North American Spine

[Keano16]

Fraud.... Google it.

I wrote a lot about NAS and I was never denied, so that means I was right.

Laser application with their technique is dangerous.

[mmglobal]

Minimally invasive spine surgery is a compromise. Smaller access typically lowers the ability of the surgeon to visualize the field. It is more restrictive on the tools they can use. Their animation demonstrates the approach, but other than that it is quite amusing. I'd be curious how they safely vapor a calcified disc herniation that is adhered to the nerve root? It's great on the animation how it shrinks uniformly down to zero.

I have not experience with that center, so I'm not prepared to say anything as strong as what Keano said, but I'm quite skeptical.

One thing you seem to understand correctly is that all endoscopic surgery is not the same. There are so many different twists on the procedure. Some twists are better than others and may also be better or worse in specific types of cases. Sadly, the operators tend to do the procedure they like, and in MISS, they seem to think that they won't hurt you, so you might as well try. That is great if you can afford the second surgery. But, if they take a low percentage case without telling you that you are not really a good candidate, then you can't take the next step because you are broke, they have done a great deal of harm!

I have a client who underwent a microdiscectomy on a very large central herniation on Monday. Unfortunately, he went to a NY clinic that does PLDD. This procedure had no chance of working on such a herniation... what a shame.

Be skeptical.

Mark

[Keano16]

There are many lawsuits against them. Check spineuniverse forum and Google.

Regards

[cp7959]

Thanks for the responses. I wonder how they stay in business or more info. isn't out on them. According to their rep. they do 70 procedures a month. That's a pretty large number if their a "smoke and mirrors" shop, with out more bad press out on them.

Thru anyone's experience is ADR or Fusion the only option for central herniation's?

Is there still hope of a herniation resolving itself without surgery after a year?

[Keano16]

Endoscopic surgery is possible for all types of herniations, as well as micro-endoscopic (a.k.a. METRx) surgery if herniation is too big.

Some of my patients live with extrusions with NO pain.....

[mmglobal]

I don't know why anyone would suggest that ADR or fusion is the only option for large, central herniations??? If your disc is so severely degenerated that a discectomy is not likely to succeed, that may be closer to the truth.

Time heals many spine problems. After a year, if it's going in the right direction, I'd wait. However, if your life is bad enough to consider surgery and it's not getting better, I'd look long and hard at your options.

I don't think they are 'smoke and mirrors'. In some cases it seems that they are willing to perform surgery on a poor candidate because they believe that they will not make them worse. That does not mean that on prime candidates, their surgery is not likely to be a success.

Mark

[cp7959]

With a central herniation, how does the surgeon access/approach the protrusion to perform a "microdiscectomy?

It's obvious if it's a lateral, but central?