NEUROMODULATORY SURGERY

Overview

Neuromodulation includes treatments that involve stimulation or administration of medications directly to the body’s nervous system for therapeutic purposes. The target neurons for stimulation include those in the central and peripheral nervous systems, the autonomic nervous system, and the deep cell nuclei of the brain, resulting in modulation of their activity. Neuromodulation includes several modalities, and is a cross-disciplinary approach to pain control and neurologic dysfunction. Neuromodulation can be used to treat movement disorders, spasticity, and epilepsy, as well as multiple pain syndromes.

• Minimally invasive spine surgery

• Spinal cord stimulation

• Intrathecal Pain Management

NEUROMODULATORY PROCEDURES

The Coflex® Interlaminar Technology is an Interlaminar Stabilization® device indicated for use in one or two level lumbar stenosis from L1-L5 in skeletally mature patients with at least moderate impairment in function, who experience relief in flexion from their symptoms of leg/buttocks/groin pain, with or without back pain, and who have undergone at least 6 months of non-operative treatment. 

Coflex® Interlaminar Stabilization

Subacute Spinal Compression Fractures

Vertebroplasty and kyphoplasty are medical spinal procedures indicated for patients with subacute vertebral compression fractures and persistent pain. The procedure is performed percutaneously by injecting bone cement into the fractured vertebral body. If a patient has persistent pain for 2 weeks or more after initial injury, the patient is a candidate for vertebroplasty/kyphoplasty. 

Intrathecal Drug Pump Placement for Spasticity, Cancer & Chronic Pain 

Intrathecal drug delivery is a minimally invasive procedure in which a micro catheter is advanced into the intrathecal sac within the spinal canal and connected to a subdermal medication reservoir that elutes micro doses of drug into the intrathecal space at a constant rate. Intrathecal pumps can be filled with medications to treat chronic pain, neuropathic pain, cancer pain and spasticity. 

Spinal Cord Stimulation for Chronic Back Pain 

A minimally invasive technique to treat chronic back pain in patients with failed back syndrome, persistent back pain after spinal surgery, and medically refractory back or sciatic pain that is not amenable to surgical treatment. A neuroelectrode is advanced percutaneously into the epidural space of the spinal canal and connected to an internal generator that sends continuous or burst pulses to the dorsal columns of the spinal cord, stopping peripheral pain signals in their tracks. 

During this procedure, a patient’s stem cells are obtained by aspirating tissue from the hip bone or from their fat cells. These cells are centrifuged down to identify and separate specific primitive cells that will help heal tissues. Stem cells are then injected into the disc, stimulating healing of the disc by using these primitive blood cells to stimulate regeneration of the collagen within the disc. 

Stem Cell Therapy for Degenerative Spinal Disorders 

Optune® delivers TTFields that help slow or stop GBM cancer cells from dividing and may also destroy some cancer cells. TTFields do not enter the bloodstream, so they do not significantly increase chemotherapy-related side effects. Continuous treatment with Optune® can be received almost anywhere with wearable and portable therapy solutions.

Optune® Transcranial Electrical Stimulation for Treatment of Glioblastoma Multiforme Brain Tumors 

Minimally Invasive Spine Surgery

Minimally invasive spine surgery (MIS) stabilizes the vertebral bones and spinal joints while relieving pressure being applied to the spinal nerves — often a result of conditions such as a spinal instability, bone spurs, herniated discs, scoliosis or spinal tumors. As opposed to open spine surgery, minimally invasive surgical approaches can be faster, safer, produce better cosmetic results, and require less recovery time.  

Vagus Nerve Stimulators for Treatment of Epilepsy and Cluster Headache

Vagus nerve stimulation involves the use of a device to stimulate the vagus nerve with electrical impulses. About one-third of people with epilepsy don't fully respond to anti-seizure drugs. Vagus nerve stimulation may be an option to reduce the frequency of seizures in people who haven't achieved control with medications.

Vagus nerve stimulation may also be helpful for people who have not responded to intensive depression treatments, such as antidepressant medications, psychological counseling and electroconvulsive therapy (ECT).