dr. joseph laser spine surgeon

Laser Spine Surgery vs. Minimally Invasive

The Importance of Understanding The Differences of Laser Spine Surgery vs. Minimally Invasive

Spine Surgery Technique vs Spine Surgery Tool

There are numerous minimally invasive spine procedures available for patients today. Minimally invasive surgical techniques utilize specialized instruments, which allow a surgical procedure to be done through smaller incisions with much less tissue disruption.

With all of the marketing buzz about laser spine surgery, it is important to understand the difference between the laser as a tool for minimally invasive surgery vs. many new advances in technology in the form of tools, techniques and minimally invasive spine procedures.

Minimally invasive spine surgery more often does not involve the use of a laser. It is important to understand that a laser is just a cutting tool that may sometimes be used in place of a scalpel to cut through soft tissues, such as discs and ligaments.

While lasers can be effective for some procedures, they aren’t necessary to achieve successful results and in many cases could be harmful. Most people consider laser surgery to be the most up-to-date, top-of-the-line surgery available, but in many cases, spine surgery is more effective when the surgeon uses minimally invasive techniques with a scalpel, rather than a laser.

The fact is that most spine surgeons do not use or recommend the use of lasers for spine surgery because there are no clear benefits and there are other well-established and documented studies proving the effectiveness of more modern and established spine surgery techniques.

Dramatic Advances In Minimally Invasive Spine Surgery (MISS)

FDA Approved Medical Device for Spinal Fusion

Based in Dallas, Texas, Osseus Fusion Systems is a medical device manufacturer that is focused on the development of new medical products and treatments that are minimally invasive. Osseus offers its Aries lumbar interbody fusion devices in a range of sizes and lordotic angles. Within the medical industry, additive manufacturing is increasingly enabling patient-specific solutions—for implants, surgical guides and more.


 

 

Techniques of MISS have developed rapidly in the past few decades. The spectrum of MISS now includes spinal degenerative diseases, spinal trauma, spinal deformity and spinal tumors. Surgical materials, nerve monitoring, and computer-aided navigation have improved significantly. With these techniques, the risks, recovery time, and surgical complications have significantly decreased.

Which Surgical Tool Will Offer Precision?

With the intricacy of the human spine, laser spine surgery may not be the best procedure but could also be an extremely harmful procedure in many cases.

Lasers do not have the ability to maneuver around corners to reach the appropriate areas required in most spinal surgeries. A laser is a straight beam of light, while a skilled surgeon can use the scalpel and other tools to achieve great precision and maneuverability for a successful outcome. Lasers cut the soft tissue using heat, which can be transferred to the structures surrounding the area being worked on. This can lead to nerve damage, which can cause incontinence and loss of function.

A laser is another tool a surgeon will use in the operating room. It is the assumption of most lay people that a laser equals precision.  That assumption can be a very dangerous one.

A skilled surgeon, with a scalpel, is just as precise, or more, as a laser without the risk of damage from heat. The majority of clinical studies in well-respected peer reviewed journals call into question the efficacy of lasers regarding spine surgery.

Choose Your Spine Surgeon Not the Tool 

The most important decision you will make when preparing for spine surgery, or any spine treatment is choosing a well-respected and exceptionally trained surgeon.

What to Look for in a Spine Surgeon

It is important for patients to be as involved as possible in their own medical care. This includes the choice of doctors. Some managed care programs leave little room for choice, but if you are able to choose your physician, here are some guidelines on what to look for in a spine specialist:

  • Make sure the spine surgeon is board certified (or board eligible) and fellowship trained in spine.
    This means that in addition to the usual surgical residency requirements, he or she has completed a fellowship program in spine that included at least one additional year of training specific to spine surgery.
  • Choose a spine surgeon who devotes at least 50% of his or her practice to the treatment of spinal conditionsA physician who sees mostly spine patients will be more up-to-date on newer technologies and techniques than a physician who only sees spine patients occasionally.
  • In addition to the physician’s credentials, make sure the physician you choose is someone you feel comfortable with.After all, finding a physician you can trust is almost as important as his or her experience. Good communication is essential in a doctor/patient relationship.
  • Talk to the physician about his or her experience with the latest techniques and technologies in spine surgery.

