Treatments

Anterior Cervical Discectomy and Fusion (ACDF): Anterior cervical discectomy and fusion (ACDF) is a type of neck surgery that involves removing a damaged disc (from the front of the neck) to relieve spinal cord or nerve root pressure and alleviate corresponding pain, weakness, numbness, and tingling.  A discectomy is a form of surgical decompression, so the procedure may also be called an anterior cervical decompression. Once the spinal cord is freed-up, a device is implanted in the disc space, and may be accompanied with a plate to keep that device in place.

https://www.spine-health.com/video/anterior-cervical-discectomy-and-fusion-acdf-video

Discography: Lumbar discography is an injection technique used to evaluate patients with back pain who have not responded to extensive conservative (nonsurgical) care regimens. The most common use of discography is for surgical planning prior to a lumbar fusion.

https://www.spine-health.com/video/discography-video-non-surgical-back-pain-diagnostic-procedure

Endoscopic Anterior Discectomy: An anterior discectomy is conducted using scopes and instruments, through very small incisions, to relieve pressure on the nerve roots or on the spinal cord by removing the ruptured disc.

https://www.spine-health.com/video/lumbar-micro-endoscopic-discectomy-video

Endoscopic Foraminoplasty: Endoscopic Foraminoplasty consists of undercutting of the facet joint and endoscopic discectomy, mobilization of the exiting/ transiting nerves, and ablation of osteophytes through one or more small incisions utilizing a scope.

Endoscopic Interlaminar Discectomy: By utilizing a scope, the precise placement of instruments in the interlaminar space allows for accurate removal of the diseased disc, resulting in minimal disruption of soft tissues compared to traditional invasive surgery.

Endoscopic Lamino-foraminoplasty: By utilizing a scope, the precise placement of instruments in the foraminal space allows for accurate removal of bone to relieve pressure from the nerve root, resulting in minimal disruption of soft tissues compared to traditional invasive surgery that requires a more invasive approach.

Endoscopic Laser Disc and Decompression Surgery: A laser is a focused beam of light that can be used for cutting soft tissue. The use of a scope, along with a laser, allows for the removal of a disc that is putting pressure on a nerve root through very small incisions, and minimal disruption to muscle tissue.

Endoscopic Medial Branch Radiofrequency Ablation: Through the assistance of a scope, the physician uses x-ray guidance (fluoroscopy) to direct a special (radiofrequency) needle alongside the medial or lateral branch nerves. A small amount of electrical current is often carefully passed through the needle to assure it is next to the target nerve and a safe distance from other nerves. This current should briefly recreate the usual pain and cause a muscle twitch in the neck or back. The targeted nerves will then be numbed to minimize pain while the lesion is being created. The radiofrequency waves are introduced to heat the tip of the needle and a heat lesion is created on the nerve to disrupt the nerve’s ability to send pain signals. This process will be repeated for additional nerves.

Endoscopic Transforaminal and Interbody Fusion: Endoscopic Transforaminal and Interbody Fusion consists of a surgical technique through one or more small incisions, utilizing a scope in order to stabilize the spinal vertebra and the disc, or shock absorber between the vertebra by using spinal instrumentation which could include screws and interbody devices.

Endoscopic Transforaminal Laser Annuloplasty: Percutaneous endoscopic laser annuloplasty (PELA), a new minimally invasive technique, uses a laser to directly coagulate the inflamed disc granulation tissue associated with annular tears.

Endoscopic Transforaminal Radiofrequency Annuloplasty: Percutaneous endoscopic laser annuloplasty (PELA), a new minimally invasive technique, uses radiofrequency to directly coagulate the inflamed disc granulation tissue associated with annular tears.

Endoscopic Transiliac Transforaminal Endoscopic Discectomy: Through the guidance of a scope, this approach is revolutionary in nature, and allows for safe minimal disruptive access to the L5-S1 disc through the iliac structures, and accurately through the foraminal space.

Endoscopic Transforaminal Discectomy: Endoscopic Transforaminal Discectomy consists of a surgical technique through one or more small incisions in order to relieve pressure on the nerve roots or on the spinal cord by removing the ruptured disc.

Endoscopic Treatment of Disc Infection: Endoscopic Treatment of Disc Infections consists of a surgical technique through one or more small incisions, with a scope, in order to remove the infected tissue.

Endoscopically Assisted Interbody Fusion: By accessing the disc through small incisions, the stabilization of the spine can be achieved by implanting instrumentation and/ or bone by way of scope assistance.

