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Treatment

We treat you, not just your condition

Our care teams at the AHN Spine Center decide on a personalized course of treatment for each patient. We look at your level of pain, ability to function, age, medical history, preferences, and lifestyle.

We offer a complete range of treatments for a wide variety of spinal conditions:

  • Holistic and alternative treatment options, including chiropractic medicine, acupuncture, and physical therapy
  • Some of the most advanced, minimally invasive surgical options
  • Traditional surgical options

We aim to recommend the most conservative, least invasive option. Our nonsurgical treatments focus on reducing your pain and improving your quality of life.

At the AHN Spine Center, our neurosurgeons are pioneers in the use of groundbreaking, minimally invasive surgical techniques. Using advanced technology, we make small incisions to make corrections to your spine. With the help of digital mapping, high-definition cameras, and endoscopes, procedures take less time than traditional spine surgery.

Each case and person is different, however. If you are not a good candidate for minimally invasive treatment, we offer traditional spine surgery.

Surgical Procedures

Anterior cervical artificial disc provides an option for patients requiring anterior disc surgery who solely have mild to moderate disc disease. Candidates meet stricter guidelines for artificial disc than standard fusion. The artificial disc offers preservation of neck mobility normally affected by standard fusion techniques.

Anterior cervical discectomy relieves neck and arm pain by removing herniated or diseased discs that are pressing on your spinal cord or nerve roots. It involves surgeons accessing your disc through the front of your neck through only one thin incision to remove the disc(s).

Anterior lumbar interbody fusion is a spinal procedure performed through your abdomen. Doctors insert a polymer graft in place of the front part of your degenerated disc. They fuse the bones around the polymer graft. This restores your spine alignment and relieves pain by relieving pressure on your nerve roots.

Endoscopic approaches consist of placing the endoscope, a small tube smaller than a pencil with a camera and light source, through a small port or directly accessing spine problems. These incisions can vary from 6 mm in size to a little over a centimeter. By accessing the spine through small corridors, there is less chance of injuring surrounding tissues. Patients often report minimal or no pain after surgery. Depending on the patient’s health, these can be same-day procedures.

Endoscopic sympathectomy is used to treat various conditions, including hyperhidrosis (excessive sweating), Raynaud’s disease, and reflex sympathetic dystrophy, as well as conditions that affect the chest, neck, and lower back. It involves the use of a thin tube that has a microscopic camera to view the affected areas on a large monitor. Nerves are clamped instead of being removed.

Endoscopic tumor resection treats benign and malignant spine tumors. Using a thin tube that has a microscopic camera, surgeons can view the affected areas on a large monitor and remove the tumor with sophisticated instruments.

Kyphoplasty treats compression fractures in the vertebrae typically caused by osteoporosis. It involves making a small incision in your back so that a hollow tube can be threaded to the fracture. A balloon is inserted into the tube and inflated to expand the compressed vertebrae to their normal height before filling the space with bone cement.

Lumbar laminectomy is the removal of some, or all, of the rear portion of your vertebrae to relieve pressure from your spinal cord and nerves that travel to your legs. A small incision is made in your back to remove the lamina (the bone that forms the backside) and soft tissue to give the nerves more room.

Lumbar microdisectomy relieves pain in your legs by removing herniated disc material that places pressure on your spine and nerves. A thin incision is made in your lower back to remove the ruptured disc and any disc fragments that are causing pressure on the nerves. 

Microforaminotomy enlarges the openings that spinal nerves pass through. Using sophisticated microscopic instruments and an endoscope, surgeons enlarge the compressed areas.

Minimally invasive abdominal approaches involve a small incision in the abdomen to approach spine problems. These approaches avoid disruption of the muscles of the spine. This results in less pain.

Minimally invasive sacroiliac fusion is an innovative minimally invasive surgical alternative for common lower back pain that originates in the sacroiliac (SI) joint. It involves using the IFuse Implant System and Medtronic Rialto System to stabilize the joint. Three small titanium implants are inserted across the SI joint via an incision about 3 cm long on the side of the buttocks.

Minimally invasive spinal fusion can be performed on select patients. These also take advantage of natural corridors to the spine and minimize trauma to surrounding tissues. This results in faster recovery, less postoperative pain, shorter hospitalization stays, and earlier mobilization.

Minimally invasive spine surgery involves the placement of small tubes to access your spine. They follow the natural planes of the back muscles, resulting in less pain, less blood loss, and quicker recovery. Doctors may also insert an endoscope for a close-up view your spine during the procedure. Patients often go home the same day.

Neurostimulation is the surgical placement of a neurostimulation system under the skin to send mild electrical impulses to the spinal cord or to a peripheral nerve. This helps control the abnormal signals that are causing the pain.

Oblique lateral lumbar interbody fusion is a minimally invasive fusion technique. A large polymer cage is placed with a bone graft in between the vertebral bodies where the disc is normally located. Fusion occurs around the polymer cage. It not only allows for fusion, but also restoration of normal spine alignment. These techniques can be used with posterior spine fusion depending on patient needs. 

Posterior spinal fusion is used for significant spinal degeneration and significant spine trauma. Screws are placed into individual vertebrae and connected by rods. Bone graft is laid in between the bones to facilitate fusion between the vertebrae.

Pure endoscopic microdiscectomy offers a minimally invasive discectomy through an incision of less than 1 cm. Appropriate candidates are patients with disc disease and no other degenerative problems of the spine.

Radiofrequency ablation can be performed for treatment of spine tumors in conjunction with kyphoplasty. It involves the use of radio waves to heat nerve tissue to reduce pain.

Restorative spine surgery is a procedure that involves implanting an artificial disc into the spine to imitate the functions of a normal disc. It can restore near normal spine motion and in the appropriately selected patient, pain relief is dramatic.

Scoliosis surgery uses fusion, manipulation of the spine, and specific breaks in the spine to restore normal spinal balance. Candidates for scoliosis surgery typically go through extensive testing to ensure they will benefit from the surgery.

Spinal cord pumps allow for medications to be directly delivered to the spinal cord to treat pain, and/or spasticity (tightness of the muscles of the arms and legs).

Spinal cord stimulation involves placement of electrodes in the spinal canal. The electrodes are powered by a generator usually located in the skin under the buttocks. They provide electrical stimulation which can override and modify pain signals. The pain is then perceived differently by the brain, giving the patient relief.

Tumor resection treats benign and malignant spine tumors. Using a thin tube that has a microscopic camera, surgeons can view the affected areas on a large monitor and remove the tumor with sophisticated instruments. Doctors may also use cryotherapy to freeze and destroy tumor tissue.

Vertebroplasty treats compression fractures in the vertebrae and abnormal formations typically caused by osteoporosis. It involves making a small incision in your back so that a hollow tube can be threaded to the fracture. Bone cement is then inserted into the tube so that the vertebrae stand straight, reducing your pain and preventing future fractures.