List of Common Surgical Procedures

Spine

Dr. MoellekenDr. Alan Moelleken

  • TLIF A transforaminal lumbar interbody fusion (TLIF) is a type of spine surgery that involves approaching the spine from the back, or posterior, of the body to place bone graft between two vertebrae. The procedure may be performed using minimally invasive surgical techniques.
  • PLIF A posterior lumbar interbody fusion (PLIF) is a type of spinal surgery that involves removing damaged disc material and inserting a bone graft between two vertebrae. “Posterior” refers to the method of approaching the spine from the back of the body, and “lumbar” refers to the lower region of the spine. PLIF is particularly useful in the correction of degenerative lumbar deformity such as spondylolisthesis, scoliosis or disc space collapse and in the management of associated of neurological compression.
  • SafeSpine® is a surgical technique that uses a blunt probe to push ligaments and nerves aside instead of cutting through them during a Micro-Lumbar Discectomy.  The result is decreased neurological injury, which reduces recovery time and pain, and may result in an overall better outcome for the patient.
  • MiniFuse® is a minimally invasive fusion of the lumbar spine that uses 3 small incisions as opposed to 1 large incision. This outpatient procedure allows the patient to go home the same day, minimizes blood loss, reduces recovery time and pain, and may result in an overall better outcome for the patient.
  • Anterior Cervical Decompression and Fusion (Pre-operation guidelines) (Post-operation guidelines English | Spanish)
    (includes fusions with metallic and other implants, bone grafting procedures, and spinal instrumentation, microsurgical decompression)
    Procedure performed to remove pressure from the spinal cord and/or nerve roots through the removal of intervertebral discs. Bone or strut grafts, with or without the addition of supporting titanium plates and screws, are then inserted to replace removed discs, and fuse the vertebra to achieve stability.
  • Anterior Lumbar Spinal Fusion (Pre-operation guidelines) (Post-operation guidelines English | Spanish)
    (includes mini-open approach, laparoscopic and thoracoscopic techniques, endoscopic fusions, and endoscopic microdisc surgery)
    Procedure performed to reduce back or leg pain caused by natural degeneration of disc space. Through an incision in the abdomen, a portion of the affected disc space is removed and replaced with an implant that may or may not be supported by screws and rods inserted at the back of the spine.
  • Kyphoplasty (Pre-operation guidelines)
    Minimally invasive procedure guided by fluoroscopy designed to stop pain caused by spinal fracture. A small balloon inserted into the vertebrae through a tube elevates the fracture and returns it to a more normal position.
  • Micro-Lumbar Discectomy or Laminectomy (Pre-operation guidelines) (Post-operation guidelines)
    Minimally invasive surgical decompression procedure used to remove the portion of the intervertebral disc that is compressing the spinal nerve root in patients with lumbar herniated discs.
  • Posterior Cervical Microsurgical Decompression/Foraminotomy (Pre-operation guidelines) (Post-operation guidelines English | Spanish)
    Minimally invasive procedure designed to reduce neck pain through the decompression of single or multiple cervical nerve roots.
  • Posterior Cervical Microsurgical Decompression and Fusion (Pre-operation guidelines) (Post-operation guidelines English | Spanish)
    Minimally invasive procedure used to treat abnormal movement, pain, and/or narrowing of the cervical spine. Microsurgery is performed to decompress the spinal cord and/or nerves, and small titanium screws are inserted to help stabilize abnormal movement or neck instability.
  • Posterior Lumbar Spinal Fusion (includes minimally-invasive techniques) (Pre-operation guidelines) (Post-operation guidelines English | Spanish)
    Procedure used to combine and immobilize two or more vertebrae in order to eliminate pain caused by abnormal motion of the vertebrae.
  • Posterior Scoliosis Fusion (Pre-operation guidelines) (Post-operation guidelines Spanish)
    Procedure performed to correct severe curvature of the spine. An incision is made straight down the back to allow for the insertion of rods and screws used to straighten and stabilize the spine while bone fusion occurs.
  • Posterior TruFuse procedure (minimally invasive) (Pre-operation guidelines)
  • Cervical Artificial Disc Replacement (Pre-operation guidelines) (Post-operation guidelines)
    Procedure performed to reduce pain caused from a herniated or ruptured disc, or from degenerative disc disease. An artificial disc in inserted into the disc space, preserving natural motion of the cervical spine by functioning as a joint.
  • Lumbar Artificial Disc Replacement (Pre-operation guidelines)
    Procedure performed to reduce pain caused from a herniated or ruptured disc, or from degenerative disc disease. An artificial disc in inserted into the disc space, preserving natural motion of the lumbar spine by functioning as a joint.

