Our highly trained professionals at Trident Medical Center are able to handle a range of orthopedic and neurological disorders. Our team works in the following areas of musculoskeletal and neurological disorders:

  • Diagnosis
  • Treatment
  • Rehabilitation
  • Prevention

Our overall goal is to return our patients to normal function as quickly and safely as possible.

Team approach

Our team is comprised of surgeons, nurses, physician assistants, rehabilitation specialists and medical support personnel. Our personnel work to use state-of-the-art services to create a treatment plan that meets each patient’s individual medical needs.

We treat a variety of conditions from scoliosis to spinal stenosis. Often time’s orthopedic and neurological conditions require input from several types of specialists.

Treatment options

Cervical treatments

Discectomy

Discectomy is the removal of the herniated portion of a disc. This procedure is used to relieve the pressure on nearby nerves as they exit the spinal canal. The disc is a shock absorber between two bony vertebrae. When a disc herniates, the soft disc center can press on nearby nerves.

Posterior cervical foraminotomy / discectomy

Some cases of herniated discs or bone spurs that occur in the neck only affect the nerve roots. In this case, a posterior discectomy and foraminotomy can be performed. This procedure avoids spinal fusion and can minimize recovery time.

Anterior cervical discectomy

The surgeon will remove a piece of damaged disc tissue in the neck area to relieve pressure on the spinal cord or nerve roots. In some cases the structures may become less stable. If this is the case, a surgeon may recommend “fusing” the vertebrae to prevent instability when the disc is removed.

Corpectomy

The goal of a corpectomy is complete decompression of the spinal canal. It involves a vertical incision in the neck. The middle portion of the vertebra and its adjacent discs are removed to achieve decompression of the cervical spinal cord and nerve roots. A fusion accompanies a corpectomy surgery, using bone harvested from the patient’s hip or from a bone bank. This bone graft is used to reconstruct the spine and provide stability.

Anterior cervical fusion

A fusion accompanies an anterior cervical discectomy or corpectomy. During fusion surgery, a disc is removed, and the surgeon inserts a small wedge of bone between two vertebrae to restore disc space. Over time, the two vertebrae “fuse” together into a single solid structure.

Laminoplasty

A laminoplasty is often performed on patients suffering from spinal stenosis in the neck. This procedure creates more space for the spinal cord and roots. It relieves pressure on the spinal cord by increasing the diameter of the spinal canal and making room for the spinal cord.

Lumbar treatments

Lumbar discectomy

In a lumbar discectomy, the surgeon typically only removes the portion of the disc that is causing a problem, not the entire disc. The surgeon can remove the damaged piece of disc through a traditional incision in the back. However, at The Spine Center, the surgeons typically use a microscope to minimize incision size, tissue trauma and recovery time.

Anterior lumbar interbody fusion (ALIF)

In this surgery, back muscles and nerves remain undisturbed. The space between discs is fused by approaching the spine through the abdomen. The surgeon will approach the abdomen through an incision or by using an endoscope.

Posterior lumbar interbody fusion (PLIF)

This spinal fusion surgery is very similar to the anterior lumbar interbody fusion, except the surgeon approaches the spine through the low back. An advantage to this surgery is that it can also provide anterior fusion of the disc space without having a second incision.

Lumbar laminectomy

This procedure involves the removal of part or all of the bone covering the spinal canal. The purpose of this procedure can be to free nerve roots, remove a tumor, remove a bone spur or to perform certain types of fusion procedures. By removing the lamina, the surgeon gains access to the disc area and frees more space for the nerves inside.

Kyphoplasty

Kyphoplasty is a minimally invasive spinal surgery procedure used to treat painful, progressive vertebral compression fractures.

Disc replacement

Artificial disc replacement has emerged as an effective treatment option for low back pain. Disc replacement substitutes a mechanical device for an intervertebral disc in the spine.

Spinal fusion

Spinal fusion is a surgical procedure used to correct problems with the vertebrae of the spine. The spine is stabilized by fusing together two or more vertebrae, using bone grafts, metal rods and metal screws. Spinal fusion eliminates motion between vertebral segments, which can be a significant source of pain in some patients. The surgery also stops the progress of spinal deformity, such as scoliosis.

Bone grafting

Bone is the most commonly used material to help promote fusion of the vertebrae. Generally, small pieces of bone are placed into the space between the vertebrae to be fused. The bone is either supplied by the patient or harvested from other individuals.

Location

Trident Medical Center
9330 Medical Plaza Dr.
Charleston, SC 29406