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Expert Videos

Dr. Sethuraman of the Spine Physicians Institute in Dallas, TX was featured on Good Morning Texas, WFAA 8 on May the 24th. He discussed the Extreme Lateral Interbody Fusion (XLIF) with a patient who has had a successful surgery. Watch the show for some valuable information on this innovative minimally invasive spine surgery procedure.

The BestDocs.com recommends Venkat Sethuraman, MD (Spine Surgery)

Dr. Sethuraman is board certified and has been peer-nominated and selected by the nation’s leading providers of information on top doctors.

Dr. Sethuraman discussing disorders of the Cervical Spine

I am here today to talk to you about disorders of the cervical spine. In the cervical spine, you can have many disorders that can adversely affect our ability to function and live a normal life. Degenerate changes in the spine present primarily in the forms of Disc herniation; where we herniate a disc within the neck. And when that happens, the nerve gets pinched. When the nerve gets pinched, we get the common symptoms of radiculopathy. Which are numbness, tingling down the arm, pain down the arm and motor weakness in the arm. When this happens, traditionally we treat people conservatively with measures such as anti-inflammatories, physical therapy and sometimes even cervical epidural steroid injections.

When we treat this disorder, we remove the herniated disc. We replace it with an artificial device and a metal implant. By doing that, we relieve the pressure off the nerves and off the spinal cord. And inherently patients wake up almost instantaneously, not suffering from any underlying neck pain or pain down the arms anymore. This procedure among all surgeries that mankind has created probably has the best long-term results. And for me is very satisfying because the results are almost immediate. The other condition that commonly occurs due to degenerative disorders in the spine included Spinal Stenosis. When that happens, the actual spinal cord gets compressed. And when that happens, the common symptoms of myelopathy develop. These include trouble, heel-toe ambulating, spaciness for sensations in your hands where you have difficulty performing small manipulations; such as buttoning your shirt or working with small devices. You can have trouble with bowel, bladder dysfunction. It can lead to neurologic symptoms that cause cervical headaches to develop. And once again similarly, what we do is we decompress the spine and we stabilize it through surgery. With people with progressive myelopathy, the treatment of choice is surgery rather than the conservative modalities. Because with our body, we can stand to get our nerves pinched but we don’t really tolerate having the spinal cord undergo pressure for too long.

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