Kyphoplasty Minimally Invasive Procedure for Compression Fractures

Kyphoplasty has transformed the way we are able to take care of patients with compression fractures. In this segment, we will review what you can expect and the benefits of this minimally invasive spine procedure. 

Kyphoplasty may be recommended for damaged vertebrae or certain spinal fractures. In most cases, a weakening of the bones (osteoporosis) has caused the vertebrae to compress or collapse, causing pain or a hunched posture.

The procedure may be performed as an outpatient in 30 minutes or less. The relief from pain may be immediate and patients may resume normal activities immediately.

Kyphoplasty uses a small balloon that gently lifts bone fragments into their correct position.  The balloon is inflated to create a space that the surgeon later fills with a special bone cement. The bone cement creates an internal cast that holds the vertebra in place. This extra feature allows kyphoplasty to help restore vertebral height, and thus, help reduce spinal deformity.  It also allows a thicker cement to be used which has less risk of leaking out and causing complications.

It is important to accurately diagnose vertebral compression fractures, as there are a number of potential adverse effects if a diagnosis is missed and there is no treatment. In general, vertebral fractures are associated with both increased morbidity which includes continued pain, decreased physical function, deformity, and potentially social isolation, all of which negatively impact the individual’s overall quality of and enjoyment of life. Mortality is also associated with vertebral fractures, as women diagnosed with a compression fracture of the spine have a 15% higher mortality rate than those who do not experience fractures.

FDA Approved Medical Device for Spinal Fusion

FDA Clears New Surgeon Inspired 3D Printing Device for Lumbar Fusion

Dr. Samuel Joseph, Jr. worked alongside medical device firm Osseus Fusion Systems to develop the newly FDA approved 3D printed Aries titanium spinal implants. The approval marks one of the largest FDA clearances for a family of 3D printed spinal devices of that kind.

Partnering with Pioneers in Spine Medicine

By partnering with pioneers in the medical industry such as Osseus, Dr. Joseph can offer his expertise as an exceptionally trained spine surgeon to help develop new products and procedures. Combining cutting-edge research with new technology Joseph Spine may offer spine patients new hope for a pain-free life.

Surgeon Inspired Spinal Implants

“As a surgeon, it’s very exciting to participate in the device development process and see your ideas brought to life so quickly,” commented Dr. Joseph, founder of Joseph Spine. “Using 3D printing, we were able to go from design to prototype, to finished product much faster than with traditional manufacturing—which means patients get access to more advanced treatments sooner, too.”

“Osseus is unique in our ability to bring surgeon-inspired implants to market quicker than any competitor, and our focus on R&D delivers unparalleled performance and quality to our surgeons and patients,” said Eric Hansen, Co-Founder, and CEO of Osseus. Osseus’ newly approved Aries family of lumbar interbody fusion devices is, the company says, one of the most comprehensive groups of 3D printed devices in the spinal and orthopedic industries. The family, comprising of Aries-TS, Aries-TC, Aries-A, Aries-L and Aries-O offer implant solutions for lateral (LLIF), anterior (ALIF), straight and curved transforaminal (TLIF) and oblique (OLIF) procedures.

Aries Titanium Spinal Implants

The 3D printed devices are constructed from a highly porous titanium metal which has been optimized for bone integration and fusion. The creation of the implants has been enabled largely by Osseus’ proprietary 3D printing platform, PL3XUS. Interestingly, the company says its titanium implants are some of the most porous spinal implants out there, with porosity rates of 80% or higher.

