Minimally Invasive Spine Surgery

Eight out of ten Americans experience spine or back pain at some point in their lives. If this happens, you want the best specialists and treatments available. MedStar Washington Hospital Center has expert, fellowship-trained spine specialists who diagnose and treat a variety of complex conditions related to the spine and back, including degenerative disc disease, disc herniation, spondylolisthesis and spinal tumors.  

We offer the most advanced techniques and treatments available, including minimally invasive surgeries. Minimally invasive spine surgery involves the use of smaller incisions that minimize damage to the surrounding muscles and ligaments of the spine. These less invasive surgeries allow for the following benefits when compared to traditional surgeries:

  • Faster recovery times
  • Smaller incisions
  • Less scarring
  • Less blood loss

Our expert surgeons have successfully performed thousands of minimally invasive surgeries ranging from discectomies for disc herniations, decompressions for stenosis and fusions for spondylolisthesis, degenerative disc disease and scoliosis. Medstar Washington Hospital Center offers surgeons who are fellowship trained specifically in the most advanced minimally invasive techniques.

Collaborative Care

In addition to our Spine Center, we are home to an advanced interventional neuroradiology department. This unique collaborative partnership between our neurosurgeons, orthopaedic surgeons and neuroradiologists ensures patients get the most thorough assessment and treatment plan possible.

Our patients also have onsite access to specialists in rehabilitation medicine through our affiliation with the renowned MedStar National Rehabilitation Network. In addition, our Pain Management and Rehabilitation Center applies a multidisciplinary, comprehensive approach to evaluate chronic pain and administer the most effective treatment for each person.

At MedStar Washington Hospital Center, our team of experienced spine surgeons is fellowship-trained to perform a variety of spine surgeries to treat a wide spectrum of spinal conditions. When possible, we offer patients minimally invasive surgeries, which mean smaller incisions, less blood loss and a faster recovery. Our goal is to get you back to doing the activities you love as quickly as possible.

If you are suffering from a spinal condition and think spine surgery might be the right treatment option for you, please call 844-333-DOCS to schedule an appointment with one of our experts today.

Learn more about the minimally invasive surgeries we offer below.

Discectomy

A discectomy is the surgical removal of material that is pressing on a nerve root or the spinal cord due to a herniated or bulging disc.

In a minimally invasive discectomy, surgeons use special retractors and a microscope or endoscope to perform the removal of the herniated disc. This allows our surgeons to make smaller incisions that lead to a faster recovery. These surgeries are completed under general anesthesia, typically take less than an hour and patients are able to go home several hours later.  

This procedure can be performed on discs in any of the three regions of the spine—the cervical (neck), thoracic (middle back) and lumbar (lower back) regions.

A discectomy is used to treat the following conditions:

  • Herniated disc
  • Pinched nerve (nerve root compression)
  • Bone spur
  • Sciatica
  • Radiculopathy 

Foraminotomy

A foraminotomy is a procedure that widens the tunnel  (foramen) in your back where nerve roots leave your spinal canal. It is used to relieve the symptoms of nerve root compression, also known as a “pinched nerve” or “ radiculopathy.” These symptoms may include pain, numbness, tingling or muscle weakness.

The procedure can also be performed using a minimally invasive approach that requires no hospitalization.

A foraminotomy of the spine is used to treat the following conditions:

  • Foraminal stenosis
  • Herniated disc
  • Pinched nerve (nerve root compression)
  • Bone spur
  • Sciatica
  • Radiculopathy

Laminectomy

In a laminectomy, the surgeon removes the lamina (the back part of the vertebra that covers and protects your spinal canal). The procedure takes pressure off the spinal cord or a spinal nerve in cases such as a lumbar stenosis, a herniated disc or bone spur.

A laminectomy can be performed at any level of the spine and using minimally invasive techniques. Patients with single-level or two-level stenosis of the lumbar spine are usually sent home on the day of surgery.

A laminectomy can be used to treat the following conditions:

  • Spinal stenosis 
  • Degenerative disc disease 
  • Herniated disc

Anterior Cervical Discectomy and Fusion

Anterior Cervical Discectomy and Fusion (ACDF) is a surgical procedure where the disc is removed through the front of the neck (anterior approach) in order to relieve pressure from the spine (decompress) and relieve pain. This procedure is combined with a fusion surgery in order to stabilize the neck.

