Get to know the leader in minimally invasive spine surgery.

Size: px
Start display at page:

Download "Get to know the leader in minimally invasive spine surgery."

Transcription

1 Get to know the leader in minimally invasive spine surgery.

2

3 What kind of neck and back pain are your patients experiencing? No pain Mild pain Nagging pain Miserable pain Intense pain Worst pain Radiating or tingling pain is present but does not limit activity Can do most activities but with rest periods Exclusion of some activities because of pain Exclusion of most activities because of pain Unable to do any activities because of pain If the level is 4 or higher, it may be time to recommend minimally invasive spine surgery.

4 We re helping people get their lives back Expertly focused on spine care Our board-certifi ed surgeons + are given a unique opportunity to focus solely on patients and spine care. They are expertly positioned across the nation and have been recruited for their high level of experience and medical knowledge. Screening patients for surgical success For many patients, our minimally invasive spine procedures are a safer and effective alternative to open neck or back surgery.^ Once you refer a patient to Laser Spine Institute, our screening process begins with an MRI review and consultation, followed by a clinical evaluation of the patient's medical history and a physical examination. Making our care affordable for many Our outpatient setting eliminates hospital-associated costs and helps patients get back to their lives faster. We work with a number of insurance providers to ensure that as many patients as possible can receive our expert medical care. Creating a reciprocal continuum of care We encourage patients to return to their referring physicians after surgery to facilitate a full and speedy recovery. Our staff and surgeons are dedicated to fostering relationships with other medical professionals to enhance the overall patient experience. Laser Spine Institute has a patient satisfaction score of 96.^ +For more information, visit LaserSpineInstitute.com/surgeons. ^For more information, visit LaserSpineInstitute.com/results.

5 Meet our board-certifi ed surgeons + The surgeons at Laser Spine Institute specialize exclusively in relieving neck and back pain through minimally invasive, outpatient spine surgery. Our surgeons led by Chairman, Department of Surgery, Dr. Michael C. Weiss have helped more than 75,000 patients get the relief they deserve. Michael C. Weiss, D.O., FAOAO Chairman, Department of Surgery, Reginald Davis, M.D., FACS Director of Clinical Research, Neurosurgeon Zoltan Bereczki, D.O. Stefan Prada, M.D. Timothy Luke, M.D. Keith Eugene Girton, M.D. Jeffrey P. Nees, M.D. Neurosurgeon R.J. Meagher, M.D., FACS Neurosurgeon Chris Reeves, D.O. Raj Kakarlapudi, M.D. Robert Blok, D.O. Brett G. Menmuir, M.D., FAAOS Brad M. Picha, M.D.

6 What you should know about our procedures Minimally invasive solutions for chronic neck and back pain When conservative treatments have been exhausted, Laser Spine Institute offers a surgical option with excellent benefits. Our minimally invasive muscle-sparing technique results in a quicker recovery, less surgical blood loss and less risk due to the low level of impact to the body than traditional open back surgery.^ Laser-based versus laser-assisted surgery The word laser is part of our name, but the majority of the procedures our board-certified surgeons + perform are done so with other surgical tools. The most common procedure that the laser is used for is facet thermal ablation. Performed with a less than 1-inch incision, the laser helps relieve pain caused by arthritis in the facet joints. Advantages of Laser Spine Institute s minimally invasive spine surgery: No lengthy recovery^ Outpatient procedure Muscle-sparing technique Less than a 1-inch incision Our procedures offer patients lasting relief, without the complications of traditional open back surgery. Deciding factors Our minimally invasive procedures Other spine surgery providers Hospital stay Outpatient 2 to 5 days Infection rate 0.49% Up to 19% Complication rate 3% 16.4% Costs $ $$$ +For more information, visit LaserSpineInstitute.com/surgeons. ^For more information, visit LaserSpineInstitute.com/results.

7 Specializing in the following procedures: Anterior cervical discectomy and fusion (ACDF) A less invasive alternative to traditional open neck fusion to relieve neck pain, weakness and tingling associated with a herniated disc or degenerative disc disease. During the ACDF procedure, the damaged disc is removed and implants are inserted to help stabilize the spine. Cervical disc replacement A minimally invasive procedure in which an artificial disc replaces an unhealthy vertebral disc. Decompression with Interlaminar Stabilization device This procedure helps relieve pain associated with spinal stenosis. Through a small incision, the surgeon fi rst decompresses the affected areas, eliminating the source of pain. Once the stenosis has been decompressed, the surgeon will insert a device, which will help to stabilize the spine and maintain the decompression without limiting the patient s range of motion. Discectomy Relieves pressure on the portion of a herniated or bulging disc that is pressing on a nerve root or the spinal cord. Surgeons utilize X-ray monitoring and fi ber-optic devices in order to see what is compressing the nerve and remove it without causing destabilization of the spine. Foraminotomy Relieves pressure on nerves compressed by the intervertebral foramen. Laminotomy Relieves pressure on the spinal cord compressed by spinal stenosis. Lateral lumbar interbody fusion (LLIF) This is a minimally invasive spine surgery that accesses the spine through small incisions on the side of the body. This procedure avoids disrupting or stripping soft tissue and muscle that is required for other spine fusion procedures. RegenaDISC Regenerates the spinal disc and promotes long-term spine health by using the patient s own cells through stem cell therapy. Transforaminal lumbar interbody fusion (TLIF) This is a less invasive alternative to traditional open back fusion. Its focus is to relieve back pain caused by spondylolisthesis, degenerative disc disease or a herniated disc. During the TLIF procedure, the damaged disc is removed and implants are inserted to help stabilize the spine. Commonly treated conditions Bulging disc Cervical myelomalacia Cervical myelopathy PARS defect Recurrent herniated disc Sciatica Scoliosis Severe degenerative disc disease (DDD) Spinal cord compression Spine fractures Spinal stenosis Spondylolisthesis