Pain management

 

Dr. Dirkx

Dr. Jacques

Dr. Dirkx and Dr. Jacques in Combination Perform:

  • Vertebroplasty (Pre-operation guidelines)
    A vertebroplasty involves the injection of a small amount of quick-drying "bone cement" material into a spine fracture to help stabilize the bone and hopefully reduce or eliminate the pain caused by the fracture. This minimally-invasive same-day outpatient procedure is performed via a small puncture made by a special needle inserted through the patient's skin. For more information, please see the video links section.
  • Lumbar and Sacral Radiofrequency Rhizotomy (Pre-operation guidelines)
    A lumbar radiofrequency neurotomy (or radiofrequency rhizotomy) is a minimally invasive procedure that can help significantly decrease or possibly even eliminate the pain that can occur from injured facet or sacroiliac joints. This is accomplished by "burning" the medial branch nerves (the same nerves targeted in a "medial branch block") that carry pain signals to these joints, using specially-designed needles. It is a relatively simple outpatient procedure that usually takes less than an hour to complete.
    Video Link: http://www.spine-health.com/video/lumbar-radiofrequency-neurotomy-video
  • Cervical Facet Radiofrequency Rhizotomy (Pre-operation guidelines)
    A cervical radiofrequency neurotomy (or radiofrequency rhizotomy) is a minimally invasive procedure that can help significantly decrease or possibly even eliminate the pain that can occur from injured facet or sacroiliac joints. This is accomplished by "burning" the medial branch nerves (the same nerves targeted in a "medial branch block") that carry pain signals to these joints, using specially-designed needles. It is a relatively simple outpatient procedure that usually takes less than an hour to complete.
  • Spinal Cord Stimulation
    Spinal cord stimulation (SCS) is a procedure that uses an electrical current to treat chronic pain. A small device called a pulse generator is implanted in the back and sends electrical pulse signals to the spinal cord. These pulses act to disrupt the nerve signals that make you feel pain in your affected regions of the spine and limbs. It "replaces" the pain sensation with what most patients describe as a mild tingling sensation. While the treatment does not work for everyone, most patients who qualify for this stimulation therapy report a significant reduction in overall pain, as well as an increased ability to participate in normal family and work activities. Many patients find that they can decrease or stop taking painkillers or other pain medications after undergoing spinal cord stimulation. Your doctor usually will first insert a temporary stimulator through the skin (percutaneously) to give the treatment a trial run for a period of about 5 to 7 days. If the trial is successful, your doctor can implant a more permanent stimulator. After this same-day outpatient procedure is complete, you and your doctor will determine the best pulse strength and usage schedule for long-term use. For more information, see the spinal cord stimulation video link.
    Video Link: http://www.spine-health.com/video/spinal-cord-stimulator-implant-video

Dr. Pifer

Shoulder & Arm

Total Shoulder Replacements:Anatomic, Reverse, Partial - Procedure to treat arthritis and fractures to relieve pain and help you resume everyday activities. http://www.matthewpifermd.com/shoulder-joint-replacement

Arthroscopic Surgery- Minimally invasive technique for performing shoulder surgery through small incisions using a camera and specialized instruments. http://www.matthewpifermd.com/shoulder-arthroscopy/

