CERVICAL (NECK) SPINAL SURGERY AT NY SPINE CARE
If you have severe neck pain and other symptoms of cervical 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 might prescribe anti-inflammatory medications or muscle relaxants or suggest steroidal injections into the painful area.
Dr. Brisson customizes treatment to meet your individual needs and exhausts all minimally invasive approaches before ever considering surgery.
But, 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.
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.
Anterior Cervical Discectomy and Fusion Single or Multilevel is used when you have herniated, torn or bulging discs that press on the nerve root or spinal cord, causing you pain. The Discectomyinvolves removing one or more herniated discs and the Cervical Fusion involves joining two adjacent vertebrae together so joint motion is eliminated, which helps to decrease pain caused (or worsened) by movement.
Anterior Cervical Discectomy and Fusion (ACDF) is performed from the front of your body (anterior position.) For this procedure, you will be gently put under anesthesia and remain on your back during the surgery. From this position, it is possible to treat a single disc or more than one disc at different levels. The herniated disc or the portion that presses on the neural tissue is removed, thereby removing the source of the pain. In addition, artificial disc replacement is one of the more advanced alternative treatments that might be considered. Generally, fusion surgery is required after a spinal decompression surgery, which may destabilize the spine.
Cervical spine fusion is a procedure that joins two bones in the neck. Also known as “arthrodesis,” cervical fusion can help stabilize the neck. Following a spine injury, there is a risk that a bone fracture may cause instability in the neck or damage the spinal cord, which can lead to nerve damage and even paralysis. The cervical spine surgery fuses two vertebral segments, eliminating the risk of nerve damage. In addition, a cervical spinal fusion may be done to correct misalignment of the vertebrae.
Sometimes, this surgery is needed as a follow-up procedure for other conditions, such as spinal stenosis, herniated discs, spinal tumors, and deformities.
Dr. Brisson evaluates each patient to determine the best method for cervical spinal fusion. One common method involves bridging two adjacent vertebrae with bones obtained from the patient or a bone bank, or with synthetic grafts known as PEEK implants, which are made with plastic and natural human tissue.
Another option is to use titanium implants or plates to join the vertebrae together until new bone grows between them.
Posterior Laminectomy and Laminoplasty are Decompression surgeries designed to reduce neural impingement (“pinching”) that causes neck pain and radiating pain or other symptoms that can travel into shoulders, arms, hands, and fingers. A posterior approach to these procedures means that you are turned on your stomach and the surgery is performed from the back. This is done when more severe stenosis or deformity or in the case of extensive injury, trauma or if there are tumors at multiple levels.
During a Laminectomy the lamina, the thin bony layer that covers the spinal canal, is removed so the disc can slip back into place, removing the cause of your pain. In addition, during the procedure, arthritic material such as bone spurs (osteophytes) in the spinal canal is removed.
The goal of all decompression surgery is to relieve compression and make space in the vertebrae to reduce impingement caused by disc degeneration or injury.
Laminoplasty is similar to laminectomy but the range of motion in your back is preserved because there is no fusion of cervical bones. Discuss with Dr. Brisson which procedure is right for you.
A Corpectomy may be performed in cases of spinal stenosis or herniated discs. A Cervical Corpectomy and Fusion involves removing the entire vertebrae or disc, and then joining the surrounding vertebrae for stability and pain relief.
Complex Revision ACDF (Anterior Cervical Discectomy and Fusion) might become necessary following previous surgery if your pain has not been alleviated or has returned after a period of relief. Dr. Brisson specializes in Revision Spine Surgery and is an expert in this complex procedure.
“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
If you are experiencing cervical spine pain or any other type of back pain, then we encourage you to schedule a consultation as soon as possible. Dr. Brisson has extensive experience with numerous types of spine surgery, allowing him to determine the best treatment method for you.
We are conveniently located in the flatiron district of NYC
51 E 25thth St, 6th Floor
New York, NY 10010