Kellogg Brain & Spine

Many people suffer from chronic neck or back pain. When conservative medical treatments fail to provide pain relief, spine surgery may be necessary. Board-certified neurosurgeon Jordi X. Kellogg, MD, and the team at Kellogg Brain and Spine in Portland and Wilsonville, Oregon, perform many spine surgery procedures. They take a conservative approach aimed at restoring function and improving your spinal condition and health. To schedule a spine surgery consultation, call the office nearest you or book online today. Spine Surgery Q & A When do I need spine surgery? You, your primary care provider, and your neurological surgeon decide together when you need spine surgery. You may benefit from surgical intervention if you have a spine condition that causes chronic pain or limits mobility, and conservative treatments have proven ineffective. The team at Kellogg Brain and Spine specializes in managing conditions that affect the cervical (neck) and lumbar (lower back) spine. What are spine surgery procedures? The team at Kellogg Brain and Spine performs many spine surgery procedures. They use many advanced surgical tools and techniques to ensure the best outcomes. Types of spine surgery include: Anterior cervical discectomy and fusion (ACDF) The team performs ACDF to relieve pain, numbness, and weakness in the neck and upper back for patients with severe spine damage from a fracture, congenital abnormality, or degenerative disease. Disc replacement Patients with chronic back pain often have severe damage to one or more of their intervertebral discs. Artificial disc replacement is a type of arthroplasty that replaces the damaged disc with a prosthetic disc. The artificial disc alleviates pain and preserves spine mobility and function. Cervical posterior foraminotomy The team performs cervical posterior foraminotomy to treat foraminal stenosis, which causes the narrowing of the cervical spine and consequent nerve compression. Laminectomy The surgical experts at Kellogg Brain and Spine perform a laminectomy to treat nerve compression from spinal stenosis or a herniated disc. Lumbar fusion During a lumbar fusion, your surgeon permanently connects two or more bones in your spine to relieve pain and improve spine stability. The team uses many techniques to perform a lumbar fusion, including anterior lumbar interbody fusion (ALIF), posterior lumbar interbody fusion (PLIF), transforaminal lumbar interbody fusion (TLIF), and lateral lumbar interbody fusion. Decompression discectomy Decompression discectomy is a minimally invasive spine surgery that relieves compression of a nerve root. The team at Kellogg Brain and Spine uses the Stryker Dekompressor® to perform this procedure. Spinal cord stimulator A spinal cord stimulator is a device the team implants in your body to relieve chronic pain. What can I expect during a spine surgery consultation? When you visit Kellogg Brain and Spine for a spine surgery consultation, you can expect a comprehensive evaluation. During your consultation, they review your symptoms, medical and treatment history, and perform a physical exam. To confirm or rule out a diagnosis and determine the best treatment option, the team may request diagnostic imaging such as an MRI, CT scan, or X-ray. When it comes to managing your spine condition, the team forms a partnership with you. They spend time talking to you about your diagnosis and treatment options to make the most informed decision about your care. To learn more about your spine surgery options, call Kellogg Brain and Spine or schedule an appointment online today.

Damage to an intervertebral disc that separates the vertebrae in your spine is a common cause of chronic back pain. Disc replacement is an effective treatment for damaged discs. Board-certified neurosurgeon Jordi X. Kellogg, MD, and the team at Kellogg Brain and Spine perform disc replacement surgery to help many patients get long-term pain relief. To schedule a consultation to learn more about disc replacement, call the office in Portland or Wilsonville, Oregon, or schedule an appointment online today. Disc Replacement Q & A What is disc replacement? Disc replacement, also known as arthroplasty, is a treatment for alleviating neck and/or arm pain due to degenerated or damaged discs with an artificial disc. Made of a titanium ceramic composite, the Prestige LP artificial disc replacement consists of a ball on top and a trough on the bottom, replicating the structure and function of your natural intervertebral disc. Traditionally, surgeons perform spinal fusion procedures to alleviate symptoms from severely damaged intervertebral discs. However, spinal fusion limits movement and flexibility and may not fully restore your quality of life. The artificial disc functions just like your natural disc and preserves spinal movement and function. The surgical experts at Kellogg Brain and Spine perform disc replacement on the cervical and lumbar spine. Am I a good candidate for disc replacement surgery? When you visit Kellogg Brain and Spine for a spine surgery consultation, the team conducts comprehensive evaluations to determine the best course of treatment for you. They may consider you a candidate for cervical (neck) disc replacement surgery if: You have neck and/or arm pain from nerve compression You do not have osteoporosis You don’t have any spinal instability The team usually performs disc replacement on patients with herniated discs causing severe pain that radiates to the arms or legs. What happens during disc replacement? The team performs disc replacement surgery using an anterior approach -- from the front of the body. During disc replacement surgery, pressure is taken off the nerve by removing the disc and bone spurs, and the disc is replaced with the Medtronic Prestige LP artificial disc. These surgeries are performed on an outpatient basis or, depending on other health considerations, overnight in the hospital. Once discharged, the team may refer you to physical therapy for a planned exercise program to restore strength and function to the affected area of your spine. Though results vary, most patients experience relief from the chronic neck or back pain within weeks or months of their disc replacement. Disc replacement relieves pain and restores quality of life for patients suffering from severe intervertebral disc damage. To learn more about the procedure, call Kellogg Brain and Spine or schedule an appointment online today.

