This includes discectomy, laminectomy, and hemilaminectomy. These procedures can be performed microscopically or open. Often, we will perform these microscopically if possible. The bone over the nerves and spinal canal are removed and disc below is excised as well. This takes away any pressure on the nerves which causes pain.
In the most basic terms, fusion is instrumentation of the spine in order to make two vertebrae grow together as one. This can be achieved through various techniques. Most commonly, the disc is removed and a spacer called a cage is placed between the two vertebra. With normal healing, this usually fuses with in six months after surgery. The spine can be accessed through the back for a posterior lumbar interbody fusion or posterior lateral fusion or through the abdomen for an anterior lumbar interbody fusion. Fusion of the neck is usually performed from the front and is called anterior cervical discectomy and fusion.
Artificial disk: This technology is available only for the low back at this time. The procedure is performed through the abdomen. The disc is removed and an artificial disk replaces it.
Dynesys: This motion sparing technology is performed from the back. Screws are placed in the vertebra and a cord and polyurethane tube are used to stabilize the spine while allowing form motion to be maintained. Dr. Lorio was the first to bring this technology to Tennessee in 2005 and have had amazing results with this technique.
Isobar TTL: Similar to the Dynesys, the Isobar TTL is performed from the back of the spine. It is a flexible rod which allows for all directions of movement through the affected level.
Kyphoplasty is a treatment for compression fractures of the spine. Most commonly compression fractures are caused by osteoporosis and trauma. The kyphoplasty is a cementing of the fracture performed through the back that heals the fracture surgically.
The goal of total joint replacement surgery is to relieve pain in the joint caused by damaged cartilage. If non-surgical options do not relieve the pain, a replacement may be considered. After your replacement, you will often stand and begin walking the day after surgery. Initially, you will walk with a walker, crutches, or a cane. The motion of your joint will generally improve after surgery.
Arthroscopy is a surgical procedure orthopaedic surgeons use to visualize, diagnose, and treat problems inside a joint. The surgeon makes a small incision in the patient's skin and then inserts pencil-sized instruments that contain a small lens and lighting system to magnify and illuminate the structures inside the joint. When indicated, corrective surgery is performed with specially designed instruments that are inserted into the joint through accessory incisions.
If your doctor has recommended fusion surgery, the Dynesys System may be an option. It can help provide added stability and keep the vertebrae in a more natural position than can be achieved with conventional surgery alone.
The Dynesys Dynamic Stabilization System is a new concept in the surgical treatment of lower back and leg pain -- one that uses flexible materials to stabilize the spine and offers another approach to traditional fusion.