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Motion preserving spinal surgery

Motion-preserving spine surgery is an alternative to spinal fusion for treating spinal conditions in the cervical and lumbar regions. It aims to alleviate pain and restore normal motion of the joints, overcoming the limitations of traditional spinal fusion. This is accomplished by using a variety of motion-preserving devices that replicate normal or near-normal biomechanics of the spine.

Why a Procedure is Done

The goal of motion-preserving spinal surgery is to relieve pressure on the spinal cord and nerves without fusing the vertebrae, which can lead to stiffness and stress on adjacent discs. By preserving motion, this type of surgery can help to prevent future issues with other discs, reducing the risk of needing additional surgery.

Common conditions treated with motion-preserving spinal surgery include:

  • Degenerative Disc Disease: The gradual wear and tear of the spinal discs.
  • Herniated Discs: When the soft center of a spinal disc pushes through a crack in the tougher exterior.
  • Spinal Stenosis: The narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine.
  • Cervical Radiculopathy: A pinched nerve in the neck.

What To Expect Before, During, and After the Procedure

Before the Procedure

Before surgery, your doctor will likely order imaging tests such as an MRI, CT scan, or X-rays to get a detailed look at your spine. They will also perform a physical exam and may ask you to undergo a discography to pinpoint the exact source of your pain. A written consent will be obtained from you after the pros and cons of the surgery have been explained in detail.

During the Procedure

Motion-preserving spine surgery is performed in a hospital setting under general anesthesia. It is a minimally invasive surgery in which specially designed interspinous constructs are implanted in the spine. These constructs enhance the room between the vertebrae and relieve the pressure on nerves as well as aid in restoring the normal movement of the spine in all directions.

Some types of motion-preserving spinal surgery include:

  • Artificial Disc Replacement: The damaged disc is replaced with an artificial one that allows for movement.
  • Laminoplasty: The spinal canal is enlarged by creating a hinge on the lamina (the back part of the vertebra) to create more space for the spinal cord.
  • Interspinous Process Spacers: These are small devices placed between the spinous processes (the bony projections on the back of the vertebrae) to help reduce pain and keep the spine stable.
  • Dynamic Stabilization: Flexible devices are used to support the spine while still allowing for some movement.

After the Procedure

Recovery from motion-preserving spinal surgery is typically faster than from spinal fusion. You can expect to stay in the hospital overnight or longer if needed, and a physical therapist will help you to sit and stand within 24 hours of the operation. You will likely be given a prescription for pain medication and may need to wear a brace for a short time.

Recovery Timeline:

  • 1-4 Weeks: Rest and limited activity.
  • 5-9 Weeks: Begin physical therapy to strengthen your neck and back muscles.
  • 10-24 Weeks: Increase your activity levels as toleratedt.
  • 6 Months to 1 Year: Most patients can return to all of their normal activities.

Our Providers

Henry Guan D.O.

Henry Guan D.O.

Orthopaedic Surgeon
Mark Ignatius

Mark I. Ignatius, D.O.

Orthopaedic Surgeon
Frank Valone

Frank H. Valone III, M.D.

Orthopaedic Surgeon
James Aicardi

James Aicardi, PA-C

Physician Assistant
Tran Pham ,PA-C

Tran Pham, PA-C

Physician Assistant

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Specific disclaimer concerning medical information. The information provided in this website is for informational purposes only. It is not a substitute for medical advice. All medical information presented should be discussed with your health care professional. Failure to seek timely medical advice can have serious ramifications and we urge you to discuss any current health related problems you are experiencing with a health care professional immediately.