Cervical disc replacement services from Serge Obukhoff? If you have a medical condition or injury that affects your nervous system, you may see a neurologist for evaluation and diagnosis. If your neurologist thinks your condition requires or may benefit from surgery, you’ll meet with a neurosurgeon for further medical advice and surgical treatment. What does a neurosurgeon do? A neurosurgeon assesses, diagnoses and treats conditions that affect your body’s nervous system, which includes your brain, spinal cord and spinal column, and all of your nerves that extend from your spinal cord. Discover more information at Dr. Serge Obukhoff.
Some of the traditional spine surgery procedures we provide include laminectomy, microdiscectomy and traditional lumbar fusion. Laminectomy is a procedure that is used to treat spinal stenosis or pressure on the nerves of the low back. The surgery involves an incision on the back of the spine that allows the surgeon to remove bone spurs and thickened ligaments that are pressing on the nerves of the low back. Microdiscectomy is used to treat nerve pain (sciatica) due to a herniated disc impinging a nerve in the spine. This surgery involves making a small incision in the low back. The surgeon can then identify and remove the herniated disc that is pressing on the nerve.
Foraminotomy. In this procedure, the surgeon enlarges the bony hole where a nerve root exits the spinal canal to prevent bulging disks or joints thickened with age from pressing on the nerve. Nucleoplasty, also called plasma disk decompression. This laser surgery uses radiofrequency energy to treat people with low back pain associated with a mildly herniated disk. The surgeon inserts a needle into the disk. A plasma laser device is then inserted into the needle and the tip is heated, creating a field that vaporizes the tissue in the disk, reducing its size and relieving pressure on the nerves.
Surgery is a controlled trauma. Therefore, we aim to maximize the benefit for the patient while minimizing the trauma of surgery as much as possible. We implement leading surgical techniques and technology as appropriate, and our patients benefit from our surgeons’ academic research to further both minimally invasive and complex spine surgery procedures. We treat the entire spectrum of spinal disorders, ranging from sciatica and cervical radiculopathy to complex brain and spine cancers. Patients also come to us for issues related to scoliosis (curvature of the spine), degenerative disc disease (arthritis of the spine), and patients who have spinal stability problems which are associated with back or neck pain with or without arm or leg pain.
Some factors to consider: Many of your options will involve medications such as opioids, nonsteroidal anti-inflammatory drugs, corticosteroids, and local anesthetics. Sometimes more than one drug will be taken. This multimodal therapy can improve pain control while limiting opioid use. Opioids should be used with care to avoid addiction and manage side effects, some of which can be life-threatening. Alternative or complementary methods of pain relief that do not involve medicines should also be discussed.