This surgery uses smaller cuts (incisions) than an open lumbar discectomy. Just like a new iPhone, each version of a disc replacement gets better & better. It takes extensive training and experience to implant an artificial disc or perform minimally invasive spine surgery, and a relatively small percent of spine surgeons are proficient in that. People can have disc degeneration that doesn't cause any problems, but sometimes, it can lead to pain. Top US spinal organisations launch new Coalition for Spine Health, Surgery is associated with a greater likelihood of neurologic recovery in patients with gunshot wound induced injuries to the thoracic and lumbar spine, Eurospine 2021: Indications for treatment and outcome predictors key themes at annual meeting. It has 2 metal (cobalt chrome alloy) endplates with a plasma-sprayed titanium surface and plastic (polyethylene) inlay. His additional training includes a fellowship in spine surgery at North Carolina Spine Center.Jeff L. Garr, MD (Orthopedic Physician Associates, Seattle). All Rights Reserved. ABC 7 Features VSI Groundbreaking Research to Improve Patient Safety. He is a member of several professional organizations, including the North American Spine Society, International Society for the Advancement of Spine Surgery and the American Academy of Orthopaedic Surgeons. Spinal Fusion is a surgical procedure used to improve stability or reduce pain in the lower back portion of spine by permanently . He recently published research on the two- and five-year follow-up results of the total disc replacements he performed, and he lectures widely on both lumbar and cervical disc replacement procedures. Your backbone, or spinal column, is made up of a chain of bones called the vertebrae. This is not a one size fits all surgery. These help the doctor identify the true nature and extent of your back pain and spinal damage. Slow intestinal movement. The Neuro (Montreal Neurological Institute-Hospital) is a bilingual academic healthcare institution. Dr. Garr performs several procedures, including disc replacement, X-Stop, lateral lumbar interbody fusion and anterior, posterior and transforaminal lumbar interbody fusion. Fax: (314) 909-1370. "url": "https://spinemd.com/our-team/spinal-specialists/christopher-r-good", You may be told to not eat or drink anything for several hours before the surgery. Christopher A. Yeung, MD (Desert Institute for Spine Care, Phoenix). The importance of good posture cant be overstat, You can trust most doctors to be experts from thei, Big decisions deserve thoughtful consideration. FDA cleared GraftRasp for U.S. Commercialization on May 18, 2020. The Type III version CHARIT Artificial Disc has two highly polished cobalt alloy endplates on either side of an ultra-high molecular weight sliding polyethylene core. Cervical artificial disc replacement versus fusion for cervical degenerative disc disease: A health technology assessment. Throughout his career, Dr. Sasso has published articles in professional journals on several topics, including his research into the Bryan Artificial Disc. Featuring Diamond-Like-Carbon (DLC) coated titanium plates, a porous titanium coating, 5 upper and 5 lower fins, the BagueraL boasts a number of benefits. It was primarily used as a lumbar disc replacement and has since been removed from the market. Spinal fusion may help eliminate pain by stabilizing the spine and limiting pain-causing movements of one or more vertebrae. 2325 Dougherty Ferry Road. Dr. Sekhon also completed a fellowship at Mayo Clinic and another at Toronto Western Hospital in Canada. His additional training includes a trauma fellowship at Midwest Regional Spinal Cord Injury Care System at Northwestern Memorial Hospital in Chicago.Arash Emami, MD (University Spine Center, Wayne, N.J.). The Lumbar LP-ESP Disc Prosthesis applies leading technology that approximates all functions of the natural disc for optimal motion and stability, allowing your spine to function with the same natural flexibility. Is spinal fusion right for you? There are a variety of implant size options, including 5 degrees of lordosis. Dr. Pettine is a fellowship-trained spine surgeon who performs spine procedures and research, including on artificial disc replacement, as well as non-fusion spine technologies. Most commonly, this type of surgery is performed for pain and disability caused by lumbar degenerative disc disease or a spondylolisthesis . He founded the Rocky Mountain Associates in Orthopedic Medicine and The Spine Institute, where he currently practices. The 3D system works in conjunction with GraftGun, which dispenses bone graft of the surgeons choice quickly and accurately. In addition to his practice, Dr. Blumenthal also serves as a spine consultant for the Dallas Mavericks and is a clinical assistant professor of orthopedic surgery at the University of Texas Southwestern Medical School in Dallas. The difference here is that while the cause of hip and knee pain in arthritic joints is well known, the cause