Procedures & Conditions
Anterior Cervical Discectomy with Fusion/Fixation (ACDF)
The spine is approached through the front of the neck. Your breathing tube and food tube are gently moved to the side to expose the front of the spine. The disc level is confirmed and then the majority of the disc is removed using various instruments. Pressure on the spinal cord and/or nerves is relieved by taking out the disc as well as arthritic bone growth. Once the nerves and spinal cord are decompressed the disc is replaced by a plastic implant with cadaveric bone inside and secured with screws or a plate is placed across the front of the spine and secured with screws. This provides an environment for the body to fuse the bones together.
Artificial Disc – Disc Arthroplasty
Similar to the ACDF above but the implant used is an artificial disc that preserves the motion of the disc. For more information, please go to cervicaldisc.com/mobi-c
Posterior Cervical Foraminotomy
This minimally invasive approach uses x-ray guidance to place a 14-16 mm diameter tube through the skin and muscle to dock on the roof of the nerve canal. Through the microscope using specialized instruments, bone and thickened ligament are thinned out and taken off taking pressure off the nerve.
Cervical laminectomy (with fusion/fixation)
A midline incision is made on the back of the neck. Muscle and tissue are dissected off the bone. The bony roof the spinal canal is thinned out and taken off taking pressure off of the spinal cord. Optionally, screws and rods are placed to stabilize the area.
Minimally Invasive Lumbar Discectomy
This minimally invasive procedure is done through a 18-20 mm incision. X-ray guidance is used to place a 16-18 mm diameter tube through the incision docking it on the roof of the spinal canal. Through the microscope using specialized instruments, the bone of the roof of the spinal canal is thinned out and taken off. The ligament is resected as well. This exposes the sac that contains the nerves and spinal fluid. The edge of the sac/nerve is gently retracted to the side and the disc herniation is removed which takes pressure off the nerve relieving pain.
Minimally Invasive Laminectomy
This minimally invasive procedure is done through a 18-20 mm incision. X-ray guidance is used to place a 16-18 mm diameter tube through the incision docking it on the roof of the spinal canal. Through the microscope using specialized instruments, the arthritic bone of the roof of the spinal canal is thinned out and taken off. The thickened ligament is resected as well. This decompresses the sac that contains the nerves and spinal fluid. The tube can also be angled to the other side of the canal where more ligament is taken out decompressing the other side.
Minimally Invasive TLIF (Transforaminal Lumbar Interbody Fusion)
The procedure is performed through 3 small incisions ranging from 1 to 1.5 inches for one level. X-ray guidance is used to place a 22 mm diameter tube through one of the larger incisions docking it on top of the joint. Through microscope using specialized instruments, the joint is taken out in pieces which is saved. The nerve and the spinal sac are exposed and decompressed. A incision is made in the outer wall of the disc. The inner part of the disc is cleaned out. This is replaced with pieces of the joint that was taken out, cadaver bone as well as an plastic/metal implant which restores height and gives support between the backbones. The tube is taken out. Screws are then placed through the incisions using computer guidance. Rods are placed to connect the screws on either side and secured using the lock nuts.