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Well, the most common spine surgeries that we do minimally invasively are for disc herniations, which caused a type of condition called sciatica. In the surgery, what we do is we have your spine here. This is where your pelvis is and this is where your head, maybe these small bones right here are the bones that you can feel when you're touching your back. What we do is use utilizing x-ray guidance or able to put a small pro on top of a bone and utilizing different size tubes. We're able to dilate up to about a 22 millimeter size two that's about the size of the top of your knuckle out to your thumb. Through that tube, we're able to spread muscles apart instead of burning them or damaging them in an open conventional surgery. Through this small tube, we're able to make a hole in the bone and that gains us access to the spinal canal where the nerves are through that small hole within the bone, we gently move the nerves over to the side and we're able to pull out a disc that's usually the size of a gumball which is likely causing the patient's pain. I like to describe it as having a rock in your shoe. You can have the rock in your shoe all the time and you could ignore it and you never really can get the pain or the feeling away until you just take your shoe off and get the rock out. We get the rock out of your back through a 22 millimeter hole where you can go home that day. Spine surgery is done for two main reasons. Number one is decompressing nerves are taking away the pressure off of nerves and the second reason for spine surgery is to stabilize bones that are leaving inappropriately. The good thing about minimally invasive spine surgery is that you're able to do these two main procedures through various small incisions. For example, if you have your lumbar spine here where these bones which are called your asprocesses, these are the bones that you can feel when you're touching your back. We're able to, with a probe go down on top of one of the bones that are likely the cause of your pain and through that hole we're able to use tubes which dilate your muscles up to about 22 millimeters. It's basically the size of the tip of your thumb down to the first knuckle. Through that too, we're able to introduce different specialized instruments that allow us to gain access to your spinal canal, where your nerves are utilizing special instruments and microscopes as well. We're able to take the pressure off of your nerves. The great thing about this is that if needed, some people's bones are moving inappropriately that are causing the pressure on top of the nerves and through these same incisions, we're able to put screws and rods which can stabilize the bones and stop it from moving inappropriately. This allows us to maintain our goals of surgery, which is decompression of nerves and if needed, stabilizing the bones for moving appropriately. If at the end of the case we need to place rods and screws to stop bones from moving inappropriately, that is what we call fusion surgery and that is something that can be done generally and basically along with decompressing or taking pressure off. We had thought orthopedic Institute are also very evidence-based with the types of procedures that we've talked to our patients about. We not only publish papers about the type of procedures that we do, but we follow evidence based guidelines to try and counsel our patients and come to a shared decision on the type of procedure that would be most beneficial for them. Whether that would be a conventional operation versus a minimally invasive operation that's done by conventional methods. Florida Orthopaedic Institute brings highly skilled orthopedic care to Tampa Bay and the surrounding area by offering virtually unmatched expertise in every orthopedic subspecialty. Our physicians are known nationally and throughout the world for their work in orthopedic surgery and have been named among the best orthopedic physicians in America. As Florida’s largest orthopedic group, our mission is to provide an internationally recognized level of orthopedic care, achieving exceptional outcomes through continuing research and specialty expertise. Florida Orthopaedic Institute is supported by a professional staff of more than 500 people, based in a 100,000 sq. ft. facility on a 12-acre campus. The main campus includes a state-of-the-art orthopedic surgery center that serves patients and surgeons. With exceptional expertise in every orthopedic specialty, Florida Orthopaedic Institute is literally a one-stop shop for orthopedic care, with no need to refer patients outside the institute. Website: http://floridaortho.com Facebook: / florida.orthopaedic.institute LinkedIn: https://www.linkedin.com/company/flor...