Treatments & Procedures

Treatments and procedures of the back and spine

Our physicians and specialists at Lakewood Regional Medical Center are dedicated to providing patients with individualized treatment plans to get them back to their active lifestyles. We take great pride in making sure our patients receive the best orthopedic treatments and procedures at Lakewood, including back and spine surgery, pain management and prevention, rehabilitation and physical therapy. Below are common treatments for back and spine conditions that we may see.

Anterior cervical corpectomy

An anterior cervical corpectomy is a procedure in which displaced bone that is pressing on nerves is removed from the neck. Removing this bone relieves symptoms such as pain, numbness and weakness.

Anterior cervical decompression surgery

Anterior cervical decompression surgery is a procedure in which any structures that are compressing nerves in the cervical (neck) portion of the spinal cord are removed. This relieves symptoms such as numbness, pain and weakness.

Anterior cervical discectomy with fusion

Anterior cervical discectomy with fusion is a procedure in which bone fragments impinging on cervical (neck) spinal nerves are removed and a bone graft is added to restore stability lost due to bone removal.

Anterior lumbar interbody fusion

During an anterior lumbar interbody fusion, a surgeon removes a faulty intervertebral disk and installs a metal, plastic or bone implant, supported with metal screws or rods, to better maintain spinal alignment.

Arthroscopic spine surgery

During arthroscopic spine surgery, a small incision is made, an arthroscope is inserted and specialty equipment is used to correct a variety of spinal joint issues.

Artificial disk replacement

An artificial disk replacement procedure involves removal of the defective disk, installation of metal plates above and below the newly created space and insertion of a polyethylene cushion between these metal plates.

Axial lumbar interbody fusion (ALIF)

During an ALIF procedure, a surgeon partially removes the faulty disk and inserts a bone graft surrounded by a metal cage, secured with metal screws or rods, in its place. Over time, the bone graft will grow and fuse the surrounding lumbar vertebrae together.

Cervical disk arthroplasty

An artificial disk replacement procedure involves removal of the defective disk, installation of metal plates above and below the newly created space and insertion of a polyethylene cushion between these metal plates.

Cervical laminoplasty

During a cervical laminoplasty, a surgeon cuts one side of the bone over the spinal cord and thins the other side of the bone. This procedure creates a bone "door" to relieve pressure on the spinal cord and it is kept open using metal plates.

Dorsal root ganglion stimulation

With the help of constant imagery, a surgeon implants a device that delivers controlled electric impulses to the portion of the spinal nerve root responsible for the pain. These electric impulses relieve symptoms such as pain.

Endoscopic decompression

During an endoscopic decompression procedure, a surgeon removes bone that is compressing spinal nerves with the help of an endoscope and specialty instruments.

Extreme lateral interbody fusion (XLIF)

Extreme lateral interbody fusion is a procedure in which a surgeon fuses spinal bones together through a surgical incision in the patient's side. This side approach spares major back muscles, bones and ligaments.

Facet joint and synovial arthrography

Facet joint and synovial arthrography involves injecting the facet joints and synovial spaces, respectively, with contrast dye and taking a series of images. The injections may cause joint symptoms and pain to occur.

Facet nerve ablation

Facet nerve ablation involves using a high-frequency radio current to create a lesion on the facet nerve. This lesion reduces the excess nerve activity that causes pain and impedes arm or leg movement.

Foraminotomy

Foraminotomy is a surgical procedure that involves removing bone and soft tissues to increase the space through which a nerve travels.

Interspinous process fusion

Interspinous process fusion involves installing a metal implant in between the bony spinous processes. The goal of this procedure is to relieve back pain and leg numbness caused by lumbar spinal stenosis.

Kyphoplasty

During a kyphoplasty, a balloon is inserted into a vertebra that has been fractured by osteoporosis. The cavity created by the balloon is then filled with bone cement.

Laminectomy/laminotomy

A laminectomy is a surgical procedure that involves removing the lamina of the spine where it compresses nerves.

Laser spine surgery

Laser spine surgery involves using a laser to burn away soft tissue during surgeries to remove disks, bone spurs or other structures causing spine-related pain.

Lumbar epidural steroid injection (ESI)

Injecting steroids into the epidural space near the L4 and L5 vertebrae reduces pain and inflammation. These injections can be repeated up to three times for maximum benefit.

Medial branch block

Using contrast dye and imagery, a physician locates the medial branch nerves and injects anesthetic medication near them. If symptom relief is obtained, a longer-lasting pain medication may be injected at the same site.

Microdiscectomy (endoscopic or laparoscopic discectomy)

A surgeon removes the herniated portion of a disk through an extremely small incision. This procedure restores nerve function.

Percutaneous discectomy (nucleoplasty)

A surgeon uses a small radio-frequency probe to dissolve portions of the inside of the disk. The surgeon only removes enough of the disk to reduce pressure, thus preserving spinal stability.

Percutaneous discectomy (lumbar or cervical)

A surgeon uses a small radio-frequency probe to dissolve portions of the inside of the disk. The surgeon only removes enough of the disk to reduce pressure, thus preserving spinal stability.

Percutaneous facet fusion

Percutaneous facet fusion involves inserting bone dowels into the facet joint. These dowels trigger extra bone growth that fuses and stabilizes the facet joint.

Percutaneous interspinous process fusion

Interspinous process fusion involves installing a metal implant in between the bony spinous processes. The goal of this procedure is to relieve back pain and leg numbness caused by lumbar spinal stenosis.

Percutaneous pedicle screw fixation

During a percutaneous pedicle screw fixation, a surgeon installs screws and rods to stimulate bone fusion of the lumbar spine. This extra support reduces pain due to decreased spinal movement and nerve compression.

Posterior cervical foraminotomy

A posterior cervical foraminotomy is a surgical procedure that involves removing bone and soft tissues to increase the space through which the nerve root exits the spinal canal.

Posterior cervical fusion

During a posterior cervical fusion, a bone graft is taken from the hip and is placed on the back of the vertebrae. When the vertebrae grow together, it creates a solid piece of bone that can correct neck dislocations and deformities.

Posterior lumbar interbody fusion (PLIF)

A posterior lumbar interbody fusion (PLIF) procedure involves removing a problematic lumbar disk and replacing it with a bone graft. The surgeon performs the surgery from the posterior side of the spine.

Sacral nerve root stimulation

A sacral nerve root stimulation procedure involves placing electrodes along the sacral nerves. These electrodes emit a weak electrical current that interrupts transmission of pain signals.

Selective nerve root block (SNRB)

A selective nerve root block (SNRB) is an injection of pain medication into the space around spinal nerve roots. It is used to determine the cause of pain and for pain relief.

Spinal cord stimulation (Neuromodulation)

During spinal cord stimulation, a small electrode is placed in the epidural space near the spinal cord. It emits a weak electrical current that interrupts the transmission of pain signals.

Transforaminal lumbar interbody fusion (TLIF)

A transforaminal lumbar interbody fusion (TLIF) involves removing a faulty disk from the side and installing a metal cage that contains a bone graft. The cage provides support while the bone graft fuses neighboring vertebrae permanently together.

Vertebroplasty

Vertebroplasty involves injecting bone cement directly into a vertebra that has become narrow. This procedure is most frequently used for people who have pain due to a recent compression fracture of the spine.

Let Lakewood connect you with a physician

Call (855) 580-3668 or use our Find A Physician tool to be connected to an orthopedic specialist who can help you. You can also read more about back and spine diseases and conditions in our Health Library.