Thoracic

Thoracic Discectomy

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 minimally invasive incision made just to the right or left of the spine, Dr. Shiau dilates down to the appropriate level and region of the affected disc, 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).

Thoracic Kyphoplasty

If you have been diagnosed with a spinal fracture / vertebral compression fracture (VCF) caused by osteoporosis, cancer or benign tumors, balloon kyphoplasty may be a treatment option. Balloon kyphoplasty is a minimally invasive, procedure for stabilizing spinal fractures that may reduce back pain, correct angular vertebral deformity and restore vertebral body height.

Thoracic Laminectomy

Laminectomy is a spine surgery that involves removing bone to relieve excess pressure on the spinal nerve(s) in the thoracic spine, or mid back. The term laminectomy is derived from the Latin words lamina (thin plate, sheet or layer), and -ectomy (removal). A laminectomy removes or “trims” the lamina (roof) of the vertebrae to create space for the nerves leaving the spine.

Thoracic 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.

Thoracic Fusion Surgery

Spinal fusion is a surgical technique in which one or more of the vertebrae of the spine are joined together (fused) to stop them from moving against each other. This is done by placing bone grafts or bone graft substitutes between the affected vertebral bone. The graft material acts as a binding medium and also helps to 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.. Muscle dilation is achieved by using a series of sequential dilators, or tubes to separate the fibers of the back muscles and create a small tunnel, enabling the surgeon to view the spine through an incision less than an inch long and leaving the muscle virtually intact. Advances in instrumentation allow rods and screws to be inserted via tiny incisions in the skin. Instrumentation, such as screws, plates and cages, may be used to create an “internal cast” to support the vertebral structure during the healing process.