Neurological
Head
Surgical Care and Management
Craniectomy for Chiari Malformation (Foramen Magnum Decompression)
This surgery makes more space for your brain tissue. It’s used to treat a condition called “Chiari malformation.” That’s when part of your brain pushes down out of your skull and into your spinal canal.
This surgery removes a tumor called a “meningioma.” That’s a type of tumor that begins in the thin tissue that surrounds your brain and spinal cord.
Craniotomy for Subdural Hematoma
This procedure, performed under general anesthesia, creates an opening through the skull for removal of a blood clot on the surface of the brain. Subdural hematomas commonly result from trauma to the head, and can place harmful pressure on the brain.
This procedure, performed under general anesthesia, creates an opening through the skull for brain tumor removal. The surgery usually requires between two to five hours to complete. The length of surgery depends on the type and size of the tumor.
Peripheral
Conditions
Pain, numbness and tingling in your hand may be from carpal tunnel syndrome. It happens when the area around the main nerve to your hand is too tight. The nerve is called the median nerve. And the small space in your wrist where it passes is called the carpal tunnel.
Complex Regional Pain Syndrome (CRPS)
This is a type of chronic, long-lasting, pain. In most cases, it develops in an arm or a leg that you have previously injured. With CRPS, you may have unexplained pain that won’t go away. It may be severe, and it may spread.
Non-Surgical Care and Management
This noninvasive, outpatient exam is used to measure how quickly nerves conduct electrical signals through the body. NCS is a valuable technique for diagnosing nerve damage. If damage exists, NCS can help a physician find its source.
Surgical Care and Management
Carpal Tunnel Release (Open Technique)
This surgical procedure treats the pain of carpal tunnel syndrome. It relieves pressure on a nerve that travels through your wrist. This nerve is called the “median” nerve.
This surgery relieves pressure on the ulnar nerve at the elbow. It moves the nerve to keep it from being compressed by the medial epicondyle (a bony bump on the inner side of your elbow).
Spine
Conditions
The spinal column is the body’s main support structure. Its thirty-three bones, called vertebrae, are divided into five regions: cervical, thoracic, lumbar, sacral and coccygeal.
This condition is an irritation or compression of one or more nerve roots in the cervical spine. Because these nerves travel to the shoulders, arms and hands, an injury in the cervical spine can cause symptoms in these areas. Cervical radiculopathy may result from a variety of problems with the bones and tissues of the cervical spinal column.
This condition is a weakening of one or more vertebral discs, which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process, but it may also result from injury to the back.
This is a problem with the facet joints of the spine. These are the joints where one vertebra connects to another. They support your spine, while allowing it to bend and twist. With this syndrome, these joints become stiff and painful.
Between the vertebrae of your spine are soft discs. They let your spine twist and bend. They absorb shocks. But if damaged, the disc’s soft center can push through the disc wall. That’s a herniated disc. This bulge presses against nerves in your spine.
This condition is a rupture of one of the vertebral discs in your neck. A herniated disc can allow disc material to press harmfully against the spinal nerves.
Lumbar Radiculopathy (Sciatica)
This condition is an irritation or compression of one or more nerve roots in the lumbar spine. Because these nerves travel to the hips, buttocks, legs and feet, an injury in the lumbar spine can cause symptoms in these areas. Sciatica may result from a variety of problems with the bones and tissues of the lumbar spinal column.
This is a problem that affects your spinal cord. It happens when something presses harmfully against it. Your spinal cord is the main nerve pathway between your brain and your body. Pressure on it can cause problems throughout your body.
Your spinal nerves travel through your spinal canal and exit through openings we call “foramen.” If any of these spaces are too narrow, your nerves become compressed. We say you have “spinal stenosis.” It’s a problem that most often happens in the neck and lower back.
This problem affects the spinal nerves in your neck. It’s a narrowing of the spinal canal. That’s the space your spinal nerves travel through. In a healthy spine, the spinal canal protects these nerves. It keeps them free from injury. But with spinal stenosis, the spinal canal is too narrow, and your nerves get compressed.
