An anterior cervical discectomy with fusion is a surgical procedure to treat nerve root or spinal cord compression. This surgery relieves the pressure on the spinal cord and nerve roots of the cervical spine by removing the disc(s) and part of the bone. The spine is then stabilized with a bone graft and hardware. This procedure is used when other non-surgical treatments have failed. This surgery typically requires a one night hospital stay.
Carpal tunnel release is a surgery that divides the transverse carpal ligament in order to relieve the pressure on the median nerve. This is a treatment for carpal tunnel syndrome. In general, mild cases can be controlled with conservative treatment such as splinting of the wrist and of avoidance of triggers. Surgery is recommended in severe cases when there is constant pain, numbness or muscle weakness of the hand. This surgery usually takes under fifteen minutes and the total time spent in the hospital is a few hours.
Epidural steroid injection is a technique in which corticosteroids (anti inflammatory medications) are injected into the epidural space around the spinal cord in an effort to alleviate pain that results from inflammation and swelling of the spinal nerves. The procedure is performed in our office and does not require changing clothes, an IV or sedation. A local anesthetic (lidocaine) is injected into the skin to minimize any discomfort. Fluoroscopy (Xray) is used to precisely place the medication into the desired area of the spine. A ride is recommended but not required, and most people can return to work the same if day if desired. There are very few activity restrictions after an injection. It typically take a few days to a few weeks for the medication to take effect.
A laminectomy is a surgical procedure that widens the spinal canal by trimming the lamina (roof) of the vertebra to create more room for the nerves. Most commonly, a laminectomy is performed to treat symptoms of spinal stenosis such as pain, weakness and numbness of the back and legs. This surgery may not require a hospital stay at all, but in some cases, a 1-2 night hospital stay will be required.
A discectomy is the surgical removal of herniated disc material that presses on a nerve root or the spinal cord causing pain, numbness or weakness of the leg. The procedure involves removing just the portion of the disc that is pressing on the nerve and leaves the remainder of the disc intact. This is a very effective surgery for treating leg pain. Typically, no hospital stay is required.
A lumbar fusion is used for any condition that is associated with spinal instability. Spinal instability is the abnormal motion of the bones in the spine. This instability may cause pain, numbness and/or muscle weakness in the lower back, hips and legs. These conditions include degenerative disc disease, spondylolisthesis (a slippage of one bone on another) and spinal stenosis.
A posterior lumbar interbody fusion joins two or more bones (vertebral bodies) in the lower spine together in order to stop abnormal motion at that area. This is accomplished with the use of different forms of bone which act as the bridge between the vertebral bodies. Instrumentation is typically used to hold everything together until bony growth (fusion) is obtained. This surgery is performed after conservative measures have failed or if there is a significant neurologic deficit such as weakness.