Arthroscopic Rotator Cuff Repair- Minimally invasive surgery repairing torn rotator cuff tendons anchoring them in place so they can heal. http://www.matthewpifermd.com/arthroscopic-rotator-cuff-repair

Arthroscopic Labral Repair (for instability, dislocation, SLAP tears)- Minimally invasive surgery repairing a torn labrum after a dislocation or trauma. http://www.matthewpifermd.com/slap-repair/

Arthroscopic AC Joint Reconstruction -  Minimally invasive surgery repairing the Acromioclavicular joint (AC joint) after a shoulder AC joint dislocation or shoulder separation https://www.arthrex.com/shoulder/acromioclavicular-reconstruction

Arthroscopic Capsular Release- Minimally invasive surgery for a frozen shoulder http://www.matthewpifermd.com/frozen-shoulder/

Arthroscopic Acromioplasty - Minimally invasive surgery to remove the bone spur that can rub on the rotator cuff  that causes subacromial impingement http://www.matthewpifermd.com/shoulder-impingement/

Arthroscopic Distal Clavicle Resection. - Minimally invasive surgery to remove the end of the clavicle to treat arthritis or distal clavicle osteolysis conditions.

Arthroscopic Nerve release - Minimally invasive surgery to take pressure off a nerve in the shoulder.

Arthroscopic and Open Biceps Tendon Repair - Minimally invasive surgery to repair the long head of the biceps to treat tear or tendonitis. http://orthoinfo.aaos.org/topic.cfm?topic=A00026

Pectorals Major Repair - Repair of the pectorals muscle after it has been torn off the humerus. http://www.matthewpifermd.com/pectoralis-muscle-tear/

Surgical Treatment of Fractures of the Clavicle, Scapula, Humerus. - Bone fragments are placed back to their anatomic position and fixed with metal plates, screws, rods, or pins toallow for healing.

Elbow & Forearm

Arthroscopic Surgery -Minimally invasive technique for performing elbow surgery through small incisions using a camera and specialized instruments. http://www.matthewpifermd.com/elbow-arthroscopy/

UCL repair (Tommy John’s) -Repair of the UCL ligament of the elbow that is used for stabilizing the throwing motion. http://www.matthewpifermd.com/tommy-johns-ucl-tear-of-elbow/

Biceps Tendon Repair - Repair of a torn biceps tendon in the front of the elbow. http://www.matthewpifermd.com/biceps-tendon-rupture/

Triceps Tendon Repair - Repair of a torn biceps tendon in the back of the elbow. http://www.matthewpifermd.com/triceps-tendon-tear/

Ulnar nerve release - Release of the compressed ulnar nerve in the elbow from compression or Inflammation. http://www.matthewpifermd.com/cubital-tunnel-syndrome/

Olecranon Bursectomy - Removal of the bursa on the back of the elbow. http://orthoinfo.aaos.org/topic.cfm?topic=A00028

Lateral Epicondylitis (tennis elbow) debridement - partial removal of the tendon that causes pain in tennis elbow. http://www.matthewpifermd.com/tennis-elbow/

Ligament Reconstruction for dislocations - Repair or reconstruction of the ligaments around the elbow that can be torn after a dislocation.

Surgical Treatment of Fractures of the Humerus, Radius, and Ulna - Bone fragments are placed back to their anatomic position and fixed with metal plates, screws, rods or pins, to allow for healing.

Hip

Proximal hamstring repair -repair of a torn hamstring tendon from its tear off the belvis.  http://www.matthewpifermd.com/proximal-hamstring-repair/

Surgical Treatment of Fractures of the Hip and Femur.  Bone fragments are placed back to their anatomic position and fixed with metal plates, screws, rods, or pins to allow for healing.

