All Posts Tagged: little rock spine surgery

30 Year Anniversary of Dr. Schlesinger’s Publication of a Landmark Article!

It is the 30 year anniversary of the publication by Dr. Scott Schlesinger of the landmark article on the technique of minimally invasive far lateral disectomy approach.   The publication was the outcome of a one year fellowship in minimally invasive neurosurgery at Le Centre Hospitalier Universitaire Vaudois (CHUV)  in Lausanne Switzerland.   This detailed study of the microanatomy of this unique approach along with the technique was published in ACTA Neurosurgica and subsequently presented to the European  and American National Neurosurgical societies.

The operations main benefit is it spares the removal of the entire spine joint on the side of surgery (facet joint) thus minimizing the iatrogenic risk of future spinal instability and therefore lowers the chances of needing a lumbar fusion procedure.  Therefore the standard alternative to this MIS approach involves doing a simultaneous lumbar fusion with instrumentation or in many cases the delayed need for such.   The far lateral approach to ELLDH has been used by the authors in thousands of cases over the last 30 years both in Switzerland and in the United States with excellent outcomes.  Also the anatomy learned in this research has subsequently been used by Dr. Scott Schlesinger to develop the SLIF MIS fusion surgery.  This uses a far lateral approach for a “screw-less” standalone MIS decompression and interbody fusion.

Learn more about the unique offerings at Legacy Neuro of the SLIF and other MIS procedures including the ELLDH surgical option.

Click below to view the original article and to view several videos regarding this approach!

Microsurgical Anatomy and Operative Technique for Extreme Lateral Lumbar Disc Herniations

Video 1

Video 2

Video 3

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The Simple Facts: Lumbar Stenosis

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.


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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Americans are Living Longer, but So Are Our Spines

According to a recent national study from Parker, one of America’s leading aging services organizations, most Americans appear hopeful and optimistic about aging.

“This survey underscores how American society’s views on aging are changing for the better, especially as the Baby Boom generation reaches retirement age and beyond,” says Roberto Muñiz, President and CEO of Parker. “Seniors are staying more vibrant, active, and connected well into their seventies, eighties, nineties, and beyond, and society is beginning to embrace that fact.”

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