The SNY NeuroSurgical Group is well prepared to deal with a variety of complex cases. The advanced training also enables neurosurgeons to use some of the most sophisticated techniques in medicine. Few medical specialties come close to Neurosurgery in terms of technological advances. Neurosurgeons use three-dimensional brain imaging, including incision-free stereotactic Neurosurgery, operating microscopes and other cutting-edge techniques to treat patients. The SNY NeuroSurgical Group was the first to bring CyberKnife technology to the Southern Tier.
We provide a complete network of surgical and non-surgical treatment options. After thorough examination, we will explore a variety of treatments to help you minimize pain and recover from your condition that may include:
- Physical Therapy & Rehabilitation
- Chiropractic Care
- Interventional Pain Management
Leading the Way in Technological Advances
Surgery may ultimately be necessary to treat your condition. Neurosurgeons use advanced technology to guide them through delicate surgical procedures.
Minimally Invasive Surgery - New techniques and instrumentation have been developed to greatly minimize muscle and nerve penetration that may occur during lumbar (low back) surgery, Therefore, there is less pain, less scarring and a quicker healing process.
Minimally Invasive Procedures:
Kyphoplasty spine surgery- a minimally invasive surgical procedure used for treating vertebral fractures from osteoporosis. The goals of the procedure are to stop the pain caused by the bone fracture, to stabilize the bone, and to restore some or all of the vertebral body height lost during the compression fracture.
Vertebroplasty- An image-guided, minimally invasive, nonsurgical therapy used to strengthen a broken vertebra (spinal bone) that has been weakened by osteoporosis or, less commonly, cancer. Vertebroplasty can increase the patient's functional abilities, allow a return to the previous level of activity, and prevent further vertebral collapse. It is usually successful at alleviating the pain caused by a compression fracture. Often performed on an outpatient basis, vertebroplasty is accomplished by injecting an orthopedic cement mixture through a needle into the fractured bone.
Microdiscectomy- In a microdiscectomy or a microdecompression spine surgery, a small portion of the bone over the nerve root and/or disc material from under the nerve root is removed to relieve neural impingement and provide more room for the nerve to heal. A microdiscectomy spine surgery is typically performed for lumbar herniated disc.
Percutaneous Discectomy - The surgical removal of herniated disc material that presses on a nerve root or the spinal cord. In percutaneous discectomy, the surgeon uses continuous X-ray monitoring to follow movement in the body (fluoroscopy). During fluoroscopy, X-rays are directed at your spine, and the resulting pictures are displayed on a monitor similar to a TV screen. The surgeon will make a small incision in your back and insert instruments that are used to remove all or part of the herniated disc.
Nucleoplasty- The most advanced form of percutaneous discectomy developed to date is DISC Nucleoplasty. Introduced in 2000, DISC Nucleoplasty uses a unique plasma technology called Coblation ® to remove tissue from the center of the disc. During the procedure, the DISC Nucleoplasty SpineWand is introduced through a needle and placed into the center of the disc where a series of channels are created to remove tissue from the nucleus. Tissue removal from the nucleus acts to decompress the disc and relieve the pressure exerted by the disc on the nearby nerve root. As pressure is relieved, pain is reduced, consistent with the clinical results of earlier percutaneous discectomy procedures.
IDET- Intradiscal Electrothermal Annuloplasty (IDET) is a minimally invasive treatment for chronic low back pain that results from certain types of painful degenerative disc disease or contained disc herniation. Successful IDET treatment may allow some patients to experience good or excellent pain relief without having to undergo major spinal surgery for disc removal and spinal fusion, or disc replacement.
X STOP IPD- offers immediate and long-term relief of symptoms without the removal of any bone or soft tissue, without general anesthesia, lengthy postoperative recovery, risk of significant complications, or significant costs. The unique design of the X STOP allows it to be easily and quickly inserted, yet ensures it will remain safely and permanently in place without attachment to the bone or ligaments. The X STOP is placed between the spinous processes of the symptomatic disc levels. This distracts the space and maintains it in a slightly flexed position, allowing patients to resume their normal posture rather than flex the entire spine to gain relief of symptoms. The X STOP IPD System incorporates the normal anatomy of the spine into a dynamic structure that prevents extension of the stenotic segment, preventing nerve root impingement.
The CHARITÉ Artificial Disc is composed of two metallic endplates and a polyethylene core that moves between them. During the surgery, the patient's degenerated disc is removed and a pair of endplates made of cobalt chromium are inserted in the space between the vertebrae and attached to the vertebrae above and below the disc. A polyethylene material is then inserted between the plates to create a disc-like structure that mimics the normal disc by providing both a normal level of separation between the vertebrae and allowing the usual range of motion and flexibility for that segment of the spine.
CyberKnife ® - A cutting-edge radiotherapy treatment using computer technology that enables doctors to deliver radiation with unprecedented precision when treating all kinds of tumors and lesions. This fast, interactive, automatic robotic capability has revolutionized the treatment of stationary and
moving lesions. Because it is so precise, the CyberKnife does not damage tissues or organs neighboring the targeted area.
At the core of the CyberKnife System is its interactive robotics technology that continuously and automatically tracks the patient's position- including his or her respiratory motion- while simultaneously tracking the lesion's position. The CyberKnife uses this information to guide and position each treatment.
The StealthStation® Treatment Guidance System provides greater accuracy, a smaller surgical incision, a shorter procedure time, advanced procedure planning and a shortened patient stay, creating better patient treatment and care. The system is used in over 500 medical centers throughout the world.
The entire image-guided surgery process can easily be correlated or compared to location and directional tracking systems used for cars and ships today. The image-guided surgery system camera performs much like the satellite that detects signals from vehicles that are quipped with special tracking devices.
As the vehicle moves, the satellite calculates the position and transfers the information to the vehicle computer. This shows the direction the vehicle is moving, and when programmed, will give specific directions as to how to proceed.
Gamma Knife- Often referred to as "surgery without a scalpel" because it involves no incision, minimal pain and is a greatly reduced risk to the patient. Gamma Knife offers new hope to patients with inoperable conditions such as arterio-venous malformations and brain tumors.
Advantages of the Gamma Knife include tremendous technical accuracy, and no surgical risks such as infection because no incision is made. The patient is lightly sedated but awake throughout the procedure, and therefore has little discomfort. Hospitalization is minimal- usually overnight, and recovery lasts no more than two to three days.
The Gamma Knife is primarily used for neoplastic and vascular disorders, but it also offers new hope for other disorders such as:
Anteriovenous malformations, meningiomas, acoustic tumors, vascular formations, deep-seated intracranial tumors, metatastic brain tumors, pituitary tumors, and partially resected tumors.
IMRT- High Resolution Intensity Modulated Radiation Therapy has the ability to treat irregularly shaped lesions in the direct vicinity of critical structures with dose distributions that otherwise would not be obtainable. The advantages of High Resolution IMRT include; the highest level of patient comfort with less side effects from radiation, superior dose distributions with simultaneous improvements in dose conformation, and critical structure avoidance and target does homogeneity.