Complex & Minimally-Invasive Spine Surgery
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Surgical Cases

Surgical Cases


CERVICAL SPINE SURGERY

Cervical spine surgery is most commonly performed to treat two conditions: 1) Radiculopathy: Neck pain radiating into the upper extremities due to a pinched nerve, and 2) Myelopathy: Abnormal motor/sensory function of the extremities due to compression of the spinal cord itself [ACDF= Anterior Cervical Diskectomy & Fusion]

1-level ACDF C5-6

2-level ACDF C5-7

2-level ACDF C4-6

2-level ACDF C3-5

3-level ACDF C4-7

3-level ACDF C3-6

3-level ACDF C3-6

3-level ACDF C4-7

Posterior Cervical Laminectomy & Fusion

Posterior Cervical Laminectomy & Fusion

Posterior Cervical Laminectomy & Fusion

A+P C5-7 fusion with C6 corpectomy [for tumor]

Posterior Cervical Fusion [for nonunion]


MINIMALLY-INVASIVE SPINE (MIS) SURGERY

In certain cases, it is possible to perform surgery through small incisions (instead of larger, conventional incisions) so that trauma to the surrounding tissues can be minimized. Recovery is usually much faster than conventional spine surgery. [TLIF= Transforaminal Lumbar Interbody Fusion]

MIS L2-3 TLIF

MIS L4-5 TLIF

MIS L5/S1 TLIF

MIS L5-S1 TLIF

2-level MIS L4-S1 TLIF

2-level MIS L4-S1 TLIF


LUMBAR SPINE SURGERY, CONVENTIONAL

Compression of the spinal nerve roots in the lower back can often result in persistent pain, numbness, tingling which can be debilitating. Sometimes conventional surgery is the best option to address this condition.

Single-level Lumbar L4/5 Laminectomy & Fusion

Single-level Lumbar L4/5 Laminectomy & Fusion

Single-level L4/5 TLIF (massive disc herniation)

3-level L2-5 TLIF

2-Level L4-S1 Lumbar Laminectomy & Fusion

Multi-Level Lumbar Laminectomy & Fusion

Multi-Level Lumbar Laminectomy & Fusion

Multi-Level Lumbar Laminectomy & Fusion


TRAUMA & REVISION SURGERY [selected examples]

Traumatic injuries affecting the spine can potentially result in severe neurological and mechanical instability, and these injuries need to be stabilized urgently.
Revision surgery is sometimes needed to fix old/new problems after a previous spine surgery.

Anterior+ Posterior Cervical Fusion [for DISH fracture]

PSF C5-6 [for  failed Total Disc Replacement]

Removal of Hardware with L3-S1 Fusion [for loose plate]

ACDF C4/5        [for adjacent segment degeneration]

PSF L5-S1 [for failed AXIALIF]

Revision Multi-Level Lumbar Laminectomy & Fusion [for failed previous surgery]


KYPHOPLASTY

Compression fractures of the vertebral bodies (usually due to osteoporosis and low-energy trauma) can cause significant pain and disability. Kyphoplasty (a procedure of injecting poly-methyl methacrylate cement into the fractured bone) is a good option for patients whose pain is not relieved with nonoperative treatment.

L1 Kyphoplasty

 
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