Central Scheduling: (954) 941-8889
SPINAL
SURGERY
COMREHENSIVE SPINE CARE SOLUTIONS

The mission of Florida Spine and Joint is to provide the finest comprehensive and state-of-the-art care for patients with spine disorders, with the goal of restoring normal function and relieving spine-related pain.

We are leaders in providing effective treatments, patient education, and advances through spinal research. As one of Florida’s top orthopedic and spine practices, Florida Spine and Joint Institute represents cutting edge spine treatments and continues to explore and achieve the best possible outcomes for our patients.

This surgery removes a herniated or diseased disc and relieves neck and radiating arm pain caused by parts of the disc pressing on nerve roots.

This minimally-invasive surgical procedure, performed through a tiny hole in the neck, removes the bulging portion of a herniated cervical disc. It is designed to relieve neck and radiating arm pain caused by herniated disc material pressing on nerve roots.

(Caution: Investigational Device)
A goal of this procedure is to relieve the pain caused by pinched nerves due to a damaged disc in the cervical spine. The diseased or damaged disc will be replaced with a specialized implant.

This minimally-invasive procedure treats spine fractures caused by osteoporosis. It is designed to provide rapid back pain relief and help straighten the spine.

This procedure is performed through an incision on the lower back. The surgeon removes a section of bone, called the lamina, from one or more vertebrae. This relieves pressure on the nerve roots caused by stenosis (a narrowing of the spinal canal).

This procedure removes a section of bone from the rear of one or more vertebrae to relieve the painful and disabling pressure of stenosis.

This procedure removes a section of bone from the rear of one or more vertebrae to relieve the painful and disabling pressure of stenosis. The spine is then stabilized with rods and screws.

Designed to be a less invasive way to fuse the spine, IBF is generally used for the treatment of back pain caused by degenerative disc disease. When the procedure is performed from the front (anterior) of the spine, a minimally-invasive endoscopic technique may be used. The surgery in the following animation is performed through an anterior approach.

This minimally-invasive procedure is performed through a tubular device. It is designed to relieve pain caused by herniated discs pressing on nerve roots. This surgery is usually performed on an outpatient basis, which allows the patient to leave the hospital the same day.

PLIF is generally used to treat back or leg pain caused by degenerative disc disease. The surgeon will stabilize the spine by fusing vertebrae together with bone graft material.

TLIF is generally used to treat back or leg pain caused by degenerative disc disease. The surgeon will stabilize the spine by fusing vertebrae together with bone graft material.

What is Sacroiliac Joint Disease
The sacroiliac joint is in the low back where the spine meets the pelvis. Sacroiliac joint pain is discomfort in this area. This pain is a symptom that may come from a number of conditions or diseases.

What are the Causes of Sacroiliac Joint Disease?

  • Twisting, bending, or moving in a way that triggers sacroiliac joint pain
  • Infection of the joint
  • Osteoarthritis of the joint (more common in older adults)
  • Trauma, such as auto accidents
  • Stress Fracture in athletes
  • Inflammation of the joint, such as with Ankylosing Spondylitis
  • EXAMPLE-MVA SCENARIO:  The foot gets locked down against the floorboard during the accident at the time of impact. Therefore the impact caused force imparted from the seat into her pelvis and then down the femur, tibia, into the calcaneus and foot into the floor and then an equal and opposite force from the floor in the reverse direction through the hip into the pelvis through the sacroiliac joint as the sacrum, which is the keystone of the pelvis. This is consistent with  symptoms and signs of posttraumatic sacroiliitis.
  • So even patients with negative MRI findings, that continue with pain, should be worked up for the SI joint.  Provocative testing and diagnostic injections should be performed.

Symptoms :

  • pain to the left or right of the lower back.
  • pain may radiate out into the buttocks and low back and will often radiate to the front into the groin.
  • Occasionally the pain in the lower limb which can be mistaken for sciatica.

Other symptoms: difficulty turning over in bed, struggling to put on shoes and socks, pain in your legs while getting in and out of the car, stiffness in the lower back when getting up after sitting for long periods , getting up from bed in the morning.

Anatomy of the Sacroiliac Joint

There are two sacroiliac (SI) joints. They are in the very low back (buttocks area). There is one joint on either side of the pelvis. The SI joints link the sacrum to the ilium. Located between the sacrum (tailbone) and ilium (hip bone) in the pelvis, the sacroiliac (SI) joint (Fig. above and below) is a common frequently overlooked source of low back pain. SI joint pain is not specific to any particular age group, occupation, or sporting activity.

Establishing the diagnosis

Diagnosing SI joint dysfunction can be difficult because the symptoms and physical findings of this condition are also seen in other well-recognized causes of low back pain (including a herniated, or slipped, disc). Your physician can diagnose SI joint dysfunction by carefully reviewing your clinical history and performing a thorough physical examination. Plain x-rays, CT, and MRI are not usually helpful in establishing the SI joint as a source of low back pain, other than ruling out back pain that may be caused by a disc herniation, pinched nerve, inflammation, or infection.

The most widely used method to determine the cause of SI joint pain is to inject the SI joint with painkillers. Your doctor will deliver the injection with either X-ray guidance or CT guidance to ensure that the needle is accurately placed in the SI joint. If, following the injection, your pain is decreased by more than 75%, then it can be concluded that the SI joint is either the source, or a major contributor, to your low back pain. If the level of pain does not change after the injection, it is unlikely that the SI joint is the cause of your low back pain.