8 Patient success stories Name: Bruce K. Age at time of surgery: 64 Addressing a complex diagnosis without the complications of open back surgery. Bruce suffered from chronic back pain that affected his daily life for 40 years. After exhausting his conservative care options, including physical therapy and prescription pain medication, his physician recommended spine surgery to help him get his life back. Diagnosed conditions: Arthritis without myelopathy Bulging/herniated disc DDD Facet degeneration Foraminal stenosis Osteophyte Radiculitis Spondylolisthesis BEFORE SURGERY After a careful screening process, Bruce was confirmed as a candidate for minimally invasive spine surgery at Laser Spine Institute. Our surgeons performed a fusion and laminectomy, facetectomy and discectomy, as well as a caudal epidural steroid injection. There were no complications and Bruce was up and walking just hours after surgery. Four years after his procedure, Bruce reported a 90 percent improvement in his back pain level. AFTER SURGERY He s been able to start golfing again and enjoying his life free from chronic pain. Before After VAS 6 2 ODI 44 24

9 Providing a more conservative approach to surgery for a young, otherwise healthy patient. Diagnosed conditions: Lumbar annular tear Lumbar bulging/herniated disc Lumbar radiculitis BEFORE SURGERY Name: Casey A. Age at time of surgery: 33 Casey experienced burning and tingling pain for 10 years, struggling to stand for long periods of time and get a full night s sleep. She tried chiropractic manipulation, injections and massage before turning to Laser Spine Institute. Our surgeons determined the right procedure for her an L5/S1 lumbar laminotomy and foraminotomy including partial facetectomy with decompression of the nerve roots and discectomy. Our surgeons also performed a right L5/S1 destruction via thermal ablation of the paravertebral facet joint nerve. The procedure lasted 61 minutes and there were no complications. AFTER SURGERY Two years after surgery, Casey indicated an 85 percent improvement in her pain levels. She made a quick recovery. Less than a month after surgery, she returned to activities that would have been impossible with her former pain levels. Within one to two months of surgery, she returned to work. Before After VAS 8 1 ODI 38 16

10 We re here to help Frequently asked questions Q: How do I reach the Physician Relations Team? Phone: Fax: Q: What is the easiest, most convenient way to refer a patient? Visit LSIPhysicianRelations.com for 24-hour access to our secure online portal. Simply fill out the contact form and we'll send your referral directly to the appropriate department. Q: What if I want to discuss the referral with someone over the phone? The Physician Relations Team stands ready to provide personalized professional service to you to ensure that collaborating with Laser Spine Institute is a rewarding experience. We invite you to call directly at to discuss a referral over the phone or ask any questions. Q: Where are your locations? Laser Spine Institute has comprehensive surgery centers conveniently located throughout the United States. Locations include Tampa, Florida; Scottsdale, Arizona; Philadelphia; Oklahoma City; Cleveland; St. Louis and Cincinnati. Q: Will my patient s insurance pay for treatment? Laser Spine Institute accepts most major insurance plans. We are contracted with several major insurance carriers for guaranteed coverage of diagnostics, surgery and other treatments. Additional carrier contracts are expected in the future. We accept allowable coverage for all other insurance companies and work with them for partial coverage or out-of-network coverage. We are also contracted with Medicare for all services except the services performed in the ambulatory surgery center. Q: Aside from surgical treatment, what other resources are available for my patient? Most of our comprehensive medical facilities are built to provide integrated services that are coordinated for the patient, including complete clinical evaluation, state-of-the-art imaging, diagnostic testing, surgery and postoperative assessment. Our first-class Patient Services Department is devoted to customer service, postoperative recovery, overall communication and patient outcomes. The department follows up with your patient to ensure comfort, satisfaction and surgical success. Additionally, Laser Spine Institute s fi nancial counselors work with patients on insurance coverage, projected out-of-pocket costs and fi nancing. Q: How long will my patient have to wait for a first appointment? We ve simplified the medical acceptance process to make it easier for you to obtain appointments for your patient. Many of our clinics offer appointment scheduling within days of receiving your referral.

11 Your patient s journey to relief At Laser Spine Institute, we cater to our patients every step of the way. From the initial consultation to the final postoperative appointment, we ve streamlined the experience to help patients return to life faster. Our surgery centers provide efficient treatment and patient-centered care with the very best in medical, technological and patient-facing amenities. Just like we value a strong relationship with our patients, it's important for us to build a relationship with their referring physicians. That s why you can expect complete transparency and communication from Laser Spine Institute throughout your patient s path to recovery. We re here to help address any questions or concerns you may have, and always encourage patients to return to their referring physicians for regular follow-up care. Gather facts about Laser Spine Institute Choose relief Schedule visit Full medical evaluation Meet with surgeon Surgery Postoperative review Get life back Discuss path Initial medical screening Arrive at Laser Spine Institute On-site MRI review Preoperative prep Rest and recovery Head home Follow up The duration of the experience will vary for each patient. Patients may be required to rest 48 hours post-surgery. Should the patient be given a surgical order for a stabilization, additional time might be needed prior to the procedure for insurance authorization purposes. Some patients individual medical conditions may require additional testing that Laser Spine Institute will facilitate through a third-party service provider.

