Orthopaedic Surgery American Academy of Orthopaedic Surgeons Clinical Faculty Olympia Medical Center Cedars Sinai Medical Center Century City Doctors Hospital Education The University of California, Los Angeles The University of Michigan, Ann Arbor

Education

The University of California, Los Angeles

The University of Michigan, Ann Arbor

For patients with back pain or leg pain which is caused by degenerative disc disease the TLIF may be an option With this procedure Dr. Pazmino is able to eliminate motion between painful vertebral bodies by using a bone graft material Concept: By eliminating painful motion, pain is removed

For patients with back pain or leg pain which is caused by degenerative disc disease the TLIF may be an option

With this procedure Dr. Pazmino is able to eliminate motion between painful vertebral bodies by using a bone graft material

Concept: By eliminating painful motion, pain is removed

First Dr Pazmino fashions one small incision over the lumbar spine

First Dr Pazmino fashions one small incision over the lumbar spine

Here you can see the degenerated disc and the small herniation protruding backwards from the disc

Here you can see the degenerated disc and the small herniation protruding backwards from the disc

Part of the bone needs to be removed during surgery by Dr Pazmino in order to remove the degenerated discs Dr Pazmino is then able to remove all the degenerated disc through one of these tiny bony windows

Part of the bone needs to be removed during surgery by Dr Pazmino in order to remove the degenerated discs

Dr Pazmino is then able to remove all the degenerated disc through one of these tiny bony windows

Here you can see the Damaged Lumbar Disc which is causing all the pain

Here you can see the Damaged Lumbar Disc which is causing all the pain

Here you can see the disc has been completely removed by Dr Pazmino. Some of the outer disc wall is maintained to keep the spacers in place.

Here you can see the disc has been completely removed by Dr Pazmino. Some of the outer disc wall is maintained to keep the spacers in place.

In order to create a fusion, Dr Pazmino next inserts a spacer where the disc was removed

In order to create a fusion, Dr Pazmino next inserts a spacer where the disc was removed

Next the Bone Graft is carefully adjusted to lie centrally within the disc space

Next the Bone Graft is carefully adjusted to lie centrally within the disc space

Final central positioning of the bone graft spacer This bone graft spacer 1)Realigns the vertebral bones 2)The spacer also lifts pressure from the pinched nerve roots.

Final central positioning of the bone graft spacer

This bone graft spacer

1)Realigns the vertebral bones

2)The spacer also lifts pressure from the pinched nerve roots.

Next Dr Pazmino places pedicle screws into the vertebral bodies above and below the vertebral bodies

Next Dr Pazmino places pedicle screws into the vertebral bodies above and below the vertebral bodies

Rods are next placed into the screws to immobilize the painful vertebral segments

Rods are next placed into the screws to immobilize the painful vertebral segments

Bone forms along the rods and bones laterally and this creates the final ‘fusion construct.’ This immobilization removes the painful segment and therefore decreases pain

Bone forms along the rods and bones laterally and this creates the final ‘fusion construct.’

This immobilization removes the painful segment and therefore decreases pain

Thank you for your time. If you know someone who could benefit from a consultation for a TLIF, please refer them to our online website or call toll free to schedule an appointment 1-8SPINECAL-1 www.beverlyspine.com www.santamoincaspine.com

Thank you for your time.

If you know someone who could benefit from a consultation for a TLIF, please refer them to our online website or call toll free to schedule an appointment

1-8SPINECAL-1

www.beverlyspine.com

www.santamoincaspine.com