Neurosurgery Spine Services at UVANeurosurgeons are instrumental in the surgical treatment of spinal disorders, and in fact, over two-thirds of all surgeries performed by neurosurgeons are for spine disorders and injuries. Our spine surgeons provide intensive education to patients, and maintain close working relationships with referring physicians by keeping them apprised of their patients' initial visits, hospital stays, and follow-up visits.
Spine DisordersSpinal disorders include: degenerative arthritis, spinal stenosis, herniated or degenerative disc disease, instability due to arthritis, trauma, scoliosis, spina bifida, osteoporosis, fractures and spinal cord tumors.
Follow these links for more information about: TreatmentTreatment of spinal disorders requires a multidisciplinary approach involving UVa’s neurosurgeons, as well as the patient’s physician and physical therapists, chiropractors, massage therapists, acupuncturists and pain management specialists. This collaborative approach sometimes means that surgery can be avoided. However, if pain persists despite extensive non-surgical treatment – or if surgery is the most appropriate first option – our nationally recognized spine surgeons are well-versed in all current techniques and are aided by a top-flight nursing staff.Most patients with spine disease will go through three phases of care:  presentation, diagnosis and treatment. Patients typically present to their family physician with back or neck pain which may radiate into the leg or arm. Depending on a patient’s condition, the symptoms may be treated first by their primary care doctor, commonly with non-steroidal, anti-inflammatory agents such as ibuprofen, naproxen, etc. At other times an imaging study is necessary to make a diagnosis, after which the most appropriate treatment can be determined. The majority of spinal afflictions can be treated with a combination of medicine, physical therapy and other remedies such as chiropractic manipulation or exercise. When pain persists despite these treatments, a referral for surgery may be appropriate. In determining whether surgery is necessary, our doctors take many factors into consideration including imaging studies, a physical exam and the patient’s desire for pain relief. The decision to proceed with surgery is a collaborative process between the patient, the referring physician and UVa’s neurosurgery team, made after a thorough discussion of the risks, benefits and probable outcomes. Follow these links for more information on some of the surgeries that our doctors perform: Anterior discectomy and fusion Posterior foraminotomy and discectomy Posterior laminectomy Spine Universe Our team takes as much time as necessary to go over any questions or concerns, as well as to discuss in detail the patient’s condition. Physicians from UVa will also continue to work with the patient and the referring physician after surgery to shorten the recovery period with the goal of resuming normal activity as soon as possible. Minimally Invasive Spine TreatmentMinimally invasive spine surgery is emerging as an often preferred alternative to conventional open spine surgery in certain conditions. It can help certain patients with spine conditions experience quicker hospital stays and recovery times, with less pain and less visible scars. Justin Smith leads our minimally invasive spine program. Click here to learn more. Contact
Chris Shaffrey leads our team of spine specialists, which includes neurosurgeons Aaron Dumont, Jeff Elias, Greg Helm, John Jane Sr., John Jane Jr., Mark Shaffrey, Jason Sheehan and Justin Smith. |