12 To refer a patient call or visit LSIPhysicianRelations.com Laser Spine Institute, LLC AM

Guidebook. Discover lasting relief with Laser Spine Institute s minimally invasive spine procedures. Jerry J. Actual Patient

Guidebook. Discover lasting relief with Laser Spine Institute s minimally invasive spine procedures. Jerry J. Actual Patient Guidebook Discover lasting relief with Laser Spine Institute s minimally invasive spine procedures. Jerry J. Actual Patient Identify your pain level Whether it s mild or miserable, the pain you feel can

More information

PROCEDURES WE PERFORM

PROCEDURES WE PERFORM PROCEDURES WE PERFORM Decompression, Stabilization, and More North American Spine offers a family of advanced, minimally invasive procedures that are highly effective in treating most forms of chronic

More information

Get back to: my life. Non-fusion treatment for lumbar spinal stenosis

Get back to: my life. Non-fusion treatment for lumbar spinal stenosis Get back to: my life Non-fusion treatment for lumbar spinal stenosis Do you have any of these symptoms? numbness, weakness or pain in the lower legs When any of these conditions occur, the spinal nerve,

More information

Post Operative Care Following Spinal Surgery For A Cervical Herniated Disc

Post Operative Care Following Spinal Surgery For A Cervical Herniated Disc Post Operative Care Following Spinal Surgery For A Cervical Herniated Disc The patient services department (PSD) supports LSI patients post surgery. Herniated Disc searching for the most effective solution

More information

DOCTOR DISCUSSION GUIDE

DOCTOR DISCUSSION GUIDE DOCTOR DISCUSSION GUIDE BE PREPARED For the best outcome from a visit with your doctor, it s important to be prepared. The more completely and clearly you describe the pain you re experiencing, the easier

More information

MAS TLIF MAXIMUM ACCESS SURGERY TRANSFORAMINAL LUMBAR INTERBODY FUSION AN INTRODUCTION TO

MAS TLIF MAXIMUM ACCESS SURGERY TRANSFORAMINAL LUMBAR INTERBODY FUSION AN INTRODUCTION TO AN INTRODUCTION TO MAS TLIF MAXIMUM ACCESS SURGERY TRANSFORAMINAL LUMBAR INTERBODY FUSION This booklet is designed to inform you about the Maximum Access Surgery (MAS ) Transforaminal Lumbar Interbody

More information

POSTERIOR CERVICAL FUSION

POSTERIOR CERVICAL FUSION AN INTRODUCTION TO PCF POSTERIOR CERVICAL FUSION This booklet provides general information on the Posterior Cervical Fusion (PCF) surgical procedure for you to discuss with your physician. It is not meant

More information

Medical Policy Original Effective Date: Revised Date: Page 1 of 11

Medical Policy Original Effective Date: Revised Date: Page 1 of 11 Page 1 of 11 Content Disclaimer Description Coverage Determination Clinical Indications Lumbar Spine Surgery Lumbar Spine Surgery Description Indication Coding Lumbar Spinal Fusion (single level)surgery

More information

ACDF. Anterior Cervical Discectomy and Fusion. An introduction to

ACDF. Anterior Cervical Discectomy and Fusion. An introduction to An introduction to ACDF Anterior Cervical Discectomy and Fusion This booklet provides general information on ACDF. It is not meant to replace any personal conversations that you might wish to have with

More information

CERVICAL PROCEDURES PHYSICIAN CODING

CERVICAL PROCEDURES PHYSICIAN CODING CERVICAL PROCEDURES PHYSICIAN CODING Anterior Cervical Discectomy with Interbody Fusion (ACDF) Anterior interbody fusion, with discectomy and decompression; cervical below C2 22551 first interspace 22552

More information

Lumbar Spinal Stenosis

Lumbar Spinal Stenosis Lumbar Spinal Stenosis This article is also available in Spanish: Estenosis de la columna lumbar (topic.cfm?topic=a00701). A common cause of low back and leg pain is lumbar spinal stenosis. As we age,

More information

Spine Center. at Stamford Hospital s Orthopedic Institute

Spine Center. at Stamford Hospital s Orthopedic Institute Spine Center at Stamford Hospital s Orthopedic Institute Back pain related to spinal deformity and injury or congenital conditions is a common health complaint, which can be very debilitating. At Stamford

More information

Patient Information MIS TLIF. Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques

Patient Information MIS TLIF. Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Patient Information MIS TLIF Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques MIS TLIF Table of Contents Anatomy of Spine..............................................

More information

Patient Information. Spinal Fusion Using the ST360 or Silhouette Pedicle Screw System

Patient Information. Spinal Fusion Using the ST360 or Silhouette Pedicle Screw System Patient Information Spinal Fusion Using the ST360 or Silhouette Pedicle Screw System Spinal Fusion Using the ST360 or Silhouette Pedicle Screw System Your doctor has recommended spinal fusion surgery using

More information

Interlaminar Decompression & Stabilization. Reginald Davis, M.D., FAANS, FACS Director of Clinical Research

Interlaminar Decompression & Stabilization. Reginald Davis, M.D., FAANS, FACS Director of Clinical Research Interlaminar Decompression & Stabilization Reginald Davis, M.D., FAANS, FACS Director of Clinical Research Disclosures Background Device meant to stabilize the spine without fusion following decompression

More information

Common Conditions. Visit our homepage for more info >> TABLE OF CONTENTS. Bulging/Herniated Disc... PAGE 2. Cervical (Neck) Pain...

Common Conditions. Visit our homepage for more info >> TABLE OF CONTENTS. Bulging/Herniated Disc... PAGE 2. Cervical (Neck) Pain... Common Conditions TABLE OF CONTENTS Bulging/Herniated Disc... PAGE 2 Cervical (Neck) Pain... PAGE 3 Degenerative Disc Disease... PAGE 4 Sciatica...PAGE 5 Spinal Stenosis... PAGE 6 Spondylolisthesis...

