Spine Care Specialists

Orthopaedic Institute of Dayton

Orthopedic Spine Specialists located in Springboro, Miamisburg, Dayton, & Tipp City, OH


Our Spine Specialist

Jeffrey Hoskins, MD

Jeffrey Hoskins, MD

Orthopedic Spine Surgeon

Minimally Invasive Spine Surgery

While open surgery requires a 6-inch incision, minimally invasive spine surgery only requires half-inch incisions. This far smaller incision size, when coupled with advanced surgical methods, allows for major surgery results with far less risk and pain. Orthopaedic Institute of Dayton, with offices in Dayton, Miamisburg, Springboro, and Tipp City, Ohio, has a 50-year history of providing the best in cutting-edge orthopedic care to their patients. To learn how minimally invasive spine surgery can finally end your pain, call the office nearest you or book a consultation online now.

Minimally Invasive Spine Surgery Q&A

Minimally invasive spine surgery refers to surgical procedures to correct damage inside your spine. In contrast to open spine surgery, minimally invasive spine surgery requires one or more tiny incisions.

With the minimally invasive approach, you’ll have less pain, less prominent scarring, less risk of surgical site infections, and an easier recovery overall.

Orthopaedic Institute of Dayton starts with a conservative approach, including physical therapy, rest, anti-inflammatory medication, and steroid injections if necessary. If those pain management treatments don’t give you sufficient symptom relief, or if you have a notable disability due to a spine problem, minimally invasive surgery could be the right option for you.

Some of the most common reasons that people may have minimally invasive spine surgery include:

  • Disc herniation
  • Spinal stenosis
  • Degenerative disc disease
  • Spinal infections
  • Disc problems
  • Spinal deformities
  • Spinal tumors
  • Vertebral compression fractures

There may be cases in which severe and highly complex spine problems require a traditional open surgery approach instead.

During minimally invasive spine surgery, your surgeon moves a scope — a long skinny tube with a camera and light at the end — through one of the short incisions close to your spine. Then, the camera generates a real-time video feed that your surgeon monitors on a screen nearby.

Your surgeon may use tubular retractors — long hollow tubes that move tissue out of the way to make a direct tunnel to the surgical site. This approach displaces nearby tissue rather than cutting it, creating far less residual damage than open spine surgery.

Your surgeon inserts surgical tools through either the same incision or additional small incisions to remove damaged bone or tissue, perform repairs, or do other kinds of corrections.

Your Orthopaedic Institute of Dayton specialist explains the specifics of your expected recovery time before your surgery. Although minimally invasive spine surgery does offer a much faster recovery than open surgery, it’s not a quick fix.

Your body needs some time to recover, and it’s important to have realistic expectations. For example, in the case of procedures like spinal fusion, a good result means a reduction (not complete elimination) of pain.

Complete recovery could take a year or longer, depending upon the complexity of your procedure. Physical therapy after your surgery is very important in achieving the best possible result.

Call Orthopaedic Institute of Dayton or click on the online booking tool for a surgery consultation now.

Spine Surgery

For most people affected by neck and back pain, nonsurgical treatments like physical therapy and steroid injections are generally successful. If these approaches aren’t working for you, Orthopaedic Institute of Dayton offers expert spine surgery services that could help. Their experienced orthopedic surgeons use the most advanced techniques and technologies to perform spine surgery for common problems like herniated discs and spinal stenosis. To find the best approach for your back and neck pain, call Orthopaedic Institute of Dayton’s Tipp City, Miamisburg, Springboro, or Dayton, Ohio, office today or book an appointment online.

Spine Surgery Q&A

Your spine consists of 33 bones plus discs, muscles, tendons, ligaments, and nerves. Its complexity and involvement in many of your body’s functions make it one of the most intricate parts of the human body.

Spine surgery is a treatment option for patients who are experiencing back or neck pain and symptoms like:

  • Numbness
  • Tingling
  • Prickling
  • Loss of function
  • Leg or buttock pain
  • Shoulder pain

These symptoms are often due to nerve compression in the spine that surgery might be able to fix.

The surgeons at Orthopaedic Institute of Dayton understand the intricacy of your spine and the role it plays in maintaining your health and mobility. If you’re searching for support to relieve back pain, the team is ready to help you on the path to healing and recovery.

