Cervical Spine Surgery
Cervical spine surgery is usually required when there are disorders located in your neck or cervical spine which can cause neck pain, arm pain, headaches, or any combination of these symptoms. The most common cervical spine disorders are related to herniated discs, bulging discs and bone spurs affecting nerve roots to the arm and hands. At The Bonati Spine Institute, endoscopic spine surgery procedures have been developed to treat these cervical spine conditions. Cervical spine procedures are performed on an outpatient basis:
The Bonati Posterior Cervical Decompression is performed from the back of the patient’s neck to remove bone spurs or enlarged ligaments that are compressing the spinal cord and nerves leading to the arms. This procedure is also employed to treat degenerative disc disease and facet joint syndrome. However, patients who have had previous cervical fusions with residual pain can also benefit from the Bonati Posterior Cervical Decompression.
The patient is positioned on his / her stomach with the back of the neck facing upward. Intravenous sedation and local anesthesia are applied. A guide pin is placed through the skin and down to the area of pathology around the nerves using x-ray guidance.
A dilating tube is then placed over the guide wire. The endoscope and specially designed instruments are directed down the tube and a decompression of the abnormal ligaments and bone spurs is done until the spinal cord and nerves are visualized as completely cleaned. The operation is complete when the patient’s pain in the neck and arms is gone. Because the patient is awake during surgery, anesthesia risk is minimized and post-operative recovery is shortened.
If the cervical condition is a herniated or bulging cervical disc, an endoscopic laser-assisted cervical discectomy may be recommended. A discectomy is a surgical procedure in which a portion of an intervertebral disc, the nucleus pulposus, which is causing pain by stressing the spinal cord or radiating nerves, is removed.
The approach is similar to that employed in the Bonati Posterior Cervical Decompression with its use of guide wires, dilating tubes and endoscopic imaging. As with the Bonati Posterior Cervical Decompression, dissection of the muscle and tissues is avoided resulting in far less trauma, scarring and blood loss.
The Bonati cervical spine surgery is performed using local anesthesia and conscious IV sedation, allowing the patient to be comfortable, but awake, during the procedure. Patients are given the option to view their surgical procedure on a monitor, and to have a family member or friend present during the operation. After a brief period of recovery, patients are discharged from the Bonati Spine Institute, and return for a follow-up visit the next day.