All Posts Tagged: Lumbar 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

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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 please call or send us a message today. We look forward to the opportunity to serve you!

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