Changes in the structure and function of your neck may cause chronic neck pain. When conservative medical care fails to alleviate your pain, you may benefit from neck surgery. At Kellogg Brain and Spine, board-certified neurosurgeon Jordi X. Kellogg, MD, and the team perform neck surgery to address many common causes of neck pain. To schedule a consultation, call the office in Portland or Wilsonville, Oregon, or book online today. Neck Surgery Q & A When do I need neck surgery? Surgery for cervical (neck) spinal disorders is considered when you have failed conservative management that, if indicated based on your examination, may include physical therapy, chiropractic treatments, injections. Indications that surgery may be required include severe, intractable pain and/or neurologic deficits that may cause permanent injury. Neck surgery treats conditions that compress the spinal cord or nerve root, such as a herniated disc or degenerative conditions that cause bone spurs or thickening of the ligaments. What are neck surgery procedures? The team at Kellogg Brain and Spine specializes in neck surgery using many tools and techniques to help you get relief from your neck pain. Neck surgeries they may perform include: Anterior cervical discectomy and fusion (ACDF) During ACDF, the team removes your damaged intervertebral disc and fuses the vertebral bones to stabilize the spine and alleviate pain. Artificial cervical disc replacement Artificial cervical disc replacement, also known as arthroplasty, involves the removal of your herniated disc and replacing it with an artificial disc. Cervical posterior foraminotomy The team performs cervical posterior foraminotomy to treat foraminal stenosis -- narrowing the cervical spine that results in painful nerve compression. During the procedure, your surgeon removes a portion of your lamina (covering of your vertebrae), disc fragments, or bone spurs as needed to open the space. Then your surgeon fuses the vertebral bones to stabilize the spine. Laminectomy During a laminectomy, your surgeon removes a small section of your lamina to relieve spinal nerve compression. They perform a laminectomy to treat spinal stenosis or a herniated disc. What can I expect during a neck surgery consultation? When you visit Kellogg Brain and Spine for a neck surgery consultation, you can expect a personalized and comprehensive exam. The team asks detailed questions about your symptoms, medical and surgical history, and conducts a physical exam focused on your spine. To confirm or rule out the underlying cause of your neck pain, the team may conduct diagnostic tests, such as X-rays, MRIs, or CT scans. After your evaluation, the team reviews their findings with you and your treatment options. Together, you develop a plan to relieve your neck pain. To schedule your neck surgery consultation, call Kellogg Brain and Spine or book an appointment online today.

About 50 million people in the United States suffer from chronic pain, and many may struggle to find an effective treatment to relieve their discomfort. The spinal cord stimulator is a device that may provide pain relief for patients suffering from chronic pain. Board-certified neurosurgeon Jordi X. Kellogg, MD, and the team at Kellogg Brain and Spine offer spinal cord stimulator placement. To learn more about the device and how it may help your pain condition, call the office in Portland or Wilsonville, Oregon, or book an appointment online today. Spinal Cord Stimulator Q & A What is a spinal cord stimulator? The spinal cord stimulator is an electronic device that helps relieve chronic pain. It sends low electrical currents through wires placed near your spinal cord, disrupting the pain signal to alleviate the discomfort. The team at Kellogg Brain and Spine use the Senza® Omnia™ spinal cord stimulation system by Nevro, which delivers the proprietary HF10® therapy for maximum pain relief. Am I a good candidate for a spinal cord stimulator? The spine surgery experts at Kellogg Brain and Spine conduct comprehensive evaluations to find the best treatment to manage your chronic pain. A spinal cord stimulator can alleviate pain associated with many chronic pain conditions, including: Chronic back pain Chronic leg pain Neuropathy Complex regional pain syndrome Spinal cord injuries Post-surgical pain The team may consider you a candidate for a spinal cord stimulator if you suffer from a chronic pain condition, medical treatments fail to alleviate your pain, or you’re not a candidate for surgery. You may not be a good candidate for a spinal cord stimulator if you have a psychiatric condition that may affect the device’s pain-relieving benefits. How is the spinal cord stimulator placed? Before placement of your spinal cord stimulator, the team at Kellogg Brain and Spine runs a trial of the device. During the trial, your surgeon places the wires in the area of your spinal cord where you feel the pain. He connects the wires to a spinal cord stimulator device that you wear on your waist. Your surgeon requests that you document your pain during the trial run. If you experience significant pain relief during the trial, you may proceed with the surgical placement of the spinal cord stimulator. During the procedure, your surgeon positions the wires on the spinal cord using a needle and anchors them in place with sutures. Your surgeon then places the spinal cord stimulator device under your skin along your lower abdomen or buttocks. The team recommends activity modification for one to two weeks after the placement of the device. Most patients experience a 50% or greater improvement in pain after the placement of their spinal cord stimulator. If needed, the team can remove your spinal cord stimulator. To learn more about the spinal cord stimulator, call Kellogg Brain and Spine or book an appointment online today.

