Lumbar (Lower Back) Spinal Surgery at NY Spine Care
Do You Need Lower Back Surgery?
If you have severe back pain and other symptoms of lumbar degeneration or disease, spinal surgery may be indicated.
Dr. Brisson always begins by using conservative methods like physical therapy, stretching and exercise to relieve your pain and increase your range of motion. He customizes treatment to meet your individual needs and exhausts all minimally invasive approaches before ever considering surgery.
If you’ve tried “everything” are still suffering, your case may be more severe and conservative treatments may not be sufficient or effective. Dr. Brisson may recommend surgery to alleviate your pain and reduce symptoms.
“PHENOMENAL DOCTOR!!! Last year, I had very severe back pain. I could not sit nor stand for more than three minutes without feeling pain. I came to see Dr. Brisson and he recommended surgery. At first, I was nervous, but once Dr. Brisson explained everything in detail. I felt fairly comfortable with the procedure. The result was surprising even for me. Three weeks after surgery, I felt great!! I was back to my old self!! Dr. Brisson completely changed my life!”
– Leonard G
Discectomy is one of the most common back surgery performed. It involves the removal of a herniated disc or portions of the disc that press on the neural tissue (nerve root) thereby removing the source of the pain. The disc is then replaced either with your own tissue or with an artificial disc, which is one of the more advance alternative treatments that might be considered.
Dr. Brisson will carefully diagnose your condition and identify the affected disc or discs. Depending on coexisting symptoms and how long you’ve experienced pain and/or disability, he may suggest discectomy to relieve your symptoms.
Decompression Surgery is performed for multiple conditions including spinal stenosis and degenerative disc disease. The purpose is to free up space for the nerves and the spinal cord, relieving pressure and alleviating symptoms.
Lumbar Laminectomy is a form of Decompression Surgery which involves the removal of the lamina, the thin bony layer that covers the spinal canal. In addition, arthritic material such as bone spurs (osteophytes) in the spinal canal are removed. The goal of all decompression surgery is to relieve compression, make space in the vertebrae to reduce impingement caused by disc degeneration or injury. Sometimes a portion of the enlarged facet joints or ligaments are removed during Laminectomy as well. This enlarges the spinal canal, relieving pressure on the spinal cord and nerves which allows for more freedom of movement and pain relief.
Lumbar Laminotomy and Recess Decompression is a procedure to remove a small portion of the lamina, usually on one side, to make more room for the nerves and spinal cord. Recess Decompression is performed at the same time to relieve pressure or remove “impingement” on pinched nerves or on the spinal cord itself. The treatment is most often used for spinal stenosis or damaged (herniated) discs.
Lumbar Fusion Surgery is often required following a decompression surgery in order to stabilize the spine. Fusion surgery is one of Dr. Brisson’s specialties. This procedure has a long history and is considered safe and effective. It is designed to correct spinal instability and anatomical defects, and to relieve pain and restore function in the lower back — the vertebral segment of the spine located between the rib cage and pelvis.
Lumbar Spinal Fusion involves fusing two adjacent vertebrae together so the joint motion can be eliminated, which helps to decrease pain caused or worsened by movement.
Lumbar Fusion Single or Multi-level Fusion can be performed at a single level of the spine (one disc) or at more than one level, where disc degeneration or injury is more extensive.
Dr. Brisson has more than 25 years of experience performing lumbar fusion surgeries
in New York City, making him one of the experts in the area.
“Dr. Brisson is a truly amazing doctor. I came to him with astonishing pain in my lower back and neck. I had no hope left for my condition. I was in very bad pain to the point where I could not enjoy any part of my life. Of course I was hesitant about surgery, but after having surgery with Dr. Brisson I can say nothing but thanks. Dr. Brisson changed my life tremendously.”
Many spinal conditions may require lumbar fusion surgery, including lumbar degenerative disc disease, spinal stenosis or herniated discs, an unstable spine as a result of tumors or infections, injury-induced fractures, scoliosis, or deformity.
