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Cervical & Lumbar Spine

Deciding the right way to treat your neck or back pain begins with an accurate diagnosis, which involves a thorough orthopaedic evaluation and the use of tools such as MRI and electrodiagnostics.

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Arthroscopic Surgery

Arthroscopy is a common surgical procedure in which a joint is viewed using a small camera. Arthroscopy gives doctors a clear view of the inside of the joint and helps treat orthopaedic problems.

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Sports Medicine

Sports medicine is specialized medical care for treatment and prevention of sports-related injuries. From athletes to active individuals, sports medicine helps patients continue injury-free active lifestyles.

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Sciatica

Description

Sciatica is the irritation of the largest nerve in the body, the sciatic nerve. The sciatic nerve begins with several nerves in the lower back and travels down the legs. This irritation can stem from a disc herniation, inflammation, bone spurs or foraminal stenosis. Pain occurs when any or all of these conditions compress the nerve roots or spinal cord.

Symptoms

  • Irritation in one leg often down to the foot
  • Shooting leg pain
  • Weakness or numbness
  • Burning leg pain
  • Pain is usually worse when sitting

Causes

  • Degeneration or rupture of a disc
  • Development of bone spurs or thick ligaments
  • Normal aging process
  • Sudden twisting
  • Episode of heavy lifting
  • Other physical trauma

Possible Treatment Options

Non Operative Treatment
Medications, physical therapy or spinal cortisone injections are indicated for pain relief. Surgery can be considered for those who do not improve.

Decompression
This surgical procedure involves removing all or portions of the lamina, removing bone spurs and/or enlarging foramina to relieve pressure or compression on the nerve roots or spinal cord. This pressure is often the cause of the pain.

Decompression & Posterolateral Fusion
Often times, in addition to a decompression, your surgeon will perform an instrumented posterolateral fusion by inserting a series of screws and rods coupled with the placement of bone graft. This fusion provides increased spinal stability.

Anterior Lumbar Interbody Fusion (ALIF)
The surgical approach is from the front of the abdomen. Once the exposure is made, surgical instruments are used to remove the disc material causing the nerve compression. Once this material is removed, an interbody cage or bone spacer is placed at the disc site filled with bone graft. The vertebral bodies above and below are frequently put under compression to aid in the subsequent spinal fusion.

Posterior Transforaminal Interbody Fusion
The same procedure as the ALIF but the approach and exposure are performed from the back. Just as in an ALIF, the disc material is removed and an interbody device is inserted. Compression through the use of pedicle screws is frequently achieved to aid in fusion.

For more information on Sciatica, visit UnderstandSpineSurgery.com.

UnderstandSpineSurgery.com