of low back pain is not well understood. Ar. A team of surgeons (usually a vascular surgeon and an orthopedic or neurosurgeon) will do the procedure together. the best candidates for ADR have the following . Thats why its crucial to find a. , they will be equipped to guide you through this selection process and provide you with recommendations based on your specific anatomy and degree of your condition. At this point, you know the many benefits of disc replacement surgery and now you are doing your research to determine which disc implant is right for you. For either surgery, you'll probably need to stay in the hospital for a few days after the procedure. Most notably, as the field of motion preservation evolves, he performed the first two-level disc replacement in Metro DC, Maryland, and Virginia. Thats because each implant is different, just like our patients needs. Registered Medical Assistant (RMA) Healthcare Professionals Registry of the United States Dr. Here at VSI, every surgery and disc replacement is customized to the patient. The GraftGun kit includes a universal loading device which enables surgeons to load allograft, autograft, or synthetic biologics into the gun for delivery. It is made of 2 endplates made of mixed metal (cobalt-chromium metal alloy with titanium coating) and a plastic (polyethylene) insert that fits between the 2 endplates There are a variety of implant sizes available. Spinal fusion and disc replacement are two surgical methods used to treat certain types of spine issues, especially degenerative disc disease (DDD). You may be able to avoid surgery and alleviate problems with conservative measures likeanti-inflammatory medications,physical therapy, andepidural steroid injections. Linking and Reprinting Policy. Dr. Bae is the co-director of the spine fellowship program at the Cedars-Sinai Spine Center. The researchers then looked for subsequent surgeries after the ADR procedure. Procedure is minimally invasive and involves shorter hospital stay. A surgery that replaces damaged spinal discs with manufactured discs. The lumbar vertebrae and disks are at the bottom of your spine. 20th Annual Spine, Orthopedic & Pain Management-Driven ASC Conference, 8th Annual Health IT + Digital Health + RCM Conference, 29th Annual Meeting - The Business & Operations of ASCs, Digital Innovation + Patient Experience and Marketing Virtual Event, Orthopedic surgeon among 2 convicted in $31M Medicare fraud scheme, Orthopedic surgeon sentenced in $31M fraud scheme, Ohio State Medical board permanently revokes license of orthopedic surgeon accused of abuse, SSM Health sues 2 resigning orthopedic surgeons, Patient sues estate of late spine surgeon, 10 surgeons on the most controversial trends in spine, Connecticut orthopedic surgeon fined, reprimanded for operating on wrong hip, Surgeries halted at Florida spine practice, Orthopedic surgeons leaving SSM Health will partner with HOPCo for independent group, Wisconsin orthopedic surgeon sanctioned in patient's death, Indianapolis Colts linebacker has back surgery after consultation with Dr. Robert Watkins, Former Philadelphia Eagles player wins $43.5M verdict in knee injury case, California hospital cleared in counterfeit spine implant case, Georgia orthopedic clinic settles kickback suit, Stryker vs. Johnson & Johnson vs. Zimmer Biomet: How they compare in Q3, 2 orthopedic surgeons file whistleblower suit against Erlanger for alleged Medicaid fraud, Neurosurgeon sentenced 5 years for accepting $3.3M in bribes, 12 surgeons who are leaving orthopedic groups for private practices, Aetna revises lumbar disc replacement policy, Spine surgeon convicted for accepting $300K+ in kickbacks, SSM Health canceling procedures as 11 orthopedic surgeons begin early departure, Indiana orthopedic surgeon settles Medicaid fraud allegations for $700K, 4 orthopedic surgeons suing former practice move to Trinity Health, University of Toledo Medical Center suspends orthopedic chair, Here's what HOPCo's 1st Wisconsin partnership will look like, 7 spine, orthopedic surgeons honored in Q1, 'This system is unsustainable': Why orthopedic surgeons do not feel fairly compensated, Orthopedic surgeon convicted for $31M staged fall scheme, Orthopedic surgeon sues health system for $24.7M over termination, Orthopedic surgeon sues Vanderbilt over alleged discrimination, Rothman Orthopaedics lays off 18 corporate employees, The most dangerous trends in orthopedics and spine from 25 leaders, New Hampshire orthopedic surgeon arrested for alleged patient abuse, Orthopedic groups band together to form 400+ physician platform, Why 2 Chicago-area orthopedic powerhouses became one, ISASS: 5 Guidelines for Vertebral Augmentation, Dr. Domagoj Coric Responds to BlueCross BlueShield of North Carolina Report on Artificial Discs, Children's Brain Tumor Foundation Recognizes Dr. Ira Abbott as Pioneer in Pediatric Surgical Neuro-Oncology, 8th Annual Becker's Health IT + Digital Health + RCM Annual Meeting. Want to see what an artificial disc