Article Archive
Welcome to the online Article Archive of Neurosurgery Notes, the practice newsletter for Carolina Neurosurgery & Spine Associates. Click on the topics below to view list of related articles. Click on article headlines to view full text. You can also see our current issue and subscribe to Neurosurgery Notes for FREE by clicking the links to the left.

ALS (Lou Gehrig's Disease)
Aneurysms
Artificial Disc
Brain Tumors
Carpal Tunnel
Concussions
Cranial Banding
Craniosynostosis
Deep Brain Stimulation
Epilepsy
Hyperhydrosis
Neuroendovascular Surgery
Normal Pressure Hydrocephalus (NPH)
Parkinson's Disease
Physiatry
Physical Therapy
Pituitary Tumors
Practice News & Innovations
Spasticity
Spinal Fusion
Spinal Stenosis
Spine Surgery
Trigeminal Neuralgia
Vagal Nerve Stimulator



ALS (Lou Gehrig's Disease)
Helping In The Search For An ALS Treatment
Originally published Fall 1999
Carolina Neurosurgery & Spine Associates is playing an integral part in an innovative clinical trial to determine the efficacy of new drug, BDNF, in the treatment of Amyotrophic Lateral Sclerosis (ALS). click here for full story

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Aneurysms
Pioneering Procedure Used To Treat Aneurysm In Cartoid Artery
Originally published Fall 1999
Mecklenburg County Sheriff’s deputy Ronnie Presnell now has a lower risk of stroke thanks to a stent implanted by neurosurgeon Craig VanDerVeer, M.D., of Carolina Neurosurgery & Spine Associates. A stent, which is usually used in combination with balloon angioplasty to open blocked arteries in the heart, was used to treat an aneurysm in Presnell’s carotid artery. click here for full story

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Artificial Disc
Artificial Disc Innovations
Improving The Lives Of Patients With Degenerative Disc Disease
Originally published Summer 2007
The advent of artificial spinal disc technology has opened new avenues of treatment for patients with degenerative disc disease. Since 2003, when Carolina Neurosurgery & Spine Associates neurosurgeons implanted the first artificial disc in the Carolinas, our practice has remained a pioneer on both the local and national level in the field of artificial disc surgery. Full story


New Artificial Disc Study Seeks To Expand
Options For Patients With Degenerative Disc Disease
Kineflex™ Cervical & Lumbar Artificial Disc Implants To Be Studied
Originally published Spring 2006
Carolina Neurosurgery & Spine Associates continues to explore new innovations in spine surgery by participating in two new randomized clinical trials for the Kineflex cervical and lumbar artificial discs. Full story


An Artificial Disc Was The Perfect Fit For Mike Mariano
Originally published Spring 2006
Some say life begins at 40. Mike Mariano would probably agree. After living with intense back pain for 20 years, Mike underwent artificial disc surgery to replace his L5S1 disc, and felt immediate relief afterward. He refers to the procedure as his fortieth birthday present and says it completely changed his life. Full story


Artificial Disc Surgery Now Available In Concord
Originally published Spring 2005
The neurosurgeons of Carolina Neurosurgery & Spine Associates are now performing lumbar artificial disc surgery in Concord at Northeast Medical Center. The procedure was already available in Charlotte. The Charité™ Artificial Disc is the first device of its kind to be approved by the U.S. Food and Drug Administration (FDA). The artificial disc is designed to be an alternative to spinal fusion surgery. full story


Carolina Neurosurgery & Spine Associates Implants The First Lumbar Artificial Disc In The Carolinas
Originally published Winter 2005
On Thursday, November 18, 2004, neurosurgeon Dom Coric, M.D., of Carolina Neurosurgery & Spine Associates, performed the first implantation of a lumbar artificial disc in North or South Carolina. The Charité™ Artificial Disc is the first device of its kind to be approved by the U.S. Food and Drug Administration (FDA). The artificial disc, which is used to replace a damaged or worn spinal disc, is designed to be an alternative to spinal fusion surgery.full story


Practice Neurosurgeon Is First In The Carolinas To Utilize Artificial Disc Device For Treatment Of Ruptured Discs
Originally published Winter 2004
An innovative new surgical procedure utilizing an artificial disc to treat degenerative disc disease (ruptured disc) was performed for the first time in both North and South Carolina by Dom Coric, M.D., a neurosurgeon with Carolina Neurosurgery & Spine Associates in Charlotte. full story


Artificial Disc May Replace Fusion As Treatment For Cervical Disc Herniations
Originally published Summer 2003
The practice was selected as one of only 27 test sites in the country for the trial involving the Bryan® Cervical Disc System, an artificial disc designed to provide the motion and elastic characteristics of the natural cervical disc. click here for full story



