Spinal procedures

Procedures

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Spinal conditions

The complexity
of the spine, simplified

The spine is the most integral segment of the human body. Not only is it complex in its neurological and anatomical make up, but it is also delicate when it comes to potential conditions. Our mission is to help you become educated about the issues at hand so that the safest possible treatment is recommended.

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These procedures can help with:

  • - Shooting pain down the arm
  • - Pain in the traps or deltoids
  • - Weakness in the hands or fingers
  • - Numbness in the hands or fingers

These procedures can help with:

  • - Shooting pain down the legs or buttock
  • - Back pain or aching continuously
  • - Weakness in the legs
  • - Numbness in the legs

These procedures can help with:

  • - Shooting pain down in all limbs
  • - Back pain or paralysis
  • - Weakness in all limbs
  • - Numbness in all limbs

About Procedure

Artificial Disc Replacement

Cervical Artificial Disc replacement is a minimally invasive procedure where a surgeon performs an anterior cervical discectomy to decompress the nerve roots and the spinal cord. Following the discectomy, the surgeon will place a mechanical disc that replaces the natural disc allowing for full range of motion.

About Procedure

Anterior Cervical Discectomy & Fusion

Anterior Cervical Discectomy & Fusion is a minimally invasive procedure where a surgeon performs an anterior cervical discectomy to decompress the nerve roots and the spinal cord. Following the discectomy, a surgeon will place an inter body graft that replaces the natural disc. In addition the surgeon will place a plate and screws to stabilize the segment until fusion occurs between the two vertebrae.

About Procedure

Posterior Cervical Fusion

Posterior Cervical Fusion is a procedure where a surgeon performs a decompression from an incision made posteriorly. Following the decompression, a surgeon will place screws and rods in order to stabilize the segment until fusion occurs between the instrumented levels.

About Procedure

Cervical Microdiscectomy

Cervical Microdiscectomy is a minimally invasive procedure where a surgeon performs a discectomy from a tiny incision made posteriorly. Using special instruments, the surgeon removes herniated or bulging disc material from the compressed nerve root or spinal cord at the level that is causing pain.

About Procedure

Cervical Microdecompression

A Cervical Microdecompression is a minimally invasive procedure where a surgeon performs a decompression from a tiny incision made posteriorly. Using special instruments, the surgeon removes bony elements that are obstructing the nerve root or spinal cord as a result of stenosis.

About Procedure

Lumbar Artificial Disc Replacement

Lumbar Artificial Disc replacement is a procedure where a surgeon performs an anterior lumbar discectomy to decompress the nerve roots and the spinal cord. Following the discectomy, the surgeon will place a mechanical disc that replaces the natural disc allowing for full range of motion.

About Procedure

Anterior Lumbar Interbody & Fusion

Anterior Lumbar Interbody & Fusion is a procedure where a surgeon performs an anterior lumbar discectomy to decompress the nerve roots and the spinal cord. Following the discectomy, the surgeon will place an inter body graft that replaces the natural disc. In addition the surgeon will either place a plate and screws to stabilize the segment until fusion occurs between the two vertebrae. In some instances, both an anterior lumbar inter body & Fusion and a posterior lumbar interbody fusion is recommended.

About Procedure

Transforaminal Interbody Fusion

A Transforaminal interbody Fusion is a procedure where a surgeon performs a posterior discectomy and decompression to provide relief for the nerve roots and the spinal cord. To replace the natural disc that has been removed, a surgeon will place an inter body device and pedicle screws in order to stabilize the two segments in order for fusion to take place.

About Procedure

Posterior Lumbar Fusion

A Posterior Lumbar fusion is a procedure where a surgeon performs a posterior discectomy and decompression to provide relief for the nerve roots and the spinal cord. A surgeon will then use pedicle screws and rods in order to stabilize the segment of interest in order to facilitate fusion between the two vertebrae.

About Procedure

Lumbar Microdiskectomy

Lumbar Microdiskectomy is a minimally invasive procedure where a surgeon performs a discectomy from a tiny incision made posteriorly. Using special instruments, the surgeon removes herniated or bulging disc material from the compressed nerve roots or spinal cord at the level that is causing pain.

About Procedure

Lumbar Microdecompression

A Lumbar Microdecompression is a minimally invasive procedure where a surgeon performs a decompression from a tiny incision made posteriorly. Using special instruments, the surgeon removes bony elements that are obstructing the nerve root or spinal cord as a result of stenosis.

About Procedure

Scoliosis Correction

Scoliosis correction can be corrected by several different surgical procedures depending on the patients anatomy and the surgeons preference. Usually, surgeons place several screws and rods in order to realign an abnormal curvature in the spine to a normal alignment.

About Procedure

Trauma

Spine trauma is most often treated with a procedure that includes pedicle screws and rod placement. In addition it is possible that a cage might be needed to replace a fractured vertebral body depending on the severity of the injury. There are many different types of spine trauma and it is best to discuss the specifics of your pain with a surgeon in person.

