Neurosurgery

MUMMC_Dr.Oshbar_ACL_Ortho_Surgery-neurosurgeryThe Department of Neurosurgery at MedStar Washington Hospital Center provides comprehensive care for surgical disorders of the brain, spinal cord, spine and peripheral nerves.

We use state-of-the-art diagnostic imaging, computer-assisted navigation and advanced microsurgical techniques. The department collaborates with other departments to ensure comprehensive care of neurosurgical patients, including:

  • Diagnostic radiology
  • Neuro-interventional radiology
  • Oncology
  • Critical care
  • Dedicated neurological service
  • Specialty trained nurses
  • Rehabilitation specialists

Neurosurgery Treatments

The unique working partnership among the departments of neurology, neurosurgery, orthopedics, neuroradiology, and rehabilitation medicine makes our interdisciplinary approach succeed. The neurosurgery doctors in these specialties are committed to a multidisciplinary approach to patient care, helping to ensure the right diagnosis and the most effective treatment plan. Learn more:

AIRO Mobile Intraoperative CT Scanner

MedStar Washington Hospital Center is the first in Washington, D.C., to feature the Brainlab Airo® Mobile Intraoperative CT, designed to help surgeons make assessments and adjustments in real time, at any point during surgery. The advanced, portable system produces precise, high-quality CT images and features unique patient positioning capabilities, contributing to optimal patient outcomes. As such, it is applicable to a wide range of clinical specialties, including:

  • Cranial
  • Ear/nose/throat (ENT)
  • General surgery
  • Head and neck
  • Orthopaedic
  • Spinal
  • Trauma

"With Airo, we have access to intraoperative CT images of the patient’s anatomy while they are still in the OR, allowing us to make decisions rapidly and to potentially change course, if required."

Edward F. Aulisi, MD
Chairman of Neurosurgery, MedStar Washington Hospital Center

Minimally Invasive Spine Surgery

The surgeons at MedStar Health have extensive training and experience in performing microscopic and minimally invasive spinal surgeries.

During minimally invasive techniques, MedStar Health surgeons make a small incision and use advanced computer technology and specialized instruments to repair back and spine conditions. In microscopic surgery, we combine minimally invasive techniques with highly sensitive, cutting-edge surgical microscopes to access even the most delicate areas with precision.

Minimally invasive techniques offer patients:

  • Faster recovery time than traditional spinal surgery
  • Reduced infection
  • Reduced blood loss
  • Less scarring
  • Faster return to your regular lifestyle

More information on this type of treatment is available here.

Nerve Reconstruction Surgery

In order to preserve function when nerves are damaged, surgeons use microsurgical suturing techniques. However, surgeons are often not able to reconnect the nerve fibers because of the amount of damage at the injury site. Instead, our surgeons use a combination of the following to repair the nerves:

  • Nerve conduits (tubes to bridge small nerve defects)
  • Nerve allografts (processed human nerve to bridge small-large nerve gaps)
  • Nerve allografts (used from the patient him/herself from other, less critical nerves)

Some examples of the types of injuries that are candidates for this treatment include:

  • Hand/finger injuries with sharp objects (usually knife) resulting in scar, pain, and/or numbness
  • Traumatic or surgical injuries or any major upper or lower extremity nerve injury resulting in acute or delayed loss of the nerve function
  • Nerve deficit following nerve tumor removal
  • Patient with peroneal nerve neuropathy

Repairs such as these should ideally be done immediately (same day). If that is not possible, every attempt should be made to perform nerve repair within three to four weeks. After that period, it's possible there will be irreversible loss of nerve function. Once the nerve is reconstructed, it recovers at a rate of approximately one half millimeter to one millimeter per day.

Location Information

If you are a patient, call our referral and appointment line: 844-333-DOCS (3627)

MedStar Washington Hospital Center
110 Irving Street, NW
Suite 2B-10
Washington, DC 20010
Hours: 8:30 a.m. - 5 p.m.