Archive for December, 2011
I am very pleased with the results of less invasive procedures using interspinous implants. Much shorter surgeries,less infections,and rapid return to activities such as golf and tennis. Patients with advanced stenosis should understand implants give the support for the spinal elements. So many failed surgeries are a result of not using stabilizations in concert with decompression. This very important when there is a slip or spondylolithesis. Patients should expect one day hospital stay and early increase in activity. I still only recommend surgery after failed therapy,injections,and medication.I always spend time discussing possible complications and their frequencies.I consider each patient’s unique qualities in making a final decision on type of surgery which is fundamental.