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Minimally Invasive Spine Surgery at PBSC

Joseffer Scrubs SmallSeth Joseffer MD, FACS

Our practice takes a unique approach to minimally invasive spine surgery. Spine expert and surgeon Seth Joseffer, MD explains.



At Princeton Brain & Spine Care our priority is providing the best care for our patients. For this reason, we provide a variety of minimally invasive techniques that we feel are scientifically proven, but avoid others which are unproven or not right for a particular problem.

The minimally invasive techniques we offer include:

  • Discectomy
    Discectomies involve removal of intervertebral discs. At our practice we do many discectomies minimally invasively, using small incisions to access the spine. We can do this type of decompression in the lumbar or cervical spine.
  • Anterior Lumbar Interbody Fusions:
    A traditional approach for Anterior Lumbar Interbody Fusion (or ALIF) involves significant soft tissue damage and blood loss. We utilize a "mini-open" approach for ALIF. This is a far less invasive procedure than the traditional approach, but is also safer than a laparoscopic technique.
  • Posterior Lumbar Interbody Fusions:
    We use "mini-open" PLIF technique for such conditions as spondylolisthesis, instability, and degenerative disc disease.
  • Pedicle Screws:
    Until recently the insertion of pedicle screws has required the spine surgeon to expose the pedicles. Today, we use different techniques that allow us to insert pedicle screws directly through the skin without disturbing the muscles and tendons.
  • Vertebroplasty and Kyphoplasty:
    These relatively new procedures are used to treat vertebral compression fractures by injecting orthopaedic cement into the affected vertebrae. We have considerable experience with these techniques and excellent outcomes.

Spinal Fusion with Instrumentation:
Patients with spinal instability or chronic back pain may require spinal fusion surgery. This surgery is done to stabilize and strengthen the spine and to alleviate severe chronic back pain. Spinal fusion is a common treatment for such spinal disorders as spondylolisthesis, instability, scoliosis, severe disc degeneration, or spinal fractures. Fusion surgery is usually only considered after non-operative therapies have failed.

Dr Seth Joseffer Video Spinal Treatments

LastUpdate: 2016-05-08 11:21:00


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