More information

Corporate Medical Policy

Corporate Medical Policy Corporate Medical Policy Image-Guided Minimally Invasive Decompression (IG-MLD) for File Name: Origination: Last CAP Review: Next CAP Review: Last Review: image-guided_minimally_invasive_decompression_for_spinal_stenosis

More information

Inova. Spine Institute

Inova. Spine Institute Inova Spine Institute At Inova Spine Institute, you ll find a wide range of treatment alternatives, from physical therapy and rehabilitation to pain management. For patients who require surgery, Inova

More information

Comprehension of the common spine disorder.

Comprehension of the common spine disorder. Objectives Comprehension of the common spine disorder. Disc degeneration/hernia. Spinal stenosis. Common spinal deformity (Spondylolisthesis, Scoliosis). Osteoporotic fracture. Anatomy Anatomy Anatomy

More information

NIA Magellan 1 and Blue Cross and Blue Shield of Nebraska (BCBSNE) Spine Surgery Program Frequently Asked Questions

NIA Magellan 1 and Blue Cross and Blue Shield of Nebraska (BCBSNE) Spine Surgery Program Frequently Asked Questions NIA Magellan 1 and Blue Cross and Blue Shield of Nebraska (BCBSNE) Spine Surgery Program Frequently Asked Questions Question GENERAL Why is BCBSNE implementing a pain management program focused on spine

More information

CPT CODING EXAMPLES FUSION PROCEDURES. Anterior Lumbar Interbody Fusion (ALIF)

CPT CODING EXAMPLES FUSION PROCEDURES. Anterior Lumbar Interbody Fusion (ALIF) CPT CODING EXAMPLES This list represents coding examples for common spine procedures. The information can also be used in conjunction with the Medicare Fee Calculator on http://www.cms.gov/apps/physician-fee-schedule/

More information

DEGENERATIVE SPONDYLOLISTHESIS

DEGENERATIVE SPONDYLOLISTHESIS AN INTRODUCTION TO DEGENERATIVE SPONDYLOLISTHESIS This booklet is designed to inform you about lumbar degenerative spondylolisthesis. It is not meant to replace any personal conversations that you might

More information

MORE EXPERTISE. MORE CHOICES. MORE EFFECTIVE SOLUTIONS.

MORE EXPERTISE. MORE CHOICES. MORE EFFECTIVE SOLUTIONS. MORE EXPERTISE. MORE CHOICES. MORE EFFECTIVE SOLUTIONS. ...DELIVERED BY A TEAM OF EXPERTS DEDICATED TO YOUR RETURN TO HEALTH. Whether you ve suffered a brain or spinal injury or are battling a painful

More information

Original Date: October 2015 LUMBAR SPINAL FUSION FOR

Original Date: October 2015 LUMBAR SPINAL FUSION FOR National Imaging Associates, Inc. Clinical guidelines Original Date: October 2015 LUMBAR SPINAL FUSION FOR Page 1 of 9 INSTABILITY AND DEGENERATIVE DISC CONDITIONS FOR CMS (MEDICARE) MEMBERS ONLY CPT4

More information

Current Spine Procedures

Current Spine Procedures SPINE BOOT CAMP: WHAT YOU DON T KNOW MAY COST YOU! David Abraham, M.D. The Reading Neck and Spine Center Reading, PA Current Spine Procedures Epidural/Transforaminal Injections Lumbar Procedures Laminectomy

More information

GET BACK TO YOUR FUTURE WITH SPECIALIZED SPINE CARE. A Guide for Patients

GET BACK TO YOUR FUTURE WITH SPECIALIZED SPINE CARE. A Guide for Patients GET BACK TO YOUR FUTURE WITH SPECIALIZED SPINE CARE A Guide for Patients Your Spine Deserves Special Care Your spine is at the center of a delicately balanced system that controls all of your body s movements.

More information

If you have a condition that compresses your nerves, causing debilitating back pain or numbness along the back of your leg.

If you have a condition that compresses your nerves, causing debilitating back pain or numbness along the back of your leg. Below, we have provided some basic information for your benefit. Please use this information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk

More information

Key Primary CPT Codes: Refer to pages: 7-9 Last Review Date: October 2016 Medical Coverage Guideline Number:

Key Primary CPT Codes: Refer to pages: 7-9 Last Review Date: October 2016 Medical Coverage Guideline Number: National Imaging Associates, Inc. Clinical guidelines CERVICAL SPINE SURGERY: ANTERI CERVICAL DECOMPRESSION WITH FUSION CERVICAL POSTERI DECOMPRESSION WITH FUSION CERVICAL ARTIFICIAL DISC CERVICAL POSTERI

More information

Patient Guide to Neck Surgery

Patient Guide to Neck Surgery The following is a sampling of products offered by Zimmer Spine for use in Posterior Cervical Fusion procedures. Patient Guide to Neck Surgery Posterior Cervical Fusion NexPosure NexPosure MIS Access provides

More information

Patient Information MIS LLIF. Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques

Patient Information MIS LLIF. Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Patient Information MIS LLIF Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Table of Contents Anatomy of Spine....2 General Conditions of the Spine....4 What is Spondylolisthesis....5

More information

Patient Information ACDF. Anterior Cervical Discectomy and Fusion

Patient Information ACDF. Anterior Cervical Discectomy and Fusion Patient Information ACDF Anterior Cervical Discectomy and Fusion Table of Contents Anatomy of the Spine...2-3 General Conditions of the Cervical Spine...4 5 What is an ACDF?...6 How is an ACDF performed?...7

More information

Spinal Interventional Pain Management and Lumbar Spine Surgery

Spinal Interventional Pain Management and Lumbar Spine Surgery Spinal Interventional Pain Management and Lumbar Spine Surgery Policy Number: Original Effective Date: MM.06.024 01/01/2014 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration 08/22/2014

More information

A Patient s Guide to Cervical Foraminotomy

A Patient s Guide to Cervical Foraminotomy A Patient s Guide to Cervical Foraminotomy 15195 Heathcote Blvd Suite 334 Haymarket, VA 20169 Phone: 703-369-9070 Fax: 703-369-9240 DISCLAIMER: The information in this booklet is compiled from a variety

More information

5/19/2017. Interspinous Process Fixation with the Minuteman G3. What is the Minuteman G3. How Does it Work?

