Dr. Raiszadeh introduces himself and shares new approaches to back surgery.
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My name is Kamshad Raiszadeh. I am the Director of the Alvarado Advanced Spine Institute. We are a multidisciplinary group of surgeons and anesthesiologists, pain management physicians, physiatrists and neurologists who care for back patients, for all types of back care patients. And through this multidisciplinary approach, what’s special about us is we are able to optimize the treatment to the patient’s problem and not have any one of us act in a bubble of our subspecialty. Let’s talk about the new approaches to back surgery and what women need to know. Back surgery, traditionally it was one where, if you look at the spine, one would have to approach the back through an incision along the midline of the back and then to open the muscles out of the way so that one could approach the back. What happens, though, with that is if you can imagine all the muscles that are holding your back and stabilizing your back, you are going to have to pull those off the back to be able to approach it, to do standard back surgery. The newer techniques in back surgery limit that amount of exposure of the spine so that, instead of taking that whole envelope of muscles off the spine, we have approaches which allow us to just target the pathology, to just target where the problem is. So we can target right where, for example, the facet joints are, or where the nerve is being pinched, or we can directly expose the disc without disrupting the muscles that are surrounding and which support and protect the spine. The dangers of the old procedures were that when you pull this envelope of muscle off the spine, that muscle doesn’t go back and have its normal function. It goes back in a very fibrous and non-functioning method. So they have this syndrome called failed back syndrome which is essentially the back muscles not being able to function and hold the spine the way that they should. So the new techniques avoid this problem by not dissecting and not allowing that scarring and lack of function of those muscles.

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