Total Disc Replacement: Why Put A Drain?
See that black line to the right of the cervical discs? That's a ligament which has lifted off and is now pushing on the edge of the dura – the…
Minimally Invasive Laminectomy with Combined Fusion
This patient has two levels of pathology with a collapsed disc at L4-5, arthritic joints, and an eroded endplate. What does that mean? It means right now, they are not…
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…
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,…
Minimally Invasive Spine Surgery 12 Years Ago
12 years ago this was a minimally invasive spine surgery, which shows just how much this field continues to evolve! Here's an actual look inside this patient's spine to see the…
Spinal Fusion Revision to Correct Rotated Implant
Even the most successful spine surgeries may need a revision when the body doesn't respond as intended. After this patient had a minimally invasive spinal fusion, their implant actually rotated,…
The Key to a Minimally Invasive Approach to Spine Surgery
A question patients often ask is how do I decide between a regular approach to spine surgery and a minimally invasive approach. Here's the key. Struggling with chronic back or…
Foot Drop and Nerve Compression
Here's another new medical term for you: foot drop. Foot drop basically means difficulty lifting the front part of your foot, which can happen because of nerve compression in the…
Two Sacroiliac Joint Fusions
One of the problems you see with a long spinal fusion is that, although usually quite a few years later, the patient will experience a lot of sacroiliac joint pain and…
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