5/19/2017. Interspinous Process Fixation with the Minuteman G3. What is the Minuteman G3. How Does it Work? Interspinous Process Fixation with the Minuteman G3 LLOYDINE J. JACOBS, MD CASTELLVI SPINE MEETING MAY 13, 2017 What is the Minuteman G3 The world s first spinous process plating system that is: Minimally

More information

Patient Information MIS TLIF. Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques

Patient Information MIS TLIF. Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Patient Information MIS TLIF Transforaminal Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques MIS TLIF Table of Contents Anatomy of Spine...2 General Conditions of the Spine...4 6 MIS-TLIF

More information

Corporate Medical Policy

Corporate Medical Policy Corporate Medical Policy Epidural Steroid Injections for Back Pain File Name: Origination: Last CAP Review: Next CAP Review: Last Review: epidural_steroid_injections_for_back_pain 2/2016 4/2017 4/2018

More information

GENERAL Why is Magellan Complete Care of Virginia implementing a Musculoskeletal Care Management (MSK) Program focused on MSK Surgery?

GENERAL Why is Magellan Complete Care of Virginia implementing a Musculoskeletal Care Management (MSK) Program focused on MSK Surgery? Magellan Healthcare 1 Musculoskeletal Care Management (MSK) Program Frequently Asked Questions (FAQ s) For Magellan Complete Care of Virginia Ordering Physicians Question GENERAL Why is Magellan Complete

More information

Do you experience pain or numbness in your lower back when standing upright?

Do you experience pain or numbness in your lower back when standing upright? is this you? Do you experience pain or numbness in your lower back when standing upright? Do you experience pain, numbness, or tingling in your legs or buttocks when you walk? Is your discomfort relieved

More information

Spine Conditions and Treatments. Your Guide to Common

Spine Conditions and Treatments. Your Guide to Common Your Guide to Common Spine Conditions and Treatments The spine is made up of your neck and backbone. It allows your body to bend and move freely. As you get older, it is normal to have aches and pains.

More information

U.S. MARKET FOR MINIMALLY INVASIVE SPINAL IMPLANTS

U.S. MARKET FOR MINIMALLY INVASIVE SPINAL IMPLANTS U.S. MARKET FOR MINIMALLY INVASIVE SPINAL IMPLANTS idata_usmis15_rpt Published in December 2014 By idata Research Inc., 2014 idata Research Inc. Suite 308 4211 Kingsway Burnaby, British Columbia, Canada,

More information

Patient Information MIS LLIF. Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques

Patient Information MIS LLIF. Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Patient Information MIS LLIF Lateral Lumbar Interbody Fusion Using Minimally Invasive Surgical Techniques Table of Contents Anatomy of Spine...2 General Conditions of the Spine....4 What is Spondylolisthesis....5

More information

Objectives. Comprehension of the common spine disorder

Objectives. Comprehension of the common spine disorder Objectives Comprehension of the common spine disorder Disc degeneration/hernia Spinal stenosis Common spinal deformity (Spondylolisthesis, Scoliosis) Osteoporotic fracture Destructive spinal lesions Anatomy

More information

Anthem Blue Cross and Blue Shield Central Region Clinical Claim Edit

Anthem Blue Cross and Blue Shield Central Region Clinical Claim Edit Subject: Laminotomy (Hemilaminectomy) with Decompression of Nerve Root(s), Including Partial Facetectomy, Foraminotomy and/or Excision of Herniated Intervertebral Disc, Reexploration, Single Interspace-Lumbar

More information

Thank you for choosing Saint Joseph s Hospital Health Center for your spine surgery. Updated Jan 2017

Thank you for choosing Saint Joseph s Hospital Health Center for your spine surgery. Updated Jan 2017 Thank you for choosing Saint Joseph s Hospital Health Center for your spine surgery Updated Jan 2017 This class is designed to give you some basic, important information about spine surgery We will cover

More information

Do you experience pain or numbness in your lower back when standing upright?

Do you experience pain or numbness in your lower back when standing upright? is this you? Do you experience pain or numbness in your lower back when standing upright? Do you experience pain, numbness, or tingling in your legs or buttocks when you walk? Is your discomfort relieved

More information

Long term prognosis of young adults after ACDF

Long term prognosis of young adults after ACDF Long term prognosis of young adults after ACDF Tuomas Hirvonen MD 1,2 Johan Marjamaa MD, PhD 1,2 Jari Siironen MD, PhD 1 Anniina Koski-Palkén MD, PhD 1 1 Department of Neurosrugery, Helsinki University

More information

MEDICAL POLICY MEDICAL POLICY DETAILS POLICY STATEMENT. Page: 1 of 5

MEDICAL POLICY MEDICAL POLICY DETAILS POLICY STATEMENT. Page: 1 of 5 Page: 1 of 5 MEDICAL POLICY MEDICAL POLICY DETAILS Medical Policy Title LUMBAR DECOMPRESSION Policy Number 7.01.97 Category Technology Assessment Effective Date 06/21/18 Revised Date 12/20/18 Product Disclaimer