Lumbar-Fusion-3d-printing-Device

The 3D printed medical devices also integrate a proprietary mesh lattice which acts to reduce stiffness and to maximize bone graft packability. In other words, the mesh lattice structure is specifically designed to encourage bone cell fixation and proliferation, ultimately resulting in faster recovery times after implantation.

The recent FDA clearance for its medical device family marks Osseus’ fourth FDA 510(k) clearance.

About Joseph Spine

Joseph Spine is an advanced center for spine, scoliosis and minimally invasive surgery. Founded by Dr. Samuel A. Joseph, a fellowship trained, board certified orthopedic surgeon. His practice includes the specialized, conservative, and surgical care of patients. Treatment includes therapeutic injections, disc replacement surgery, minimally invasive techniques, and complex reconstruction of adult and pediatric spinal disorders. Dr. Joseph is also among a select group of surgeons to offer cutting-edge regenerative injection therapy (Stem Cell Therapy).

About Osseus Fusion Systems

Osseus is a medical device firm focused on unique, novel and new technology products, including: the Black Diamond Pedicle Screw System (PSS) – a trailblazing fixation system technology, White Pearl Preferred Angle Anterior Cervical Plate (ACP) – a cervical spine fixation device, and Red Ruby Anchored Cervical Interbody (ACI) – a revisable cervical Interbody system.

dr-joseph-spine-surgery-tampa-

Dr. Samuel Joseph, Jr. Awarded Top 20 Under 40 Spine Surgeons by NASS

Joseph Spine, Advanced Center for Spine Care is proud to announce that our founder Dr. Samuel A. Joseph, Jr., Board Certified Orthopedic Surgeon (ABOS) has been selected as a recipient of North American Spine Society (NASS), SpineLine’s inaugural “20 Under 40” recognizing outstanding spine surgeons across the country. 

Dr. Joseph, as well as the other recipients, have been featured in SpineLine’s online magazine and will be recognized at the 2018 NASS Annual Meeting, in Los Angeles, September 26 – 29th, 2018.

NASS Annual Meeting is where spine care professionals from around the globe will share the latest information, innovative techniques and procedures, best practices, and new technologies in spine medicine. 

The Annual Meeting provides a unique opportunity for spine care professionals to learn and gain skills through dynamic and challenging educational programs, the ability to network and build relationships with your colleagues and leading experts in spine care.

About Dr. Joseph

Dr. Joseph is a board certified, fellowship-trained, orthopaedic surgeon who specializes in advanced spine care. He is a leader in new spine medicine, including Stem Cell Therapy, Robotic Assisted Spine Surgery, and participated with the Medical device firm Osseus Fusion Systems to develop its Aries family of 3D printed lumbar interbody fusion devices that have received FDA 510(k) clearance.

About Joseph Spine

Joseph Spine is the advanced center for spine, scoliosis and minimally invasive spine surgery. Founded by Dr. Samuel A. Joseph, Jr., a fellowship trained, board-certified orthopedic surgeon. His practice includes the specialized, conservative, and surgical care of patients. Treatment includes therapeutic injections, physical therapy, pain management, stem cell therapy, disc replacement surgery, minimally invasive techniques, including robotic-assisted surgery, and complex reconstruction of adult and pediatric spinal disorders. Dr. Joseph is among a select group of surgeons to offer cutting-edge regenerative injection (stem cell) therapy and robotic-assisted surgery for patients to provide the most advanced minimally invasive spine surgery (MIS) available globally. Joseph Spine has four locations in Tampa Bay, including Tampa, St. Petersburg, Safety Harbor, and Brandon, FL. Joseph Spine is dedicated to offering humanitarian spine services internationally in the form of education, awareness, and surgery. Please visit JosephSpine.com for more information.

Adolescent Idiopathic Scoliosis Symptoms and Treatments

Types of Structural Scoliosis

There are several types of structural scoliosis. In this video, Dr. Joseph will discuss the most common type of scoliosis, review symptoms and outline treatment options available for patients.

