![]() ![]() ![]() In this surgery the bone on the back of the spinal canal is completely removed (complete laminectomy) or partially on one side of the spine (hemilaminectomy) to decompress the spinal canal and the nerve roots at that level. An incision is made in the lower back to allow access to the spinal canal and the nerves that go to the lower extremities and the nerves that control urination and bowel movements. Deep Brain Stimulation is available for essential tremor and Parkinson’s disease.Ī lumbar decompressive laminectomy is used to decompress nerve roots and/or the lower portion of the spinal cord to relieve low back pain, lower extremity pain, and to improve lower extremity strength and coordination. Improved accuracy of instrumentation placement for degenerative spine disorders, spinal trauma and spinal tumors.įor treatment of brain tumors, trigeminal neuralgia, and movement disorders. Robotic Guided Spinal Surgery (Using the Globus Excelcius Robot) These stereotactic techniques make tumor surgery more accurate, maximize the removal of the tumor, and minimize surgical complications. The stereotactic computer system also is used by the surgeon intraoperatively to localize the edges of the tumor during the procedure to maximize tumor resection and minimize injury to the surrounding normal brain. Using these images the surgeon can construct a pre-operative surgical plan to approach and more safely remove the tumor. All the data from this scan is then loaded into the intraoperative stereotactic computer “virtually” which allows visualization of the brain in three planes and also in a three dimensional view. The patient then undergoes an MRI or CT scan. Prior to surgery reference markers (known as fiducials) are placed on the patient’s head the morning of the surgery. Tumor resection is usually guided using computer aided stereotactic techniques. Once the access has been achieved the tumor may be resected. The opening allows access to the intracranial cavity where the brain is located. This is done using highly specialized drills. It involves making an incision in the patient’s scalp and then making an opening through the patient’s skull to access the brain. Stereotactic Craniotomy for Tumor Resection:Ĭraniotomy is a fundamental surgical technique used to remove tumors or vascular abnormalities. The surgeon approaches the spine from the back, drilling a small opening in the spinal bones to remove the herniated disc using an operating microscope. Lumbar Hemilaminotomy and Microdiscectomy:Ī lumbar hemilaminectomy and microdiscectomy is a microsurgical procedure performed to remove a herniated and/or degenerative disc in the lumbar spine. After this a spinal fusion is done to stabilize the spine using both bone taken from the patient and from the bone bank and metal implants using rods, hooks, wires, plates, and screws. First the lumbar decompressive laminectomy is performed to relieve pressure on the spinal cord and/or spinal nerves. After the disc is removed, the vertebrae above and below the disc space are fused together using a bone graft and a metal plate.Īnterior & Posterior Lumbar Decompression and Fusion with Instrumentation:Ī posterior lumbar laminectomy with fusion is done to correct spinal stenosis causing nerve root compression and to stabilize spinal instability, usually secondary to degenerative arthritis in the low back. The surgeon approaches the spine from the front, through the throat area. Licensed Independent Practitioner StudentsĬervical – Anterior Cervical Discectomy and Fusion with Instrumentation:Īn Anterior Cervical Discectomy and Fusion (ACD&F) is a surgical procedure performed to remove a herniated or degenerative disc in the cervical (neck) spine.Preoperative Clinic | Robotic Surgery | Total Joint Replacement ![]()
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