Phone Dr Lewis: (716) 677-6000      Phone Dr Egnatchik: (716) 677-5005 Make an Appointment Today


Back - Thoracic and Lumbar Spine

Five percent of the United States population experiences back pain each year (1). Over your lifetime, you have a 60-80% chance of experiencing at least one episode of back pain. Most episodes are not severe and resolve without medical care. Some, however, are severe and disabling. But even the more severe cases which cause patients to seek medical or chiropractic care are usually transient. It has been estimated that 90% of patients who seek professional treatment for back pain will be pain free within 1-3 months. In this group of patients, after ruling out an underlying systemic cause such as a malignancy or infection, appropriate care consists of providing conservative treatment.

The gold standard of conservative treatment consists of management with NSAIDS (Non Steroidal Anti Inflammatory Drugs) and exercise therapy (chiropractic or physical therapy). If these modalities fail after a 3-6 week trial, referral to a specialist (neurosurgeon or orthopedic surgeon) is appropriate. Often, we as specialists will continue conservative measures. When this fails, surgery can be extremely effective. Surgery is only performed when conservative measures fail and diagnostic tests demonstrate abnormalities.

In our practice, the most frequently encountered causes of nerve impingement in the lumbar spine are herniated disk, spinal stenosis and painful mechanical instability with degenerated disk.

Lumbar Percutaneous Pedicle Screws

Fusions are performed in patients with degenerative disk disease, spondylolysthesis, recurrent herniated disks, and spinal stenosis. Fusion is performed in these patients when conservative forms of treatment have failed. In fusion of the lumbar spine two or more vertebral segments are joined together, eliminating movement in the joints. The procedure is performed with the hope of reducing pain caused by movement and compression of the nerve roots.

Pedicle screws have long been used to provide structural support to the spine allowing the joint space between the vertebral bodies to fuse. Screws are inserted into the pedicle of the vertebrae at the level above and below the disk space to be fused. A rod is then attached to solidly link both pedicle screws.

During the placement of conventional pedicle screws a considerable amount of muscle must be cut and stripped away from the bone in order to insert the screws. This can result in a lengthy healing time and considerable post operative pain for the patient. Minimally invasive percutaneous pedicle screw and rod placement eliminates the need to perform much of this cutting and stripping of muscle.

The percutaneous pedicle screw system (Medtronic’s Sextant is shown here) allows the screws and rods to be placed through small puncture wounds in the skin under x-ray fluoroscopic guidance.

The Buffalo Neurosurgery Group performs pedicle screw lumbar procedures to provide structural support to the spine allowing the joint space between the vertebrae to fuse. Screws are inserted into the pedicle of the vertebrae at the level above and below the disk space to be fused. A rod is then attached to securely link both pedicle screws. The percutaneous pedicle screw system (Medtronic Sextant) allows the screws and rods to be placed through small puncture wounds in the skin.

A considerable amount of muscle must be cut and stripped away from the bone to insert the screws. This can result in lengthier healing times and a considerable amount of post-op pain. Minimally invasive percutaneous pedicle screw and rod placement eliminates the need to cut and strip the muscle tissue.

This description is a general overview. Your Buffalo Neurosurgery Group doctor will provide the details of the correct procedure for you. He will also explain the health benefits, risks and special pre and post-op care instructions.

33 comments (Add your own)

1. Richardsperi wrote:
заказать продвижение сайта в москве логин в скайпе SEO PRO1

Mon, May 7, 2018 @ 3:37 AM

2. Payday Loans Online wrote:
loans in las vegas lender payday loans direct lender [url=]lender[/url]

Wed, July 25, 2018 @ 7:27 PM

3. Pay Day Loans wrote:
payday lender payday lender lender [url=]direct lender installment loans[/url]

Fri, July 27, 2018 @ 9:25 AM

4. Speedy Cash wrote:
loan lenders direct lender payday loans loan money online [url=]payday loans calculator[/url]

Sat, August 18, 2018 @ 4:12 PM

5. custom wrote:
Indian tablets for women .

Mon, September 17, 2018 @ 9:34 AM

6. wrote:
whoah this weblog is wonderful i love studying your posts.
Stay up the great work! You already know, many individuals are hunting round for this info,
you can aid them greatly.

Thu, October 4, 2018 @ 11:42 PM

7. wrote:
This website was... how do I say it? Relevant!! Finally I have found something that helped me.

Fri, October 5, 2018 @ 12:36 AM

8. wrote:
Howdy! I know this is kind of off-topic however I needed to ask.

Does operating a well-established website such as yours require a
large amount of work? I am completely new to operating a blog but I do write in my diary daily.
I'd like to start a blog so I can share my own experience and views online.
Please let me know if you have any kind of
recommendations or tips for new aspiring bloggers.
Appreciate it!

Sun, October 7, 2018 @ 12:01 PM

9. wrote:
Wow that was strange. I just wrote an extremely long comment but after I clicked submit my comment didn't
show up. Grrrr... well I'm not writing all that over
again. Anyhow, just wanted to say superb blog!

Tue, October 9, 2018 @ 7:29 PM

10. wrote:
An impressive share! I have just forwarded this onto a friend who
has been conducting a little research on this.
And he in fact ordered me breakfast due to the
fact that I found it for him... lol. So allow me to reword this....
Thanks for the meal!! But yeah, thanks for spending some
time to discuss this issue here on your site.