Anterior Lumbar Fusion surgery is performed from the front of the body. You will remain on your back during the procedure. Anterior Lumbar Fusion can be performed for one or multiple discs (at one or more levels of the vertebrae.)
Posterior Lumbar Fusion is performed from the back of the body and is more extensive than Anterior Lumbar Fusion. After you have been put under general anesthesia, you will be gently moved to a face-down position for your operation. Posterior Lumbar Fusion is used for more severe deformity, stenosis or trauma to the spine. It is the procedure more often used for tumors at multiple levels of the vertebrae and for spinal compression that has occurred at multilevels.
If Dr. Brisson determines that non-invasive treatments are not providing relief, he will provide a comprehensive treatment plan for you and determine if a Lumbar Spine Fusion surgery may be needed, and which type is best for you.
Bone Graft Although there are many methods that may be used for Lumbar Fusion Surgery, the basic process is to graft the bones to the problematic segment of the spine, stimulating the growth of new bone. As the bone grows between the two vertebrae, it creates a bone fusion. The previously mobile joint is thus replaced by one, long bone.
The bone graft may be taken from the patient’s own body or a bone bank or may be performed using synthetic graft substitute.
Spinal Stenosis Surgery The main type of surgery to reduce the pain and impingement caused by the narrowing of the spinal canal in spinal stenosis is decompressive laminectomy. This involves removing part of the vertebra and thickened ligaments to reduce pressure on the nerves. Sometimes, a spinal fusion is also needed to stabilize the spine and relieve pain. This allows the patient to move around more easily and helps keep the bones in place, preventing them from further squeezing the spinal canal and restricting the nerves.
We will make sure that you are receiving the best care for your spinal stenosis at NY Spine Care in Manhattan NY.
Scoliosis surgery is an option to surgically stabilize and realign a curved spine. The goal of scoliosis surgery is to fuse vertebrae together in order to hold the spine straight. Rods and screws can be used to hold the spine in place while the bones fuse together. Scoliosis surgery can be approached in two ways: from the back with a posterior surgical approach, or from the front with an anterior surgical approach. The surgery method is determined by the location of the spine curve.
If you are considering scoliosis treatment or surgery in Manhattan NY call (212) 813-3631 today. We will help you understand the entire process and answer any questions or concerns you may have!
Complex Revision Lumbar Fusion including removal of previously inserted hardware. If you have had surgery for your back condition elsewhere but find you are still in pain or have other persistent symptoms, you might opt to undergo Revision Lumbar Fusion The goal is to relieve your pain from previous surgery and to treat the condition that brought you to surgery in the first place.
“Dr. Brisson is highly experienced in performing complex revision surgeries that require removal of failed previously inserted implants and hardware and correction of a failed fusion that requires reinsertion of new hardware, implants, and additional bone graft material.”
– Theresa Glammarino, Physician’s Assistant
Each patient’s condition is unique and your need for revision and correction will be carefully assessed by Dr. Brisson. If your symptoms went away for a period of time but later returned, it may not be a “failed” surgery, but rather a new condition that has happened and is causing you pain.
Dr. Brisson will help you decide the best course of action after performing a physical examination, taking your detailed medical and surgical history and after assessing diagnostic tests (such as an X-ray or an MRI) that he may order.
Sometimes you can be treated without revision surgery using non-invasive means to control pain and other symptoms. No matter what treatment you’ve had before, Dr. Brisson will listen compassionately to how you are feeling today, and help you make the right choice for your optimal back or neck health.
Obtaining an appropriate diagnosis before considering surgery is of paramount importance for each patient. As one of the leading spine specialists in New York City, Dr. Brisson thoroughly reviews and examines each patient’s condition to provide the most accurate diagnosis and effective treatment option. At New York Spine Center, we will consider both conservative and surgical treatment options in order to determine the most effective way to relieve your pain.
Don’t wait another day. You don’t have to live with back pain. Let Dr. Brisson and his expert staff at NY Spine Care change your life.