Correcting Spinal Deformity/Flatback
This patient has had multiple lumbar fusions from L2 to the sacrum. The surgeon(s) who performed these procedures did not pay attention to lordosis, and now the patient is severely…
Endoscopic Transforaminal – Minimally Invasive Spine Surgery
This patient has been doing great for 15 years following an L5-S1 discectomy. Now they have a recurrent disc herniation, so I performed an endoscopic transforaminal – an ultra minimally…
Good Lordosis + Minimally Invasive Surgery
Although this patient has a 47º lordosis (natural inward curvature) and no problem with flatback (lack of curvature), they still blew out the L2-3 disc. But still, good lordosis is…
Osteopenia and ACDF Surgery
Break out that spine surgery dictionary because I have a new one for you: Osteopenia. Osteopenia refers to a loss of bone density, making the bones weaker than normal. For…
Lumbar Fusion over Total Disc Replacement
This case is a great example of how insurance can work against you sometimes by delaying necessary procedures. It took 2.5 YEARS to get this patient into the operating room,…
Two-Level Disc Replacement + Third Level Fusion
Because we're treating three consecutive levels of the cervical spine, I'm performing a hybrid spine surgery: a 2-level disc replacement + fusion. This'll help preserve as much natural motion and…
Spine Surgery Clips and Lumbar Disc Replacement
What you don't see in this video? Clips all over the place which can signal bleeding troubles. That means the vascular access is pure. Now, clips in a procedure here…
Story From My Time As A Family Practice Extern
Storytime! As a 2nd year med student in 1978, I got a job as a family practice extern to get some hands-on learning experience. One of the cardiologists, Dr. Henry…
L5-S1 Anterior Spinal Fusion
See how this patient's L5 disc is waaaaay down here? When there's a deep L5-S1 disc, there are a bunch of ligaments attached to make it stable. Although this patient…
Two-Level Cervical Fusion
I talk a lot about disc replacement vs spinal fusion, but you have to remember that each procedure depends on the patient. The ultimate goal is recovery and the best…
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