Category: Surgical:

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Obesity and Spine Surgery

Obesity and Spine Surgery is a sensitive issue.  The March 1 issue of Spine does tackle this issue by comparing the results of surgery for obese patients to normal weight patients. Not surprisingly,  the results do show a difference, with patients in the obese catagory having inferior rates of success compared to the normal weight patients. […]

Don’t Get Bulldozed. How to find a Spine Specialist.

There is a specialist for almost any illness, symptom or injury. Once the decision has been made that more specialized care is necessary, finding someone you can trust is the most difficult thing to do. As spine surgery is the specialty of this practice, we’ll explain how to pick a spine surgeon. Let’s talk… You […]

InterLaminar Decompression and Instrumentation

Hi my name is Dr. John Shim, and I want to discuss the lumbar Co flex interlaminar stabilization surgery. By now you have already tried non-surgical treatments, and have decided to move forward with surgery. Lumbar Coflex interlaminar stabilization is offered because your pain patterns match the spinal stenosis findings on your […]

Robot Assisted Spine Surgery: A developing technology

The technology that allows spine surgeons to perform often complex procedures has grown rapidly in the last two decades. Some of these technologies including minimally invasive endoscopic and laser spine surgery has been joined by robotic assisted spine surgery in the last few years. These technologies have been developed with the potential to offer patient […]

How Common are Disc Herniations?

Surprisingly,  I am rarely asked  questions about frequency of disc herniations.  But the answer is, it is very common. The better question is, “Is the disc herniation seen on the MRI the cause of my pain?”.  The answer to that question is maybe. Research has demonstrated that findings of disc protrusions, disc hernations, and disc degeneration are very […]

Cervical Neck Fractures

CT Scan of Cervical Neck Fractures:  Facet fracture and fragment in Foramen Transversalis   Cervical Neck Fractures are a common presentation associated with severe neck pain after trauma. Unfortunately,  cervical neck fractures commonly present after sports or recreational activities.  Common causes include diving accidents,  football collisions,  and racing activities.  Because of the activities involve, the […]

The Drug Addict is Not Who you Think

So many people have a picture in their heads of what a drug addict looks like, what their lives are like, and how they ended up with such a problem. A good portion of these people would be wrong. Instead of an unemployed, dirty hobo lying in an alley that most people picture, a good portion […]

Who is Helping my Surgeon?

As a patient, when you go into an orthopaedic surgeon’s office for your appointment, it is usually not the surgeon that first greets you and brings you into the examination room.  You are often asked a barrage of questions about why you have come in and often are asked about your medical history. So who […]

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Cervical Foraminotomy

Hi my name is Dr. John Shim and I want to discuss cervical foraminotomy. By now you have already tried non-surgical treatments and have decided to move forward with surgery. Cervical foraminotomy surgery is awkward because your pain pattern and physical examination matches the findings on your diagnostic studies. Forminotomy means enlarging […]

When is Spine Pain an Emergency?

So often we hear from people who are upset with Emergency Rooms because they feel their neck or back pain was not treated with the seriousness it deserved. A traumatic event such as a bad fall or a serious car accident with any sign of severe pain, or abnormal neurological signs such as paralysis, should […]

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