Minimally Invasive Specialized Care

Surgical Treatment for Optimal Recovery

Our patients experience quicker recovery, shorter hospital stays, and less harm to surrounding areas with techniques that minimize incision size compared to standard surgery.

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Advanced Techniques for Less Invasive Treatment

Dr. Joshua Marcus and the Nuvance Health team performing the first joint spine surgery replacement in Connecticut.

Your relief takes priority. Known for using advanced methods and always putting our patients first, our team of skilled surgeons is dedicated to making your outpatient procedure as seamless as possible.

Cervical Artificial Disc Replacement
A Cervical Artificial Disc Replacement is used to treat damaged discs in the cervical spine. The discs cause neck and extremities pain. The surgeon will use an implant that mimics the function of a healthy spinal disc and allows for a range of motion in the neck. No plates or screws are attached to the spine. At Elite Brain and Spine, minimally invasive means that there is a smaller incision, there is less surgical trauma and recovery is quicker after the procedure.  

A Cervical ADR might be suggested when previous treatment options have not worked. 

Procedure 

At Elite Brain and Spine, our board-certified neurosurgeons are experts at performing this endovascular neurosurgery. It is usually performed as an outpatient procedure, meaning you can return home the same day. 

The steps of the procedure at Elite Brain and Spine are: 

  1. Incision. A small incision is made on the front of the neck, usually where the skin folds naturally. 
  2. Removing the disc. The damaged disc and pieces of arthritic bone compressing the spinal nerves are removed.
  3. Inserting the implant.  Disc height is restored and the artificial disc is placed between adjacent vertebrae.

You are in great hands with our spine specialists. Make an appointment now at Elite Brain and Spine.

 

Minimally Invasive Discectomy (Microdiscectomy)
A Minimally Invasive Discectomy (Microdiscectomy) is a surgical procedure that is used to treat the symptoms of a herniated disc and sciatica – which is a pain that radiates along the path of the sciatic nerve which is located in the lower back through hips, buttocks and each leg. Our Elite Brain and Spine neurosurgeons only use this surgery if the patient does not respond to non-surgical options. At Elite Brain and Spine, minimally invasive means that there is a smaller incision, there is less surgical trauma and recovery is quicker after the procedure.   

Procedure 

The specialists at Elite Brain and Spine in Connecticut are experts and have completed thousands of microdiscectomies. The neurosurgeons perform the procedure as an outpatient procedure which means you can return home the same day. 

The steps to the procedure are: 

  1. Incision. A small one-inch incision is made along the lower back. 
  2. Exposure. Muscles are gently pulled back so the compressed nerve can be exposed and viewed. 
  3. Remove Bone/Disc. Tiny instruments and microscopic guidance are used to remove pieces of the disc and arthritic bone. 
  4. Closure. Stitches and adhesive strips close the incision. 

You are in great hands with our spine specialists. Make an appointment now at Elite Brain and Spine.
 

Minimally Invasive Cervical Spinal Fusion (ACDF)

A Minimally Invasive Cervical Spinal Fusion, also known as ACDF is used to treat chronic pain, nerve compression or instability that starts in the cervical spine. At Elite Brain and Spine, ACDF is minimally invasive, which means that the incision is very small and less surgical trauma occurs. 

Procedure 

The board-certified neurosurgeons have done thousands of these procedures. At Elite Brain and Spine, the procedure can be performed as an outpatient or inpatient procedure. If your spine specialist chooses to perform the procedure as an inpatient procedure, the hospital stay is between one and two days. 

The steps to the procedure are: 

    1. Incision. A small 1-2 inch incision is made in the front or back of the neck (the incision can change depending on your condition)
    2. Exposure. Muscles are gently pulled back so the cervical spine can be exposed and viewed.
    3. Remove Bone/Disc. Tiny instruments are used to carefully remove the damaged disc.
    4. Implant insertion. A bone graft packed spacer is inserted between adjacent vertebrae. 
    5. Fusion. Small rods and/or plates and screws are used to fixate adjacent vertebrae.
    6. Close. The incision is closed carefully. 

Our Spine specialists are experts on this procedure. You will be in the best hands at Elite Brain and Spine. 
 

Minimally Invasive Spinal Fusion (ALIF, PLIF, TLIF, XLIF)
Minimally Invasive Spinal Fusions are surgical procedures that treat intervertebral discs or compressed nerve roots. The discs and nerves cause neck and back pain that may go to the body’s extremities. At Elite Brain and Spine, minimally invasive means that there is a smaller incision, there is less surgical trauma and recovery is quicker after the procedure.  

