• King of Prussia

    Merion Building, Suite 110
    700 S Henderson Rd
    King of Prussia, PA 19406
    610-265-5795

  • Sewell

    556 Egg Harbor Rd
    RFB Surgical Plus, Suite A
    Sewell, NJ 08080
    877-232-2999

  • Cherry Hill

    1004 Haddonfield Road
    Cherry Hill, NJ 08002
    877-232-2999

zAbout spine surgery

Click here to learn about minimally invasive surgery.

Surgical Options

While studies show that more than half of back surgeries are unnecessary, there are times when surgery is the answer.

Common Back Surgeries:

Lumbar Discectomy | Cervical Discectomy | Fusion | Laminectomy | Minimal Access Spinal Technologies (MAST) | Dorsal Column Stimulation | Bone Morphogenetic Protein (BMP) | Surgeon Selection

Lumbar Discectomy

discectomy king of prussia, spine surgery king of prussia, philadelphia spine surgeon, spine surgery philadelphiaDiscectomy is the removal of the herniated portion of a disc to relieve the pressure on nearby nerves as they exit the spinal canal. Contrary to myths, the disc does not slip out of position like a watermelon seed. Instead, the disc is like a jelly donut, acting as the functional shock absorber between two bony vertebrae.

An injury, or damage from a lifting incident, may causethe jelly center to break through the wall of the disc. When the disc herniates, the jelly center can press on nearby nerves. This causes back or leg pain when the herniation is in the low back, and arm pain if the disc is in the neck area. In a lumbar discectomy, the surgeon typically only removes the portion of the disc that is causing a problem, not the entire disc. If you have a herniated disc, keep in mind that a disc has a purpose. When you remove a disc, it may cause instability in the joint, and a surgeon may recommend a fusion to re-stabilize the area. The surgeon can remove the damaged piece of disc through a traditional incision in the back or neck or with a surgical probe, such as in percutaneous discectomy. Depending on the nature of your disc problem, your surgeon will recommend the most appropriate type of surgery for you. Click here to view medical animations.
{top}

Cervical Discectomy

spine surgery philadelphia, spine surgeon king of prussia, minimally invasive spine surgery cherry hill, minimally invasive spine surgery new jerseyCervical is the medical term for "neck." Cervical discectomy surgery differs from lumbar disc surgery as, instead of removing only a piece of damaged disc tissue, the entire disc is removed to relieve pressure on the spinal cord or nerve roots. In these cases, by removing the shock-absorbing disc that separates the two vertebrae, the structures may become less stable. Consequently, when the disc is removed, a surgeon will recommend "fusing" the vertebrae to prevent instability. This type of discectomy and fusion surgery requires an incision in the front of the neck to gain access to the disc area. A cervical discectomy is best left to surgeons who specialize in spine. Click here to view medical animations.
{top}

Fusion

A surgeon may use bone from the patient's hip or from a bone bank to stabilize two vertebrae after a discectomy. During a fusion surgery, the disc is removed, and the surgeon inserts a small wedge of bone in between the two vertebrae to restore the disc space. Over time, the two vertebrae "fuse" together into a solid structure. While this limits movement and flexibility, it can also help to ease pain.

The decision to fuse or not to fuse can be a complex one. It will probably be based on the surgeon's assessment of two factors: the amount of instability that a discectomy will cause and how much disc space is necessary to restore. If the surgeon opts not to do a fusion, a different follow-up surgery may be recommended. Click here to view medical animations.
{top}

Laminectomy

spine surgeon sewell,spine surgery philadelphia, spine surgeon king of prussia, minimally invasive spine surgery cherry hill, minimally invasive spine surgery new jerseyA laminectomy involves the removal of part or all of the bone covering the spinal canal. The purpose of this procedure can be to free nerve roots, remove a tumor, a bone spur or to perform certain types of fusion procedures.

Removing the lamina (laminectomy) is much like removing the cover on a fuse box to access the wiring. By removing the lamina, the surgeon gains access to the spinal canal and frees more space for the nerves inside.

During the surgery, an incision is made in the lower back or the back of the neck. The spine surgeon then chips away the lamina of one or more vertebrae to gain access to the spinal canal. The surgeon may then remove any bone spurs or fragments that may have broken away from the disc, as well as the area of disc that is herniated and pressuring a nerve root. If the disc is causing pressure on the nerves the entire disc is typically not removed. If it was, you would lose the shock-absorbing function of the disc between the vertebrae. Instead, the surgeon typically removes only the part of the disc that has ruptured outward, along with another 10 or 20 percent of the disc, in order to prevent future problems from arising.

