Daniel Park, MD, director of minimally invasive orthopedic spine surgery at Beaumont Hospital, Royal Oak (Mich.), has been using a new technique in his practice called biportal endoscopic spine surgery. BESS, a recent addition to the minimally invasive spine space, can be used to treat a variety of spinal conditions, including herniated discs, lumbar spinal stenosis and lumbar interbody fusions.
Recently, a new article demonstrated that smokers undergoing a single level lumbar fusion did not have a higher rate of the fusion not taking (pseudarthrosis) compared to non smokers. However, if they underwent a two level fusion the rate of fusion not taking was higher. Complications however were also higher for smokers regardless of number of levels.
I typically start PT after a lumbar fusion 3 months after surgery. My rationale being that for the first 3 months I just want you to walk and not focus on strengthening. When patients occasionally asked for "supportive" evidence for this, I did not have evidence until a recent paper in Spine Journal found worse clinical outcomes and more expensive treatment if therapy started earlier.
Dr Park has been selected as one of the top 15 spine surgeons recognized for spinal research by Becker's Spine Review Dr Park has been selected as one of the top 15 spine surgeons recognized for spinal research by Becker's Spine Review
The International Society for the Advancement of Spine Surgery recently honored Dr. Auerbach with the 2012 Kostiuk Innovation Award for his work comparing Coflex interlaminar stabilization to posterior spinal fusion for patients with spinal stenosis and spondylolisthesis. Dr. Auerbach is the chief of spine surgery at Bronx-Lebanon Hospital Center and assistant professor of surgery at Albert Einstein College of Medicine in Bronx, N.Y. His clinical practice focuses on pediatric and adult spinal deformities and spinal tumors.