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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 procedures

Craniotomy 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 procedures

Lumbar Spine

7 procedures

Lumbar 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 procedures

Considering surgery?

Schedule a consultation to discuss your specific case and explore which procedure — if any — fits your situation.