All Posts Tagged: little rock minimally invasive surgery

Screwless | Lumbar Interbody Fusion (S-LIF) [Updated 2024]

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Are you struggling with sciatic nerve pain or spinal instability that’s interfering with your daily life? Traditional spinal surgeries often require long recovery times and can be quite invasive. However, thanks to the revolutionary S-LIF (Supine Lateral Interbody Fusion) technology, there’s now a far less invasive option for lumbar fusion surgery.

Developed exclusively at Legacy Spine & Neurological Specialists, the S-LIF is transforming spinal surgery by offering patients a minimally invasive approach with faster recovery times and fewer complications.

What is the S-LIF Procedure?

The S-LIF is currently the least invasive option for lumbar fusion surgery available worldwide. This advanced procedure is a step beyond the MIG-LIF procedure, which was first developed by Dr. Scott Schlesinger in 2015. MIG-LIF was a groundbreaking outpatient surgery performed through a keyhole incision, but Dr. Schlesinger saw room for further improvement.

By applying his expertise in microsurgical techniques—honed through years of performing complex brain surgeries—Dr. Schlesinger developed the S-LIF, making it even less invasive than its predecessor. Today, S-LIF offers a state-of-the-art solution for patients requiring decompression and fusion of the lumbar spine, using the smallest possible incision.

Who is a Candidate for S-LIF?

While the S-LIF procedure is an exceptional option for many, it is not suitable for all patients. Some individuals with more severe spine conditions may still require traditional, more invasive surgery. However, for patients who qualify, the benefits are substantial. If you’re suffering from sciatic pain, compressed nerves, or spinal instability, this could be the ideal minimally invasive solution to restore your quality of life.

Why Choose S-LIF?

Here’s why S-LIF stands out among lumbar fusion surgeries:

  • Minimally Invasive: Performed through a keyhole incision, leading to less pain and faster recovery times.
  • Outpatient Procedure: No need for an extended hospital stay. You can return home the same day.
  • Faster Recovery: Patients experience significantly shorter recovery periods compared to traditional lumbar fusion surgeries.
  • Reduced Risk: Lower complication rates due to its less invasive nature.

Meet the Pioneers of S-LIF at Legacy Spine & Neurological Specialists

The S-LIF procedure is exclusively performed by Scott Schlesinger, MD, and Dominic Maggio, MD, two of the top neurosurgeons in the country.

Dr. Scott Schlesinger, MD

Dr. Schlesinger has been a leading neurosurgeon since 1992. He trained at UT Southwestern and completed a fellowship in Lausanne, Switzerland. Over his career, Dr. Schlesinger has been recognized with numerous awards and accolades, consistently being named among the Best Neurosurgeons in the state. As the founder of Legacy Spine and Neurological Specialists, Dr. Schlesinger developed the S-LIF procedure, using his microsurgical expertise to push the boundaries of minimally invasive spine surgery.

Dr. Dominic Maggio, MD

Dr. Maggio joined the Legacy Spine team in July 2021 and has quickly established himself as an outstanding surgeon specializing in both the S-LIF procedure and other advanced spinal surgeries. Dr. Maggio trained at the University of Virginia-National Institutes of Health neurosurgery program and completed a fellowship at Ohio State University. His skill set includes complex and minimally invasive spine surgery techniques, for which he has received multiple awards for both his research and clinical expertise.

Is S-LIF Right for You?

If you’re tired of living with back pain or numbness caused by spinal issues, the S-LIF procedure could be the life-changing solution you need. Not all patients are candidates, but for those who are, this procedure offers the least invasive option for lumbar fusion surgery available today.

Contact Legacy Spine & Neurological Specialists Today

Want to learn more about S-LIF or find out if you’re a candidate for this cutting-edge procedure? Call us today or send us a message through our website. Our dedicated team is ready to help you on the path to a pain-free life.

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Intraoperative Navigation

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What is intraoperative navigation?

Sophisticated imaging equipment that is used during surgery to provide accurate anatomical localization of important structures.

How does it help in spine surgery?

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Is your bulging disk causing your back pain?

