Treatments
The smallest operation that reliably solves the problem.
Minimally invasive access means working through muscle rather than cutting across it. Motion preservation means keeping a segment moving instead of fusing it. Neither is right for every pattern of compression, instability, or deformity. Candidacy comes from examination and imaging, not from the size of an incision.
Motion-preserving
Decompression without locking the segmentMotion-preservingCervical laminoplastyThe bony arches over the cord are opened like a door and held with small implants, so the canal is larger and the vertebrae are not fused.Read the procedure page →Motion-preservingCervical disc replacementA worn disc is replaced with an implant that moves, keeping motion at the treated level instead of fusing it.Read the procedure page →Motion-preservingAnterior lumbar disc replacementThe lumbar equivalent, for selected patients with disc-related pain and preserved alignment.Read the procedure page →
Endoscopic
Camera-guided work through small portalsEndoscopicBiportal endoscopic decompressionTwo portals: one for a high-definition camera, one for instruments. Typically outpatient.Read the procedure page →EndoscopicBiportal endoscopic fusionIn selected cases the endoscopic corridor is used as part of a fusion rather than decompression alone.Read the procedure page →
Minimally invasive
Muscle-sparing tubular and lateral accessTubular decompressionA small tube separates muscle rather than cutting it, to take pressure off a nerve.Read the procedure page →MIS TLIFFusion for instability such as spondylolisthesis, through a muscle-sparing corridor.Read the procedure page →Prone lateral interbody fusionLateral access and posterior work in one prone position, addressing disc space and alignment together.Read the procedure page →KyphoplastyStabilizes a painful compression fracture through a needle-sized opening.Read the procedure page →SI joint fusionConsidered only after therapy and diagnostic injection point clearly to the joint.Read the procedure page →Lumbar discectomyRemoves the fragment pressing on a nerve while preserving healthy anatomy.Read the procedure page →
Fusion, complex & revision
When stability or alignment is the problemACDFAnterior cervical decompression and fusion.Read the procedure page →Cervical corpectomyFor compression behind a vertebral body.Read the procedure page →Posterior cervical fusionDecompression with stabilization from behind.Read the procedure page →Thoracic decompressionDiscectomy, corpectomy, and transpedicular approaches.Read the procedure page →ALIF & TLIFAnterior and transforaminal lumbar interbody fusion.Read the procedure page →Revision & deformityCorrection after previous surgery, occipital and pelvic instrumentation.Read the procedure page →
Technology
Tools that make a smaller operation possible.
Patient-specific instrumentation
Implants and guides planned against your own anatomy before the operation begins.
Robotic & navigated technique
Screw placement planned and confirmed in three dimensions, through smaller openings.
Intraoperative neuromonitoring
Nerve and cord function watched continuously during surgery. A focus of Dr. Adapa's research.
Endoscopic visualization
A high-definition view of the anatomy through a muscle-sparing corridor.