We have several options when it comes to neurosurgery, many considered minimally-invasive.
Deep Brain Stimulation
Deep Brain Stimulation, also called DBS, provides treatment for patients whose motor functions are inhibited due to their neurological disorder. DBS helps these individuals regain control of their everyday movements and abilities. Parkinson’s disease, Essential Tremor, Dystonia and some types of obsessive-compulsive disorder can be treated through DBS.
How does Deep Brain Stimulation work?
There are three parts to the brain stimulation system. The first is a small pacemaker like device that is placed just under the skin near the collar bone. This device is called an implant pulse generator. A small flexible wire is attached to this device and then connected to leads which are placed by a neurosurgeon in the affected areas of the brain. Once the stimulation system is in place, small, electrical stimulations are sent from the implant pulse generator to the leads through the connection wire. A Neurologist makes adjustments to the pulse generator as needed for each individual patient, using a small hand-held computer device.
To treat Dystonia or Parkinson’s disease, bilateral leads are attached to the internal globus pallidus or subthalamic nucleus. For treatment of essential tremor, unilateral leads are attached to the ventro intermediate nucleus of the thalamus. Different areas of the brain would need to receive stimulations for the treatment of some forms of obsessive-compulsive disorder.
Patients suffering from neurological disorders have experienced remarkable results, allowing them greater control of their motor functions, expanded treatment options, and a more enjoyable life.
Neurovascular disorders are those that relate to the brain, spinal cord and blood vessels. The most common types of neurovascular disorders we provide treatment for include:
- Arteriovenous fistulas
- Arteriovenous malformations
- Carotid artery disease
- Cavernous Malformations
Minimally Invasive Spine Surgery (Back & Neck)
Spine and intervertebral disc disorders can be serious and very painful. We specialize in the minimally invasive surgical procedure Kyphoplasty, used to treat fractures in vertebrae. We provide treatment for all areas of the spine, including injuries to the spinal cord, spinal fractures, spinal tumors and scoliosis.
We offer diagnosis and state-of-the-art surgical treatment options for benign and cancerous tumors.
Surgical Treatment of Degenerative Disc Disease
This painful condition results from the degeneration of the intervertebral discs found within the spine. The degeneration of these discs can result in severe pain which can be near constant. If non-surgical treatments (such as physical therapy, chiropractic treatments, anti-inflammatory medications, etc.) do not produce results within two to three months, surgery may be recommended. Several different surgeries can be performed dependent upon the patient’s needs and circumstance.
Surgical Treatment of Compression Fractures
Vertebropasty and Kyphoplasty are two innovative, minimally invasive, non-surgical procedures that can be used to strengthen the vertebrae of the spine. These procedures have proven to significantly decrease pain caused by vertebral body compression fractures, and may be a treatment alternative when conservative therapies have not been able to provide adequate pain relief.
Both procedures are done on an outpatient basis and the patient is given local anesthesia and a light sedation. When performing the Vertebropasty procedure, the surgeon inserts an x-ray guided needle into the fractured vertebrae and then injects an acrylic cement. The cement quickly dries to form a support structure within the vertebra to provide stabilization and strength to the damaged vertebra. The Kyphoplasty method involves placing needles into the fractured vertebra and placing a strong inflatable balloon into the vertebra under x-ray. When the balloon is inflated, it makes a space in the center of the vertebrae, where acrylic cement can be injected using low pressure.