Spine Surgery

Spine surgery involves surgical procedures performed on the spine to address conditions such as herniated discs, spinal fractures, or spinal deformities. It aims to alleviate pain, restore spinal stability, and improve overall function and quality of life for individuals with spinal issues.

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The Artificial Disc Replacement Hustle

Medicine is often more about marketing than reality. One area where masterful marketing has overtaken reality is the promise of an artificial disc. Let’s explore the hype and the reality today. The Promise of the ADR Both fusion and disc replacement surgery are performed in patients with DDD (Degenerative Disc Disease). DDD is when the…read more

The Curious Case of the Bad Artificial Disc

I often write about what I experience day in and day out in the clinic. The case this morning is of a patient who had an Artificial Disc placed and developed new pain. After a few in-clinic x-rays, a problem with the disc was discovered. So let’s use this opportunity to review the concept of…read more

Does Low Back Surgery Cause Damage to the Fascia? What Is the Fascia?

Your muscles are surrounded by something called fascia. This structure commonly gets injured in low back surgery. What is fascia and why should you care if yours is injured? Let’s dig in. What Is Fascia? Fascia covers our muscles and contains them. Look at the diagram above. The muscle is surrounded by a thick fascia.…read more

ANOTHER Study Shows Fusion Is an Expensive Tip

What if a very invasive spine procedure became common to treat degenerative disease despite a high complication rate and multiple studies showing it was ineffective? This would make little common sense, right? However, that’s what has happened with Lumbar Fusion. Now yet another new study shows it doesn’t work. Let’s dig in. What Is DDD…read more

Pain After Back Surgery: Tracy’s Story

Can we help failed back surgery patients? That’s one of the most common questions I get from patients with chronic back pain. The answer is often “yes” and today I’ll cover Tracy’s journey with the DDD procedure. Let’s dig in. Failed Low Back Syndrome One of my favorite movie quotes of all time comes from…read more

When IPM Is Worse than Spine Surgery

I’ve blogged a few times on the idea that some Interventional Pain Medicine clinics are becoming as bad as the surgeons they have long criticized. Case in point this morning is an x-ray shared by a radiologist. If a picture is worth 1,000 words, this one is worth 1,001. Let’s dig in. IPM IPM=Interventiopnal Pain…read more

Why Are Interventional Pain Physicians Becoming Spine Surgeons?

We’ve all started attending in-person conferences again while some are still virtual. Having not been doing this for two years, one of the things that startled me was the number of booths selling percutaneous fusion devices to interventional pain physicians. So what’s up? Is this a good or a bad trend? What Is an Interventional…read more

Do You Really Need that Low Back Fusion?

Low Back Fusion has become one of the most common surgical procedures performed in the US, despite very poor evidence that it’s better than not doing any surgery. One of the big issues that often comes up for patients who have a condition called Degenerative Spondylolisthesis is whether they need a Fusion or can just…read more
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