Category: General:

What is Minimally Invasive Spine Surgery?

Here in Tampa,  we are in a media war over Spine Surgery Services.  It has become a very competitive business,  with many Centers or Institutes deploying expensive marketing teams touting expertise in Minimally Invasive Spine Surgery.  It does sound great.  But what does Minimally Invasive Spine Surgery mean? About 30 years ago,  spine surgery was […]

Does Lumbar Spondylolisthesis and Stenosis need Fusion?

Conventional wisdom says  that patients with known spinal stenosis,  and associated spondylolisthesis should have fusion if having decompression surgery.  The often quoted 1991 paper from Herkowitz and Kurz identified a clinical advantage to perform lumbar fusion for patients undergoing laminectomy for spondylolisthesis with lumbar stenosis. Much research has been geared towards the types of fusions that would give […]

Is Sitting Bad for my Back?

Lately,  there has been many articles on the bad side effects of sitting too long.  Due to lack of activity,  there is weight gain,  body shape molding,  increased cardiac risk,  and even some studies show higher mortality rates for people who sit for prolonged times on a frequent basis. As a spine specialist, there is […]

10 Causes of Back Pain

If you live long enough,  you will eventually experience back pain.  Depending on the source,  up to 80% of the population will experience a back pain episode that will cause at least temporary disability.    Luckily,  most will recover,  and will get on with their life. There are many potential causes of back pain. 1. […]

Does Everyone Get Spinal Stenosis?

If you live long enough,  you will get spinal stenosis.   Everyone must face the fact that they will age.  It is better than the alternative.  Aging is the process by which the cells in your body die, but the replacement cells do not have the same initially properties of the older cells.  Some scientists […]

Bone Health Testing: Is it necessary and when?

In orthopaedic and spine surgery practices, most of the focus has always been on secondary and tertiary prevention. That is, we try to treat various diseases of the musculoskeletal system after they become apparent and before they become a big problem. In some cases, patient’s come into the office with identified problems that have been […]