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Laser Spine Surgery

 

Minimally Invasive Laser Spine Surgery is now a possibility with advances in modern medicine, however, most spine surgeons unfortunately aren't yet able to perform this innovative technique.

 

See why Laser Spine Surgery is unlike other typical treatments and how it has changed the lives of thousands.

 

Can it change your life?

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Track Record

Laser Spine Surgery has a great success rate treating spine disorders from herniated discs, bulging discs, spinal stenosis, foraminal stenosis, spinal arthritis, sciatica, bone spurs and many other spine conditions.  Many patients are referred by past clients.  

Are you a good candidate for Laser Spine Surgery?

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Minimally Invasive Laser Compared to Open Surgery


Advancements in all areas of spine surgery and the resulting benefits to patients have been dramatic in the last 10 years. This is particularly true of minimally invasive spine surgery with its state-of-the-art instrumentation.  If you do not know about the various differences between minimally invasive spine surgery, also referred to as laser, micro, arthroscopic, or endoscopic, which involves an incision of less than one inch compared to open surgery, also referred to as conventional or traditional, which is performed with an incision greater than 1 inch,  then keep on reading this article because it discusses the various differences in detail.

In traditional open back surgery, a five- to six-inch incision may be needed in order to see the affected nerve root. In creating such a sizeable incision, longer recovery times are needed, including the length of the stay in the hospital, the painful weeks/months of recuperation time, the use of pain medications necessary afterwards, and the time you will have to spend away from your work environment.  Conventional back surgery also includes the use of general anesthesia, which depending on your age and overall health, there could be a greater risk of complications.  Another important complication after conventional back surgery to consider is the likelihood of scar tissue formation. In some cases, the amount of back surgery scar tissue formation leads to additional spine conditions, which could eventually lead the patient to need another surgical procedure.

Modern minimally invasive back surgery has been replacing many traditional open back surgeries due to the extremely shorter recovery times.  If the same procedure can be done with less damage to healthy tissue, then the pain will be lessened and the recovery time decreased. The advantage of this treatment is that a small incision is made in which an arthroscope is inserted which allows the surgeon to use cameras to operate effectively with minimal damage to healthy tissue.  Minimally invasive spine surgery complications are lower compared to traditional open back surgery, since there is no general anesthesia used which can be high risk in some patients and post operative infection at the incision site rarely occurs.  Another advantage of this surgical treatment is that it is a very short-duration of treatment and you are also awake during the surgery.  The patient is normally seen on an outpatient basis and discharged after being monitored for one to two hours.  Minimally invasive spine surgery, done through an incision that measures no larger than the diameter of a penny, can achieve better results without the complications that occur in open back surgery.

Keep in mind that the minimally invasive surgical methods require the special expertise of a surgeon, so you will need to inquire whether you are a candidate for minimally invasive spine surgery with a qualified surgeon. 

Furthermore, certain minimally invasive techniques are highly technical and require significant training, and in cases where there is a lack of training, complications may occur.  Using a sub-par surgeon can lead to complications such as inadequate decompression, nerve injury, or infection.  Make sure you are comfortable with the qualifications, track record, and experience of your surgeon.   

Minimally Invasive Laser Procedure Studies

Arthroscopic Microdiscectomy: An Alternative to Open Disc Surgery 
By PARVIZ KAMBIN, M.D. AND MARTIN H. SAVITZ, M.D
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Proper patient selection includes careful review of preoperative imaging studies and assessment of radiculopathy and radiculitis if outcomes comparable to that of open laminotomy are to be obtained. Same-day scheduling, negligible blood loss, avoidance of general anesthesia, and minimizing scar tissue all lead to satisfactory outcomes as judged by the patients themselves. The authors are of the opinion that percutaneous endoscopic discectomy belongs in the armamentarium of every spinal surgeon.  Results: In terms of patients self-evaluation, satisfactory outcome rates of 85 – 92% were realized. The patients considered brief intravenous anesthesia and same-day scheduling preferable to general anesthesia and hospitalization needed for open laminotomy and discectomy. Fewer than 2% of the cases required a second surgery.

 

Minimally Invasive Cervical Microendoscopic Foraminotomy: An Initial Clinical Experience 
By Fessler, Richard G. M.D., Ph.D.; Khoo, Larry T. M.D.
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The MEF technique yielded clinical results equivalent to those of the open surgical group as well as to those described in the literature. MEF patients, however, had less blood loss, shorter hospitalizations, and a much lower postoperative pain medication requirement.

Posterior cervical microendoscopic foraminotomy. Prospective study 
By Pimenta LLH, Da Silva MM, Bellera AF, Leon PM 
The open anterior approach is more commonly performed for the treatment of degenerative cervical spine disease, but with the recent advances of endoscopical surgery it is possible to access the cervical spine to perform foraminotomy with a posterior approach or with an anterior one when discectomy and fusion techniques are needed, with superior clinical outcome and earlier post-operative recovery. Seventy-one patients (86 levels) underwent PMF. The clinic outcome was based according to ODOM's scale. The 82% of patients showed excellent and good results. Four patients underwent new foraminotomies and three required anterior endoscopic microdiscectomy and intersomatic fusion. Three patients presented transient numbness due to nerve root traction. The patient’s discharge from hospital was on the same day and 80.8% returned to their work during the first week.

“Percutaneous laser disc decompression: clinical experience at SCTIMST and long term follow up”
By Gupta AK, Bodhey NK, Jayasree RS, Kapilamoorthy TR, Kesavadas C, Krishnamoorthy T, Thomas B. Department of Imaging Sciences & Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences & Technology, Trivandrum, Kerala, India
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There was immediate pain relief in 32/40 (80%). According to MacNab criteria good to fair response was seen in 37/40 (92%) and 3 patients (7.5%) responded poorly to this treatment. On follow up which ranged from 1 to 7 years, 34/40 (85%) had pain relief with no need for further treatment. COMPLICATIONS: Significant pain at local puncture site was experienced by 8 (20%), pain during lasing was experienced by one. One patient developed muscular spasm. CONCLUSION: Percutaneous laser disc decompression is a safe, relatively noninvasive and effective treatment modality for contained, nonsequestered, herniated lumbar disc disease in carefully selected patients..

 

“Arthroscopic discectomy of the lumbar spine”
By Medical College of Pennsylvania, Hahnemann School of Medicine, Philadelphia, USA
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Although open laminotomy remains an acceptable and, at times, necessary method of treatment for herniated intervertebral discs, spinal stenosis, and various intracanal spinal disorders, arthroscopic disc surgery is emerging as an alternative method of treatment for contained and nonmigrated sequestered herniated discs. Successful performance of arthroscopic disc surgery requires technical skill and a learning curve. Prudent patient selection, adherence to inclusion and exclusion criteria, and avoidance of entry into the spinal canal when possible will reduce the incidence of perineural and intraneural fibrosis and will ensure a satisfactory outcome. Although the incidence of complications has been acceptable, a satisfactory outcome ranging from 75% to 87% has been reported after arthroscopic microdiscectomy. In contrast to nuclear debulking procedures, the objective imaging confirmation of decompression of the nerve root may be shown by immediate postoperative computed tomography or magnetic resonance imaging studies.
Are you a candidate for Minimally Invasive Laser Spine Surgery to start living again?

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