Spine surgery is an option for many common back and neck conditions, including:

  • Herniated discs
  • Degenerative disc disease
  • Facet joint arthritis
  • Bone spurs
  • Sciatica
  • Spondylolisthesis
  • Spinal stenosis
  • Radiculopathy (nerve compression)

The physicians at Orthopaedic Institute of Dayton use conservative approaches to treat these conditions to begin with. Top of the list of treatments for common spine conditions is physical therapy, rest and activity modification, and nonopioid medication.

The right physical therapy program and movement modifications are often the best approaches to healing. If appropriate, steroid injections can reduce inflammation. When these therapies aren’t producing much improvement, or if you have significant nerve compression, the Orthopaedic Institute of Dayton team might recommend surgery.

The most common surgery for back pain is spinal fusion. There are various ways to fuse the vertebrae, but the principle of them all is to treat the painful segment of your spine so it becomes a solid piece of bone.

Your surgeon can access the spine through your back (posterior) or front (anterior), and sometimes both. They might use some form of spinal fixation and a bone graft or bone substitute. They can get bone for grafting from another part of your skeleton like the pelvis (autograft) or use donated bone (allograft). Other options include artificial disc replacement.

Where possible, the Orthopaedic Institute of Dayton team uses minimally invasive spine surgery (MISS) techniques. This means that instead of cutting through your muscles, they pull them aside using retractors or pass an instrument called an endoscope into your spine.

If you’re anxious at the thought of needing spine surgery, call Orthopaedic Institute of Dayton or schedule a consultation using the online booking form today.

Disc Herniation

Disc herniation can cause severe back or neck pain — and rest and medication usually aren’t enough for lasting relief. At Orthopaedic Institute of Dayton in Dayton, Miamisburg, Springboro, and Tipp City, Ohio, the group of esteemed orthopedic surgeons has extensive experience in treating disc herniation. They use both traditional and cutting-edge rehabilitation and pain management techniques, and surgery where necessary, to help you recover and resume your life. Call either office directly or click on the scheduling tool for help now. Same-day appointments are available!

Disc Herniation Q&A

You have rubbery discs between each of your spinal vertebrae. If the disc develops a crack in its tough exterior shell, the soft material inside escapes and protrudes into the spinal canal.

This can pressure and aggravate nerve roots, potentially causing some symptoms in your back (lumbar disc herniation) or neck (cervical disc herniation).

Disc herniation can happen with trauma to the spine, such as a fall or a sports injury. But, the most common cause is natural degeneration within the spine. Over the years, your spinal discs can grow brittle and prone to tearing and herniation.

Disc herniation doesn’t always cause symptoms, but in many cases, it can cause:

  • Neck pain, which may radiate to your arm
  • Low back pain, which may radiate to your buttocks and leg
  • Numbness
  • Tingling
  • Weakness
  • Clumsiness

These symptoms may also occur with other conditions, so it’s important to get an accurate diagnosis.

Orthopaedic Institute of Dayton uses a combination of advanced and traditional techniques to diagnose herniated discs. Your diagnosis may include imaging tests like X-rays, CT scans, and MRIs.

Electrodiagosis can be a critical component of diagnosis, as well. Two common tests are electromyographic examination (EMG), which evaluates the electrical activity of your muscles, and nerve conduction studies (NCS), which check for nerve damage. You may also need evoked potentials, which checks the speed that electrical signals travel through your spinal cord.

Orthopaedic Institute of Dayton uses a conservative nonnarcotic approach that starts with a personalized physical therapy plan, appropriate activity modifications, rest, hands-on physical medicine, and anti-inflammatory medications. The experienced physical medicine providers can also teach you how to stand, sit, and lift in the best ways to reduce stress on your spine.

In some cases, you may need site-specific cortisone injections to reduce inflammation and pain. These injections can help you move more comfortably, which can in turn allow you to take part in physical therapy more effectively.

In certain cases, like treatment-resistant pain or nerve compression that causes serious disability, you may need spine surgery. The surgeons use the most up-to-date techniques and state-of-the-art equipment to perform surgeries such as spinal fusion, artificial disc replacement, microdiscectomy, or laminectomy where necessary.

Orthopaedic Institute of Dayton can help you manage the pain of a herniated disc without making you rely upon narcotics. Reach out to either office by phone or through online booking now.

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