BMN Blog

APR 05
A Sideways Look at Spinal Fusion By Christopher Heck, MD-Spine Surgeon in Clinical

While there are seemingly countless spinal surgical approaches and techniques, all spinal surgeries fall into one of two categories: decompression or stabilization. Decompression involves taking pressure off neurologic structures including the spinal cord and, more commonly, nerve roots to improve function and relieve pain. Stabilization involves restoring structure to one or more spinal segments, i.e. two adjacent vertebra and the intervening disc, by creating an environment for bone to grow from one vertebra to the next. This may be performed to treat gross instability from a traumatic fracture or chronic instability from a degenerative spondylolisthesis.

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MAR 06
To Fuse or Not to Fuse: The Argument for Spinal Disc Replacement By Christopher Heck, MD-Spine Surgeon Southlake Orthopaedics Sports Medicine & Spine Center, PC in Clinical

Treatment for a pinched nerve in the neck (cervical radiculopathy) that has failed to improve with non-operative care has traditionally been treated with an anterior cervical discectomy and fusion (ACDF). Originally explained in 1958, this procedure achieves success by eliminating nerve root compression by removing the disc, replacing with bone graft via a fusion to prevent recurrent or pinched nerves and maintain stability. However, not only does this increase restricted motion to the spine (which is increased with multilevel fusions), but it also transfers force stresses to other levels or levels above and below the fusion which has been shown to increase symptoms/degeneration at other levels.

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OCT 24

The state’s first spine procedure using the Mazor Robotic System in conjunction with intraoperative imaging was performed by neurosurgeons with Neurosurgical Associates, PC at St. Vincent’s Birmingham.

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