Idiopathic Scoliosis

Idiopathic scoliosis accounts for about 8 in 10 cases of scoliosis. This type of scoliosis typically presents during adolescence, but it can also start earlier in childhood or infancy. What causes idiopathic scoliosis is currently unknown. Researchers discovered a gene that is believed to be associated with adolescent idiopathic scoliosis only a few years ago.

Adolescent idiopathic scoliosis is an abnormal C-shaped or S-shaped curvature of the spine. The curvature of the spine is measured by the Cobb angle. A Cobb angle greater than 15° is considered scoliosis.

Symptoms of adolescent idiopathic scoliosis

Symptoms include back pain, unequal leg lengths, uneven hips, uneven shoulders (one shoulder appears higher than the other), abnormal gait, as well as breathing difficulties when the rib cage puts pressure on the lungs. When left untreated, the deformity might progress significantly. For milder cases, your doctor may recommend nonsurgical treatment such as bracing. Braces are usually worn for several hours daily. This can be effective if the child is still growing and has a Cobb angle between 25° and 45°.
In progressive cases, or when the Cobb angle is greater than 45°, your doctor may recommend surgery to straighten and fixate the spine, by placing implants such as screws, rods, hooks, and wires in and along the spine.

Surgery treats but does not cure scoliosis. It corrects the abnormal curvature and prevents further progression of the disease.

Surgical treatment of adolescent idiopathic scoliosis

Surgical treatment of adolescent idiopathic scoliosis requires planning and precision. Each scoliotic curvature has unique challenges, and often the patient’s vertebrae are deformed, twisted and abnormally small, which makes for a challenging surgery. Mazor’s core technology allows surgeons to plan ahead before entering the operating room; Mazor Robotics advanced 3D planning software is used before surgery to create the procedure for each patient’s condition. During the operation, the physician does the actual work; Mazor X guides the surgeon’s tools according to the predetermined blueprint to place the implants.

About Joseph Spine

Joseph Spine is an advanced center for spine, scoliosis and minimally invasive spine surgery. Founded by Dr. Samuel A. Joseph, a fellowship trained, board-certified orthopedic surgeon. His practice includes the specialized, conservative, and surgical care of patients. Treatment includes therapeutic injections, disc replacement surgery, minimally invasive techniques, and complex reconstruction of adult and pediatric spinal disorders. Dr. Joseph is also among a select group of surgeons to offer cutting-edge regenerative injection (stem cell) therapy.

Joseph Spine Advanced Center for Spine Care, Scoliosis and Minimally Invasive Spine Surgery Now Open in Brandon, FL

Advanced Spine Care Brandon Florida

Spine and Back Patients in Brandon Florida will find that choosing Joseph Spine will make advanced spine care options, office visits with access to highly trained spine specialists/surgeons, and follow-up appointments easier and less stressful – all important components that our physicians recognize as crucial to patients’ successful healing and recovery.

Spine Conditions

Joseph Spine treats a wide variety of spine disorders such as scoliosis and deformity, kyphosis correction, cervical spine disorders, neck pain, back pain, degenerative disc disease, degenerative spinal conditions, herniated disc, lumbar spine disorders, spinal stenosis, spondylolisthesis, and thoracic spine disorders. Joseph Spine treats these conditions with many different techniques.

State-of-the-Art Spine Medicine

A Joseph Spine, our mission is to provide our patients with state of the art spine care. Our spine centers are conveniently located throughout Tampa Bay with offices in Tampa, St. Petersburg and Safety Harbor, and now adding our newest location in Brandon Florida. Our patients come to us in pain and we use our expertise in diagnosis, education, and treatment to help move them forward to improved spine function and health. Our team has over a decade of experience and expertise in providing advanced spinal care and innovative procedures including, but not limited to those below.