Thu, October 11, 2018 @ 4:26 AM

11. wrote:
My spouse and I stumbled over here different web page and thought I may as well check
things out. I like what I see so i am just following you.
Look forward to going over your web page for a second time.

Sat, October 20, 2018 @ 12:54 AM

12. wrote:
Hey there! Do you know if they make any plugins to protect
against hackers? I'm kinda paranoid about losing everything I've worked hard on. Any tips?

Sat, October 27, 2018 @ 11:20 PM

13. wrote:
It's awesome designed for me to have a web site, which is useful for my know-how.
thanks admin

Sat, November 3, 2018 @ 3:58 AM

14. wrote:
Descargar facebook descargar facebook
Hey I know this is off topic but I was wondering if
you knew of any widgets I could add to my blog that automatically tweet my newest twitter
updates. I've been looking for a plug-in like this for quite some time
and was hoping maybe you would have some experience with something like this.

Please let me know if you run into anything. I truly enjoy reading your blog and I
look forward to your new updates. Descargar
facebook descargar facebook

Mon, November 5, 2018 @ 12:09 AM

15. wrote:
Thanks for finally writing about >Buffalo Neurosurgery Group Sun, November 18, 2018 @ 10:19 AM

16. wrote:
In fact when someone doesn't know then its up to other viewers that they will assist, so here it takes place.

Mon, April 1, 2019 @ 3:34 PM

17. wrote:
Hi there, yeah this article is really pleasant and I have
learned lot of things from it regarding blogging. thanks.

Wed, April 3, 2019 @ 9:05 PM

18. wrote:
Thank you for any other magnificent post. Where else could anybody get that type of info
in such an ideal manner of writing? I have a presentation subsequent week, and I'm at
the search for such information.

Fri, April 5, 2019 @ 8:47 AM

19. wrote:
I quite like reading through an article that can make men and women think.
Also, thank you for permitting me to comment!

Mon, April 8, 2019 @ 8:21 AM

20. wrote:
This is really interesting, You are a very skilled blogger.

I've joined your rss feed and look forward to seeking more of your great post.
Also, I have shared your site in my social networks!

Tue, April 9, 2019 @ 5:43 PM

21. wrote:
I have been exploring for a little for any high-quality articles or
blog posts in this kind of space . Exploring in Yahoo I ultimately
stumbled upon this website. Studying this information So i'm happy
to exhibit that I've an incredibly just right uncanny feeling I discovered just what I
needed. I so much surely will make sure to do not disregard this
site and provides it a glance regularly.

Tue, April 30, 2019 @ 4:29 PM

22. wrote:
excellent issues altogether, you simply gained a emblem new reader.
What may you recommend about your publish that you simply made a few days in the
past? Any positive?

Thu, May 30, 2019 @ 9:15 AM

23. wrote:
Howdy this is somewhat of off topic but I was wondering if
blogs use WYSIWYG editors or if you have to manually code with HTML.
I'm starting a blog soon but have no coding know-how so I wanted to get guidance from someone with
experience. Any help would be enormously appreciated!

Tue, June 4, 2019 @ 5:51 PM

24. wrote:
Great beat ! I wish to apprentice whilst you amend your site, how can i subscribe for
a weblog site? The account aided me a acceptable deal. I had been a little bit
acquainted of this your broadcast provided bright transparent concept

Thu, June 6, 2019 @ 4:14 PM

25. wrote:
Hi there to every one, the contents existing at
this web site are actually remarkable for people knowledge,
well, keep up the good work fellows.

Fri, June 7, 2019 @ 12:08 PM

26. wrote:
This blog was... how do I say it? Relevant!! Finally I have found something which helped me.
Many thanks!

Mon, June 10, 2019 @ 9:46 AM

27. wrote:
Hey would you mind stating which blog platform you're working with?
I'm planning to start my own blog soon but I'm having a difficult time making
a decision between BlogEngine/Wordpress/B2evolution and Drupal.
The reason I ask is because your design seems different
then most blogs and I'm looking for something unique.

P.S Sorry for getting off-topic but I had to ask!

Fri, July 19, 2019 @ 10:52 PM

28. wrote:
I was excited to uncover this website. I want to to thank you for ones time for this particularly wonderful
read!! I definitely enjoyed every little bit of it and
i also have you saved as a favorite to look at new information on your blog.

Wed, July 24, 2019 @ 3:33 AM

29. wrote:
I pay a quick visit each day a few web sites and information sites to read posts, however this webpage offers quality based articles.
pof natalielise

Wed, July 24, 2019 @ 11:24 PM

30. wrote:
Hello friends, its fantastic paragraph regarding cultureand completely explained, keep it up all the

Tue, July 30, 2019 @ 8:21 AM

31. wrote:
Quality articles or reviews is the crucial to be a focus for the people to pay
a quick visit the web site, that's what this site is providing.

Wed, July 31, 2019 @ 3:37 AM

32. wrote:
Yes! Finally something about pof natalielise pof

Thu, August 1, 2019 @ 5:33 PM

33. wrote:
Hello there! This post could not be written any better!

Reading through this post reminds me of my good old room mate!
He always kept talking about this. I will forward this page to him.
Fairly certain he will have a good read. Many thanks for sharing!

Mon, August 19, 2019 @ 7:22 AM

Add a New Comment


Comment Guidelines: No HTML is allowed. Off-topic or inappropriate comments will be edited or deleted. Thanks.


West Seneca

Western New York Medical Park
550 Orchard Park Road
West Seneca, NY 14224