More information

Cox Technic Case Report #169 published at (sent 5/9/17) 1

Cox Technic Case Report #169 published at  (sent 5/9/17) 1 Cox Technic Case Report #169 published at www.coxtechnic.com (sent 5/9/17) 1 Management of Lumbar Radiculopathy Associated with an Extruded L4 L5 disc and concurrent L5 S1 Spondylolytic Spondylolisthesis

More information

Spine Tango annual report 2012

Spine Tango annual report 2012 DOI 10.1007/s00586-013-2943-x SPINE TANGO REPORT 2012 Spine Tango annual report 2012 M. Neukamp G. Perler T. Pigott E. Munting M. Aebi C. Röder Received: 31 July 2013 / Published online: 30 August 2013

More information

THE RECOVERY PROCESS

THE RECOVERY PROCESS THE RECOVERY PROCESS PART II If you're considering a major Orthopaedic surgical procedure to relieve pain in your back, knee, or hip, there's a lot to consider. These procedures, while common, do come

More information

Innovative Techniques in Minimally Invasive Cervical Spine Surgery. Bruce McCormack, MD San Francisco California

Innovative Techniques in Minimally Invasive Cervical Spine Surgery. Bruce McCormack, MD San Francisco California Innovative Techniques in Minimally Invasive Cervical Spine Surgery Bruce McCormack, MD San Francisco California PCF Posterior Cervical Fusion PCF not currently an ambulatory care procedure Pearl diver

More information

Uncosectomy Facilitated Cervical Foraminotomy using a new high-speed shielded curved device

Uncosectomy Facilitated Cervical Foraminotomy using a new high-speed shielded curved device Uncosectomy Facilitated Cervical Foraminotomy using a new high-speed shielded curved device Pierre Bernard, M.D. (1), Michal Tepper, Ph.D. (2), Ely Ashkenazi, M.D. (3) (1) Centre Aquitain du Dos, Hôpital

More information

Stand-Alone Technology. Reginald Davis, M.D., FAANS, FACS Director of Clinical Research

Stand-Alone Technology. Reginald Davis, M.D., FAANS, FACS Director of Clinical Research Stand-Alone Technology Reginald Davis, M.D., FAANS, FACS Director of Clinical Research Disclosures Stand-Alone Devices Optio-C Stalif C Coalition Prevail ROI-C Technology Descriptions Optio-C A no profile,

More information

Cervical Spine in Baseball

Cervical Spine in Baseball Cervical Spine in Baseball Robert G Watkins, IV, MD Co-Director, Marina Spine Center Marina del Rey, CA Vice Chief of Staff Cedars-Marina del Rey Hospital Disclosures n Pioneer / RTI Consulting, Royalties

More information

Spine Surgery Frequently Asked Questions

Spine Surgery Frequently Asked Questions Spine Surgery Frequently Asked Questions Question GENERAL Why did HMSA implement a pain management program focused on spine surgery? Answer To improve quality and manage the utilization of nonemergent

More information

Cervical Disc Arthroplasty Reimbursement Guide

Cervical Disc Arthroplasty Reimbursement Guide Cervical Disc Arthroplasty 2015 Reimbursement Guide 63075 63064 63057 63045 2285163055 22553 22556 63048 20930 22612 22851 20937 3047 22614 20936 63057 63090 22612 63005 20840 61783 22551 22595 63055 63042

More information

A Patient s Guide to Artificial Cervical Disc Replacement

A Patient s Guide to Artificial Cervical Disc Replacement A Patient s Guide to Artificial Cervical Disc Replacement Each year, hundreds of thousands of adults are diagnosed with Cervical Disc Degeneration, an upper spine condition that can cause pain and numbness

More information

Medical Affairs Policy

Medical Affairs Policy Medical Affairs Policy Service: Back Pain Procedures-Epidural Injection (Caudal Epidural, Selective Nerve Root Block, Interlaminar, Transforaminal, Translaminar Epidural Injection) PUM 250-0015-1706 Medical

More information

Spinal Stenosis Surgical

Spinal Stenosis Surgical Spinal Stenosis Surgical Disclaimer This movie is an educational resource only and should not be used to make a decision on. All decisions about surgery must be made in conjunction with your surgeon or

More information

Adult Isthmic Spondylolisthesis

Adult Isthmic Spondylolisthesis Adult Isthmic Spondylolisthesis North American Spine Society Public Education Series What Is Adult Isthmic Spondylolisthesis? The spine is made up of a series of connected bones called vertebrae. In about

More information

EVALUATE, TREAT AND WHEN TO REFER RED FLAGS Mid Atlantic Occupational Regional Conference and Environmental Medicine October 6, 2018

EVALUATE, TREAT AND WHEN TO REFER RED FLAGS Mid Atlantic Occupational Regional Conference and Environmental Medicine October 6, 2018 EVALUATE, TREAT AND WHEN TO REFER RED FLAGS Mid Atlantic Occupational Regional Conference and Environmental Medicine October 6, 2018 Marc J. Levine, MD Rothman Institute Director Spine Surgery Program

More information

SpineFAQs. Neck Pain Diagnosis and Treatment

SpineFAQs. Neck Pain Diagnosis and Treatment SpineFAQs Neck Pain Diagnosis and Treatment Neck pain is a common reason people visit their doctor. Neck pain typically doesn't start from a single injury. Instead, the problem usually develops over time

More information

Replacement Code for Interbody Cage for Disc

Replacement Code for Interbody Cage for Disc +22851 vs. +20931 October 22, 2015 We ve been told we cannot bill +22851 and +20931 with the ACDF code, 22551. Is this true? It is true if you are thinking about reporting +22851 (intervertebral device)

More information

LUMBAR SPINAL STENOSIS

LUMBAR SPINAL STENOSIS LUMBAR SPINAL STENOSIS Always occurs in the mobile segment. Factors play role in Stenosis Pre existing congenital or developmental narrowing of the lumbar spinal canal Translation of one anatomic segment

More information

Open Discectomy. North American Spine Society Public Education Series

Open Discectomy. North American Spine Society Public Education Series Open Discectomy North American Spine Society Public Education Series What Is Open Discectomy? Open discectomy is the most common surgical treatment for ruptured or herniated discs of the lumbar spine.