ACDF is used to treat the following conditions:

  • Herniated disc
  • Degenerative disc disease

Spinal Fusion

  • Spinal fusion is a surgery performed to permanently join together two or more bones in the spine so there is no movement between them. To fuse the bones together, the surgeon uses a graft. There are several different types of graft material. An autograft is composed of strips of bone obtained from the area of surgery or another part of your body, such as your pelvic bone. An allograft is cadaver bone obtained from a bone bank. Grafts can also be made from synthetic material.

Fusion surgery of the spine can be approached from the front, the side or the back. A number of recent technological advances have allowed fusion surgery to be performed using minimally invasive techniques in select cases.

Our surgeons routinely perform minimally invasive fusion of the lumbar spine from the side (XLIF or DLIF surgery) as well as from the back (TLIF or PLIF surgery). These less invasive techniques can reduce infection rates and blood loss and lead to a faster recovery.

  • To promote proper bony fusion, the surgeon often fixes the vertebrae together with rods, screws, plates or cages to keep the bones from moving until the grafts fully heal. This is called spinal instrumentation.

While fusion surgery takes away some spinal flexibility, most spinal fusions involve only small segments of the spine and do not limit motion very much.

Spinal fusion may relieve symptoms of many back conditions, including the following:

  • Degenerative disk disease
  • Spondylolisthesis
  • Spinal stenosis
  • Scoliosis
  • Fracture
  • Infection
  • Tumor

Spinal instrumentation

Spinal instrumentation is a method of keeping segments of the spine immobile after spinal fusion surgery. During this procedure, the surgeon inserts screws and rods to the spine to keep the bones in alignment while the bone graft heals and they fuse together.

Two types of minimally invasive spinal instrumentation procedures are available at Medstar Washington Hospital Center:

  • Percutaneous pedicle screws: In percutaneous pedicle screw fixation, the surgeon uses a minimally invasive technique to insert the screws and rods. The surgeon makes small incisions in your back on both sides of your spinal column, and all of the instrumentation is inserted through these small incisions while the surgeon uses X-ray imagery. This minimally invasive approach allows the surgeon to stabilize your spine while disrupting as little healthy tissue as possible.
  • Percutaneous facet screws: Facet screws are used to eliminate unwanted motion between joints in your spine called facet joints. They are used to fuse the targeted joints in a permanent position in conjunction with the placement of bone grafting materials when problems with joints have led to pain or structural damage.

These minimally invasive methods of screw insertion when used with other fusion techniques allows the surgeon to stabilize your spine while disrupting as little healthy tissue as possible.

Corpectomy

A corpectomy is the surgical removal of part or all of a vertebra for the purpose of taking pressure off the spinal cord and nerves. Corpectomy is often used to relieve pressure caused by stenosis, bone spurs, fractures, a spinal tumor or infection in the cervical (neck) thoracic (mid-back) or lumbar (lower back) spine.

The discs above and below the affected vertebra are removed, along with the middle portion of the bone. A bone graft or metal prosthesis is typically inserted to keep the spine stable after the damaged structures have been removed.

Resection of Synovial Cyst

During this procedure, a surgeon removes the synovial cyst and any structures compressing the nerves. Our surgeons perform these surgeries on an outpatient basis with minimally invasive techniques avoiding the need for fusion surgery in select cases.

Spinal Cord Stimulator Implantation

A spinal cord stimulator implantation is a procedure where a small pulse generator is implanted into the back in order to send an electrical current to the spinal cord and relive chronic pain. The low voltage stimulation to the spinal nerves causes tingling sensation to the back and blocks pain.

This procedure is used to treat the following conditions:

  • Failed back surgery syndrome
  • Chronic pain

 Kyphoplasty

Kyphoplasty is an outpatient procedure used to treat compression fractures  in the spine. A compression fracture is when all or part of a vertebra collapses due to problems like osteoporosis (thinning of the bones), cancer or injury.

In this minimally invasive procedure, the patient is put under local or general anesthesia. The surgeon places a needle through the skin into your vertebra. The surgeon then inserts a special balloon through the needle, into the bone, and inflates it. The balloon can help to restore the vertebra to its original shape. Bone cement is injected into the space to impart stability and make sure it does not collapse again.

Tumor Resection

Tumor resection is the surgical removal of tumors from the spine whether benign (noncancerous) or malignant (cancerous.)

Make an appointment

To make an appointment, call our scheduling line:

844-333-DOCS