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Spine, Brain & Nerve Surgery

Skull Base Surgery

Since tumors of the skull base sit underneath the brain, it can be difficult during surgery to get to the tumor in order to remove it. Traditional techniques used to approach tumors of the brain itself can be used to approach skull base tumors, but these often require significant force to retract the patient’s brain out of the way. This may lead to unwanted injury to otherwise normal brain tissue.

Craniotomy / cranioplasty

A Cranioplasty is a surgical procedure to correct a deformity or defect of the skull and it is usually performed following a traumatic injury to the skull or after a previous brain surgery such as a craniotomy or craniectomy. In order to correct the defect the physician may have to use a prosthetic or other synthetic surgical material to complete the procedure.

Aneurysm surgery

Brain aneurysm repair is surgery to fix a cerebral (brain) aneurysm. An aneurysm is a weakened area in a blood vessel wall that widens and bulges. Over time, this weakened area can grow, stretch, balloon outward, and possibly rupture (burst). There is a significant risk of death associated with a ruptured cerebral aneurysm. Brain aneurysm repair is a treatment for cerebral aneurysms aimed at preventing rupture and hemorrhaging or bleeding into the brain.

AVM surgery

An arteriovenous malformation is a defect of the circulatory system that develops during embryonic development or shortly after birth and may form in several different locations throughout the body. Many arteriovenous malformations do not cause any symptoms, but those in the brain or spinal cord can have widespread effects on the body.

DSA Carotid and brain

Conventional angiography and intravenous digital subtraction angiography (DSA) were used to examine the common carotid artery bifurcations in 100 patients with clinically suspected arteriosclerotic disease. In 60% of the patients, the quality of the DSA examination was good or excellent bilaterally; in 23%, the quality was good or excellent on one side; in the remaining 17%, both bifurcations were poorly visualized.

Carotid stenting and endarterectomy

The standard treatment is to remove the narrowing by surgery, in which the surgeon opens the artery and removes the plaque (carotid endarterectomy). An alternative treatment (carotid artery stenting) uses a fine catheter tube which is passed through the skin and into the narrowed blood vessel.

Stereotactic surgery

A stereotactic brain surgery is a surgical procedure where lesion, frequently a brain tumor, is removed with assistance of image guidance, that is previously obtained images (usually an MRI) are used to guide the surgeon to the exact location of the lesion to facilitate as accurate a pathway through the brain and safe

Deep brain stimulation (DBS)

Deep brain stimulation (DBS) involves implanting electrodes within certain areas of the brain. These electrodes produce electrical impulses that regulate abnormal impulses. Or the electrical impulses can affect certain cells and chemicals within the brain.

Radiofrequency ablation (RFA)

Radiofrequency ablation (RFA), also called radiofrequency neurotomy is a procedure that involves heating a part of a pain-transmitting nerve with a radiofrequency needle to create a heat lesion. This resulting lesion prevents the nerve from sending pain signals to the brain. RFA treatment typically provides longer-lasting pain relief compared to other therapeutic injections.

Endoscopic cranial surgery

Endoscopic endonasal surgery is a minimally invasive technique that allows a surgeon to go through the nose to operate on areas at the front of the brain and the top of the spine. A thin tube called an endoscope is thread through your nose and sinuses. This gives your surgeon access to parts of your brain that would be hard to reach using traditional surgical approaches and often require large incisions and removal of parts of the skull.

Carpal tunnel releasey

Carpal tunnel release is a surgery used to treat and potentially heal the painful condition known as carpal tunnel syndrome. Doctors used to think that carpal tunnel syndrome was caused by an overuse injury or a repetitive motion performed by the wrist or hand, often at work. They now know that it's most likely a congenital predisposition (something that runs in families) – some people simply have smaller carpal tunnels than others.

Biopsy

A biopsy is a sample of tissue taken from the body in order to examine it more closely. A doctor should recommend a biopsy when an initial test suggests an area of tissue in the body isn't normal.

Block

Nerve blocks, or neural blockades, are procedures that can help prevent or manage many different types of pain. They are often injections of medicines that block pain from specific nerves. They can be used for pain relief as well as total loss of feeling if needed for surgery. Perhaps the best-known nerve block is an epidural. Many pregnant women ask for an epidural during childbirth to ease the pain of labor and delivery. In an epidural, doctors inject an anesthetic drug into the space just outside the spinal column.

Vertebroplasty / kyphoplasty

vertebroplasty and kyphoplasty are procedures used to treat painful vertebral compression fractures in the spinal column, which are a common result of osteoporosis. Your doctor may use imaging guidance to inject a cement mixture into the fractured bone (vertebroplasty) or insert a balloon into the fractured bone to create a space and then fill it with cement (kyphoplasty). Following vertebroplasty, about 75 percent of patients regain lost mobility and become more active.

Anterior and posterior spine surgery

Anterior and posterior spine surgery There are a variety of different approaches to correction of spinal deformity. Surgeons make decisions regarding the type of surgery that is appropriate for your case depending on the type, severity, and location of your particular spinal curve. In certain types of deformity, your surgeon may recommend that you have what is termed a “front and back” or anterior-posterior spinal surgery.

Spinal fusion

Spinal fusion is surgery to permanently connect two or more vertebrae in your spine, eliminating motion between them. Spinal fusion involves techniques designed to mimic the normal healing process of broken bones. During spinal fusion, your surgeon places bone or a bonelike material within the space between two spinal vertebrae. Metal plates, screws and rods may be used to hold the vertebrae together, so they can heal into one solid unit

Artificial disc replacement

Artificial disc surgery replaces a worn-out disc in the spine with a device that moves like a natural disc. The device is made of metal plates with a ceramic or polymer core that flexes or glides. It's an alternative to spinal fusion, which stops all motion at the disc. The benefit of an artificial disc is less stress on adjacent discs compared to fusion. But it is not for those with facet joint arthritis or weak bones.

MISS

Minimally invasive spine surgery (MISS) is a type of surgery on the bones of your spine (backbone). This type of surgery uses smaller incisions than standard surgery. This often causes less harm to nearby muscles and other tissues. It can lead to less pain and faster recovery after surgery.

Spasticity surgery

Spasticity is a condition in which muscles stiffen or tighten, preventing normal fluid movement. The muscles remain contracted and resist being stretched, thus affecting movement, speech and gait.