Chronic back pain may affect your mobility and quality of life. Lumbar fusion is a surgical procedure that helps many people get relief from their back pain. Board-certified neurosurgeon Jordi X. Kellogg, MD, and the team at Kellogg Brain and Spine in Portland and Wilsonville, Oregon, perform many types of lumbar fusion procedures. To discuss surgical options for your back pain, call the office nearest you or schedule an appointment online today. Lumbar Fusion Q & A What is lumbar fusion? Lumbar fusion, or spinal fusion, is a type of spine surgery that fuses two or more of the vertebrae in your lumbar spine to prevent motion between the bones. To perform a lumbar fusion, the surgeons at Kellogg Brain and Spine use techniques that encourage the bones to heal together to form a single, solid bone. What conditions benefit from lumbar fusion? The team at Kellogg Brain and Spine performs lumbar fusion to alleviate chronic back pain. Conditions that may benefit from the surgical procedure include: Degenerative disc disease Spinal stenosis Herniated disc Spondylolisthesis Lumbar radiculopathy Vertebral fractures Spinal deformities The team only performs spine surgery when they can pinpoint the exact reason for your pain. They conduct comprehensive evaluations and advanced diagnostic imaging to determine the root cause of your problem. What are the lumbar fusion procedures? The experts at Kellogg Brain and Spine use many techniques and approaches to perform a lumbar fusion. Some of the procedure options include: Anterior lumbar interbody fusion (ALIF) ALIF is the most common approach. During the procedure, your surgeon uses an anterior approach (front of the body) to access your spine and then removes the intervertebral disc and replaces it with a bone spacer. Your surgeon then attaches a bone graft or bone morphogenetic protein (BMP) to connect the affected discs and places additional devices (plates, screws, pins) to ensure spinal stability. Posterior lumbar interbody fusion (PLIF) During PLIF, your surgeon uses a posterior approach (from the back) to perform the spinal fusion. Your surgeon avoids interfering with many organs and blood vessels when using a posterior approach and gains access to the surgical site a lot faster. Transforaminal lumbar interbody fusion (TLIF) During a TLIF, your surgeon approaches your spine from the side. Your surgeon may perform a TLIF if they need to place two bone grafts at once. Lateral lumbar interbody fusion (XLIF) During XLIF, your surgeon performs the procedure from the side of the body rather than the back or abdomen. XLIF causes minimal tissue damage and minimal risk and results in a faster recovery. However, the surgeons only perform XLIF on vertebrae accessible from the side and can only treat two levels of the spine at a time. You may need to spend a few nights in the hospital after you lumbar fusion, and a full recovery from surgery may take months. Don’t let your chronic lower back pain dictate your life. Call Kellogg Brain and Spine or schedule a consultation online today to discuss your surgical options.