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As our bodies age so do our spines. Arthritic changes will be present in the spine which include bulging disks, degenerative disk disease and joint changes. The degree that these changes occur are often related to genetics. A simple bulging disk is actually an extremely common finding on MRIs of the spine and is not an indication for surgery. There are many other structures in the low back and neck that are very sensitive to pain especially the muscles and numerous joints that support the spine. These are more often the cause of low back and neck pain and are treated with conservative therapies. Occasionally a disk will actually herniate out of the normal position between the vertebral bones and cause pressure on spinal nerve resulting in extremity pain. The disk herniation itself is not painful but can result in pain by causing inflammation and/or pressure on these spinal nerves. If extremity pain from a compressive herniated disk cannot be fixed with conservative treatments sometimes surgery is indicated. Our neurosurgeons are trained to read spine MRIs, understand the complicated anatomy of the spine and perform neurological exams to determine appropriate treatment options. 

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Lumbar Disc Disease

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Symptoms

Symptoms vary depending on the severity of the condition, and may range from no symptoms to severe pain in the back and or legs with variable degrees of numbness, tingling and weakness in the legs.

Causes

The lumbar discs are the cushions between each of the lumbar vertebrae in the lower back. These cushions are composed of an inner layer of material called the nucleus pulposus, which is surrounded by fibrous bands called the annulus. The nucleus material is a gelatinous core that has the consistency of “boiled shrimp”. These cushions serve as the shock absorbers in our lower back, just like the shock in your car. These “shock absorbers” experience daily wear and tear.

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Non-Invasive Treatment for Neck Pain

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Cervical Steroid Injections

Our primary goal is to relieve patient’s pain, while taking the least invasive route. Often times when someone has neck pain, it is best to start with Cervical Epidural Steroid Injections. Cervical Epidural Steroid injections are often used to relieve pain in the neck, arms and shoulders. Neck pain is often caused by conditions like herniated discs, bulging discs, arthritis and spinal stenosis, which can cause compression and pinched nerves. To relieve pain associated with these, we often times recommend getting a series of three injections

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Congratulations to Dustin Johnson for his Playoff Opener Win

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The Play by Play

Dustin Johnson is cool under pressure! Despite falling five shots behind Jordan Spieth after five holes Sunday in the Northern Trust, Johnson never panicked.

The seemingly insurmountable deficit was wiped clean in five holes, with Johnson making two birdies and Spieth finding water on the sixth hole for a double-bogey. Spieth, then making another bogey on the ninth. From the 11th on, Johnson out-dueled Spieth and won the opener of the FedExCup Playoffs with two great performances on the final hole.

On the 72nd hole, Johnson, facing a make-or-break situation, buried an 18-footer  for par to force a playoff, and then claimed the hardware on the first extra hole, when he unleashed the longest drive on the 18th all week — a 341-yarder that easily cleared the lake — and then struck a 60-degree wedge to 3 feet and made the putt to win.

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The Simple Facts: Lumbar Stenosis

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Stenosis is a common spinal condition caused by arthritic build up in the joints (facet joints) and ligaments in the lower back. In addition, one may have a disc bulging that causes pressure on the nerves passing through the narrow canal.

Symptoms:

Back and leg pain down one or both legs, numbness or tingling, weakness often associated with electric shocks running from the back to the feet. These symptoms are increasingly aggravated, at a varying degree while walking, and improve when sitting or stooping forward.

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“The Golfer’s Swing: A Multi-modal Approach to Improving Your Game”

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A competitive edge is a highly sought attribute for any serious athlete. As young, healthy athletes slowly begin to add years of experience to his/her playing card, there are added stressors and strains that inevitably accumulate. Very often I see an aging adult that has the follow through and motivation of a champion but an uncooperative physique. So the question then becomes, how can the imminent become less inhibiting?

Let’s discuss some of the limiting factors and how we might be able to address these items through a strengthening and flexibility regime that could potentially be the difference between double bogey and par. Primary areas of focus will include hip range of motion, low back musculature, and biomechanics of your golf swing.

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