Navigated Minimally Invasive Lumbar Fusion Performed At Local Surgery Center

Charlotte Neurosurgeon Performs Procedure Offering Improved Outcomes, Wider Access, And Reduced Costs For Spinal Fusions

A milestone spinal procedure recently took place in Charlotte at the Carolina Center For Specialty Surgery. Local Neurosurgeon Vinay Deshmukh, MD, FACS, of Carolina Neurosurgery & Spine Associates performed a navigated minimally invasive lumbar fusion at the surgery center located near uptown. This was one of the first times a procedure of this kind has been performed in a freestanding ambulatory surgery center (ASC).

Neurosurgeon Vinay Deshmukh, MD, FACS, of Carolina Neurosurgery & Spine Associates

The successful procedure sets a new precedent for the type of spine surgery that can be performed outside of a hospital. Previously, navigated minimally invasive lumbar fusions required a traditional hospital setting with increased risks of infection and higher expenses for the patient. 

Neurosurgeon Vinay Deshmukh, MD, FACS, of Carolina Neurosurgery & Spine Associates performed the innovative surgery. Dr. Deshmukh said, “Having the ability to now offer navigated, minimally invasive spinal fusions at ASCs will lead to improved patient outcomes, reduced complications, and lower medical costs.”

Minimally invasive, joint preserving, and regenerative techniques for treating the spine have significant advantages for patients who are candidates. Proven benefits include reduced blood loss, spinal fluid leaks, wound infections, narcotics use, and recovery times. Studies also show increased durability of these treatments, reducing the likelihood of adjacent segment disease and the need for future surgeries.

Navigation technology has proven to increase the accuracy of spine surgery, particularly in the placement of hardware, thereby reducing the risk of complications. Access to navigation at Carolina Center For Specialty Surgery broadens the types of cases and the profile of patients treated safely in an ASC setting.

A Unique Ecosystem Of Care

This outpatient navigated minimally invasive fusion case is the first time that the three critical elements of navigation, a minimally invasive spine technique, and an ASC environment were brought together in performing a spinal fusion.

“Such an innovation could only have happened in the unique ecosystem created by the relationship between Carolina Neurosurgery & Spine Associates, one of the largest, most-respected private neurosurgery practice in the nation, and Atrium Health Musculoskeletal Institute (AH MSKI), the leading musculoskeletal institute in the country. The convergence of cutting-edge surgical techniques, a world-class facility, and these leading organizations allows for the delivery of high quality, value-based care,” said Dr. Deshmukh.

Building on a History of Innovation

Carolina Neurosurgery & Spine Associates has pioneered neurosurgical advancements for over 75 years. With offices throughout western NC and upstate SC, the practice is nationally known for innovation in arthroplasty, minimally invasive surgery, and the delivery of value-based spine care. In addition to comprehensive neurosurgical services, Carolina Neurosurgery & Spine Associates also offers broad subspecialty capabilities in pediatric neurosurgery, neuro-oncology, minimally invasive and complex spine procedures, functional neurosurgery, and vascular neurosurgery.

This article originally appeared in the September 2019 issue of Mecklenburg Medicine.

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