All Posts Tagged: little rock neurosurgery

Screwless | Lumbar Interbody Fusion (S-LIF)

THE WORLD’S LEAST INVASIVE LUMBAR FUSION SURGERY: the S-LIF, Developed by and available exclusively at Legacy Spine & Neurological Specialists.

Sciatic nerve pain can be disruptive. Constant pain and numbness due to a compressed nerve with spine instability can hinder your daily life. So can invasive spinal surgery and the recovery time that comes along with it. But not anymore, thanks to S-LIF technology.

The S-LIF is the least invasive option for lumbar fusion surgery available anywhere in the world. When Dr. Schlesinger developed the MIG-LIF procedure in 2015, it was the least invasive fusion option also done through a keyhole outpatient surgery. While this was a great breakthrough at the time in MIS spine surgery, Dr. Schlesinger felt that the next logical step was to achieve the same outcome with even less surgery.

Through application of his microsurgical skills and experience in delicate surgery on aneurysms and tumors of the brain, this next step became a reality. The S-LIF is the least invasive option in the world for many patients with the need for a decompression and fusion of the lumbar spine. It is not for all patients as some still require more invasive surgery. But for those that are candidates for MIS surgery, this is an outstanding option.

The S-LIF procedure is performed by our two talented neurosurgeons Scott Schlesinger, MD, and Dominic Maggio, MD. Scott Schlesinger, MD has practiced neurosurgery since 1992. He trained in Neurosurgery at UT Southwestern with a fellowship in Lausanne, Switzerland. He has received multiple awards and multiple recognitions as the Best Neurosurgeon in the state. Dr. Schlesinger is the founder of Legacy Spine and Neurological Specialists and the developer of the S-LIF procedure.

Dominic Maggio, MD joined the Legacy team in July 2021. He is an excellent surgeon who specializes in the S-LIF procedure as well as a wide variety of other spinal surgery. He trained at the University of Virginia-National Institutes of Health neurosurgery program and received multiple awards for his research and clinical skills. He subsequently did a fellowship at Ohio State University in complex and minimally invasive spine surgery techniques.

To find out if the S-LIF is an option for you or for more information call us today at 501-661-0077 or email contactus@legacyneuro.com. We look forward to the opportunity to serve you!

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Numbness of the Hands

Patients frequently complain of numbness and tingling of the hands.

The most common causes include:

    • Carpal Tunnel Syndrome (CTS)
    • Ulnar Nerve Compression
    • Spinal cord compression and other conditions of the spinal cord that cause cervical myelopathy.
    • Cervical radiculopathy
    • Peripheral neuropathy.
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Smoking adds complicated risks to spinal procedures

Many surgeons, especially neurosurgeons, urge patients to stop smoking before spinal procedures, particularly, spinal fusions.

Why?

An extensive amount of research has found that smoking cigarettes prolongs the healing process and causes complications. Below is a list of problems that can arise:

  • Decreased rate of successful fusion (called non-union or pseudoarthroses)
  • Poorer clinical outcomes, including pain reduction
  • Poor rehabilitation after surgery, and prolonged healing process
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Pilates

When it comes to injuries and back pain, it is important to find exercises that are easy on the spine. Pilates is one of the best exercises to maintain and support a healthy spine. When looking for a Pilates program or studio, make sure to do the following:

1.Let your instructor or trainer know of any previous injuries and your medical history
2.Pick a Pilates studio that encourages neutral spine positions and training.
3. Always engage your pelvic floor and abs to protect the lower back

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Ulnar Neuropathy

Ulnar Neuropathy is a disorder that involves the ulnar nerve (one of the major nerves in the arm).  Ulnar neuropathy is usually due to entrapment in the elbow area, the region of the “funny bone”.  This entrapment may be spontaneous and related to thickening of adjacent ligaments and muscles. This can be related to a prior injury in the area with associated scar formation that leads to a delayed onset of the nerve compression often years after the injury “tardy ulnar palsy”.

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Congratulations to Dustin Johnson for his Playoff Opener Win

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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What is Sciatica?

In order to best understand sciatica, it’s important to first understand the literal “ins and outs” of what it’s caused by, what it feels like and how to treat it.

The first misconception to address is that sciatica is not an actual medical diagnosis- it’s a symptom of a medical condition.  More specifically, it’s the uncomfortable symptom of tingling, numbness, weakness or pain running from the lower spine, through the buttock, into the back of the thigh and down through the foot- the route of the largest single nerve in your body, the sciatic nerve.

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prevent back pain

Prevent Back Pain on Plane Rides

Holiday season is quickly approaching and some of our patients are booking their flights to go home to see family they don’t get to see any other part of the year. We love to see their excitement. But hate to see the anxiety that ultimately sets in when they think of the low back pain they experience when sitting for a long period of time.

By the very nature of the word “vacation”, a person should experience the act of vacating their normal routine; including dealing with chronic back pain. So we’ve put together an action list for those flying to family and friends this season to help them prevent back pain on plane rides.

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Neuro vs Ortho

Neurosurgeon vs Orthopedic Surgeon: Which is Right For You?

When a patient begins to experience back pain that will require a specialist’s attention, many consider making an appointment with an orthopedic surgeon to be the natural next step. While orthopedists do specialize in the entire musculoskeletal system and have training in spinal surgery, they aren’t always the right choice for every patient. While orthopedic surgeons are trained to treat bones, joints and ligaments all over your body, neurosurgeons spend their six to seven years of training focusing solely on your brain, spine and nervous system. This concentrated focus often helps a neurosurgeon have a deeper understanding of the delicate nuances of the spine.

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