Knee

Arthroscopic Surgery - Minimally invasive technique for performing shoulder surgery through small incisions using a camera and specialized instruments. http://www.matthewpifermd.com/arthroscopy-of-the-knee-joint

Single Portal Arthroscopic Surgery - A new single-incision knee surgery with less pain, and a shorter recovery time. http://singleportalarthroscopy.com/

ACL Reconstruction (including the All-Inside ACL) - Minimally invasive reconstruction of the ACL in the knee for regaining stability. http://www.matthewpifermd.com/anterior-cruciate-ligament-acl-reconstruction/ http://www.matthewpifermd.com/anterior-cruciate-ligament-acl-reconstruction/

PCL Reconstruction- Reconstruction of the PCL in the knee for regaining stability. http://www.matthewpifermd.com/pcl-tear/

MCL Reconstruction- Reconstruction of the MCLin the knee for regaining stability. http://www.matthewpifermd.com/mcl-tear/

LCL Reconstruction- Reconstruction of the LCL in the knee for regaining stability. http://www.matthewpifermd.com/lcl-injury/

Multi-ligament Reconstruction- Reconstruction of 2 or more ligaments in the knee for stability.

Arthroscopic Meniscal Repair- Repair of the knees cartilage shock absorber in the knee. http://www.matthewpifermd.com/meniscal-repair/

Arthroscopic Partial Meniscectomy- Minimally invasive technique for cleaning out and removing the torn part of the meniscus. Typically Dr Pifer uses the Single Portal technique for this (see Single Portal Arthroscopy). http://singleportalarthroscopy.com/

Patellar Instability (MPFL reconstruction, tibial tuberosity osteotomys)- Procedures for treating patellar instability of the knee. http://www.matthewpifermd.com/patellofemoral-instability/

Arthroscopic Microfracture- Minimally invasive technique for treating cartilage injury in the knee by releasing bone marrow stem cells to grow new cartilage in the area of injury. http://www.matthewpifermd.com/articular-cartilage-lesions/

Osteochondral allografts - technique for treating cartilage injury in the knee by replacing it with cadaveric cartilage and bone. http://www.matthewpifermd.com/articular-cartilage-lesions/

Arthroscopic Subchondral decompression- Minimally invasive technique for treating avascular necrosis or osteonecrosis lesions of the knee. http://www.matthewpifermd.com/osteonecrosis-of-the-knee/

Subchondroplasty- Treatment for chronic bone marrow lesions that have been shown to be a source of joint pain in patients with osteoarthritis of the knee. http://www.subchondroplasty.com/

Proximal tibial osteotomy- Treatment for unicompartmental osteoarthritis in the knee. http://www.matthewpifermd.com/osteotomy/

Quad tendon repair- Reattachment of the quadriceps tendon to the patella after a tear. http://orthoinfo.aaos.org/topic.cfm?topic=A00294

Patellar tendon repair- Reattachment of the patellar tendon to the patella after a tear. http://orthoinfo.aaos.org/topic.cfm?topic=A00512

Surgical Treatment of Fractures of the Femur, Patella, Tibia, and Fibula- Bone fragments are placed back to their anatomic position and fixed with metal plates, screws, rods, or pins to allow for healing.

Ankle

Arthroscopic Surgery- Minimally invasive technique for performing shoulder surgery through small incisions using a camera and specialized instruments. http://www.matthewpifermd.com/ankle-arthroscopy/

Achilles tendon repair - Procedure for stitching the torn tendon back together with strong sutures http://www.matthewpifermd.com/achilles-tendon-rupture/

Ankle ligament reconstruction -Reconstruction of the ankle ligaments for regaining stability. http://www.matthewpifermd.com/ankle-sprain/

Syndesmotic repair (high ankle sprain) - Reconstruction of the ankle syndesmotic ligament for regaining stability.

Surgical Treatment of Fractures of Ankle, Tibia, and Fibula -  Bone fragments are placed back to their anatomic position and fixed with metal plates, screws, rods, or pins to allow for healing.