A herniated disc is a common spine condition that causes pain, numbness, or weakness that affects your daily life. Though the severity of symptoms varies, a herniated disc can be a source of chronic neck or back pain. Board-certified neurosurgeon, Jordi X. Kellogg, MD, and the team at Kellogg Brain and Spine offer surgical options to treat a herniated disc that causes chronic pain and disability. To schedule a consultation, call the office in Wilsonville or Portland, Oregon, or book online today. Herniated Disc Q & A What is a herniated disc? Intervertebral discs separate and cushion each vertebral bone in your spine. These discs act as shock-absorbers and support spine flexibility. If your disc tears or moves out of place, you have a herniated disc. You may develop a herniated disc from an acute injury to the spine. However, a herniated disc most often occurs from the gradual wear and tear on the disc that occurs over time. You may have a herniated disc in any part of your spine, but they most often affect the cervical (neck) or lumbar (lower back) spine. What are the symptoms of a herniated disc? Herniated disc symptoms vary depending on the severity of the herniation, the location, and whether the disc is pressing on a nerve or not. Common symptoms include: Pain Numbness Muscle weakness You may find that your symptoms worsen during activity and improve when resting. Your herniated disc may also cause symptoms that radiate to your arms or legs. Can a herniated disc cause sciatica? A herniated disc is a common cause of sciatica. Compression or irritation of the sciatic nerve causes sciatica. Bone spurs, osteoarthritis, or an injury to the spine may also cause this common pain condition. Your sciatic nerve is the longest and thickest nerve in your body. It travels from your lumbar spine to the end of your leg on both sides of your body. When compressed or irritated, you may feel pain, numbness, weakness, or electric shock-like sensations that travel down one side of your body. How is a herniated disc treated? When you visit Kellogg Brain and Spine for help managing your herniated disc symptoms, they conduct a comprehensive evaluation to formulate an accurate diagnosis and design the most effective treatment plan. In most cases, the team recommends conservative treatments such as over-the-counter pain medication, activity modification, and physical therapy to alleviate herniated disc symptoms. However, if you continue to experience symptoms or your symptoms worsen, the team may recommend surgical intervention. The type of surgery you need may depend on the location of your herniated disc and your overall health. Herniated disc surgical options may include: Disc replacement Disc replacement is a type of arthroplasty that replaces your damaged intervertebral disc with an artificial disc. The team offers disc replacement surgery when possible because it not only alleviates your pain but also restores spine mobility and function. Decompression discectomy Decompression discectomy is a minimally invasive procedure that removes the portion of your herniated disc pressing on a nerve. For expert care of your herniated disc, call Kellogg Brain and Spine or schedule an appointment online today.

In most cases, back pain resolves within a few days or a few weeks. However, some people continue to have back pain that lasts months or years. When conservative treatments no longer provide relief from chronic back pain, back surgery may be the next step. Jordi X. Kellogg, MD, and the team at Kellogg Brain and Spine in Portland and Wilsonville, Oregon, specialize in the diagnosis and treatment of back pain and perform many types of back surgery. Call the office nearest you or schedule an appointment online today. Back Pain Q & A What causes back pain? Back pain may occur suddenly after a bad fall or accident, or it may develop slowly. Conditions causing back pain may include: Sprains and strains Herniated disc Spinal stenosis Sciatica Fracture Spinal irregularities Osteoporosis Degenerative disc disease Arthritis Cervical or lumbar radiculopathy Spondylolisthesis You can develop back pain at any age; however, your risk of developing back pain increases as you get older. When should I consider surgery for my back pain? In most cases, back pain is acute and resolves within a few days or a few weeks. However, about 20% of people with acute back pain develop chronic back pain and continue to experience discomfort for months or years. Treatment for chronic back pain may include pain medication, physical therapy, or spinal injections. If conservative treatments no longer help and your pain affects your ability to manage your daily responsibilities, it may be time to consider back surgery. Unfortunately, back surgery can’t solve all causes of back pain. The neurological surgery experts at Kellogg Brain and Spine determine if back surgery is the best choice for your back pain during a comprehensive evaluation. What types of back surgery can relieve my back pain? The team at Kellogg Brain and Spine are spine surgery experts and perform many procedures that may help you get relief from your back pain. The types of back surgeries they perform include: Disc replacement Disc replacement surgery benefits patients that have chronic back pain from severely damaged intervertebral discs. Anterior cervical discectomy and fusion (ACDF) The surgical experts at Kellogg Brain and Spine perform ACDF to relieve pain, numbness, and weakness in the neck and upper back caused by fractures, degenerative disease, or congenital abnormality. Cervical posterior foraminotomy Cervical posterior foraminotomy relieves pain, weakness, or tingling sensations caused by foraminal stenosis, a narrowing of the cervical spine that causes nerve compression. Laminectomy The team at Kellogg Brain and Spine performs a laminectomy to relieve nerve compression from spinal stenosis or a herniated disc. Lumbar fusion During a lumbar fusion, the surgeons fuse one or more of your vertebral bones to alleviate persistent lower back pain. Decompression discectomy Decompression discectomy is a minimally invasive back surgery that relieves nerve compression from a herniated disc. Spinal cord stimulator For chronic back pain conditions not caused by nerve compression, the team may recommend a spinal cord stimulator. The implanted device sends low electrical currents through wires near your spinal cord, altering pain signals to alleviate discomfort. To learn more about treatment for your back pain from the surgical spine experts at Kellogg Brain and Spine, call the office or book an appointment online today.