  • Pediatric and Adult Spinal Surgeries and Deformities
  • Minimally Invasive Spinal Procedures
  • Robotic-Assisted Surgery
  • Stem Cell Therapy – Regenerative Injection Therapy
  • Interventional Back Pain Management
  • Revision Surgeries

About Joseph Spine

Joseph Spine is an advanced center for spine, scoliosis and minimally invasive surgery. Founded by Dr. Samuel A. Joseph, a fellowship trained, board-certified orthopedic surgeon. His practice includes the specialized, conservative, and surgical care of patients. Treatment includes therapeutic injections, disc replacement surgery, minimally invasive techniques, and complex reconstruction of adult and pediatric spinal disorders. Dr. Joseph is also among a select group of surgeons to offer cutting-edge regenerative injection therapy.

Robotic Assisted Minimally Invasive Spine Surgery

In this blog post Dr. Joseph will review how minimally invasive spine surgery using Mazor X robotic technology can help people who are diagnosed with serious spine problems or complications that have not responded to medication, physical therapy or spinal injections.

Bringing State of the Art Spine Technology to Tampa Bay

Joseph Spine brings this state-of-the-art technology to our patients and offers a transformative leap forward in spinal surgery. Mazor X maximizes surgical predictability and allows surgeons to achieve greater precision for optimal patient benefit.

As with other robotic surgical devices, Mazor X does not perform actual surgeries. Instead it provides surgeons with information and anatomical images of the patient’s spine. In the operating room using Mazor X robotic-assisted technology, the blueprint guides surgeons through the operation with more accuracy and efficiency.
Mazor X incudes three integrated processes – Planning, Guidance, Verification – to assure greater predictability and precision during your procedure.

Mazor X Surgical Assurance Platform

The Core of the Surgical Assurance Platform is an innovative set of planning and guidance tools indicated for implant and instrument positioning in spine surgery.

Stage 1 – Planning Robotic Assisted Spine Surgery

The Mazor X system’s 3D planning software is used to create a comprehensive surgical plan as part of a total patient treatment strategy.

A pre-op CT scan of the patient is uploaded to the Mazor X software for planning and then two fluoro shots are taken intra-operatively to register.
A Mazor X Scan & Plan procedure utilizes an intra-op 3D imaging system, such as Medtronic’s O-arm, eliminating the need for a intra-op CT.

Stage 2 – Operate with Mazor X

The Mazor X Surgical System is attached to both the OR bed and the patient. With the surgeon in full control, the Surgical Arm guides the tools according to the surgical plan.
The Surgical Arm’s reach and range of motion allows for posterior instrumentation from a variety of different trajectories. Minimally-invasive spine surgery using Mazor X robotic technology can help people who are diagnosed with serious spine problems or complications that have not responded to medication, physical therapy or spinal injections.

Conditions include:

  • Vertebral fractures
  • Traumatic spine injury
  • Degenerative disc disease
  • Spinal weakness or instability
  • “Slipped disc” (Spondylolisthesis)
  • Narrowing of spinal canal (Stenosis)
  • Adult degenerative spinal deformity (Scoliosis, kyphosis)
  • Revision Surgeries

Patients with these conditions often suffer with debilitating symptoms like:

  • Low back pain
  • Leg pain
  • Sciatica
  • Uneven legs, hips or shoulders
  • Abnormal gait
  • Breathing difficulties when the rib cage puts pressure on the lungs
  • The benefits of robotic spine surgery

Compared to traditional spine surgery, Mazor X robotic technology can:

  •  Increase surgical accuracy and help preserve surrounding healthy tissue
  • Allow surgeons to more accurately place hardware during the procedure, thus lowering the risk of complications
  • Reduce the risk of exposure to radiation from imaging scans
  • Improve recovery time due to less time in the operating room and while under anesthesia
  • Reduce pain after the surgery for a quicker return to daily activities

To learn more about Mazor X or to schedule an appointment, contact our office or request an appointment online at JosephSpine.com.

