Donald Corenman, MD, DC
Post count: 8507

If he is adamant that his 360 is better than a TLIF, you should not argue too hard as he is uncomfortable doing a TLIF for this disorder.

Once the front cage is solidly fused, the front screws will not cause you any grief (as long as the cage remains in the intended spot).

The amount of hardware should not matter once a solid fusion takes place.

The other surgeon uses a technique that utilizes “minimally invasive” procedures. I can assure you that this is not the place for that technique. You need to address the pars fractures and the extra bone derived from this will go a long ways to help with fusion.

In my opinion, O arm is essential for screw placement. Before O Arm, I was very good at placing pedicle screws (98% placement accuracy). Now my accuracy is 100%.

There are about 500 O Arms in the USA now so they are not so rare.

I do not understand the reluctance of neurosurgeons to retract nerve roots. This is performed every day when they do microdiscectomies and lateral recess decompressions (which I assume they do every day). I have been performing TLIFs for about 10 years now and there are no increased problems vs. other fusions I have performed in the past.

Dr. Corenman