Procedures

Image Guided Cranial and Spinal Surgery

Craniotomy for Aneurysms

Using state of art technology, brain tumors and a variety of spinal pathology can be treated with minimal risk to the surrounding normal tissue.

Primary Brain Tumors	Metastatic Brain Tumors
Brainstem Tumors	Pituitary Tumors
Trigeminal Neuralgia	Meningioma

Craniotomy

Arteriovenous

Malformation

Brain Aneurysms

National Cancer Institute Link

Colloid Cysts

Endovascular Coiling of Aneurysms

Microsurgical Resection of Spinal Cord Tumors

Advances in microneurosurgery make it possible to completely remove many tumors that were previously thought to be inoperable. These new techniques and tools let neurosurgeons operate within the tight, vulnerable confines of the spinal canal. Some tools used in the operating room include a surgical microscope, intraoperative nerve monitoring and miniature precision instruments that allow surgery to be performed through a small incision in the spine.

Learn more about spinal cord tumors

Minimally Invasive Spinal Surgery

Lumbar Microdiscectmy (LMD)

Lumbar Microendoscpic Discetomy ( LMED)

Lumbar disc herniation can be treated with minimal access microsurgical technique through a small incision. This procedure can be done in an outpatient setting and allows rapid recovery and return to normal activities within two to three weeks post-operatively.

LMED

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LMD

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Posterior Lumbar Interbody Fusion

Spondylolisthesis

Spondylolisthesis can cause debilitating back and leg pain. This patient was treated successfully with posterior lumbar interbody fusion (PLIF). He returned to work six weeks after the reconstruction. He remains pain free two years after the surgery.

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TLIF – View Animation

Lateral Lumbar Interbody Fusion

XLIF

This is a minimally invasive technique for lumbar interbody fusion. The blood loss is minimal and the procedure can be done as an outpatient.

DLIF

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Anterior Lumbar Interbody Fusion

ALIF

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ALIF procedure is an alternative to posterior interbody fusion and maybe performed by laperoscopic or mini-open technique utilizing threaded fusion cages or allograft/peak spacers.

Threaded Fusion Cage

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Deformity Correction

Adult Degenerative Scoliosis

Adult degenerative scoliosis is pathologically different from adolescent idiopathic scoliosis. The curvature is rigid with a rotational, sagittal and coronal deformity requiring a two-stage anterior-posterior operation for anterior release and posterior decompression and stabilization. These patients were treated with an innovative technique using a single posterior approach.

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Lumbar Laminectomy

Posterior Lumbar Fusion

Lumbar Laminecomy is performed to create more space for the spinal nerves and relieve the pressure caused by stenosis. Spinal fusion and instrumentation maybe necessary at the same time to stabilize the spine.

Lumbar Laminectomy

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Posterior Lumbar Fusion

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Total Facet Arthroplasty System® (TFAS®)

TFAS® is an articulating joint prostheses intended to restore normal motion and provide stabilization of spinal segments in skeletally mature patients. It can be used as an adjunct to laminectomy, laminotomy, neural decompression and facetectomy, in lieu of fusion, for treatment of instabilities or deformities of the lumbar spine including:

Degenerative disease of the facets;
Degenerative disease of the facets with instability;
Grade 1 degenerative spondylolisthesis with objective evidence of neurologic impairment;
Central or lateral spinal stenosis.

Lumbar Disc Replacement

Total Disc Replacement (TDR) can be performed in a select group of patients to treat single level disc disease while preserving normal motion. Patients with osteoporosis are not a candidate for this procedure

TDR

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Prodisc-L Artificial Disc

Cervical Disc Replacement

The Artificial Cervical Disc offers patients with radiculopathy and myelopathy related to degenerative cervical disc disease (DDD) in the cervical spine an alternative to spinal fusion surgery. The device is designed to preserve spinal mobility and alignment at the treated vertebral segment.

Prestige Artificial Disc

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Prodisc-C Artificial Disc

Anterior Cervical Discectomy

Cervical Radiculopathy

This 36 year old female presented with right arm pain, weaknes and sensiry loss due to a large disc herniation at C5-6 level. She underwent anterior cervical discetomy and fusion with complete resolution of her symptoms.

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Read More About ACDF

Cervical Corpectomy

This 62 year old wheelchair bound female presented with significant weakness in her arms and legs as well as bladder sphynter dysfuntion due to compression of the cervical spinal cord. Following C4 corpectomy, she is ambulating independently and has regained bladder control.

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Cervical Myelopathy and Poly-Radiculopathy

This 57-year-old female presented with quadriparesis and intractable neck and arm pain. She underwent a complex anterior/posterior decompression and fusion. She is playing tennis several times a week now and after two years has
regained the full strength of her extremities.

Cervical Laminoplasty

This is a non-fusion technique to treat cervical stenosis and myelopathy by increasing the diameter of the spinal canal without laminectomy. Selected patients without cervical kyphosis and radiculopathy are candidate for laminoplasty.

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Occiput-Cervical Fixation

Rheumatoid Arthritis

This procedure is used to treat instability at the cranio-cervical junction caused by a variety of disorders such as Rheumatiod Arthritis, trauma, tumors and infections. A rigid plate is attatched to the occipital portion of the skull which is then connected to the upper portion of the cervical spine with screws and rods to stabilize the spine. Bone graft is then placed between the Occiput and the upper cervical spine to perform the fusion.

To learn more about Rheumatoid Arthritis Click Here

Cervical Osteotomy

Certain disorders such as Ankylosing Spondylitis can cause severe kyphotic deformity of the cervical spine, also known as the Chin-on-Chest deformity. Such extreme kyphosis, can prevent raising the head and looking forward. In this case a spinal osteotomy might be considered. This operation involves cutting through the cervical vertebrea and realigning them into a position that allows better upright posture and a horizontal gaze.

Metastatic Disorders of the Spine

This 46-year-old patient underwent resection of metastatic L4 tumor with circumferential reconstruction through a single posterior approach 18 months ago. She is pain free and neurologically intact. The primary cancer is in remission.

This 37-year-old patient with metastatic breast cancer presented with cervical myelopathy and subsequently underwent a five level cervical corpectomy and circumferential reconstruction 14 months ago. She is pain free and has regained full neurological function. The primary cancer is controlled with chemotherapy.

Anterior Lumbar Corpectomy

This 32 year old man suffered a burst fracture at the thoracolumbar junction due to a motor vehicle accident. Hewas neurologically intact. An anterior lumbar corpectomy was performed to decompress and stabilize his spine.

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Minimally Invasive Treatment of Osteoportic Fractures

Osteoporotic fractures of the spine can be quite painful and disabling. They frequently result in progressive spinal deformity if left untreated. This condition is effectively treated with the kyphoplastyor vertebroplasty procedures.

Kyphoplasty

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Vertebroplasty

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