Posterior scoliosis surgery
Anterior scoliosis surgery
TLIF surgery for Lumbar spine
Common spine conditions
Is disc replacement surgery for me?
Disc replacement surgery is an attempt to maintain ongoing cervical motion and reduce the stressors on the adjacent non-operated segments. Fusion surgery results in increased forces at adjacent segments with accelerated degeneration and risk of additional future surgery. Disc replacement requires surgery from the front. In the lumbar spine this entails trans-abdominal surgery with increased risk and seldom benefit in most patients.
In contrast, the default access to the cervical spine (neck) is through the front so there is no additional approach risk. In younger patients with reasonable facet joints, a disc replacement is a good option.
Such cervical surgery is quick with short hospital stay, and an excellent therapy for persistent shoulder / arm pain due to nerve root entrapment from a herniated cervical disc.
What is spondylolisthesis?
Spondylolisthesis refers to one vertebrae sliding forward on another. This occurs typically in the low lumbar spine. It may occur in young children from a “dysplastic” condition and be rapidly progressive as they grow. It may present in the teenage years in highly active children, especially gymnasts and bowlers, with a stress fracture or in adults due to disc degeneration.
They all present with back and leg pain. The leg pain can be of variable intensity, from hamstring tightness to debilitating buttock and calf pain.
This can be resolved with nerve decompression, anatomical re-alignment and fusion.