Cervical

Anterior Cervical Discectomy

Anterior cervical discectomy is an operation that involves relieving the pressure that is placed on nerve roots and/or the spinal cord by a herniated disc or bone spurs – a condition referred to as neural compression. Through a small incision made near the front of the neck (i.e., the anterior cervical spine), Dr. Shiau then removes disc material and/or a portion of the bone around the nerve roots and/or spinal cord to relieve these compressed neural structures and to give them additional space. Discectomy involves removing all or part of an intervertebral disc. The term discectomy is derived from the Latin words discus (flat, circular object or plate) and -ectomy (removal).

Anterior Cervical Discectomy and Fusion / ACDF

The cervical spine is accessed through a small incision in the front ( anterior ) region of the neck. Dr. Shiau then removes all or part of the herniated disc – and/or in some cases bone material – that’s pressing on the nerves and causing pain. Spinal fusion involves placing bone graft between two or more affected vertebrae to promote bone growth between the vertebral bodies. The graft material acts as a binding medium and also helps maintain normal disc height – as the body heals, the vertebral bone and bone graft eventually grow together to join the vertebrae and stabilize the spine.


Cervical Arthroplasty / Artificial Disc

A cervical artificial disc is a prosthetic device designed to maintain motion in the treated vertebral segment. This artificial disc essentially functions like a joint, allowing for flexion, extension, side bending and rotation. Cervical artificial disc surgery is essentially a type of joint replacement procedure, or arthroplasty, which involves inserting an artificial disc into the intervertebral space after a natural cervical disc has been removed.



Cervical Corpectomy and Fusion

An anterior cervical corpectomy and fusion is a surgical procedure in which vertebral bone and intervertebral disc material is removed to relieve pressure on the spinal cord and spinal nerves (decompression) in the cervical spine, or neck. The term corpectomy is derived from the Latin words corpus (body) and -ectomy (removal). The procedure typically involves accessing the cervical spine through an anterior approach, or from the front. Spinal fusion is usually necessary because of the amount of vertebral bone and/or disc material that must be removed to achieve sufficient decompression of the neural structures. Spinal fusion involves placing bone graft or bone graft substitute between two or more affected vertebrae to promote bone growth between the vertebral bodies. The graft material acts as a binding medium and also helps maintain normal disc height – as the body heals, the vertebral bone and bone graft eventually grow together to join the vertebrae and stabilize the spine.)

Cervical Foraminotomy

Cervical foraminotomy is a surgical procedure done to relieve the symptoms of a pinched nerve by enlarging the neural foramen. The neural foramen is an opening where nerve roots exit the spine and travel throughout the body. It creates a protective passageway for nerves that carry signals between the spinal cord and the rest of the body. A cervical foraminotomy is a surgical procedure that is done to enlarge that passageway.

Cervical Laminectomy

A cervical laminectomy is a surgery that involves removing bone to relieve excess pressure on the spinal nerve(s) in the cervical spine, or neck. A cervical laminectomy can be performed to relieve the symptoms of spinal stenosis, the narrowing of the spinal canal

Cervical Spinal Cord Stimulator

A device used to exert pulsed electrical signals to the spinal cord to control chronic pain, or motor disorders. Spinal cord stimulation (SCS), in the simplest form, consists of stimulating electrodes, implanted in the epidural space, an electrical pulse generator, implanted in the lower abdominal area or gluteal region, conducting wires connecting the electrodes to the generator, and the generator remote control. SCS has notable analgesic properties and, at the present, is used mostly in the treatment of failed back surgery syndrome, complex regional pain syndrome and refractory pain due to ischemia.