Spine Archives - Michigan Head & Spine Institute Blog

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Mick Perez-Cruet, M.D., was recently featured in Becker’s Spine Review discussing how spine treatment is evolving.

“Q: Where do you see the biggest opportunities for spine surgeons? How is the field evolving?

Dr. Mick Perez-Cruet: The biggest opportunities for spine surgeons are that we will continue to be extremely busy due to the growing aging population. Because patients expect to recover quickly and fully, minimally invasive spine surgery is growing in leaps and bounds with new MIS innovations and options continuing to expand.

I am particularly excited about the future of biologic treatment of spinal disorders. This remains a challenge but new and exciting research may, in the future, allow us to regenerate the intervertebral disc and restore natural function and motion to the degenerated vertebral segment. Our group is currently very active in this research using disc distractive device mechanisms in conjunction with cultured nucleus pulposus human stem cells to achieve this goal.”

Originally posted here: Becker’s Spine Review 


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Lumbar Spondylolisthesis occurs when a lumbar vertebra slips out of place. One vertebra slips forward, distorting the shape of the lumbar spine, and may compress the nerves in the spinal canal. The nerves that exit the foramen (open spaces on the sides of your vertebrae) may also be compressed. These compressions can cause pain and other problems.  But, there’s hope for relief.

Mick Perez-Cruet, M.D., presented recent studies and shows how lumbar spondylolisthesis is being treated.  To schedule an appointment with Dr. Perez-Cruet, please call 877-784-3667, or online.


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Over two-thirds of individuals experience chronic low back pain (LBP) in their lifetime, according to the New England Journal of Medicine. Some of the most common causes of low back pain include the biochemical degeneration of the intervertebral disc (IVD), spinal stenosis, and disc herniation. For these individuals, posterolateral and interbody fusion techniques are frequently considered for those with one- or two-level degenerative disc disease whose symptoms are unresponsive to conservative treatment. Nevertheless, pre-operative diagnostic techniques that may identify those patients with degenerative disc disease without significant neurological compression who may benefit from surgical intervention remain elusive.

Henry C. Tong, M.D., Daniel K. Fahim, M.D., and Mick Perez-Cruet, M.D., of MHSI and their colleague at Oakland University William Beaumont School of Medicine, Mengqiao Alan Xi, BSc, recently published their research that re-evaluated the effectiveness of lumbar discography with post-discography CT.

Their study results indicate that discography with post-discography CT can be an effective method to evaluate patients with discogenic back pain refractory to non-operative treatments. Those patients with one- or two-level high concordant pain scores with associated annular tears and negative control disc represent good surgical candidates for lumbar interbody spinal fusion.

To read the full study, click this link.


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Jeffrey Jacob, M.D.
Jeffrey Jacob, M.D.

Jeffery Jacob, M.D., along with his former Mayo Clinic colleagues in the Department of Neurosurgery and Anesthesia.  The article was published in Neurology, Sept. 8, 2015, which presented findings from a study on obese patients undergoing elective spinal fusion.

The objective of the study was on the impact of obesity on resource utilization and early complications in patients undergoing surgery for degenerative spine disease.

The conclusions drawn from this single-institution retrospective analysis is that increased BMI is associated with longer operative times, increased complication rates and increased cost independent of co-morbidities. The results further indicated the need for preoperative weight loss.