Press Release

California Orthopaedic Spine Care, California Spine Institute, Northern California Spine Institute, Redding Spine Institute

Press Release 8.01.2004

Comprehensive Orthopaedic Spine Care Available in Redding, CA - September 7th, 2004

Shasta Orthopaedics & Sports Medicine is pleased to announce the addition of Dr. Brad Jones and that we are now accepting appointments for comprehensive spine care starting on September 7, 2004

From neck to lower back, from degenerative arthritic conditions to acute spinal injuries, Dr. Jones will provide a spectrum of spinal care from physical therapy to advanced surgical techniques. His expertise includes new techniques he has been exploring at the Los Angeles Spine Surgery Institute such as artificial disc replacement, minimally invasive cervical and lumbar surgery, and other less invasive procedures.

Areas of Interest
Conservative Spinal Management

I can offer a s conservative approach to the care of most types of spine patients, from pediatric patients, on the job injuries, and to elderly patients with degenerative spinal stenosis. This form of treatment requires an intensive involvement of both the patient and physical therapist to implement a program known as core or truncal stabilization. The program I recommend will take a patient from an initial level of I and slowly progress to a III to V level upon completion. This program forms the basis for both non-operative as well as post operative care.

Minimally Invasive Options

If the above program does not bring a satisfactory resolution of symptoms, there are many minimally invasive procedures available depending on the patients diagnosis. The core of these treatments are injection type treatments performed in an out patient setting. These include basic epidural spinal injections often combined with symptomatic facet joint injections. In addition, selective nerve root blocks can offer both diagnostic information as well as therapeutic relief of radicular symptoms in an extremity.

The micro lumbar discectomy is also a standard procedure that is now considered by many to be an excellent minimally invasive procedure for herniated spinal disc in patients who have failed other conservative treatments. This procedure is performed in an out patient setting with the use of microscopic magnification and an incision only 20 mm in length. Future directions in the management of symptomatic disc herniations also includes the use of an endoscopic discectomy approach that has shown excellent results in the properly selected patient population.

Discogenic Pain Treatments

Discogenic back pain is a common condition affecting a large percentage of patients seen in a Spine Surgeons office. Again, the basis of treatment begins with core conditioning and appropriate medical management. If failing this treatment program affective management entails obtaining a successful fusion of those motion segments involved. The best outcomes stem from a combined anterior spinal column fusion combined with a stagged posterior instrumented fusion. The anterior surgery employs the use of a minimal retro-peritoneal, muscle sparring approach.

Showing great promise is the soon to be released artificial disc replacements. Luckily, I was involved at a trial center in my fellowship training, and have first hand experience with these devices, the surgical technique and their outcomes.

Lumbar Stenosis

Again, the basics of conservative management are initially employed, core stabilization, medical modalities, and injection therapy. If these treatments fail then standard decompressive treatments are offered: foraminal and interlaminar decompression, hemi-laminectomies, and total laminectomies.

Cervical Spine Disorders

The full spectrum of cervical spinal disorders are treated. Again the conservative approach is employed first, but if unsuccessful appropriate surgical alternatives are offered. These options range from Anterior Cervical Discectomies and Fusions for symptomatic cervical disc herniations, to anterior Cervical Corpectomies for cervical stenosis and myelopathy. In addition, posterior cervical procedures such as cervical foraminal decompression for foraminal stenosis and posterior instrumented fusions for failed anterior cervical fusions. Also, for the appropriate patient, posterior cervical laminoplasty can be offered.

Failed Back Patients

This term refers to those patients who have had unsuccessful treatment of there spine pathology, either through conservative means or surgical. Appropriate evaluation and work-up is required in treating these often difficult cases. Many times the only available option is one of conservative treatment. Other cases may require extensive revision surgery to offer the best possible outcome. Either way, I can offer these patients the best possible options.

Background
California Orthopaedic Spine Care, California Spine Institute, Northern California Spine Institute, Redding Spine Institute

Grew up in Atlanta, GA and attended the University of Auburn obtaining my B.S. in 1993 with cum laude honors. Went on to attend the University of South Alabama Medical School followed by completion of an Orthopaedic Residency Program at Georgia Baptist/Atlanta Medical Center in 2003. Then elected to spend one year in sub-specialization in Spinal Orthopaedic Surgery, performed under the direction of Robert Watkins, M.D. at the Los Angeles Spinal Surgery Institute

Call Shasta Orthopaedics & Sports Medicine at 530-246-2467 to make an appointment or for more information.