At Florida Spine and Joint Institute our Surgeon specialize in Same Day surgery.  Our spine surgeons are the most experienced and best trained surgeons to relieve the pain from sacroiliac joint disease. We offer the most effective and widest variety of conservative and surgical sacroiliac joint disease treatments available to get you back home the same day and back to your life. Florida Spine and Joint Institute specializes in minimally invasive treatments for sacroiliac joint disease surgeries, using the latest cutting edge technologies.

Minimally Invasive Procedure

Also called laparoscopic surgery — for several conditions. In minimally invasive procedures, your doctor makes one or more incisions, each about a half-inch long, to insert a tube. The number of incisions depends on the type of surgery. The tube or tubes let the doctor slip in tiny video cameras and specially designed surgical instruments to perform the procedure.
When you have minimally invasive surgery, you’re likely to lose less blood and have less postoperative pain, fewer and smaller scars, and a faster recovery than you would after open surgery. Depending on your condition, you may need only a short hospital stay.
For some conditions, your doctor may recommend robotic surgery. That technology gives your doctor great precision, flexibility and control by providing a magnified, 3-D view of the surgical site.

Out-patient Procedure

Same Day Surgery (SDS) is available for surgical procedures that generally do not require an overnight stay in the hospital. This service is designed to save the patient the expense and inconvenience of an overnight hospital stay. Following the procedure, the patient’s condition is monitored in the SDS unit. Some procedures, however, may require patients to be admitted to a hospital room following surgery.

At Florida Spine and Joint Institute, we see thousands of patients who suffer from acute and chronic pain, including:

  • Spine
  • Joints
  • Shoulder
  • Cartilage
  • Ligaments
  • Tendons

We aspire to perform the most effective treatment possible. In the past, we were limited to repairing the mechanical structure of the injured part with plates, screws, rods, fusions and/or replacements. Now, with the evolution of technology, we have the capability of addressing the underlying biological problem.Stem Cell Success Raises Hopes of Type 1 Diabetes Cure

  • Stem Cells
    • Advances in regenerative medicine allow us to engage the healing potential of the body itself. What if you could directly deliver cells to the damaged tissue that can aid in your natural rehabilitation? We all have cells living dormant in our body that can be activated by disease, injury, or inflammation known as “stem cells.”
  • How Stem Cells Work
    • Stem cells are the earliest form of a cell. They are unspecialized and capable of self-regeneration. They have the potential to become any cell or tissues type. This is called, “Multipotency”.Stem cells can transform into a variety of tissue types, including nerve cells, muscle cells, blood, bone and more.This is called, “DIFFERENTIATION”.
  • Stem Cell Treatment Widespread
    • Since their discovery in the 1960’s, stem cells have been used to treat a myriad of ailments, including:Leukemia & Other forms of cancerParkinsons & Crohn’s Disease, Lou Gehrig’s DiseaseDiabetes & Ocular degenerationHeart Disease, Arthritis, & moreThe Florida Spine and Joint Institute uses stem cell technology to treat disorders. We continually discover better ways to treat our patients and actively research to advance the field.WE DO NOT USE EMBRYONIC STEM CELLS!
  • Different Methods
    • Some stem cell treatments involve using stem cells from the patient’s own body. These are obtained from either fat or bone marrow. The cells are processed and re-injected. This has been routine therapy in the United States since the mid 1980’s. Approximately one million patients have been treated since.But the quantity and quality of the stem cells differ from patient to patient. Research shows that as we age, the number of viable stem cells in our body depletes.
  • Our Different Approach
    • The stem cells we use are called Placental Matrix-Derived Mesenchymal Stem Cells (MSCs) and are derived from placenta tissue called Chorion. Cells of the Chorion are derived from the fetal mesoderm, which is responsible in forming our musculoskeletal and connective tissue for:BonesLigamentsTendonsMuscles
  • Voluntary, Informed Donations
    • These MSCs are harvested from donated human placenta after normal, healthy c-section deliveries in the United States. Donations are voluntary with informed consent from the mother. They are rigorously screened with a full medical and social history; and extensive laboratory studies including negative serology screen are performed.
  • Placenta-Derived MSCs
    • Placenta-derived MSCs are easily accessible. Placenta-derived MSCs
      • Do not have the limitations of individual’s own stem cells
      • Do not have ethical issues of embryonic stem cells

      The body’s immune system is unable to recognize placenta derived MSCs as foreign, therefore they are immune privileged and are not rejected

  • The Injection
    • These stem cells are be processed then transferred via injection into painful, discs, joints, tissues, on tendons. Once injected, the stem cells can follow inflammatory signals from damaged tissues. They have multiple ways of repairing these damaged areas. The procedure lasts approximately ten minutes and can potentially improve your quality of life with a simple injection.The physicians at the Florida Spine and Joint Institute are Board-Certified, Fellowship trained experts on spine and joint disorders, with the experience necessary to utilize stem cell technology that may help you recover from your injuries or discomfort caused from your body’s wear and tear over time.
  • What is the Real Cost?
    • Treatment cost depends on the type of treatment required and will be discussed with you following your consultation. Insurance companies do not cover stem cell therapy. Yet, as an alternative to major surgery, you may decide this injection is the right choice for you.
  • Recovery
    • We have a well-qualified team at the Florida Spine and Joint Institute dedicated to helping usher you through the process:EvaluationProcedurePost-procedure care.We’ll monitor your progress on a regular basis to follow up on your condition.
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