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Case Example of a Multimodality Approach to Intracranial Abnormalities

With complex neurosurgical issues, the use of several different types of treatment options are often very important. As an example, a 42-year-old male was having increasing right-sided visual difficulties. After a workup that included an MRI of the brain, he was referred to our office for definitive management and care. (more…)

Minimally Invasive Spine Surgery: Percutaneous Pedicle Screw Fixation

by:  Sharad Rajpal, MD

Of the spectrum of metallic instrumentation techniques developed in spine surgery, pedicle screw fixation has gained the most popularity. As the technique and technologies for placement of percutaneous pedicle screws have progressed, so have the indications for their placement. Most surgeons will use percutaneous pedicle screw fixation as an adjunct to an anterior or posterior minimally invasive procedure. (more…)

Boulder Neurosurgical & Spine Associates is Enrolling Patients for the ACADIA® Facet Replacement System Study

by: E. Lee Nelson, MD

Boulder Neurosurgical & Spine Associates is excited to be a part of the ACADIA® IDE (investigational device exemption) FDA-controlled clinical trial investigating a facet joint replacement system. While many spine related problems can be treated nonoperatively, some spine conditions do require surgery. (more…)

Common Misconceptions about Deep Brain Stimulation

by:  Kara Beasley, DO

Deep Brain Stimulation (DBS) is a surgical treatment for movement disorders such as Parkinson’s disease (PD), essential tremor (ET) and dystonia. In Parkinson’s disease, DBS is best suited for patients whose medication fails to provide adequate symptom control or in whom medications cause intolerable side effects. (more…)

A 43-year-old woman is free of back pain after more than 10 years

by:  Alan Villavicencio, MD

Sara is a mother of four and a marathoner whose back pain eventually resulted in an L5-S1 artificial disc replacement surgery, after more than 10 years and two microdiscectomy surgeries performed by prior doctors. (more…)

Spine Tumor Consequences and Surgery Outcome

Monday’s second stage surgery went quite well for my spine tumor patient. The first stage of surgery was completed on Friday because of concerns of fairly significant spinal cord compression secondary to a spinal tumor. My team and I de-bulked this tumor and reestablished the spinal canal diameter anteriorly. (more…)