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Surgical Treatments and Conditions Reconstructive
- Spinal Fusion
- Laminectomy
- Anterior Lumbar or Cervical Interbody Fusion
- Scoliosis Correction
- Trans-sacral interbody fusion
- Extreme lateral interbody fusion
- Posterior Cervical Fusion
- 360 degree Fusion
- Transforminal interbody fusion
- Decompression
Reconstructive
At times it is necessary for patients to undergo reconstuctive spinal surgery due to their conditions. At Florida Spine Institute, we perform spinal fusions, laminectomy discectomy, anterior lumbar or cervical interbody fusions, and scoliosis correction surgeries. Many of the procedures performed are outlined in the videos below.
constructive:
Spinal Fusion
Spinal fusion is a procedure to stabilize the spine by fusing together two or more vertebrae utilizing using bone grafts, rods and screws.
Laminectomy
A laminectomy is done to remove bone from the spine to widen the spinal canal and create more space for the nerves. A discectomy removes pieces of a ruptured disc that had been causing pressure on a nerve. This surgery is most often recommended when herniated discs pinch nerves, causing leg pain, weakness in legs or feet, numbness in legs or feet, and/or problems with bowel or bladder functions.
Anterior Lumbar or Cervical Interbody Fusion
The anterior lumbar interbody fusion (ALIF) is a disc fusion where the approach is from the front side of the patient. During a lumbar fusion the abdominal muscles are retracted to the side, as well as abdominal contents which allows the surgeon access to the front side of the spine. When an interbody fusion is performed, the disc between two vertebra is removed and a bone graft put in its place. The graft fuses to the vertebra above and below as the body heals. Many times fusions also include the use of instrumentation to hold the vertebra and graft in place as the fusion heals.
Scoliosis Correction
For patients that have a large curve that is still progressing surgery is typically recommended. The goal is to fuse the spine so that the abnormal curve will not continue to progress. A combination of rods, cables, screws and hooks are used to move the spine back into the proper position. Once the spine fuses with the bone grafts the spine no longer moves out of place.
Clinical Trials:
Disc Replacement
Florida Spine Institute has two ongoing trials for artificial disc replacements. This surgery is used for the treatment of degenerative disc disease in both the cervical and lumbar spine.
Facet Replacement
An additional study that Florida Spine Institute is currently participating is for treatment of degenerative spinal stenosis which replaces the facets with artificial joints.
Advanced Research Programs
Florida Spine Institute is a research site which participates in clinical trials for both cervical and lumbar spine devices. Our physicians and staff are trained and certified to participate in these trials. Presently, Dr Scott A. Webb and Dr Gordon N. Holen participate in three trials which are open for enrollment.
We have two ongoing trials for the lumbar spine. One of which is for treatment of degenerative disc disease by replacing the patients disc with an artificial disc. The other study is for treatment of degenerative spinal stenosis which replaces the facets with artificial joints.
Likewise, the cervical spine trial is also for the treatment of degenerative disc disease. Patients who have an arthritic condition of their neck which causes pain and/or weakness from nerve compression may qualify for this study.