Specialized Diagnostics Procedure
Lumbar and cervical discography – A contrast dye injection under fluoroscopic control into the discs followed by axial CT imaging to precisely diagnose disc disorders.
Diagnostic lumbar facet joint and spinal nerve blocks – To diagnose and treat low back pain caused by facet joint syndrome and spinal dorsal ramus syndrome. Patients can experience unilateral low back pain with this syndrome.
Diagnostic nerve root sleeve blocks in the lumbar, thoracic and cervical spine – To identify and treat specific nerves responsible for radicular pain. This test also aids surgical planning in cases that require only specific areas of decompression to solve a patient’s pain or radiculopathy.
Percutaneous disc and vertebral biopsies – To diagnose cancer or infection.
Minimally Invasive Surgical Procedure
Kyphoplasty procedure – Percutaneous techniques to restore vertebral height after a compression fracture. These techniques are designed to help prevent the progressive deformity that occurs when multiple compression fractures are left untreated in osteoporotic patients.
Radiofrequency lesioning of dorsal spinal rami – A percutaneous technique to destroy pain-producing spinal sensory nerves called spinal rami adjacent to the facet joints. These nerves are frequently responsible for causing unilateral low back pain called facet joint syndrome.
Percutaneous endoscopic disc surgery – To remove lumbar disc herniations through a small tube under endoscopic monitoring.
Percutaneous lumbar facet cyst aspiration – A procedure to drain a cyst extending from a facet or joint in the back to relieve spinal nerve compression and pain.
Percutaneous spinal fusion – Using various techniques the surgeon can correct instability, restore disc height or provide additional support where needed in the spine.
X-stop spinous process extension block – To treat lumbar stenosis without major surgery.
Pain Managment Procedure
Epidural steroid injections – In the cervical, thoracic and lumbar spine using fluoroscopic control for precise needle placement to ensure accurate delivery of the corticosteroid medication.
Transforaminal steroid injections – For treatment of specific cervical, thoracic and lumbar radiculopathies (radiating pain from those areas).
Facet joint injections or spinal nerve blocks – In the cervical, thoracic, and lumbar regions for pain relief especially in elderly arthritic patients who are not good surgical candidates.
Vertebroplasty with bone cement – A procedure to percutaneously inject bone cement into fractured vertebrae to stop pain and prevent further bone collapse in patients with compression fractures.
Sacroiliac joint injections – To treat painful SI joint pathology which causes unilateral, or one-sided, back pain.
Joint, tendon and bursa injections – For osteoarthritis, Rheumatoid arthritis, tendonitis, and bursitis.
Trigger point injection – For myofascial pain.
Epidural blood patch
Major Spinal Surgeries
Adult deformity surgery – To correct degenerative spinal scoliosis affecting adults of all ages.
Artificial disc replacement surgery – To replace degenerated or damaged discs in the lumbar and cervical spine. This latest technique will provide an alternative to lumbar fusions and help preserve motion at the spinal segment.
Open laminotomies and discectomies – A surgical procedure to relieve nerve compression in the cervical, thoracic and lumbar spine causing pain or weakness, i.e. drop foot.
Decompressive extensive laminectomies – In the cervical and lumbar spine for cervical and lumbar stenosis respectively, to relieve neural compression at multiple levels.
Anterior cervical discectomy and fusion – For disc herniations and radiculopathy causing severe radiating arm pain.
Multilevel anterior vertebrectomies and fusion with instrumentation – In the cervical, thoracic, and lumbar spine for anterior spinal cord compression and deformity correction.
Decompressive laminectomies with posterior instrumented fusions – In the cervical and lumbar spine for cervical and lumbar stenosis with deformity and/or instability.
Combined anterior/posterior approaches – To treat back pain with a fusion using appropriate instrumentation, including structural implants, pedicle screws, and various anterior and posterior plate constructs. These represent the latest techniques and approaches to treat back pain and minimize recovery times.
Complex revision spinal surgeries – Many patients have been referred to Dr. O’Brien after multiple previously failed spine surgeries.
Adult spinal deformity surgeries – We use Medicrea UnID™ patient-specific customized rods to achieve the most accurate correction of adult scoliosis. These surgeries often involve spinal osteotomies (bone carpentry) to correct fixed spinal deformities and restore normal spinal alignment. The Medicrea custom spinal rods are manufactured in Lyon, France to our specifications based on computer modeling using our patient’s digital x-rays. This allows us to avoid guesswork in the operating room and achieve precise deformity corrections.