More information

Outpatient Spine Surgery: The Next Five Years. Richard Wohns, M.D., JD, MBA Neospine, Puget Sound Region, Washington

Outpatient Spine Surgery: The Next Five Years. Richard Wohns, M.D., JD, MBA Neospine, Puget Sound Region, Washington Outpatient Spine Surgery: The Next Five Years Richard Wohns, M.D., JD, MBA Neospine, Puget Sound Region, Washington Disclosures Aqueduct Neurosciences, Board of Directors angelmd, Chief Medical Officer

More information

From Becker s ASC Review

From Becker s ASC Review SURGERY CENTER The Future of Minimally Invasive Spine Surgery Why a Spine-Focused ASC is Important Richard Hynes, MD From Becker s ASC Review According to Naya Kehayes, managing principal and CEO of Eveia

More information

Back Pain Policies Summary

Back Pain Policies Summary Back Pain Policies Summary These policies are part of the wider project, Reviewing local health policies, which is reviewing and updating more than 100 policies, of which back pain are part of. This review

More information

The main causes of cervical radiculopathy include degeneration, disc herniation, and spinal instability.

The main causes of cervical radiculopathy include degeneration, disc herniation, and spinal instability. SpineFAQs Cervical Radiculopathy Neck pain has many causes. Mechanical neck pain comes from injury or inflammation in the soft tissues of the neck. This is much different and less concerning than symptoms

More information

Spine and Orthopedic ASC Development

Spine and Orthopedic ASC Development Performance, Efficiency, Achievement, Knowledge Spine and Orthopedic ASC Development October 22, 2015 22nd Annual Meeting The Business and Operations of ASCs Kenny Hancock, President and Chief Development

More information

NECK AND BACK PAIN AN INTRODUCTION TO

NECK AND BACK PAIN AN INTRODUCTION TO AN INTRODUCTION TO NECK AND BACK PAIN This booklet provides general information on neck and back pain. It is not meant to replace any personal conversations that you might wish to have with your physician

More information

Icd 10 code for left radicular pain

Icd 10 code for left radicular pain Icd 10 code for left radicular pain cpt new description 64633 destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or ct); cervical or thoracic, single.

More information

Life can cause spinal stenosis. Take yours back with Superion.

Life can cause spinal stenosis. Take yours back with Superion. Indirect Decompression System Life can cause spinal stenosis. Take yours back with Superion. Superion can help you take back your life with a simple new procedure. What is spinal stenosis? Your spine is

More information

Blue Cross Blue Shield of Nebraska Spine Management Provider Training. Provider Training Presented by Leta Genasci

Blue Cross Blue Shield of Nebraska Spine Management Provider Training. Provider Training Presented by Leta Genasci Blue Cross Blue Shield of Nebraska Spine Management Provider Training Provider Training Presented by Leta Genasci NIA Magellan Training Program 2 NIA Magellan 1 Program Agenda Our Program 1. Authorization

More information

LUMBAR SPINAL STENOSIS

LUMBAR SPINAL STENOSIS LUMBAR SPINAL STENOSIS North American Spine Society Public Education Series WHAT IS LUMBAR SPINAL STENOSIS? The vertebrae are the bones that make up the lumbar spine (low back). The spinal canal runs through

More information

SpineFAQs. Lumbar Spondylolisthesis

SpineFAQs. Lumbar Spondylolisthesis SpineFAQs Lumbar Spondylolisthesis Normally, the bones of the spine (the vertebrae) stand neatly stacked on top of one another. The ligaments and joints support the spine. Spondylolisthesis alters the

More information

1105 two (2) vertebrae... 1, add on per additional vertebra

1105 two (2) vertebrae... 1, add on per additional vertebra SPINE STAGE OPERATIONS Staged operations shall be paid at 100% for the first stage and 85% for the second stage. Where the second stage pays a higher fee 100% shall be paid and the first stage shall be

More information

Anterior Cervical Discectomy and Fusion (ACDF)

Anterior Cervical Discectomy and Fusion (ACDF) Anterior Cervical Discectomy and Fusion (ACDF) What Is an ACDF? Anterior Cervical Discectomy and Fusion (ACDF) is a surgical procedure that involves decompressing spinal cord and nerves in the cervical

More information

DEGENERATIVE SPINAL DISEASE PRABIN SHRESTHA ANISH M SINGH B&B HOSPITAL

DEGENERATIVE SPINAL DISEASE PRABIN SHRESTHA ANISH M SINGH B&B HOSPITAL SPINAL CHAPTER, NESON DEGENERATIVE SPINAL DISEASE PRABIN SHRESTHA ANISH M SINGH B&B HOSPITAL INTRODUCTION DEGENERATIVE SPINAL DISEASE Gradual loss of normal structure and function of spine with time Also

More information

PARADIGM SPINE. Patient Information. Treatment of a Narrow Lumbar Spinal Canal

PARADIGM SPINE. Patient Information. Treatment of a Narrow Lumbar Spinal Canal PARADIGM SPINE Patient Information Treatment of a Narrow Lumbar Spinal Canal Dear Patient, This brochure is intended to inform you of a possible treatment option for narrowing of the spinal canal, often