Procedure

The board-certified neurosurgeons have done thousands of these procedures. At Elite Brain and Spine the procedure can be performed as an outpatient or inpatient procedure. If your spine specialist chooses to perform the procedure as an inpatient procedure, the hospital stay is between one and two days. 

The steps to the procedure are: 

    1. Remove Disc. Remove the damaged or herniated disc.  
    2. Replace Disc. A bone graft implant is placed between the vertebrae gently. 
    3. Fixate Implant. Rods or plates and screws fixate adjacent vertebrae so they may fuse to form a single solid bone.
    4. Close. The incision is carefully closed. 

    Although those are the common steps, there are many different types of minimally invasive spinal fusions. These include, anterior lumbar interbody fusion (ALIF), posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF) and lateral lumbar interbody fusion (XLIF). 
     

    Minimally Invasive Laminectomy
    A Minimally Invasive Laminectomy also called a Spinal Decompression, is a procedure to alleviate the pain and pressure caused by a pinched nerve. To do this, the surgeon will remove a part of the spinal vertebrae (lamina). This will allow the nerve to be decompressed and the pain will decrease. This surgical procedure is also used at Elite Brain and Spine to treat sciatica, spinal stenosis and one spur. 

    Procedure 

    At Elite Brain and Spine a minimally invasive laminectomy means that there is a smaller incision that is made during surgery, there is less surgical trauma and recovery is quicker after the procedure. A laminectomy is performed as an outpatient procedure, which means you can return home the same day. 

    The steps of a laminectomy are: 

    1. Incision. A small incision is made over the affected vertebrae.
    2. Remove lamina. Remove lamina with small surgical instruments. 
    3. Removal. Remove pieces of the damaged intervertebral discs and sometimes the arthritic bone is removed as well.
    4. Close. The incision is closed carefully with sutures.

    All of our top spine specialists are experts in this procedure. You will be in the best hands at Elite Brain and Spine.
     

    Foraminotomy

    A Foraminotomy is an operation that is used to relieve the pressure on nerves that are being compressed by intervertebral foramina. Intervertebral foramina are the openings on the left and right side of the spinal column between the vertebrae. In a healthy spine, the intervertebral foramina creates enough space between the vertebrae to let nerves pass through. However, herniated discs, spinal stenosis, or other conditions can make the space between the vertebrae narrow, which can compress the spinal nerves. 

    When the spinal nerves are compressed, it can cause pain, burning or tingling in extremities. 

    Procedure 

    At Elite Brain and Spine, our board-certified neurosurgeons will perform a foraminotomy as an outpatient procedure which means you will be able to return home the same day. Our minimally invasive techniques allow less trauma after the surgery and you should be up and moving shortly after surgery. 

    The steps to the procedure are: 

      1. Incision. A one inch incision is made near the affected spinal discs and vertebrae. Carefully move the spinal muscles and other structures in the spine to the side. 
      2. Decompression. Remove the damaged disc material or burn spurs from the foramen using small surgical tools. This will decompress the spinal nerves within the foramen.
      3. Close. Close the incision carefully. 
    Cervical Corpectomy
    A cervical corpectomy is a procedure to access the spinal discs and vertebrae in your spine. The procedure is performed to remove one or more vertebrae in the spine. 

    Procedure 

    At Elite Brain and Spine, all of our top neurosurgeons usually use a frontward approach, however, your surgeon will discuss the best approach during your appointment. Our board-certified neurosurgeons can perform this procedure as an inpatient or outpatient procedure depending on the condition of your spine. Our minimally invasive techniques allow less trauma after the surgery and you should be up and moving shortly after surgery. 

    The steps to the procedure are: 

      1. Incision. A one inch incision is made near the affected spinal discs and vertebrae. Carefully move the spinal muscles and other structures in the spine to the side. 
      2. Decompression. Remove the damaged disc material and vertebrae with small surgical tools and microscopes. This will decompress the spinal cord or nerves. 
      3. Spinal fusion. Insert a small implant packed with bone graft into the area where the disc was removed. Then, small plates and screws are attached above and below the vertebrae. 
      4. Close. The incision is then closed carefully. 
    Vertebroplasty and Kyphoplasty
    Vertebroplasty and Kypoplasty are two common surgical procedures that help with spinal fractures. A vertebroplasty is where the fracture is stabilized with surgical-grade cement and a kyphoplasty is when the fracture is stabilized and the height of the vertebrae is restored by a tiny balloon that is inserted. This procedure is also known as a Balloon Kyphoplasty.  At Elite Brain and Spine, both of these procedures are minimally invasive, meaning that there will be less trauma put on your body and a shorter recovery time. 

