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Spinal Stenosis
Dr. Eidelson is one the nation's most experienced surgeons in the treatment of Spinal Stenosis.
- Overview of Spinal Stenosis
- Spinal Stenosis Information
- Spinal Stenosis Diagnosis
- Spinal Stenosis / Nerve Compression
- Non-Operative Treatment
- Surgical Treatments
- Spinal Stenosis - Minimally Invasive
- Spinal Stenosis/Foraminal Stenosis
- What is Spinal Pain?
- What Causes Spinal Pain?
- Pain Management
- Spinal Stenosis Pain Management
Minimally Invasive Spine Surgery
We offer the most advanced procedures for minimally invasive treatment. Learn about these exciting new techniques.
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Minimally invasive spine surgery using the Extensure IPD deviceStewart G. Eidelson, M.D. |
WHAT IS SPINAL STENOSIS?
Spinal stenosis is a narrowing of the spine where nerves pass through.
Spinal stenosis is the gradual; result of aging and “wear and tear” on the spine from every day activities.
Degenerative or age-related changes in our bodies can lead to compression of nerves (pressure on the nerves that ma cause pain and/or damage)
WHAT TO EXPECT BEFORE SURGERY
The best preparation for surgery is being sure that all of your questions are answered. You should also be sure to inform your physician of any health problems you may have or medications that you are taking before surgery.
Once you have been admitted to the hospital, you will be taken to a pre-op room and prepared for surgery. This may include instruction about the surgery, cleansing of your site, as well as instruction about the postoperative period. You may meet with the anesthesiologist to discuss your anesthesia.
You will then be taken to the operating room and anesthesia will be induced. Once the anesthetic has been successfully administered, you will be positioned on your belly for the surgery.
WHAT TO EXPECT AFTER SURGERY
After surgery you will wake up in the recovery room where your vital signs will be monitored and your immediate postoperative condition will be carefully watched. Most patients stay in the recovery room between on and three hours after surgery. Once the anesthesiologist feels that you are doing well, you will be returned to your room in the hospital.
It is normal for your incision wounds to be sore immediately after surgery.
The nursing staff will be checking to make sure that your vital signs are stable and that there is no problem with either the wound or nerve functions in your legs.
Most patients are discharged from the hospital the next day, but your physician and health care team will determine the best postoperative course for you, depending on your comfort and any other health problems you might have. Your physician will discuss with you any pain medications to take home as well as a prescribed program of activities. In general, the TLIF surgery results in quick recovery and return to normal activities.
Generally patients are seen again in the physician’s office about ten days to two weeks after surgery. If during that first week after surgery you have any questions or problems, you should call the office immediately.
STEP 1 : Incision and approach
Make a midline incision and expose affected spinal level
STEP 2: Sizing
Distract spinous process to determine appropriate size spacer
STEP 3 LLograft Insertion
Under distraction, insert the implant in to the interspinous space
STEP 4 Bone Grafting
If possible, lightly decorticate the tip of the spinous process dorsal to the implant. Apply demineralized bone, crushed cancellous bone, or other osteoinductive agent on the dorsal and cranial surfaces of the implant an over the lamina and spinous process of the cranial vertebra
STEP 5
Closure
Skin will be closed with suture. The height of areas where nerves pass is restored.