More information

Minimally Invasive Discectomy/ Decompression

Minimally Invasive Discectomy/ Decompression Minimally Invasive Discectomy/ Decompression What Is A Minimally Invasive Lumbar Discectomy? A lumbar discectomy is a surgical procedure that involves relieving the pressure placed on nerve roots and/or

More information

RADICULOPATHY AN INTRODUCTION TO

RADICULOPATHY AN INTRODUCTION TO AN INTRODUCTION TO RADICULOPATHY This booklet provides general information on radiculopathy. It is not meant to replace any personal conversations that you might wish to have with your physician or other

More information

HERNIATED DISCS AN INTRODUCTION TO

HERNIATED DISCS AN INTRODUCTION TO AN INTRODUCTION TO HERNIATED S This booklet provides general information on herniated discs. It is not meant to replace any personal conversations that you might wish to have with your physician or other

More information

The spine is made of a column of bones. Each bone, or vertebra, is formed by a round block of bone, called a vertebral body. A bony ring attaches to the back of the vertebral body. When the vertebra bones

More information

Anterior Cervical Discectomy and Fusion Surgery

Anterior Cervical Discectomy and Fusion Surgery Disclaimer This movie is an educational resource only and should not be used to manage orthopaedic health. All decisions about the management of orthopaedic conditions must be made in conjunction with

More information

GENERAL Why did Magellan Complete Care implementing a Musculoskeletal Care Management (MSK) Program focused on Spine Surgery?

GENERAL Why did Magellan Complete Care implementing a Musculoskeletal Care Management (MSK) Program focused on Spine Surgery? Magellan Healthcare 1 Musculoskeletal Care Management (MSK) Program Spine Surgeries Frequently Asked Questions (FAQ s) For Magellan Complete Care of Florida Ordering Physicians Question GENERAL Why did

More information

A Healthy Lumbar Spine...2. Lumbar Discectomy...3. Understanding Discectomy Surgery...4. Lumbar Decompression...5

A Healthy Lumbar Spine...2. Lumbar Discectomy...3. Understanding Discectomy Surgery...4. Lumbar Decompression...5 Table of Contents A Healthy Lumbar Spine...2 Lumbar Discectomy...3 Understanding Discectomy Surgery...4 Lumbar Decompression...5 Understanding Decompression Surgery....6 Preparing for Surgery....7 After

More information

Spine Management Program. NIA Magellan & Presbyterian Health Plan

Spine Management Program. NIA Magellan & Presbyterian Health Plan Spine Management Program NIA Magellan & Presbyterian Health Plan Training Program 2 Program Agenda Program 1. Authorization Process 2. Other Program Components 3. Provider Tools and Contact Information

More information

Why choose Ottauquechee PT

Why choose Ottauquechee PT Why does your back hurt? Low back pain is one of the most common patient complaints affecting 80% of adults at some point in their lives. Generally the source of pain is in the spine and/or its supporting

More information

Populations Interventions Comparators Outcomes Individuals: With lumbar spinal stenosis

Populations Interventions Comparators Outcomes Individuals: With lumbar spinal stenosis Image-Guided Minimally Invasive Decompression for Spinal (701126) (Formerly Image-Guided Minimally Invasive Lumbar Decompression for Spinal ) Medical Benefit Effective Date: 10/01/17 Next Review Date:

More information

ProDisc-L Total Disc Replacement. IDE Clinical Study.

ProDisc-L Total Disc Replacement. IDE Clinical Study. ProDisc-L Total Disc Replacement. IDE Clinical Study. A multi-center, prospective, randomized clinical trial. Instruments and implants approved by the AO Foundation Table of Contents Indications, Contraindications

More information

SpineFAQs. Cervical Disc Replacement

SpineFAQs. Cervical Disc Replacement SpineFAQs Cervical Disc Replacement Artificial disc replacement (ADR) is relatively new. In June 2004, the first ADR for the lumbar spine (low back) was approved by the FDA for use in the US. Replacing

More information

North American Spine Society Public Education Series

North American Spine Society Public Education Series Herniated Lumbar Disc North American Spine Society Public Education Series What Is a Herniated Disc? The spine is made up of a series of connected bones called vertebrae. The disc is a combination of strong

More information

Lumbar Discectomy and Decompression INFORMATION FOR PATIENTS UNDERGOING SURGERY

Lumbar Discectomy and Decompression INFORMATION FOR PATIENTS UNDERGOING SURGERY Lumbar Discectomy and Decompression INFORMATION FOR PATIENTS UNDERGOING SURGERY Informed consent is the process of the surgical team providing information to the patient and their carers to enable them

More information

coflex Interlaminar Technology

coflex Interlaminar Technology coflex Interlaminar Technology Caution: Federal Law restricts this device to sale by or on the order of a physician. This brochure will provide you with information about the coflex Interlaminar Technology,

More information

PART III IN HOSPITAL ON CALL ANESTHESIA COVERAGE

PART III IN HOSPITAL ON CALL ANESTHESIA COVERAGE Anesthesia g) A consultation may not be claimed where the patient is referred to the anesthetist for the sole purpose of providing post-operative Patient Controlled Analgesia. h) Tariff 8406 may not be

More information

The ABC s of LUMBAR SPINE DISEASE

The ABC s of LUMBAR SPINE DISEASE The ABC s of LUMBAR SPINE DISEASE Susan O. Smith ANP-BC University of Rochester Department of Neurological Surgery Diagnosis/Imaging/Surgery of Lumbar Spine Disorders Objectives Identify the most common

More information

2012 CPT Coding Update AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves

2012 CPT Coding Update AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves 2012 CPT Coding Update AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves Joseph S. Cheng, M.D., M.S. Associate Professor of Neurological Surgery, Orthopedic Surgery, and Rehabilitation

More information