    Procedure

    At Elite Brain and Spine, both a Vertebroplasty and a Kyphoplasty are performed as an outpatient procedure. This means you will be able to return home the same day as the surgery. Our board-certified spine specialists are experts on both of these minimally invasive procedures
     

    Opiate/Baclofen Pump Procedure
    An Opiate/Baclofen Pump Procedure is used to relieve chronic pain in your spinal cord. The procedure releases pain medication or muscle relaxers straight to the area around the spinal cord using a catheter or small pump. 

    Pain medication has been used for many years to treat chronic pain. The medications can be addictive and have many side effects, but luckily at Elite Brain and Spine, our specialists are able to use minimally invasive procedures to deliver the medication right to the pain source. This allows for less side effects and addictive tendencies. 

    Procedure 

    At Elite Brain and Spine, an Opiate/Baclofen Pump Procedure is usually done as an outpatient procedure. Our board-certified neurosurgeons are experts when it comes to performing this procedure. 

    The steps to the procedure are: 

    1. Incision. A tiny incision is made in the middle of the back. 
    2. Place Catheter.  Carefully place the catheter near the spinal cord.
    3. Place Pumpt. A tiny incision is then made on the abdomen. The pump is attached to the catheter and is placed underneath the abdominal skin. 
    4. Close. The incisions are then carefully closed and covered. 

    The procedure takes about two to three hours. Once the procedure is finished, you will be able to go home that same day. 
     

    Revision Spine Surgery
    A Revision Spine Surgery is performed when surgeons need to correct issues that were caused by previous spine surgery. Screws, plates or other implants used in the previous surgery can cause pain in the spine, although this is uncommon. The cause of the pain is due to the spine not healing properly after the surgery or the implants were placed incorrectly.

    Adjacent Level Segment Disease causes the discs or vertebrae above or below the original surgical area to weaken due to the implants that were placed. This can cause pain in the spine, leading to surgery to relieve the pain. 

    Procedure 

    Our board-certified neurosurgeons have been trusted by many customers to fix the damage that has been done from previous spinal surgeries. At Elite Brain and Spine, your surgeon will perform the procedure based on what is causing you pain. If the implants are causing you pain, your surgeon at Elite Brain and Spine might remove, replace or reposition the implants. If the vertebrae or disc have moved to above or below where it was originally, a spinal fusion may be needed to stabilize them.
     

    Spinal Cord Stimulator
    A Spinal Cord Stimulator Procedure is used to relieve back and extremities pain. It is a minimally invasive procedure that attempts to stop pain signals to the brain. The neurosurgeon will use a spinal cord stimulator and electrodes to stimulate the nerves, blocking the pain signals. 

    Procedure 

    At Elite Brain and Spine, our best spine surgeons will perform the procedure as an outpatient procedure. 

    The steps to the procedure are: 

    1. Incision. A tiny incision is made in the back.
    2. Place Stimulator. Create space and place the stimulator near the spine. Place the electrodes in the spinal cord after. 
    3. Program the stimulator. The simulator is programmed to send the proper signal frequency and strength through the electrodes. 
    4. Close. The Incision is closed carefully. 

    The procedure takes about one hour and patients are able to go home once the procedure is finished. 
     

    Want to Understand More About Your Options?

    The Benefits of Minimally Invasive Procedures

    N

    Reduced operative time

    N

    Surgical incisions are less painful and heal faster

    N

    Shorter hospital stay

    N

    Less soft tissue damage due to reduced muscle retraction

    N

    Recovery is faster with less postoperative pain

    N

    Smaller, cosmetically pleasing, incisions

    N

    Reduced blood loss

    Frequently Asked Questions

    Is minimally invasive surgery right for me?

    Whether or not minimally invasive surgery is right for you depends on your individual circumstances. Contact us to discuss what risks might affect you.

    What is the recovery time for minimally invasive surgery?

    Healing is an individual process– it depends on the reason you had surgery, your overall health and other factors. Speak with one of our specialists for more information.

    What is minimally invasive surgery exactly?

    Minimally invasive surgery is typically performed by making small incisions, or operating ports, rather than large incisions, resulting in shorter recovery times, fewer complications, reduced hospitalization and less trauma to the patient. Consult with the Elite to know if a minimally invasive procedure is the right choice for your condition.

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    Hear From Our Patients

    About Elite Brain & Spine of Connecticut

    The neurosurgical specialists of Elite Brain & Spine of Connecticut taking a lively group photo in their lab coats.

    You are in extremely experienced and compassionate hands with the neurosurgical associates at Elite Brain & Spine of Connecticut. With locations in Danbury and Norwalk, expert care is close by.

    Request an Appointment

    Locations in:

    – Norwalk
    – Danbury

    Give Us A Call:

    Danbury: 203-792-2003
    Norwalk: 203-853-0003

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