Thoracic / lumbar / sacral / pelvic surgery

Below are the main categories for spine surgical treatment including:

• Disease specific spine surgery techniques such as for reconstructive / deformity, trauma, tumor and infection.
• General spine surgery techniques such as decompression, instrumentation, and fusion,

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GENERAL SPINE TECHNIQUES

A comprehensive spine surgery plan may require multiple of the below techniques (for example, a common treatment is a decompression, instrumentation, and fusion, which can be done in a single stage or multiple stages). Click the heading and surgery links below to learn more.

Decompression surgery

Remove compression from nerves roots / spinal cord)

• Endoscopic spine surgery
• Lumbar discectomy
• Lumbar laminotomy / laminectomy
• Thoracic discectomy

Instrumentation surgery

Place hardware like screws, rods , cages, devices

Stabilizing

Fixing the spine in place

• Interbody cages
• Pedicle screw and rod instrumentation
• Pelvic fixation

Motion preservation

Fixing a joint and preserving motion

• Lumbar disc replacement
• Facet replacement surgery

Fusion surgery

Place bone graft to grow bones together

Standard fusion

Bone graft placed on the outside of the spine

• Posterior thoracic / lumbar / sacral fusion

Interbody fusion

Bone graft / cage placed on the inside of the spine between the vertebral bodies

• ALIF (Anterior Lumbar Interbody Fusion)
• LLIF (Lateral Lumbar Interbody Fusion)
• PLIF (Posterior Lumbar interbody Fusion)
• OLIF (Oblique Lumbar Interbody Fusion)
• TLIF (Transforaminal Lumbar Interbody Fusion)

SI joint fusion

Bone graft and screw placed through the pelvis into the sacral spine

• SI joint fusion

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DISEASE SPECIFIC SPINE SURGERY TECHNIQUES

The below techniques are specific to the disease process. Click on the disease link to review.

Infection

• Discitis / osteomyelitis debridement and stabilization
• Epidural abscess evacuation
• Revision / washout surgery

Reconstructive / Deformity

• Adult degenerative scoliosis correction
• Cervical deformity correction
• Cranio-cervical fusion
• Flat back syndrome correction
• Instrumentation revision
• Pedicle subtraction osteotomy
• Posterior column osteotomy
• Sagittal balance restoration
• Thoracic kyphosis correction

Trauma

• Burst fracture reconstruction
• Cervical fracture stabilization
• Lumbar fracture stabilization
• Open reduction and internal fixation of fracture
• Percutensous stabilization
• Thoracic fracture stabilization

Tumor

• Intradural extra-medullary tumor resection
• Intramedullary (spinal cord) tumor resection
• Metastatic boney spine tumor resection
• Separation surgery

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NEXT STEPS…

If you are interested in learning more about spine fusion surgery, click on the links to specific surgeries above.

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