Treatments for the Spine

Laminectomy of the cervical, thoracic and lumbar spine

Laminec­to­my is a sur­gi­cal pro­ce­dure for treat­ing spinal steno­sis, a med­ical con­di­tion in which the spinal cord nar­rows, com­press­ing the spinal cord and nerves. This is usu­al­ly due to the nat­ur­al process of spinal degen­er­a­tion that occurs with aging. It can also be caused by spinal disc her­ni­a­tion, osteo­poro­sis, or a tumor. Spinal steno­sis may affect the cer­vi­cal spine, the lum­bar spine or both. Lum­bar spinal steno­sis results in low back pain as well as pain or abnor­mal sen­sa­tions in the legs. A laminec­to­my relieves the pres­sure on the spinal cord by remov­ing or trim­ming the lam­i­na of the ver­te­bra to widen the spinal canal and cre­ate more space for the spinal nerves.

Decompression laminectomy

Decom­pres­sion laminec­to­my is the most com­mon type of surgery done to treat spinal steno­sis, a med­ical con­di­tion in which the spinal cord nar­rows, com­press­ing the spinal cord and nerves. This surgery is done to relieve pres­sure on the spinal cord or spinal nerve roots caused by age-relat­ed changes in the spine and to treat oth­er con­di­tions, such as injuries to the spine, her­ni­at­ed discs, or tumors. In many cas­es, reduc­ing pres­sure on the nerve roots can relieve pain and allow you to resume nor­mal dai­ly activ­i­ties.

Fusion of cervical, thoracic or lumbar spine

Fusion surgery is designed to relieve pain, numb­ness, tin­gling and weak­ness, restore nerve func­tion and stop or pre­vent abnor­mal motion in the spine. This is done by fus­ing the ver­te­brae togeth­er, stop­ping the motion at a painful ver­te­bral seg­ment, which should decrease pain gen­er­at­ed from the joint. Fusion surgery involves adding bone graft to an area of the spine caus­ing the bone graft to grow between the two ver­te­bral ele­ments.

Con­di­tions that may be treat­ed by a lum­bar fusion surgery include degen­er­a­tive disc dis­ease, Isth­mic, degen­er­a­tive or post­laminec­to­my spondy­lolis­the­sis, weak or unsta­ble spine caused by infec­tions or tumors, frac­tures, sco­l­io­sis or defor­mi­ty.

Kyphoplasty/Vertebroplasty for compression fractures

Bal­loon kypho­plas­ty and ver­te­bro­plas­ty are min­i­mal­ly-inva­sive pro­ce­dures that can sig­nif­i­cant­ly reduce back pain and repair the bro­ken bone of a spinal frac­ture. Kypho­plas­ty uses ortho­pe­dic bal­loons to lift the frac­tured bone and return it to the cor­rect posi­tion. Dur­ing a ver­te­bro­plas­ty, physi­cians use image guid­ance to inject a cement mix­ture into the frac­tured bone through a hol­low nee­dle.

Discectomy and microdiscectomy of cervical, thoracic and lumbar spine

Dis­cec­to­my is a type of surgery to remove her­ni­at­ed disc mate­r­i­al that is press­ing on a nerve root or the spinal cord. Microdis­cec­to­my uses a spe­cial micro­scope to view the disc and nerves. The larg­er view allows the sur­geon to make a small­er cut, reduc­ing the amount of dam­age to sur­round­ing tis­sue.