This condition affects the thoracic spine between the neck and the lower back. It is a narrowing of the spinal canal that results from degeneration of bones in the spine, disc herniation, or thickening of the tissues that surround the spinal cord.
This condition occurs when a lumbar vertebra slips out of place. It slides forward, distorting the shape of your spine. This may compress the nerves in the spinal canal. The nerves that exit the foramen (open spaces on the sides of your vertebrae) may also be compressed. These compressed nerves can cause pain and other problems.
This condition is a degeneration of the spine that can affect the spine at any level, resulting in pain and discomfort that can grow worse over time.
Lower back pain is a common problem that severely impacts the quality of your life. It can limit your ability to be active. It can cause you to miss work. Many different causes may lead to pain in your lower back.
Neck pain is a common problem that severely impacts the quality of your life. It can limit your ability to be active. It can cause you to miss work. Many different causes may lead to pain in your neck.
This is a common neck injury. It happens when your neck jerks back and forth quickly and violently. Your spine bends past its normal range of motion. This can injure the vertebrae of your cervical spine. It can damage the supporting ligaments and muscles in your neck.
Non-Surgical Care and Management
Caudal Epidural Steroid Injection
This outpatient procedure is an injection of a steroid-anesthetic medication through an opening in the sacrum. The medication can reduce swelling and inflammation of irritated spinal nerves. The injection takes only a few minutes to complete.
Cervical Epidural Steroid Injection (without contrast)
This injection relieves pain in the neck, shoulders, and arms caused by a pinched nerve (or nerves) in the cervical spine. Conditions such as herniated discs, spinal stenosis, or radiculopathy can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.
Cervical Facet Radiofrequency Neurotomy
This procedure uses heat from radio waves to treat painful facet joints in your neck. It eases pain that isn’t helped by medications or physical therapy.
Cervical Transforaminal Epidural Steroid Injection
This injection procedure is performed to relieve neck, shoulder and arm pain related to compression of a nerve root in the cervical spine. Conditions such as herniated discs and spinal stenosis can compress nerves, causing inflammation and pain. The medication injected helps decrease the swelling of nerves.
This procedure, also called a “discogram,” helps your doctor find painful spinal discs. It can show the source of pain in your back. To see how it works, let’s watch a discography done in the lumbar spine.
This procedure uses your own blood to fix a hole in the membrane around your spinal cord. The hole lets spinal fluid leak out, which causes severe headaches. By patching the hole, we stop the leak.
The facet joints, found on both sides of the back of the spine, can become painfully irritated or inflamed. A facet joint injection may help diagnose the source of a patient’s pain. It can also relieve pain and inflammation.
Lumbar Epidural Steroid Injection
This injection procedure is performed to relieve low back and radiating leg pain. Steroid medication can reduce the swelling and inflammation caused by spinal conditions.
Lumbar Transforaminal Epidural Steroid Injection
This outpatient procedure is an injection of a steroid-anesthetic medication. The medication can reduce swelling and inflammation of irritated spinal nerves. This procedure is performed to relieve pain in the lower back and pain that radiates from the back to the legs. The injection takes only a few minutes to complete.
Radiofrequency Neurotomy of the Lumbar Facets
This procedure uses heat from radio waves to treat painful facet joints in your lower back. It eases pain that isn’t helped by medications or physical therapy.
Sacroiliac Joint Steroid Injection
This injection procedure is performed to relieve pain caused by arthritis in the sacroiliac joint where the spine and hip bone meet. The steroid medication can reduce swelling and inflammation in the joint.
Selective Nerve Root Block (SNRB) in the Cervical Spine
This injection targets a painful nerve in your cervical spine. It helps your doctor find which nerve is pressed on by a herniated disc, spinal stenosis or some other problem. It may give you pain relief.