looks like in. Email: [emailprotected] This is not an exhaustive list. A single OGmend implant accommodates a wide range of screw sizes and can be easily stocked for use in the OR when needed. He is also a founding member of the board of directors for the organization. Dr. Yuan earned his medical degree from the University of Michigan Medical School and was in a post-graduate Fellowship with the legendary Dr. Leon Wiltse. The most common cause of pressure on the spinal cord/nerves is degenerative disc disease. It is made of 2 plastic (PEEK) endplates coated with a titanium plasma spray and ceramic core material which allows for detailed anatomic visualization on MRI. Cervical disc replacement is projected to see a particular surge in surgeon adoption as the demand for minimally invasive procedures continues to grow. Tips to Avoid Back Pain During the Winter Months, Advances in Motion-Preserving Surgery for Neck Pain and Cervical Spine Conditions, 3 Options for Your Artificial Disc Replacement, Spinal Champion Omars Medical Diagnosis & Treatment, Sacroiliitis: Back Pain, Hip Pain, or Radiating Pain, Cortisone Injections for Spinal Conditions, Dr. Schuler Performs First M6-C Artificial Cervical Disc Replacement in DC-Metro, Spine Surgeon Dr. Schuler Becomes a Spine Surgery Patient. Here are 18 spine surgeons performing or researching lumbar and cervical disc replacement procedures. The pro disc L Total Disc Replacement (pro disc L) is intended to replace damaged intervertebral discs in a patient's lower back (lumbar spine). Lumbar discectomy is a type of surgery to fix a disc in the lower back. In addition to his clinical practice at Desert Institute for Spine Care, Dr. Yeung is Team Spine Surgeon and Consultant for the AZ Diamondbacks, AZ Rattlers, and many Cactus League teams during Spring Training, including the LA Dodgers, Cincinnati Reds, Kansas City Royals, Seattle Mariners, and Colorado Rockies. Copyright © 2023 Becker's Healthcare. His research interests include cervical and lumbar arthroplasty, cervical spine biomechanics and intraoperative spinal image navigation. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Write to us Verywell Health's content is for informational and educational purposes only. Dr. Jazini was the first in the world to perform Augmented Reality guided personalized spine implant surgery using artificial intelligence. The system works well when free handed or when used with our custom dilation set. Conditions like DDD can cause the vertebrae of your spine to move poorly, be unstable, and absorb more load than normal, potentially causing pain. Here are 18 spine surgeons performing or researching lumbar and cervical disc replacement procedures. The robustness and durability of the surface treatment lies in MSTs linker technology utilizing a catechol-based attachment. Its shape also enables shock absorption, however some rotational movement is restricted. He earned his medical degree from the University of Sydney in Australia and completed additional training at Yale-New Haven (Conn.) Hospital. There is a lot of information out there to help you in your research which can also be overwhelming. You may also be encouraged to stand, walk, and perform specific rehabilitation exercises soon after either procedure. Technology is rapidly advancing in the world of spine surgery when it comes to ADR, even when it comes to picking the right artificial disc for our patients. Your doctor may not recommend spinal fusion if you have conditions like severe adjacent segment disease or non-symptomatic spondylolysis. Dr. Tatsumi is an instructor for Synthes Pro Disc C and L as well as Medtronic's Bryan Disc. As a leading published author in the field of spine surgery, Dr. Jazini was selected as the Editor in Chief of The Spine Health Journal for the National Spine Health Foundation. The pro disc L consists of three implant . He is currently working on long term outcomes studies on cervical hybrid constructs incorporating disc replacements and spinal fusions. Each type of surgery has its risks and benefits and involves recovery time and rehabilitation. In general, lumbar disk replacement surgery might be recommended if: Your back pain mostly comes from only 1 or 2 disks in your lower spine, You have no significant joint disease or compression on the nerves of your spine, You havent previously had spinal surgery, You dont have scoliosis or another spinal deformity. Technology Description:The OGmend Implant Enhancement System was designed to overcome the challenge surgeons face when seeking to achieve adequate fixation in compromised fixation scenarios. It allows the surgeon to deploy a high-quality, direct sutured closure in the most difficult situations by enhancing access, accuracy and safety. Dr. Pettine received his medical degree from the University of Colorado School of Medicine in Denver and completed his residency at the Mayo Clinic in Rochester, Minn. Ultimately if you find the right spine surgeon, they will be equipped to