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Anterior Cervical Discectomy and Fusion (ACDF)

 Anterior cervical discectomy and fusion (ACDF) is a type of neck surgery  that involves removing a damaged disc to relieve spinal cord or nerve  root pressure and alleviate corresponding pain, weakness, numbness, and  tingling. A discectomy is a form of surgical decompression, so the  procedure may also be called an anterior cervical decompression. 

 

The surgery has 2 parts:

  • Anterior cervical discectomy. The surgery is approached through the anterior, or front, of the cervical spine (neck). The disc is then removed from between two vertebral bones.
  • Fusion. A fusion surgery is done at the same time  as the discectomy operation in order to stabilize the cervical segment. A  fusion involves placing bone graft and/or implants where the disc  originally was in order to provide stability and strength to the area.


https://www.spine-health.com/treatment/spinal-fusion/acdf-anterior-cervical-discectomy-and-fusion

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Anterior Lumbar Interbody Fusion with Posterior Spinal Fusion (ALIF & PSF)

Anterior lumbar interbody fusion (ALIF) is a spinal fusion procedure  in which surgeons navigate through the abdomen to access the front of  the spine and fuse two or more vertebrae in the lower back together. The  procedure involves an “approach” surgeon (who provides access to the  spine) and a spine surgeon, working together.

The lumbar portion of the spine contains the five spinal vertebrae  (L1 to L5) of the lower back. An ALIF procedure may also involve the  intervertebral disc located between the L5 vertebra and the highest  vertebra (S1) of the sacral spine that includes the sacrum and coccyx  (tailbone). This is known as an L5/S1 ALIF.


https://www.hss.edu/conditions_alif-anterior-lumbar-interbody-fusion-spine-surgery.asp


Instrumentation & Setup

Transforaminal Lumbar Interbody Fusion (TLIF)

 

What is a TLIF surgery?

Transforaminal lumbar interbody fusion (TLIF) is a spinal fusion technique for the lower back, in which two spinal bones (vertebrae) are  joined by removing a portion of the spinal disc between them and  placing a spacer (cage), supplemented by screws and rods, in its place.  Removing the disc and fusing the vertebrae eliminates motion in that  spinal segment (meaning two vertebrae and the intervertebral disc) and  reduces back pain. Placing a spacer reduces compression on the nerves by  giving them more room. This alleviates sciatica back and leg pain.


https://www.hss.edu/conditions_tlif-transforaminal-lumbar-interbody-fusion-spine-surgery.asp

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Lateral Lumbar Interbody Fusion (XLIF)

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Laminectomy | Decompression | Microdiscectomy

 Laminectomy is a type of surgery in which a surgeon removes part or all  of the vertebral bone (lamina). This helps ease pressure on the spinal  cord or the nerve roots that may be caused by injury, herniated disk,  narrowing of the canal (spinal stenosis), or tumors. 

  www.hopkinsmedicine.org/health/treatment-tests-and-therapies/laminectomy#:~:text=Laminectomy is a type of,spinal stenosis)%2C or tumors.


 

Typically performed for a herniated disc, a microdiscectomy, also  called a microdecompression, relieves the pressure on a spinal nerve  root by removing the material causing the pain.

During the surgery, a small part of the disc material and/or bone impinging the nerve root is taken out.

https://www.spine-health.com/treatment/back-surgery/microdiscectomy-microdecompression-spine-surgery

Instrumentation & Setup

Craniotomy

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VentriculoPeritoneal Shunt & Lumbar and External Ventricular Drains

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Deep Brain Stimulation, Stage 1

 Deep Brain Stimulation (DBS) surgery is a minimally invasive, long-term procedure that implants electrodes in specific brain areas to regulate abnormal signals,  significantly reducing motor symptoms in conditions like Parkinson’s  disease, essential tremor, and epilepsy. The system, resembling a  pacemaker, improves quality of life when medication is insufficient. 

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Spinal Procedures using Mazor Robotic Guidance

 Mazor X™ Robotic Guidance System is a Medtronic system that enhances spine procedures through pre-operative 3D planning  and intraoperative navigation. It improves surgical precision for  fusions, scoliosis correction, and herniated disc repairs. Benefits  include smaller incisions, reduced pain, less blood loss, lower  radiation exposure, and faster recovery. 

Key Features and Benefits:

  • Precision and Accuracy: The system guides instruments to specific trajectories with sub-millimeter precision, improving safety in delicate areas.
  • Minimally Invasive: Uses advanced software to plan screw placement and trajectory before or during surgery.
  • Reduced Complications: Smaller incisions lead to fewer complications and less trauma to surrounding tissue.
  • Applications: Used for degenerative disc disease, spinal deformities (scoliosis/kyphosis), vertebral fractures, and revisions. 

How it Works:

  • Planning: Surgeons create a 3D plan based on CT scans to visualize the anatomy and plan implant placement.
  • Guidance: A robotic arm mounts to the patient, using a camera to track the surgical field.
  • Execution: The system guides tools and implants along the pre-planned, precise trajectory. 

Mazor technology is used for a range of conditions, including spinal fusions and complex,  instrumented cases. 

Instrumentation & Setup

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