Surgical Care and Management
ALIF: Anterior Lumbar Interbody Fusion
ALIF is generally used to treat back or leg pain caused by degenerative disc disease. The surgeon will stabilize the spine by fusing vertebrae together with bone graft material.
ALIF: Anterior Lumbar Interbody Fusion (with bone graft and pedicle screws)
ALIF is generally used to treat back or leg pain caused by degenerative disc disease. The surgeon will stabilize the spine by fusing vertebrae together with bone graft material.
This surgery relieves pressure on the spinal cord and the spinal nerves. It involves the removal of bone and discs from your cervical spine, followed by a fusion.
Anterior Cervical Corpectomy (Bone Graft)
This surgery relieves pressure on the spinal cord and the spinal nerves. It involves the removal of bone and discs from your cervical spine, followed by a fusion.
Anterior Cervical Discectomy and Fusion (ACDF)
This surgery removes a herniated or degenerative vertebral disc in your neck and replaces it with a bone graft. This can relieve painful pressure on spinal nerves.
Anterior Cervical Discectomy and Fusion (ACDF), with Cage
This surgery replaces a damaged vertebral disc in your neck with a cage containing bone graft. It’s done to relieve painful pressure on spinal nerves.
Anterior Cervical Discectomy and Fusion (Intervertebral Spacer)
This surgery removes a herniated or diseased disc and relieves neck and radiating arm pain caused by parts of the disc pressing on nerve roots.
Anterior Endoscopic Cervical Microdiscectomy
This minimally-invasive surgical procedure, performed through a tiny hole in the neck, removes the bulging portion of a herniated cervical disc. It is designed to relieve neck and radiating arm pain caused by herniated disc material pressing on nerve roots.
Artificial Cervical Disc Replacement
This procedure replaces a degenerative or damaged spinal disc with an implant designed to preserve motion in your neck. This procedure can relieve the pain of compressed nerves in the cervical spine.
Artificial Cervical Disc Replacement (Mobi-C®)
This procedure replaces a degenerative or damaged spinal disc with an implant designed to preserve motion in your neck. This procedure can relieve the pain of compressed nerves in the cervical spine.
Artificial Cervical Disc Replacement (PCM)
(Caution: Investigational Device)
A goal of this procedure is to relieve the pain caused by pinched nerves due to a damaged disc in the cervical spine. The diseased or damaged disc will be replaced with a specialized implant.
Artificial Cervical Disc Replacement (Prestige®)
This procedure replaces a diseased or damaged spinal disc with a specialized implant designed to preserve motion in the neck. This procedure can relieve the pain of pinched nerves in the cervical spine.
Artificial Disc Replacement (in the Lumbar Spine)
This surgery treats a bad vertebral disc in your lower back. It replaces the bad disc with an artificial one. The new disc will let your spine bend and twist. For some, this surgery is an alternative to spinal fusion.
AxiaLIF (Axial Lumbar Interbody Fusion)
This surgery places an implant in your lower spine. We use it to stabilize your spine and relieve the painful compression of degenerative disc disease.
Cervical Posterior Foraminotomy
This surgery creates more space for a compressed spinal nerve in your neck. The procedure relieves painful pressure caused by a herniated or degenerative disc.
Interbody Fusion with Expandable Cage
This surgery uses an expandable implant, called a “cage,” to join two vertebrae in your spine. We call this a “fusion.” A fusion can relieve the pain of spinal injury or disease. Here’s how it works.
Interlaminar Stabilization (coflex®)
This small implant gives your spine support. It’s placed in your spine as part of a surgical treatment for the pain of spinal stenosis. Unlike a spinal fusion, the implant preserves motion. So your spine can still move naturally.
Intraoperative Neurophysiologic Monitoring (IONM; IOM)
This is a way to monitor your nerves during surgery. It gives your surgical team real-time feedback. It helps keep your nerves safe during your procedure. Here’s how it works.
Kyphoplasty (Balloon Vertebroplasty)
This minimally-invasive procedure repairs a vertebral compression fracture. It helps restore the spine’s natural shape. Some patients experience rapid pain relief after the procedure.
