Spine

01.

Cervical

Anterior Cervical Discectomy & Fusion:

Anterior cervical discectomy and fusion (ACDF)
surgery involves removing a damaged disc to relieve the spinal cord or nerve root pressure and alleviate the 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. An interbody device is placed at the site of the removed disc. A Cervical plate is placed over the site and is fixated with cervical plate screws into the vertebral body.
- CoreLink
- Precision Spine
- Zavation
- Renovis
- 4 Web 

Posterior Cervical Fusion

Posterior Cervical fusion (PCF)
surgery involves removing bone to decompress the spine. The removal of this bone relieves stenosis(narrowing of the foramen) to open the central and lateral foramen, allowing the relief of the spinal cord and the lateral nerve roots. After the decompression, lateral mass screws are placed with rods and set screws to fixate the spine.   

02.

Thoracic

Posterior Thoracolumbar fusion

Posterior Thoracic fusion surgery involves removing bone to decompress the spine. The removal of this bone relieves stenosis(narrowing of the foramen) to open the central and lateral foramen, allowing the relief of the spinal cord and the lateral nerve roots. After the decompression, Pedicle screws are placed through the pedicles of the vertebral bodies and fixated with rods and set screws.   

03.

Lumbar

ALIF

Anterior Lumbar Interbody Fusion (ALIF)
involves removing a damaged disc to relieve the spinal cord or nerve root pressure and alleviate the corresponding pain, weakness, numbness, and tingling. After the discectomy is performed, a bone filled PEEK (plastic) or titanium interbody device is placed at the site of the removed disc. A buttress plate and corresponding screw can be placed into the vertebral body to stop the interbody device, also known as a cage, from moving or migrating.
ii. Stand Alone ALIF involves removing a damaged disc to relieve the spinal cord or nerve root pressure and alleviate the corresponding pain, weakness, numbness, and tingling. After the discectomy is performed, a bone filled PEEK(plastic) or titanium interbody device is placed at the site of the removed disc. Screws are then placed through the cage into the vertebral body to secure the interbody device in place.

PSF

Posterior Spinal Fusion (PSF)
surgery involves removing bone to decompress the spine. The removal of this bone relieves stenosis(narrowing of the foramen) to open the central and lateral foramen, allowing the relief of the spinal cord and the lateral nerve roots. After the decompression, Pedicle screws are placed through the pedicles of the vertebral bodies and fixated with rods and set screws.

PLIF

Posterior Lumbar Interbody Fusion (PLIF)
surgery involves removing bone to decompress the spine. The removal of this bone relieves stenosis(narrowing of the foramen) to open the central and lateral foramen, allowing the relief of the spinal cord and the lateral nerve roots. A discectomy is performed to remove the damaged or herniated disc. After the decompression and discectomy, a bulleted PEEK or Titanium interbody device is placed at the level of the removed disc. Pedicle screws are placed through the pedicles of the vertebral bodies and fixated with rods and set screws at the level above and below the interbody device.

TLIF

Transforaminal Lumbar Interbody Fusion (TLIF)
surgery involves removing bone to decompress the spine. A discectomy, removal of disc, is performed through the lateral foramen to remove the damaged or herniated disc. After the discectomy, a straight or curved PEEK or Titanium interbody device is placed at the level of the removed disc. Pedicle screws are placed through the pedicles of the vertebral bodies and fixated with rods and set screws at the level above and below the interbody device.

MIS Fusion

Minimally Invasive Spinal Fusion (MIS) surgery involves the fixation of the spine with minimal damage to the surrounding muscle, tendons, and the surface of the skin. This procedure starts with the placement of a jamshidi needle, a hollow cannula with a needle insert, into the pedicle. The insert is removed exposing the hollow cannula. A guide wire is placed through the cannula into the vertebral body and advanced to the desired depth through fluoroscopy guidance. The jamshidi is then removed and a cannulated tap is placed on the guide wire. Through fluoroscopy, the surgeon advances the tap to the desired depth and removes the tap. A cannulated pedicle screw is placed on the guide wire and advanced. This is repeated at each level of desired fixation. Once all pedicle screws are in place a rod is placed through the pedicle screw tulips and is locked in place with set screws. This surgery can also be done using a cannulated dilating tube system. 

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