ENDOSCOPIC FACET FUSION 

MINIMALLY INVASIVE SPINAL TREATMENT

Spine & Joint Pain Doctor

The Microsurgery Spine and Pain Institute in Plano, Texas offers Endoscopic Facet Fusion as a minimally invasive treatment for spine joint pain. Call us today for more information or to schedule an appointment.

 

 

What is Endoscopic Facet Fusion?

The spinal bones are connected by one large joint and two smaller joints positioned just behind the large joint. The joints wear down over time, causing the joints to space out, become unstable, move around and cause pain. Separated joints can bring painful conditions like lumbosacral spondylosis; lumbosacral spondylosis is usually the most common condition treated with endoscopic facet fusion. The Microsurgery Spine and Pain Center stands as the only center in the Dallas and Fort Worth area to perform the procedure. Dr. Rodriguez and his team at the Microsurgery Spine and Pain Institute serve the communities of Plano, Frisco, McKinney, Allen and Carrollton.

 

 

Procedure & Benefits

The procedure can be done minimally invasively, or entirely percutaneously (meaning access to inner organs or other tissue is done via needle-puncture of the skin) and is done while the patient lies prone on the operating table. Oblique x-ray views of the spine will optimize visualization of the facet joint for the surgeon, and a steinman pin is advanced bilaterally under fluoroscopic guidance into the facet joint. A small stab wound facilitates insertion of the remaining instruments. The pin serves as a guide to place beveled spatulas into the facet joints bilaterally, and gently turning it engages the blade into the planes of the facet. Once the spatulas are in place, the drill guide is easily inserted and aligned by matching score marks on the spatula and the guide. Once the drill guide is in place, the spatula and pin are no longer needed. Next, a compaction reamer will create a tunnel of subchondral bone, and the reamer will be advanced to the positive stop to ensure proper depth. The impactor will pick the graft, place it, and countersink it properly, and then the dowels will be inserted in the correct position to restore stability and a platform for healing has been created.

Postoperatively, most patients can be discharged within 24 hours of the procedure, and a brace may be recommended for up to 6 weeks in order to limit motion during the early stages of healing. Endoscopic facet fusion relieves some of the pain from moving facet joints, eliminates the risks involved with invasive surgery and sometimes reduces the need for surgery in the future. Endoscopic facet fusion serves as an ideal treatment for those with neck or back pain, accompanied by severity causing feelings of tingling and numbness. Endoscopic facet fusion also treats patients who have undergone a CT scan or MRI that found degenerative disc disease, scoliosis or spondylolisthesis. Endoscopic facet fusion is minimally invasive, requires small incisions, and offers benefits like quick recovery time, increased mobility of the spine and a minimal amount of scar tissue.

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