guide you through this selection process and provide you with recommendations based on your specific anatomy and degree of your condition. The endplates are then decorticated before a cage is inserted. Is pain keeping you from moving through the world? Although the approval is very recent, prodisc L was first implanted in the United States during concurrent investigational device exemption (IDE) studies to obtain FDA approval for one- and two-level use. Our team has continued to be a part of research with manufacturers to help improve discs for our patients. For a short time after surgery, you may need some help at home with things like bathing, dressing, cleaning, and shopping. Privacy Policy. It highlights the limitations of spinal fusion and how spine care is evolving as well as explaining that not everybody qualifies for an artificial disc. He has been the first in the nation, and in the world, to perform advanced surgical techniques in cervical disc replacement, augmented reality (AR) spine surgery, and robotic spine surgery. There may be other risks, depending on your specific medical condition. The LP-ESP Disc is recommended for patients who have undergone treatment-resistant lumbar discopathy or who suffer from lumbar discopathy disease (following treatment of a herniated disc), and those who have radiculopathy due to a recurrence of a herniated disc. He has an expertise in minimally invasive surgical techniques and his current research involves clinical trials for lumbar and cervical disc replacements. Your email address will not be published. He also participates in multiple scientific advisory boards working to improve patient safety and spinal balance; he routinely presents his findings, both nationally and internationally. This implant gained FDA approval for replacing 1 level of the disc in 2006 and 2 levels of the disc in 2020 in the L3-S1 levels of the low back. He performs cervical artificial disc replacement surgery, as well as procedures such as cervical deformity surgery, lumbar fusion, spine decompression and complex spinal surgery. Dr. Bae was among the first surgeons to use multi-level artificial disc replacements for both the lumbar and cervical spine. MST-treated surfaces have demonstrated high potency, killing >99.99% of MSSA, MRSA, and Staph epidermidis in standard ASTM assays. In a spinal fusion procedure, a damaged disc can be removed and replaced with a bone graft to stimulate bone growth. However, not everyone with spinal issues is a candidate for either procedure, and more research is needed to conclude if total disc replacement surgery is more effective. However, this does not suggest that lumbar disc replacement surgery is not without its own limitations. Thats why its crucial to find a spine surgeon that you can trust. His additional training includes spine surgery fellowships at the Texas Institute for Spinal Disorders in Houston and at London (England) Clinic.Rick Sasso, MD (Indiana Spine Group, Indianapolis). We offer our thanks and deep appreciation to the engineering teams, surgeon inventors and companies for submitting their best ideas this year. The Prestige LP, M6 and Prodisc-C are among the most common cervical discs and have long-term data showing their efficacy. ; Kern Singh, M.D. He completed his spine fellowship at the Institute for Low Back Care in Minneapolis.James Rappaport, MD (Sierra Regional Spine Institute, Reno). Artificial disc replacements provide the benefits of improving range of, The team at VSI has led the research to support these findings that disc replacement surgery is getting better with even more advanced, Did you know we use several different types of, Just like a new iPhone, each version of a disc replacement gets better & better. 2020;99(19):e20143. Dr. Goldstein also serves as clinical professor of orthopedic surgery and neurosurgery at NYU Grossman School of Medicine. Along with a physical exam and medical history, you may need X-rays, an MRI or CT scan, and blood tests. Technology Description: Molecular Surface (MST) creates active antimicrobial implants by modifying the molecular composition of material surfaces. His additional training includes a spine fellowship at Case Western Reserve Hospital in Cleveland.Gordon Bell, MD (Cleveland Clinic). By fusing the spine, the segments above and below the fusion are subject to increased stress, and people who have undergone fusion may be more likely to develop problems with the adjacent discs in the future. With this approach, the organs and blood vessels must be moved to the side. Spinal Surgery. This allows patients to fly in to receive coordinated care and safely get back to what they love even walking the same day after surgery. HSS J. You can refer to the answers below. The 3D System may be used minimally invasive, mini open or open cases depending on the technique. Should You Have Surgery for Cervical Radiculopathy? 