Spine Archive: Neurologic

Spine Surgery Buffalo

Indications for Surgery in Spinal Arthropathy, Western New York

Contact Dr. Anthony Leone today to learn more about spine surgery and neurologic impairment.

Neurologic impairment is the most urgent indication for surgery in patients with spinal arthropathy. Impairment can be determined by history, clinical examination, electrodiagnostic studies, or MRI. Because progression of myelopathy is the natural history in rheumatoid arthritis, any myelopathic findings should be considered a surgical indication.¹

¹R. Vaccaro MD, Alexander. Orthopaedic Knowledge Update. Rosemont: American Academy of Orthopaedic Surgeons, 2005.

Spine Surgery Buffalo

Surgical Treatment of Spinal Tumors, WNY

Spinal tumors should not be ignored. Learn more about spine tumors and surgical options from Dr. Anthony Leone.

The primary goals of surgery in patients with spinal tumors are to reduce pain, to preserve or restore neurologic function, and to establish spinal column structural integrity. Less commonly, excision of the tumor is an attempt at a cure is performed. In patients with tumors that do not respond to radiotherapy and chemotherapy, earlier surgery to prevent impending vertebral collapse and/or neurologic deterioration may be considered.¹

¹R. Vaccaro MD, Alexander. Orthopaedic Knowledge Update. Rosemont: American Academy of Orthopaedic Surgeons, 2005.

Spine Surgery Buffalo

Surgery and Lumbar Degenerative Disorders, Buffalo NY

Contact Dr. Leone to learn more about surgical options regarding disk herniations and other spinal irregularities.

Factors that influence the decision to proceed with surgery include disk herniation into a stenotic canal, which may lead to recurrent or persistent symptoms; inability of patients to comply with the dictates of a conservative therapy regimen; and the number of sciatica episodes experienced by a patient. Absolute indications for surgery in lumbar disk herniation are bladder and bowel involvement and progressive neurologic deficit.¹

¹R. Vaccaro MD, Alexander. Orthopaedic Knowledge Update. Rosemont: American Academy of Orthopaedic Surgeons, 2005.

Spine Surgery Buffalo

Radiculopathy, Buffalo New York

Contact Dr. Anthony Leone regarding spine disorders to learn more about a possible treatment plan.

Patients who come to the physician for evaluation of cervical spine disorders typically complain of neck pain, arm pain, generalized neurologic dysfunction, or some combination of these symptoms. They also may have weakness or sensory disturbance, and occasionally patients may have a painless radiculopathy.¹

¹Garfin MD, Steven. Orthopaedic Knowledge Update : Spine. Rosemont: American Academy of Orthopaedic Surgeons, 1997.

Spine Surgery Buffalo

Adult Spinal Deformities, Buffalo New York

Spinal deformities and other related topics are covered in Dr. Leone’s Knowledge Center for spine and orthopedic surgery.

A complete history followed by a careful physical examination (including a complete neaurologic examination) is essential in a patient with adult spinal deformity. The importance of social and family history and occupational history cannot be overstated. Depression, substance abuse, and chronic smoking in patients with adult spinal deformity can result in a less than ideal outcome.¹

¹R. Vaccaro MD, Alexander. Orthopaedic Knowledge Update. Rosemont: American Academy of Orthopaedic Surgeons, 2005.

Spine Surgery Buffalo

Surgical Treatment of Spondylolisthesis, WNY

Contact Dr. Leone today to learn more about spine consultations and surgical treatment options.

Failure of conservative management (persistence of pain, progression of neurologic symptoms, or progression of slippage) is an indication for surgical treatment. Numerous approaches to surgical reconstruction have been used. These approaches include anterior interbody fusion, posterolateral fusion with and without instrumentation, anterior-posterior procedures, and posterior interbody procedures.¹

¹R. Vaccaro MD, Alexander. Orthopaedic Knowledge Update. Rosemont: American Academy of Orthopaedic Surgeons, 2005.