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  Image Guided Cranial  and Spinal Surgery

Craniotomy for Aneurysms 

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cranio1

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

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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.

To learn more about spinal cord tumors

click here.

 


 

 

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.

minimal

minimal spine

 

 

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.

PLIF View Animation

TLIF View Animation

spondylolisthesis1spondylolisthesis

 

Lateral Lumbar Interbody Fusion
 XLIF        VIEW ANIMATION  

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  View Animation
 

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.

scoliosis before

 
  Before After                                   Before                         After  
       
Kyphoscoliosis   Before                                                After  

Before             After                      Before

After

 

 

 

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

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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

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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.

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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
 Ankylosing Spondylitis  

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.

To learn about correction of Cervical Kyphosis

Click Here.


 


Metastatic Disorders of the Spine Posterior Lumbar Spondylectomy  

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.

 

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metastatic1b  

 

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.

metastatic2a

metastatic2b  

 

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  

osteoperosis

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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Image Guided Craniotomy and Spinal surgery

Craniotomy for Aneurysms              View Animation                          

cranio1

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

cranio2
 

 

Arteriovenous Malformation

   


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