2014;8:12. doi:10.14444/1012. We are proud to be a Killam Institution, supported by the Killam . The GraftGun is actuated to deliver bone graft precisely out of the rasp aperture to the surgical location. Auctus Surgical, Inc.: Dynamic Vertebral Body Tethering System, Inventors and Engineers: John Barrett, Murali Kadaba, Ph.D., Dillon Kwiat. Spinal fusion. This surgery involves making a small incision in the low back. Once the spine is straight, tension can be released, guarding against over-correction. Inventors and Engineers: Travis Greenhalgh, Andrew Shoup, Bryan Hellriegel. Unlike BMP-2, PTH only affects cells already committed to form bone. This 2 pieces metal-on-metal device is made of a proprietary titanium ceramic composite material found to have less wear over time and causes less blurring of the surrounding structures on an MRI scan. Your spinal cord runs through the spinal column. This implant was commercially available outside of the US since 2006, and gained FDA approval in the US in 2012 for the replacement of 1 level of the disc in the C3-7 region of the neck. Click to read! His additional training includes a fellowship at the University of California in San Francisco.Rolando Garcia, Jr., MD (Orthopedic Care Center, Aventura, Fla.). His additional training includes a spine surgery fellowship at the USC Center for Orthopedic Spine Surgery/Los Angeles Spine Surgery.Jim Youssef, MD (Spine Colorado, Durango). When comparing the two procedures, some research shows that there is not much of a difference when it comes to success rates, which is why surgery is typically not recommended to treat low back pain. His additional training includes a fellowship with the Spine Care Medical Group in Daley City, Calif.Jeffrey A. Goldstein, MD (NYU Langone Medical Center's Hospital for Joint Diseases). Your organs and blood vessels are put back in place and the incision will be closed. Instead of using traditional methods to calculate what a patients range of motion SHOULD be, we can very accurately determine through AI what the range of motion actually is. Dr. Siddiqui earned his medical degree at the University of New South Wales Medical School in Sydney, Australia, and completed additional training at St. Vincent's Medical Center/Kingsbrook Jewish Medical Center in New York City. You are looking : best lumbar disc replacement surgeons 2020 1.Lumbar Artificial Disc Replacement: Surgeon RoundUp - SpineNation Author: spinenation.com Incision problems, including infection. John Hopkins Medicine. The OLIF Retractor System consists of handheld blades that can be rigidly fixed to the table or to other blades using a series of mini arms. When the surgeon is ready to insert the screws, the iPod is placed into a sterile bag and placed in the sterile field. John Hopkins Medicine. Lumbar Fusion The goal of a lumbar fusion is to stop the pain at a painful motion segment in the lower back. He has published several articles based on orthopedic and spine surgery in professional journals and written a text book chapter on lumbar spinal arthroplasty. This allows your surgeon to access your spine without moving the nerves. Each patient has a unique anatomy, range of motion, and goals for recovery. Technology Description: The Auctus Dynamic Vertebral body Tethering System (VBT) is a non-fusion treatment for pediatric patients (usually 8-12 years old) who have a severe enough spinal curve (cobb > 40 degrees) to warrant surgery. The tether may be tensioned over time. 3. Hearing about the difference weve made in our p, Life with a Puppy at Dr. Lanmans house: Dr. Sekhon is a fellow of the American Association of Neurological Surgeons and on the editorial board for the Journal of Spinal Disorders & Techniques. The surgeon can then identify and remove the herniated disc that is pressing on the nerve. Find out Why Patients are Traveling to Virginia Spine Institute to Get Their Life Back, Hear Why Patients Chose Virginia Spine Institute to Get Their Life Back, As Seen On Fox 5s Good Morning DC: VSI Patient Shares Why She Made Her Spine Health a Priority, The Today Show Features Patient Who Found Relief to Chronic Pain at Virginia Spine Institute, As Seen on ABC News: Virginia Spine Institute Among 1st in the World to Perform Augmented Reality Surgery, As Seen On Good Morning Washington: Dr. Haines Discusses Working From Home Tips for Parents and Kids, Overcoming Back Pain: New Patient Process, Tips to Alleviate Back Pain While Working from Home, The Risks of Waiting to Get Spine Treatment, As Seen on WUSA9: How to properly set up an at-home work station to avoid back pain. Follow his journey, The Spine Surgery that Helped Tiger Woods Get Back on the Golf Course. Available in various sizes to fit, the ActivL artificial disc is designed to allow motion at the treated level of the spine via a plastic insert that moves front to back within mixed metal endplates. The tether is anchored at the top and bottom of the construct. Established as a world expert in the field, Dr. Good has pioneered the use of robotics, navigation, and augmented reality (AR) in spine surgery. At Virginia Spine