Spine Surgery

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At Physicians Regional Healthcare System, we offer surgical approaches to treat back pain and injuries. Doctors provide care for everything from whiplash and spinal trauma to herniated discs, synovial cysts, osteoporosis and more. We offer a range of minimally invasive options that involve just one or two small incisions - less than two centimeters each - in the neck, chest or back. Smaller incisions may result in less pain and scarring, a shorter hospital stay and a quicker recovery. We offer advanced treatments such as:

• Balloon kyphoplasty - Used to repair fractures caused by osteoporosis or cancer, balloon kyphoplasty acts as an internal cast that provides rapid relief from back pain and improves spinal alignment. In this procedure, the surgeon inflates a small balloon within the fractured vertebra and inserts bone cement to restore the original size and shape of the vertebrae.
• Lumbar disc microsurgery - This procedure is used to treat herniated discs of the lower back. A herniated disc is a condition in which the disc's inner, jelly-like material of pushes through the outer layer of cartilage, which puts pressure on the spinal cord and causes pain. In this procedure, the surgeon makes a small incision above the damaged disc to remove the damaged portion, leaving healthy tissue intact. As the area heals, the spinal cord returns to its normal position, alleviating the pain and pressure.
• Minimally invasive spinal fusion - For patients with severe degenerative disc disease, spinal instability or deformity, minimally invasive fusion can offer less pain and a quicker recovery than traditional surgery. In this procedure, the damaged disc is removed and a spacer is placed between the vertebrae to help restore alignment and relieve pain. Small pins and rods are inserted to provide stability while the bone heals. Rather than harvesting bone from the patient's pelvic bone, which can be a significant source of post-operative pain, this technique uses bone graft substitutes (osteobiologics) to enhance healing.

Surgeons utilize minimally invasive options whenever possible, but when traditional techniques offer the best solution, specialists have the training and expertise to perform even the most complex procedures, including spinal reconstructive surgery, revision surgery (to correct previous operations), and surgery to correct curvature of the spine (scoliosis).

Non-Surgical Options

Physicians Regional Healthcare System also offers non-surgical solutions to treat back and neck pain. We offer spinal injections and other therapies, including physical therapy, to alleviate pain and swelling. Rehabilitation specialists are well equipped to deliver a range of physical therapy treatments, including preventive and post-surgery recovery programs. The specialized care team offers a wide range of primary and complementary non-surgical treatments to meet each individual's needs.

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Imaging and Navigation During Surgery

Physicians Regional Healthcare System offers two key systems that work together to improve outcomes for patients undergoing spine surgeries - an intra-operative imaging system and surgical navigation system. Designed to integrate seamlessly, these advanced imaging and navigation systems enable our surgeons to pre-operatively plan treatment and operate on the spine.

The systems deliver critical information to the surgeon and surgical team throughout a patient's surgery.

These technologies potentially provide:

• Speed: fast access to real-time, multi-plane 3D images (and 2D images)
• Efficiency: full support of the unique workflow of spinal procedures
• Safety: Radiation dose to staff and surgeon can be reduced to zero
• Precision: Computerized technology allowing for micro precision and accuracy of instrumentation within 1mm to anatomical locations
• Confidence in the OR: Confirmation scan of hardware and screws in real time before patient leaves operating room, potentially eliminating revision surgeries
• Facilitation of minimally invasive surgery: Allows greater visualization, often overcoming need for large/open incisions as well as possible reduction in length of stay, infections and post-operative complications associated with traditional open surgery

The spine surgeons affiliated with Physicians Regional Collier Boulevard are using these integrated technologies for treatment planning and surgery for:

• Minimally invasive decompression for spinal stenosis and disc herniations
• Transforaminal lumbar interbody fusion (TLIF)
• Lateral interbody fusion (DLIF/XLIF/prone lateral)
• Deformity anterior lumbar interbody fusion (ALIF)
• Posterior lumbar interbody fusion (PLIF) for degenerative disc disease, spinal stenosis, spondylolisthesis, deformity and scoliosis requiring pedicle screw placement
• Posterior cervical and thoracic fusions requiring screw placement for spinal stenosis, instability and complex deformity
• Posterior cervical, thoracic or lumbar screw placement and navigation for spine fractures and spine tumors

Providers:
Gregory Cannarsa, M.D.
Amanda Sacino, M.D., Ph.D.