Since our founding, Texas Back Institute has focused intently on developing surgical techniques that create the best possible outcomes for our patients. Our surgeons have practiced minimally invasive cervical and lumbar spine surgery since the 1990s, affording us unparalleled ability to evaluate patient problems and leverage advanced surgical techniques. Today, our surgeons routinely rely on robotics, intraoperative CT imaging, and computer-assisted navigation systems to treat the source of patient neck or back pain without affecting healthy tissue or unrelated parts of the spine.
Our focus on minimally invasive techniques helps reduce the impact of surgery on the body. As a result, our patients commonly enjoy more predictable surgical outcomes, faster recovery times, and a quicker return to work and hobbies than they would experience with traditional spinal surgery. While minimally invasive surgery techniques include a variety of different surgery types and are sometimes used in conjunction with other spinal surgery procedures, this method cannot be applied to all patients. Each of the minimally invasive surgery techniques we have developed is the direct result of our investments in:
The primary focus of the Texas Back Institute Research Foundation has been the relationship between diagnostic evaluations and treatment outcomes. Clinical studies have involved discography, MRIs, minimally invasive procedures, and total disc replacement. Dozens of peer-reviewed medical articles have been published by TBI surgeons as a result of the Foundation’s studies.
Texas Back Institute trains orthopedic surgeons and neurosurgeons through our ACGME accredited Fellowship. At Texas Back Institute, our faculty includes 20 Fellowship-trained spine surgeons, specialists in conservative care and pain management, and a team of allied health care professionals.
Robotics, intraoperative CT imaging systems, and computer-assisted navigation often help the surgeons at Texas Back Institute specifically address the source of a patient’s neck or back pain without affecting healthy tissue or unrelated parts of the spine. As a result, our patients experience faster recovery times, reduced risk of complications, and return to work, sports and hobbies much more quickly. Below are just a few of the robotic surgery options our surgeons employ:
NuVasive® MAS PLIF
The NuVasive® MAS PLIF procedure is a minimally disruptive approach to traditional back surgery. During a PLIF (Posterior Lumbar Interbody Fusion) procedure, the damaged disc is removed from between two vertebrae in the lower back (the lumbar region). The vertebrae are then fused together to reduce motion. The goals of the procedure are to restore stability in the spine, eliminate pain, and treat common spinal pathologies. In general, the MAS PLIF procedure results in a shorter recovery and a faster return to normal activities compared to a traditional “open” PLIF procedure.
NuVasive® MAS TLIF
The NuVasive® MAS TLIF procedure is a minimally disruptive approach to traditional back surgery. During a TLIF (Transforaminal Lumbar Interbody Fusion) procedure, the damaged disc is removed from between two vertebrae. The vertebrae are then fused together to reduce motion. The goals of the procedure are to restore stability in the spine, eliminate pain, and treat common spinal pathologies. Traditionally, a TLIF is performed by making an incision in the patient’s back and stripping the posterior muscles to gain access to the spine. This often results in post-operative approach-related pain. In a MAS TLIF procedure, rather than starting from the center of the back and spreading the muscles outward, the surgical approach involves bluntly splitting the muscles on one side of the back to directly access the surgical site. This enables the surgeon to make a smaller incision with less muscle disruption, resulting in less postoperative pain and a faster recovery for the patient.
The XLIF® (eXtreme Lateral Interbody Fusion) procedure is a minimally disruptive surgical technique in which the surgeon approaches the spine from the side of the patient’s body, rather than the front or back as in traditional spine surgeries. This side (lateral) approach can reduce the risk of injury to muscles, nerves and blood vessels. This technique can provide relief to patients who cannot tolerate traditional open back surgery due to increased risks of longer anesthesia time, greater blood loss, longer hospitalization, and slower recovery. XLIF surgery is a less disruptive alternative for patients who have lived with back or leg pain through years of various failed treatments, including steroid injections, physical therapy and pain medication. The XLIF procedure includes the use of NVM5, an innovative nerve monitoring system. NVM5 provides surgeons with real-time feedback about relative nerve health, location, and function during surgery, thus reducing the incidence of nerve injury.