Institute, we get it. Turk Neurosurg. You will still have an IV line and may also have a catheter in your bladder to make urination easier. Dr. Emami has a professional interest in treating patients with complex spinal disorders and has expertise in minimally invasive spine surgery. His research interests include biomedical materials and devices, as well as several clinical trials. The goal is to provide pain relief while potentially allowing renewed motion of your lower back. Although some studies show that the success rates of both surgical procedures are about equal, emerging research shows that there may be some potential benefits with total disc replacement surgery, such as preserved mobility and decreased pain. Learn more about his path to becoming a spine surgeon. Circinus Medical Technology, LLC. The guide, called Back in Motion and which can be found at CentersforArtificialDisc.com, was created to provide an unbiased source of information to patients. President of Virginia Spine Institute. Texas Back Institute. Required fields are marked *. Youll need to avoid any jarring activities or motions for quite a while. We hear from our patients all the time about how the process of collecting information and doing their research can be stressful and challenging. Study: multicenter group tackles basic but foundational question: What is normal segment movement? Dr. Pettine has also been the principal investigator into more than 15 FDA studies on non-fusion technology. He is board-certified in orthopedic surgery, and a past president of the Spine Arthroplasty Society. PTH increases the number of bone-forming cells by promoting differentiation of osteoprogenitor cells and proliferation of osteoblasts, while also extending their lifespan. However, it's important to talk with your doctor to see which procedure would be best for your condition and lifestyle. Its rare to find a team who approach health the way we do. This surface treatment is potently bactericidal with no evidence of toxicity to mammalian cells. Richard N.W. Some of the potential risks of this surgery include: Infection of the artificial disk or the area around it, Dislocation or dislodging of the artificial disk, Narrowing of the spine (stenosis) because of the breakdown of spinal bones, Problems due to a poorly positioned implant, Blood clots in your legs due to decreased activity. Camber Spine Technologies, LLC: OLIF Retractor SystemTM with Blade to Blade Safe TechnologyTM, Inventor: John Williams, M.D., Seth Anderson, Engineer: Megan Stauffer, Jason Cianfrani. Our team has continued to be a part of. Tell your doctor about all prescription and over-the-counter medicines and any vitamins, herbs, and supplements that you are taking. He conducts research in cervical and lumbar disc prostheses, spinal implant designs and bone morphogenic proteins. There is a lot of information out there to help you in your research which can also be overwhelming. Your doctor will need to do some tests to see if its the right procedure for you. There are a variety of implant sizes available. DuraStat comes as a complete, sterile-packaged dural repair kit, including two DuraStat deployment devices, a double-armed suture and a knot pusher. The ball and trough articulation is designed to allow for a variable center of rotation that acts as a pivoting joint. This 3 pieces semi-constrained proprietary disc design provides unique articulation which allows for a variable center of rotation for each treated level and is designed to closely mimic the motion dynamics of a natural spine segment. During his career, he has published several professional articles on spine topics, including revision strategies in lumbar total disc arthroplasty, and he participated in a poster presentation comparing cervical total disc replacement to anterior cervical discectomy and fusion. In short, disc replacement is a newer, less-proven approach, but it may have advantages compared to spinal fusion. He is a consulting team physician for the New York Rangers and a physician with University Spine Center. This is especially important in the neck as you only have six disc levels to preserve motion. { If you would like to recommend additional surgeons for this list, please contact Heather at hlinder@beckershealthcare.com. In fact, there are 4 different types for cervical or neck and 2 different kinds for lumbar. Spine Surgeon President of Virginia Spine Institute Dr. Good is recognized as a Castle Connolly Top Doctor, ranked in the top 7% of physicians in the U.S. Throughout his career, Dr. Anderson has published articles in professional journals about several topics, including a comparison of the short-term results between total joint arthroplasty and cervical spine decompression and fusion. The bones help protect the cord from injury. In addition to his clinical work, Dr. Goldstein serves on the editorial board for The Spine Journal and The Journal of the Spine Arthroplasty Society.
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