Dr. Andrew Moulton Joins Joseph Spine Advanced Center for Spine Care

Joseph Spine is pleased to announce that Dr. Andrew Moulton has joined our practice and will be seeing patients primarily at Joseph Spine’s Advanced Center for Spine, Scoliosis, and Minimally Invasive Spine Centers in Safety Harbor and St. Petersburg locations.

“As our business grows, and to better serve the Tampa Bay area, we felt the need to add another advanced spine care surgeon to our practice to ensure the best spine care and convenience to our patients,” said Dr. Samuel Joseph, founder of Joseph Spine. “Dr. Moulton provides a great blend of expertise and knowledge in advanced spine care, along with a strong passion to provide community outreach to spine patients in need, locally, nationally and internationally, which is a high priority for Joseph Spine.”

Dr. Moulton received his undergraduate degree from the University of California at Los Angeles and completed his medical degree at SUNY Downstate School of Medicine in Brooklyn, New York. He did his Residency at SUNY Downstate Department of Orthopaedic Surgery. He did his Spine Surgery Fellowship at the Hospital for Joint Disease.

Dr. Moulton has been involved in a number of humanitarian efforts. He is president and co-founder of the Butterfly Foundation, a nonprofit organization that brings spine surgery teams from the U.S. to the Dominican Republic to teach local surgeons the latest techniques in spine surgery.

Dr. Moulton has published numerous papers in professional journals and was involved in two biomechanical studies involving the spine. He is also fluent in both Spanish and Portuguese.

About the Butterfly Foundation

The Butterfly Foundation is a nonprofit organization focused on teaching spinal deformity surgery in developing countries. The primary site has been the Dominican Republic, with similar projects annually in Chile, Jamaica, Malawi, and Vietnam. The first trip to the Dominican Republic was in March 2003. The pattern for following trips includes and established deformity surgeon working alongside a local surgeon as well as didactic lectures and saw-bone workshops. Teams consist of academic spinal deformity surgeons, anesthesiologists, nurses, OR techs, perfusionists, and neurophysiologists. Local “fellows” have been selected at each site for focused training.

About Joseph Spine

Joseph Spine is the advanced center for spine, scoliosis and minimally invasive spine surgery. Founded by Dr. Samuel A. Joseph, Jr., a fellowship trained, board-certified orthopedic surgeon. His practice includes the specialized, conservative, and surgical care of patients. Treatment includes therapeutic injections, physical therapy, pain management, stem cell therapy,  disc replacement surgery, minimally invasive techniques, including robotic-assisted surgery, and complex reconstruction of adult and pediatric spinal disorders. Dr. Joseph is among a select group of surgeons to offer cutting-edge regenerative injection (stem cell) therapy and robotic-assisted surgery for patients to provide the most advanced minimally invasive spine surgery (MIS) available globally.

Joseph Spine is dedicated to offering humanitarian spine services internationally in the form of education, awareness, and surgery. Please visit JosephSpine.com for more information.

Dr. Joseph Spine Surgeon Tampa Bay Bucs

Dr. Samuel Joseph Spine Surgeon Chosen To Serve Tampa Bay Buccaneers

Described as “steadfast and dedicated” for his service to his spine patients, as well as, his humanitarian services to the Make a Wish Foundation, the Butterfly Foundation, and teaching his Minimally Invasive Techniques throughout the world, Dr. Samuel Joseph, of Joseph Spine, has been chosen as the team Spine Surgeon for the Tampa Bay Buccaneers.

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New Generation, Patient-Focused Treatment of Spinal Conditions Is the Focus of Newly Opened Joseph Spine Center

Tampa, FL – March 2, 2017 – Joseph Spine, recently opened it doors in December of 2016, with spine centers in Tampa, St. Petersburg and Safety Harbor Florida.

Joseph Spine’s patient-focused spine care program operates under Dr. Samuel A. Joseph, Jr., who is committed to finding the best treatment approach for each patient.

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