the nerves.
Arm pain; Neck pain; Numbness; Balance problems; Difficulty using handsSpinal cord pressure, referred to as spinal stenosis; (Can be due to a variety of causes including degenerative changes, arthritis, bone spurs, disc herniations, tumors, fractures, or OPLL - ossification of the posterior longitudinal ligament).Cervical Laminoplasty—This surgery involves cutting the lamina – a thin plate of bone – to remove pressure on the spinal cord. It is sometimes called an “open door” laminoplasty because the surgeon inserts a spacer to keep the spinal canal open, the way a doorstop props open a door.
Pain in the neck, arm, or handPain in the neck, arm, or handCervical Laminotomy—Unlike a cervical laminoplasty, this surgical procedure removes only a part of the lamina, in order to relieve pressure on the spinal cord in a particular spot in the neck region. A surgeon, for example, may take out a small area of the lamina in order to remove a bone spur or herniated disc
Pain the neck, shoulder, upper back, and arm; Possible numbness, tingling, and weakness in the arms or handsOsteoarthritis; Spinal stenosis; Bulging or herniated discs; Disc degenerationCervical Laminotomy & Fusion—In order to decompress and remove pressure from the spinal cord and nerve roots, a cervical laminotomy is performed to take out part of the lamina bone in the neck. Then the surgeon inserts a bone graft with tiny implants to stabilize the neck. After surgery, new bone grows into and around the implants.
Weakness, numbness, or tingling, and in cases of severe curvature, bowel or bladder dysfunction. Kyphosis, exaggerated rounding of the back, creating a convex curve or hump (called the kyphos). Can be age-related and associated with osteoporosis; or it can occur in younger people due to malformation of the spine or alterations in spinal bones over several years.Kyphoplasty—Possible procedures may include osteotomy, and spinal instrumentation and fusion. Bone is cut during an osteotomy to correct deformities; then bone ends are realigned. Surgeons may use a bone graft to increase stability as bones fuse into new realignment.