Operative Procedures


This includes discectomy, laminectomy, and hemilaminectomy. These procedures can be performed microscopically or open. Often, we will perform these microscopically if possible. The bone over the nerves and spinal canal are removed and disc below is excised as well. This takes away any pressure on the nerves which causes pain.


In the most basic terms, fusion is instrumentation of the spine in order to make two vertebrae grow together as one. This can be achieved through various techniques. Most commonly, the disc is removed and a spacer called a cage is placed between the two vertebra. With normal healing, this usually fuses with in six months after surgery. The spine can be accessed through the back for a posterior lumbar interbody fusion or posterior lateral fusion or through the abdomen for an anterior lumbar interbody fusion. Fusion of the neck is usually performed from the front and is called anterior cervical discectomy and fusion.

Motion Technology

Artificial disk: This technology is available only for the low back at this time. The procedure is performed through the abdomen. The disc is removed and an artificial disk replaces it.


Kyphoplasty is a treatment for compression fractures of the spine. Most commonly compression fractures are caused by osteoporosis and trauma. The kyphoplasty is a cementing of the fracture performed through the back that heals the fracture surgically.

Total Joint Replacement

The goal of total joint replacement surgery is to relieve pain in the joint caused by damaged cartilage. If non-surgical options do not relieve the pain, a replacement may be considered. After your replacement, you will often stand and begin walking the day after surgery. Initially, you will walk with a walker, crutches, or a cane. The motion of your joint will generally improve after surgery.

Shoulder and Knee Arthroscopy

Arthroscopy is a surgical procedure orthopaedic surgeons use to visualize, diagnose, and treat problems inside a joint. The surgeon makes a small incision in the patient’s skin and then inserts pencil-sized instruments that contain a small lens and lighting system to magnify and illuminate the structures inside the joint. When indicated, corrective surgery is performed with specially designed instruments that are inserted into the joint through accessory incisions.

Anterior Approach Hip Replacement Surgery

Potential for less pain. Faster recovery. Improved mobility.

The Anterior Approach for total hip replacement is a tissue-sparing alternative to traditional hip replacement surgery that provides the potential for less pain, faster recovery and improved mobility because the muscle tissues are spared during the surgical procedure. The technique allows the surgeon to work between your muscles and tissues without detaching them from either the hip or thighbones – sparing the tissue from trauma.

Keeping the muscles intact may also help to prevent dislocations. With the Anterior Approach, the surgeon uses one small incision on the front (anterior) of your hip as opposed to the side or back. Since the incision is in front, you’ll avoid the pain of sitting on the incision site.

Anterior Approach Incision

The Anterior Approach procedure for total hip replacement has been gaining popularity recently due to its potential benefits:

  • Possible accelerated recovery time because key muscles are not detached during the operation. (Some other procedures require cutting or disturbing the important muscles at the side or back of the leg.) The Anterior Approach is known as a tissue-sparing procedure because it avoids cutting these key muscles and tissues and therefor minimizes muscle damage.
  • Potential for fewer restrictions during recovery. Although each patient responds differently, this procedure seeks to help patients more freely bend their hip and bear their full weight immediately or soon after surgery.
  • Possible reduced scarring because the technique allows for one relatively small incision.
  • Potential for stability of the implant sooner after the surgery, resulting in part from the fact that the key muscles and tissues are not disturbed during the operation.

The Anterior Approach differs in multiple ways from other surgery techniques:

  • The hip is exposed in a way that does not detach muscles or tendons from the bone
  • A high-tech operating table is often used to help improve access
  • Intraoperative x-ray or computer navigation is typically used to confirm implant position and leg length

Every surgical approach has risks and benefits. The performance of a hip replacement depends on your age, weight, activity level and other factors. There are potential risks, and recovery takes time. People with conditions limiting rehabilitation should not have this surgery. Only an orthopaedic surgeon can tell if hip replacement is right for you.


Why OMNIPlasty?

  • The ONLY robotic total knee replacement solution.
  • Optimal implant placement for improved longevity
  • Enables surgery specific to your condition and anatomy.
  • Gives the surgeon flexibility to make fine-tuned adjustments during the operation.
  • Couples robotic technology with high performance implants to help minimize the chance of ever needing further surgery.
  • Facilitates significant improvement in joint function.
  • Replaces need for X-ray and CT radiation exposure.


If your doctor has recommended fusion surgery, the Dynesys System may be an option. It can help provide added stability and keep the vertebrae in a more natural position than can be achieved with conventional surgery alone.

The Dynesys Dynamic Stabilization System is a new concept in the surgical treatment of lower back and leg pain — one that uses flexible materials to stabilize the spine and offers another approach to traditional fusion.

This motion sparing technology is performed from the back. Screws are placed in the vertebra and a cord and polyurethane tube are used to stabilize the spine while allowing form motion to be maintained. Dr’s. Lorio was the first to bring this technology to Tennessee in 2005 and have had amazing results with this technique.

The topics presented here are for informational purposes only. They are not intended to be a substitute for medical advice and information provided by your health care provider. Any decision you make regarding your health care options should be made after consulting a qualified physician.