- Disc Herniation Treatment | Lumbar Spinal Stenosis | Lumbar Trauma Treatment | Las Vegas NV | Henderson NV

Lumbar Spine

The lumbar spine refers to the lower area of the spine between the pelvis and thoracic cage. It is made up of 5 vertebrae (although some people may have 6) that are stacked on top of each other with cushion-like intervertebral discs in between. The lower back is the largest movable segment of the vertebral column and is extremely vulnerable to disorders, making it the source of many pain complaints. At the Spine Institute of Nevada, we are experienced in treating the many problems that arise from the lumbar spine.

We treat the following lumbar spine conditions:

We provide the following minimally invasive lumbar spine treatment options:

Lumbar Disc Herniation

A lumbar disc herniation is also known as a disc bulge, and a ruptured or slipped disc. The outer portion of the disc can tear and weaken, allowing the disc to bulge. It can then protrude into the spinal canal and may apply pressure on the nearby nerve. A herniated lumbar disc can cause back pain, and it can also cause pain that travels down the leg and feet (Sciatica). Most cases will improve over time. Treatment for a disc herniation includes medication and physical therapy. Steroid injections are occasionally used for pain relief. In the event that the symptoms don’t improve, outpatient surgery can be very helpful.

Lumbar Spinal Stenosis

As a result of age related degeneration, the discs become less tall and begin to bulge. The joints and ligaments in the back of the spine can also become enlarged. This combination of events can result in narrowing of the spinal canal, and can place pressure on the nerves as they squeeze through this narrow space. This can cause back and/or leg pain, weakness, and numbness and tingling. This is typically made worse with prolonged standing and walking. This is more common in the older age group. Treatment includes medication and physical therapy, as well as epidural steroid injections. Surgery is done to create more space for the nerves (Laminectomy). This can typically be done through minimally invasive means and as a outpatient procedure.

Lumbar Trauma

Trauma to the lumbar spine is usually the result of a fall or motor vehicle accident. Trauma to this area can cause an injury to the discs and ligaments. Trauma can also cause fractures of the spine, ranging from more simple compression fractures to severe complex fractures that are commonly associated with nerve injury. X-rays, CT scans, and MRI scans are used to determine the extent of the injury as well as the best treatment option. Treatment depends on the severity of the injury and includes medication, physical therapy, bracing, and surgery.

Lumbar Vertebral Tumors

Spinal tumors may occur as a primary tumor of the bone or the spinal cord. However, spine tumors are most commonly the result of metastasis, or spread from cancer in another area of the body (for example, lung or breast). Its cause is unknown but can occur as a primary tumor or as a result of the spread of cancer from another area. Lumbar vertebral tumors can cause back pain, loss of sensation, muscle weakness and spasms. Like other tumors, these must be treated quickly and effectively so they do not spread to other areas, or cause nerve damage or paralysis. Corticosteroids can help relieve symptoms, but surgery, radiation or chemotherapy may be necessary to remove the tumor.

Lumbar Deformity

Spinal deformities usually appear in the form of curves in the spine. They can be a result of a birth defect, trauma or other spine disease such as scoliosis. Treatment for spinal deformities can include medication, a spinal brace, physical therapy or surgery.

See the spinal deformities section for more information.

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Lumbar Disc Replacement

A lumbar disc replacement is a relatively new procedure for treating lower back pain and relieving herniated and degenerated discs. Disc replacement is offered as an alternative to spine fusion surgery, which causes limited movement and more stress on the back. This procedure replaces the damaged disc with a more natural implant that allows for more fluid motion in the affected area.

Lumbar Laminectomy

A lumbar laminectomy also relieves the pressure of a pinched nerve, but does so by removing a portion of the lamina, the bony rim around the spinal canal. This procedure is often used to treat spinal stenosis and disc degeneration. An X-ray is often used to ensure accuracy of this procedure.

Lumbar Microdiscectomy

A microdiscectomy is performed to relieve pressure on nerve roots caused by a herniated disc. A microscope is inserted through a tiny incision in the lower back to view the pinched nerve and then remove the portion of the disc that is applying pressure on it. 

Lumbar Spinal Fusion

Spine fusion is a surgical procedure used to link together vertebrae, often because of a damaged disc. During surgery, bone growth is stimulated and then used to link the vertebrae together to stop the painful movement in the area.

  • Anterior Lumbar Interbody Fusion (ALIF)
  • Transforaminal Lumbar Interbody Fusion (TLIF)
  • Posterior Lumbar Interbody Fusion (PLIF)
  • Lateral Interbody Fusion
  • Posterior Spinal Fusion

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