2. Occupational Spine & MIS Surgery
Philip A. Yazbak, MD, FACS

3. What are the two purposes of the spine?

4. To support the upper body To protect the spinal cord and the nerves

5. Gary Larson

7. The Disc

8. Vertebrae and discs

15. What leads to disc degeneration?

16. Living Breathing Doing

17. Tobacco abuse Physical labor Family history

18. Wear & tear

19. US Life Expectancy 1914: women 57, men 52 1964: women 67, men 74
2014: women and men, 79
2014: women and men, 80 (WI)

20. Back Pain in the USA On any given day (population): 10%
In any given year (workers): 50%
In any given lifetime: 80%
2nd most common reason for MD eval
$50B per year spent
Most pain is mechanical

21. Physical Therapy

22. Chiropractic

23. Spinal Decompression (aka Traction)

24. Bracing

25. Core

26. Plank

27. More Planks

28. Crunch

29. Crunch with Ball

30. V Sit

31. Run

32. Power Walk

33. Elliptical Training

34. Stair Climber

35. Adaptive Motion Trainer

36. Spinning

37. Swimming & Water Aerobics

38. What else beyond exercise?
Burst of oral steroids
Acute, severe symptoms
5-10 days
Strongest oral anti-inflammatory
NSAIDs
Chronic symptoms
Prophylactic
GI symptoms, kidney disease

39. Injections ESI or NRB for extremity symptoms
A mixture of anesthetic and steroid
Diagnostic and therapeutic
Facet blocks, medial branch blocks, or facet rhizotomy for back symptoms

40. Spine Surgery Only ~ 5% of back patients will come to surgery
Urgent/emergent for substantial motor weakness and/or compromise of bowel and bladder function
Elective for others– treatment of last resort

41. What is minimally invasive spine surgery?

42. Why did minimally invasive spine surgery evolve?

43. Paraspinal muscles

44. Classic lumbar exposure

45. MIS exposure

46. What specific equipment and techniques
are used?

47. Mini open ALIF

48. MIS TLIF

49. PEEK cages

50. Sextant screws

51. Sextant screws

52. MIS TLIF with screws

53. TLIF with screws

54. MIS TLIF with screws

55. MIS TLIF with screws

56. Cases:
MIS lumbar discectomy
MIS lumbar fusion
Cervical fusion

57. Tina

58. Tina

59. Jack

60. Jack

61. Jack

62. Jack

63. Susan

64. Susan

65. What can better back health do for people?

66. Get them back on the slopes?

67. Like this guy?

68. Who is that guy?

69. Or get you running marathons?

70. Neuroscience Group
1305 West American Drive
Neenah, WI 54956