Treatments
Advanced spine care, organized by region
If a motion-preserving procedure can treat the condition, fusion is not recommended. If minimally invasive surgery can fix the problem, a long open incision is not chosen.
Cervical spine
Neck surgery is planned around the spinal cord and the need to look, swallow, and turn. When the problem can be treated without fusion, that is the plan.
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Cervical disc replacement
Motion-preserving treatment for a worn or herniated neck disc
Motion preserving · Minimally invasive option
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Anterior cervical discectomy and fusion
The reliable workhorse when a neck disc must be removed and the segment stabilized
Stabilization · Minimally invasive option
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Laminoplasty
Open the canal, keep the motion — the preferred multi-level myelopathy operation
Motion preserving
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Cervical corpectomy
Remove a diseased vertebral body and rebuild the column
Stabilization
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Posterior cervical foraminotomy
A small posterior window to free a pinched cervical nerve
Motion preserving · Minimally invasive option
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Posterior cervical fusion
Stabilization from behind when the neck needs a durable posterior construct
Stabilization
Lumbar spine
Low-back operations range from a tubular decompression the size of a dime to a reconstruction that restores lordosis. The smallest operation that solves the mechanical problem is the right one.
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Microdiscectomy
Remove the herniated fragment, not the entire disc, through a small tubular approach
Motion preserving · Minimally invasive option
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ULBD — unilateral laminotomy, bilateral decompression
Decompress both sides of a tight lumbar canal through one small window
Motion preserving · Minimally invasive option
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ALIF — anterior lumbar interbody fusion
Restore disc height and lordosis from the front of the spine
Stabilization · Minimally invasive option
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OLIF — oblique lumbar interbody fusion
A side-front corridor to the disc that spares the psoas
Stabilization · Minimally invasive option
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XLIF — extreme lateral lumbar interbody fusion
A true lateral, muscle-splitting path to the mid-lumbar disc
Stabilization · Minimally invasive option
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TLIF — transforaminal lumbar interbody fusion
Decompress and fuse through a single posterior approach
Stabilization · Minimally invasive option
Thoracic spine
The mid-back is protected by the rib cage and is unforgiving of cord compression. Approaches are chosen to reach the disc or vertebral body without unnecessary cord manipulation.
Deformity
Scoliosis, kyphosis, and flatback are alignment problems. Reconstruction is designed so you can stand, walk, and look ahead — not so an x-ray looks straight at any cost.
Appointments
Ready to take the next step toward recovery?
New patients are welcome. Call the spine clinic or send a note — the team will help you find the right visit.