Areas of Expertise

Degenerative Conditions of the Cervical, Thoracic and Lumbar Spine

All members of the Metropolitan Group are trained in diagnosis, treatment, and management of degenerative conditions of the spine. Dr. Fraser Henderson is fellowship trained in degenerative congenital conditions of the craniocervical junction and spine.

Craniocervical conditions include basilar invagination, atlantoaxial subluxation, odontoid fractures, Jefferson fractures, connective tissue disorders with craniovertebral instability, and conditions arising as the result of rheumatoid arthritis and other degenerative conditions. Conditions of the cervical spine include stenosis, spondylosis, foraminal stenosis, disc herniations, cervical subluxation, and deformity. Thoracic spine disease commonly treated includes compression fractures due to osteoporosis, deformity of the spine due to fractures or trauma, and unusual cases of spinal cord tethering or compression of the spinal cord due to thoracic spondylosis. Metropolitan Neurosurgery routinely treats these conditions.

We do not perform scoliosis operations.

Lumbar conditions include disc herniation, spondylolisthesis, and foraminal stenosis. Our team is experienced with microsurgical and minimally invasive treatment of these conditions.

Specific surgical procedures include posterior approaches for

  • cervical discectomy
  • vertebrectomy
  • corpectomy
  • placement of telescopic fusion devices
  • cervicothoracic corpectomy
  • trans-odontoid screw fixation
  • anterior stabilization
  • transthoracic corpectomy

The specific surgical procedures include osterior approaches for

  • cervical expansion laminoplasty
  • occipitocervical reduction, fusion, and stabilization
  • C1/2 stabilization
  • lateral mass plating
  • cervicothoracic stabilization
  • reduction of kyphosis
  • thoracic stabilization
  • Smith-Peterson osteotomy
  • thoracolumbar fusion stabilization
  • posterior stabilization lumbar spine
  • thoracic laminectomy
  • lumbar laminectomy
  • foraminotomies
  • lumbar laminotomy
  • lumbar discectomy
  • percutaneous endoscopic microsurgical procedures