About Procedure

Tumor

Spinal tumors are most often treated with a dissection or removal of the tumor followed by screws and rods in order to stabilize the segments of interest. In addition, it is possible that a cage might be needed to replace a vertebral body with a tumor. There are several types of tumors related to the spine and it is best to discuss the specifics of your pain with a surgeon in person.

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What Our Patients Are Saying

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“Outstanding doctor!!!! Went to my first visit and wow he was absolutely awesome. He thoroughly explained to me everything about my case and he told it to me that I would understand. He is an overachiever with lots of energy, willing to take complicated and challenging cases, which mine is. So two days later I had neck surgery and everything went perfect, it was straight again. Dr. Poelstra is intelligent and knows everything about what he trained to be. I knew the first time when I left his office I was very confident he was the right surgeon. Doctor to patient relations are wonderful. Thank you Dr. Poelstra for doing everything you do.”

Sandra C.
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“Just had a complex cervical spine surgery performed by Dr. Poelstra. My osteoporosis certainly made the surgery more of a challenge. Dr. Poelstra devoted a lot of time and attention to my particular problems before coming up with a solution. I'm very happy with the outcome. Am also thrilled to report not only did the surgery go well, but I have experienced zero pain and am still pain free, 3 weeks post-surgery. Yes, the neck brace one must wear following surgery is hot this time of year, but a minor trade off for regaining erect, pain free posture. The Doctor and his staff were most personable and easy to deal with; any questions I had were responded to quickly. A very definite TWO THUMBS UP!!”

Wilma K.
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“Dr. Poelstra goes above and beyond in every aspect of his practice! From the first visit I knew I had the right surgeon to do my spine surgery. His knowledge and experience made me feel comfortable right away. His "bedside manner" is over the top. He actually listens, encourages and answers questions all the while ensuring you he truly cares and looks forward to making you whole again. My surgery was a tremendous success and I haven't felt this good in years!!!”

David Y.
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I had Lumbar spine surgery over 4 weeks ago with Dr. Poelstra. From start to finish, he and his team were extremely professional and pleasant. Dr. Poelstra has a keen ability to explain things in plain terms, as well as answer any questions either I had or my wife. I woke up from surgery and the pins and the burning in my legs was already gone. I look forward to the AWESOME care with the Spine Institute.

Ron C.
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I've had back and leg weakness and pain for over 2 years. Couldn't walk more than 25 ft, didn't sleep for more than an hour at a time and the medications weren't any help. Dr Poelstra was confident he could help me and when I woke up from the surgery I no longer had any leg pain and had full strength in my leg. Now I'll tell you the surgery was painful but nothing like I'd been living with. I can sleep again and walk upright!!. THANK YOU! You and your team are positive, informative and forthright. I had total confidence in you before this big surgery and am so grateful you helped me. Thank you for giving me my life back.

Debbie T.
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Talk about having confidence in my surgeon and the PA! I did not even meet my surgeon until right before my surgery ! I had read about Dr. Poelstra online and had every bit of confidence in him. Not only was he a renowned surgeon, but his bedside manners were superb. It is not very often you meet a doctor who is very knowledgeable, explains what he is going to do and what he had to do, but he was truly concerned about me. His office staff and the hospital called twice within the week following my surgery to see how I was feeling! My recommendation is that if you need a spine surgeon, the. Dr. Poelstra is the one ! I am six weeks post op and am 99.9% where I was before my herniated disc.

Johnathan H.

COVID 19 UPDATE: Telehealth and Telephone Visits are now available

Dear Patients,

We want to update you on several changes in our current procedures. We are complying with the Shelter-In-Place directive from Governor Newsom. We do want to assure you that we can continue to meet your orthopedic needs. We are taking the following steps to do this:

1. Telehealth and Telephone Visits

We want to make sure that you can be cared for, even if you want to or need to remain at home due to the shelter orders. We now can offer you telehealth and telephone visits. This will be ideal for patients who need routine follow-up. We can schedule these follow-ups for you and take advantage of the benefits of technology.

2. Availability

We recognize the need to prevent overloading of our Emergency and Urgent Care Clinics in this very challenging time. We also realize that it serves you better to avoid going to an ER or Urgent care center. We are offering same-day service for patients who want to be seen urgently, either after an injury or a flareup of pain. We can take care of many fractures and injuries at our clinics. We have x-ray and MRI capability and can do many fracture reductions and stabilizations. You can call the office to be seen the same day. In many instances, we will be able to get you seen immediately. Rest assured that we are here for your orthopedic needs. We are continuing to take all the necessary steps to ensure your safety during this time. Thank you very much for putting your trust in our care.

Yours Sincerely, The Robotic Spine Institute of Silicon Valley Team