Procedures
Procedures we perform
Each page covers what the procedure is, why it's the right answer when surgery is needed, what realistic recovery looks like, and what alternatives we considered first. Surgery is a deliberate decision, made together.
Brain, Cranial & Nerve
6 proceduresCraniotomy for Brain Tumor
Surgical removal of a brain tumor with image guidance, operating microscope, and — when the tumor is near eloquent cortex — awake mapping.
2–5 nights in hospital. Recovery varies with tumor location and pathology.
Stereotactic Navigation
Image-guided technology used during cranial and spinal procedures — a 3D map that confirms where we are in the operating room in real time.
Adjunct technology — recovery is determined by the primary procedure.
Awake Craniotomy for Brain Tumor
Tumor removal with the patient comfortably awake for part of the operation — because function we can test in real time is function we can protect.
2–4 nights in hospital. Recovery similar to a standard craniotomy for most patients.
Stereotactic Brain Biopsy
A needle biopsy of a brain lesion through a dime-sized opening, guided by 3D navigation — a diagnosis with the smallest possible operation.
1 night in hospital for most patients. Back to light activity within days.
VP Shunt Placement
A ventriculoperitoneal shunt drains excess cerebrospinal fluid from the brain to the abdomen through a thin tube under the skin — relieving hydrocephalus and its symptoms.
1–2 nights in hospital. Back to light activity in 1–2 weeks.
Microvascular Decompression (MVD)
Moving the blood vessel off the trigeminal nerve and keeping it off with a small cushion — a treatment aimed at the cause of trigeminal neuralgia rather than the symptom.
2–3 nights in hospital. Back to light activity in 2–3 weeks.
Cervical Spine
4 proceduresAnterior Cervical Discectomy & Fusion (ACDF)
A reliable operation for cervical disc herniation, radiculopathy, or myelopathy.
Often outpatient or 1 night. Return to desk work in 2 weeks. No collar typical at single levels.
Cervical Disc Arthroplasty
Motion-preserving alternative to ACDF for select single-level disc patients. Replace the disc instead of fusing the segment.
Often outpatient. Return to work in 1–2 weeks. Cervical motion preserved.
Posterior Cervical Fusion with Decompression
Posterior approach for multi-level cervical myelopathy or instability. Decompress the cord and fuse the segment in one operation.
1–3 nights in hospital. PT-supported recovery over 6–12 weeks.
Posterior Cervical Foraminotomy
A motion-preserving decompression of a pinched cervical nerve root through a small opening from the back of the neck — no fusion, no implant, no lost motion.
Outpatient or 1 night. Return to desk work in 1–2 weeks. Full neck motion preserved.
Lumbar Spine
7 proceduresLumbar Microdiscectomy
A focused outpatient operation to relieve pressure on a single nerve root from a herniated lumbar disc.
Outpatient. Most patients walk the same day and return to desk work in 1–2 weeks.
Lumbar Laminectomy
Decompression of the lumbar spinal canal to relieve stenosis-related leg pain, heaviness, and walking limitation.
Outpatient or 1 night. Walking the same day. Return to light activity in 2–3 weeks.
TLIF / PLIF (Lumbar Fusion)
Posterior lumbar interbody fusion combined with decompression — for spondylolisthesis, instability, or stenosis where slip or motion is part of the problem.
1–2 nights in hospital. Walking before discharge. Driving in 2–4 weeks.
Lumbar Laminotomy & Medial Facetectomy
A focused decompression that opens a small window of bone to free a crowded nerve — preserving the midline structures a full laminectomy removes.
Outpatient. Walking the same day. Return to desk work in 1–2 weeks.
Interspinous Device Placement
A small titanium implant placed between the spinous processes after decompression — adding stability while preserving motion, without a fusion.
Outpatient or 1 night. Walking the same day. Lighter restrictions than fusion.
Adult Scoliosis & Deformity Correction
Staged, individualized correction of adult degenerative scoliosis — realigning the spine and decompressing the nerves when curvature and imbalance are taking over your life.
3–7 nights in hospital. PT-supported recovery over 3–6 months.
Spine Tumor Resection
Removal of tumors involving the spinal column or spinal canal — decompressing the nerves, stabilizing the spine, and coordinating every step with oncology.
2–5 nights in hospital. Recovery varies with tumor type, location, and reconstruction.
Thoracic Spine
3 proceduresKyphoplasty
Percutaneous cement stabilization of a painful vertebral compression fracture — an outpatient procedure aimed at the pain and the structure at the same time.
Outpatient. Return to normal activity in days.
Thoracic Discectomy (Transthoracic Approach)
Removal of a compressive thoracic disc herniation through the chest — approaching from the front and side so the spinal cord is never retracted.
2–4 nights in hospital. Walking the first day. Gradual return over 4–8 weeks.
Thoracic Corpectomy
Removal of a diseased thoracic vertebral body — for tumor, fracture, or infection — with cage reconstruction and stabilization in the same operation.
3–5 nights in hospital. Walking in the first days. Structured recovery over 2–3 months.
Considering surgery?
Schedule a consultation to discuss your specific case and explore which procedure — if any — fits your situation.