This procedure relieves pressure on the nerve roots in the spine. It is most commonly performed to relieve the pain of stenosis. This is a narrowing of the spinal canal that is often caused by the formation of bony growths that can press against the nerve roots. The surgeon may treat one or more vertebrae.
Laminectomy (Cervical Spine, With Fusion)
This surgery relieves pressure on spinal nerves in your neck. It treats a condition we call “spinal stenosis.” Laminectomy makes more space for these compressed nerves. Then, your spine is stabilized with implants.
This procedure removes a section of bone from the rear of one or more vertebrae to relieve the painful and disabling pressure of stenosis.
This procedure is performed to relieve the pain caused when diseased or damaged vertebrae bone blocks and pinches nerve roots. It also corrects spinal column deformities. During this procedure, the patient is positioned on his right side. The surgery is performed through the patient’s left side.
This minimally-invasive procedure relieves pressure on nerve roots caused by a herniated disc. It can eliminate the pain of sciatica.
This minimally-invasive procedure is designed to relieve pain caused by herniated discs pressing on nerve roots. This surgery is performed through a small tubular device under local or epidural anesthesia, allowing the patient to leave the hospital the same day.
Lumbar Interbody Fusion (IBF; LIF)
This surgery helps a painful lower spine. It treats a degenerated or damaged disc. The bad disc is removed and the vertebra bones above and below that disc are joined together. A fusion can reduce or eliminate your pain.
Lumbar Pedicle Screw Fixation (CD Horizon® Sextant®)
This minimally-invasive procedure uses special guides and fluoroscopic imaging to allow a surgeon to precisely implant stabilizing screws and rods in the spine while minimizing damage to muscles, tendons and other soft tissue in the back.
Minimally-Invasive Lumbar Microdecompression
This minimally invasive procedure is used to remove overgrown vertebral bone and soft tissue to relieve the compression of nerve roots in the lumbar spine. It is performed through a small incision on the back.
Minimally-Invasive TLIF (Transforaminal Lumbar Interbody Fusion)
This minimally invasive procedure is used to remove a degenerated disc to relieve the compression of nerve roots in the lumbar spine. It is performed through a small incision on the back.
Posterior Lumbar Interbody Fusion (PLIF)
This procedure fuses two of your vertebrae with implants and bone graft material. It stabilizes your spine. It can be used to treat pain caused by degenerative disc disease.
Spinal Cord Stimulation (Paddle Lead)
Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed.
TLIF: Transforaminal Lumbar Interbody Fusion
TLIF is generally used to treat back or leg pain caused by degenerative disc disease. The surgeon will stabilize the spine by fusing vertebrae together with bone graft material.
Total Disc Replacement: Synthes® Prodisc-C
This surgical procedure replaces a damaged or diseased disc in the cervical spine with an artificial disc that restores the natural alignment of the spine. Unlike fusion surgery, which causes the vertebrae above and below the problem disc to grow together into a single bone, the artificial disc preserves spine motion at that level.
This type of spine surgery treats a problem called “compression fracture.” That’s when the body of a vertebra (one of the bones of the spinal column) cracks and collapses. Vertebral augmentation makes the bone stronger. It may restore lost height and relieve pain.
Vertebral Body Replacement (VBR)
This surgical procedure replaces a severely diseased or damaged vertebra with a device designed to restore the spine’s proper height and alignment. The patient’s pain is relieved by eliminating pressure on the spinal cord or nerve roots in the thoracic or lumbar spine.
This minimally-invasive procedure is an injection of bone cement into a vertebra. It stabilizes a compression fracture of the spine. One or more vertebrae may need to be treated.
XLIF® Lateral Lumbar Interbody Fusion
Unlike traditional back surgery, XLIF® is performed through the patient’s side. By entering this way, major muscles of the back are avoided. This minimally-invasive procedure is generally used to treat leg or back pain caused by degenerative disc disease. It can be performed on an outpatient basis.
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