A laminectomy is often used to treat recurrent disc herniations, or where scar tissue is involved. Laminectomy may also be used in cases of spinal stenosis in which the entire canal is narrowed like a ring on a swollen finger. This narrowing is most commonly caused by degenerative or arthritic changes in the spine. Click here to view medical animations.
{top}

Minimal Access Spinal Technologies (MAST)

With the introduction of minimal access spinal technologies (MAST), spine surgeons have the opportunity to create the least amount of invasion possible, while at the same time accomplish identical results as open spine surgery. Due to the acute accuracy provided by these tools, surgeons create a smaller surgical work area.
{top}

Dorsal Column Stimulation

For complex cases of back pain that have not resolved nonsurgically or with another surgery, Dr. Valentino is experienced in dorsal column stimulation, also known as spinal cord stimulation. In most cases, it is used when leg pain is worse than back pain. The intent of dorsal column stimulation is to use an electrical signal, instead of drugs, to mask pain that cannot be removed any other way.

During this procedure, the patient is awake, and the surgeon delicately places tiny electrodes under the skin in the back. At that point, a tiny electrical current is transmitted through the wires to the desired location in the back. This sensation feels like a tiny tickle, as the electrical current interrupts the pain signal that may be sent to the brain from the damaged nerve. The patient helps instruct the surgeon as to which electrical setting and placement of wires produces the most pain relief. It is important to note that this technique is only used in the most extreme cases of back and leg pain.
{top}

Click here to view medical animations.

Bone Morphogenetic Protein (BMP)

Oftentimes, bone is acquired from the hip of a patient during traditional fusion procedures. Unfortunately, this process may cause pain and discomfort rivaling the actual surgery. Alternatively, it has been introduced to utilize BMP, also known as “bone morphogenetic protein”, a bone-growth substance and eliminate the need for harvesting bone from a person’s hip.

spine surgery philadelphia, spine surgeon king of prussia, minimally invasive spine surgery cherry hill, minimally invasive spine surgery new jersey Trace protein extracts are found in bones and are required for the bone to heal or regenerate. A sufficient amount of the protein must be available in order to begin bone formation. Scientists have developed a usable form of BMP that is now being used in place of bone harvested from a patient’s hip. This bone graft is made from pure bone protein (minerals and collagen) and absorbable collagen sponge that promotes new bone formation. Studies show that the positive results achieved from surgery using BMP equal that of an autograft procedure (in which bone is taken from the hip).
{top}

Surgeon Selection

In cases when surgery is the right course of action, it is vital for you to play an active role in selecting the best spine surgeon for you. You should seek out a surgeon that specializes in spine problems rather than one that is non-specialized and conversely treats a wide variety of injuries, such as head, knee and shoulder. As with anything else, practice makes perfect. The more a person does something, the more second nature it becomes.
{top}

 

Notes:

• The pictures displayed in Liberty Spine Care are images of physicians, patients and employees who have consented to have their pictures in this website.

• Obsolete browser? If you are viewing in Internet Explorer 8 or older you have an obsolete browser that prevents you from viewing current Internet sites correctly. You should update your browser. Newer browsers provide additional security protection for your computer. Access the current official download sites by clicking here.

 

Prizm Logo
Web Design & Educational Content © Copyright 2018 Prizm Development
Developing Centers of Excellence for Better Healthcare.

Dr. Valentino

Dr. Steven Valentino is a board-certified orthopedic surgeon with fellowship-training in spine. He excels in helping patients return to activity with comprehensive treatment plans. When surgery is necessary, he prefers to use less invasive procedures for patient benefit.

Learn More

Physical Therapy

nonsurgical spine care king of prussia, spine treatment king of prussia, back pain king of prussia, neck pain king of prussia

We are able to help many people avoid or delay the need for spine surgery by using therapy as non-surgical options.

Learn More

Minimally Invasive Spine Surgery

king of prussia spine center, king of prussia minimally invasive spin surgery, minimally invasive spine surgery sewell, south jersey, philadelphia, pennsylvania

Liberty Spine Care uses new techniques and instrumentation that shortens the incision, reduces time in the hospital and speeds recovery after surgery.

Learn More

Nonsurgical Options

nonsurgical spine king of prussia, nonsurgical spine care cherry hill, spine injections king of prussia, spine treatment sewell, spine treatment cherry hill

Liberty Spine Care exhausts non-surgical treatment options where possible, including the use of spinal injections or spine-specialized therapy.

Learn More