Facet Block: A facet joint injection involves injecting a small amount of local anesthetic (numbing agent) and/or steroid medication, which can anesthetize the facet joints and block the pain. The pain relief from a facet joint injection is intended to help a patient better tolerate a physical therapy routine to rehabilitate his or her injury or back condition. Facet joint injections usually have two goals: to help diagnose the cause and location of pain and also to provide pain relief.

https://www.spine-health.com/video/facet-joint-injections-procedure-video

Fusion (Extraforaminal): Extraforaminal fusion is a technique used to avoid back muscle disruption by conducting a nerve root decompression directly, and then implanting a device or bone in order to stabilize and create a fusion.

Fusion (Transforaminal): Transforaminal fusion involves the insertion of bone graft or device into the disc space from the side. This results in the nerve roots being moved less during the procedure.

https://www.spine-health.com/video/transforaminal-lumbar-interbody-fusion-tlif-video

Laminotomy: Laminotomy is the partial removal of the lamina in order to relieve pressure on the cord/cauda equina.

Minimally Invasive Anterior Cervical Fusion: Minimally invasive approach to neck surgery uses a much smaller incision, compared to traditional open neck surgery, and involves removing a damaged disc (from the front of the neck) to relieve spinal cord or nerve root pressure, and alleviate corresponding pain, weakness, numbness, and tingling.

Minimally Invasive Decompression and Fusion: Minimally invasive techniques are used for a wide range of spine procedures, and have been used for common procedures like decompression and spinal fusion for awhile. Decompression relieves pressure put on spinal nerves by removing portions of bone or a herniated disk, and relieving these issues through small incisions results in faster healing, and less muscle damage.

Minimally Invasive Deformity Correction: This procedure is the correction of an abnormal curvature of the spine with instrumentation by using small incisions, resulting in less muscular damage, and less post-operative pain.

Minimally Invasive Disc Replacement: Minimally invasive approach to neck surgery uses a much smaller incision compared to traditional open neck surgery, and involves removing a damaged disc (from the front of the neck) to relieve spinal cord or nerve root pressure and alleviate corresponding pain, weakness, numbness, and tingling. Once the spinal cord is freed-up, a motion preservation device (artificial disc) is implanted in the disc space in order to restore natural motion.

Minimally Invasive Facet Fusion: Minimally invasive approach to neck surgery uses a small incision compared to traditional open neck surgery which reduces surgical time, blood loss, and post-operative pain/recovery. A Minimally Invasive Facet Fusion is the process of placing a device in the facet joints through a small opening in the back of the neck that will prevent motion and reduce the pain generator in the neck.

Minimally Invasive Kyphoplasty: This procedure is the stabilization of a vertebrae that is fractured by using medical grade cement through using a small incision, resulting in less muscular damage, and less post-operative pain.

https://www.spine-health.com/video/kyphoplasty-osteoporosis-fracture-treatment-video

Minimally Invasive Laminectomy and Posterior Fusion: The removal of the lamina in order to relieve the pressure on the cord/cauda equine; while stabilizing the spine with instrumentation and or bone all through the use of small incisions, resulting in less muscular damage, and less post-operative pain.

Minimally Invasive Posterior Decompression and Fusion: Minimally invasive approach to neck surgery uses a much smaller incision, compared to traditional open neck surgery, which reduces surgical time, blood loss, and post-operative pain/recovery. Minimally Invasive Posterior Decompression Fusion is the process of shaving/cutting bone through a small opening in the back of the neck that will relieve pressure on the spinal cord or nerve roots, and then stabilizing with a device or bone in order to promote fusion.

Selective Nerve Root Block: Selective Nerve Root Block (SNRB) is primarily used to diagnose the specific source of nerve root pain and, secondarily, for therapeutic relief of low back pain and/or leg pain.

https://www.spine-health.com/video/cervical-selective-nerve-root-block-video

Sacro-Iliac (SI) Joint Fusion: With SI joint fusion, the goal is to stabilize the SI joint. Healthy SI joints provide stability for your pelvis (SI joints connect the spine to the pelvis), and they support the weight of your upper body. However, with SI joint dysfunction, the joints begin to wear and tear.  Fusion surgery helps to restore stability to these joints.

References:

*Spine-health

**Mayo Clinic

***Healthline

****AANS

+SpineUniverse

++NCBI

+++OrthoInfo