Brain Tumors
Brain Trust:Bringing Cutting-Edge Brain Tumor Care To The Charlotte Region
Originally published Winter 2008
As the primary provider of brain tumor services in the Charlotte region, Carolina Neurosurgery & Spine Associates offers state-of-the-art treatment, participates in advanced research trials and coordinates patient support. full story

Innovative Drug & Delivery Method May Revolutionize Treatment Of Brain Tumors
Originally published Winter 2005
Carolina Neurosurgery & Spine Associates is participating in a groundbreaking brain tumor study which incorporates both an innovative drug and delivery method. The Phase III Randomized Evaluation of Convection-Enhanced Delivery of IL13-PE38QQR with Survival Endpoint (PRECISE) Trial is one of the largest and most comprehensive clinical trials conducted to date for recurrent glioblastoma multiforme (GBM). full story


Racing Towards A More Promising Future For Cancer Patients
Originally published Winter 2005
To help garner local support for brain tumor research efforts in this region, the practice established the Brain Tumor Fund of the Carolinas (BTFC). This year, the first Charlotte Criterium was held to generate awareness of brain tumors and contributions for the BTFC. This televised professional cycling event drew 30,000 people to uptown Charlotte to watch teams from 12 nations compete for the largest purse in Criterium racing. full story


Brain Tumor Program Update
Originally published Spring 2002
As the primary provider of brain tumor services in the Charlotte region, our practice coordinates state-of-the-art technical services, patient support and education along with advanced research trials. Here is an update of services now available through our brain tumor program. full story


Current Brain Tumor Clinical Protocols
Originally published Spring 2002
Carolina Neurosurgery & Spine Associates, in cooperation with the Blumenthal Cancer Center at Carolinas Medical Center, is offering a number of clinical protocols for the treatment of patients with primary and metastatic brain tumors.full story


A Progressive Brain Tumor Program In The Heart Of The Carolinas
Originally published Fall 2001
National clinical trials, innovative treatment options, and unique neurosurgical expertise are all available to brain tumor patients in Charlotte. click here for full story


Annual Neuroscience Symposium Focuses On Innovative Brain Tumor Diagnosis and Treatment
Originally published Summer 2001
The annual William R. Pitts Neuroscience Symposium and Memorial Lecture was held in Charlotte on May 1, 2001. This year’s scientific program focused on new advancements in the diagnosis and treatment of brain tumors, and was held in the Carolinas Medical Center Auditorium. click here for full story


Charlotte Brain Tumor Patient Is First In The Country To Receive Experimental Treatment
Originally published Fall 1999
A new study is underway in Charlotte evaluating an experimental treatment of Glioblastoma, a type of incurable brain tumor. click here for full story

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Carpal Tunnel
Outpatient Surgery Provides Relief For Carpal Tunnel Syndrome
Originally published Fall 2000
People from every walk of life, from pianists and artists, to hairdressers and factory workers can be affected by carpal tunnel syndrome. Fortunately, there are several available treatment options for carpal tunnel syndrome that can help remedy this painful condition. click here for full story


Concussions
The Carolina Sports Concussion Program Helps Soccer Phenom Make The Pros
Originally published Spring 2008
When an athlete suffers a concussion, the greatest danger lies in returning to the field or court too soon and suffering a second, more debilitating or deadly, head injury. The Carolina Sports Concussion Program at Carolina Neurosurgery & Spine Associates can significantly reduce this danger by utilizing objective neurocognitive tests to determine if an athlete has fully recovered from a concussion. full story


Carolina Sports Concussion Program
Introducing A New Arena Of Concussion Management
Originally published Summer 2007
At Carolina Neurosurgery & Spine Associates, we’re taking a major step forward in the treatment and management of sports concussions with the creation of the Carolina Sports Concussion Program. This is the first program of its kind in the region. Under the direction of board-certified physiatrist David Wiercisiewski, M.D., the goal of the Carolina Sports Concussion Program is to accurately diagnose and manage concussions in athletes 10 years of age and older. Full story

Cranial Banding
Abnormal Head Shape Screening Clinic Offered At Charlotte Office
Originally published Summer 2000
Twice a month, our practice offers the screening clinic at the Charlotte office to assess infants with abnormal head shapes and determine if they are candidates for cranial bands or other forms of early interventional treatment including repositioning, neck exercises and, in rare cases, surgery. click here for full story

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Craniosynostosis
A New Endoscopic Technique For Treating Craniosynostosis Leads To Quicker Patient Recovery
Originally published Spring 2002
Endoscopic technology now allows the neurosurgeons at Carolina Neurosurgery & Spine Associates to greatly reduce recovery time for patients undergoing treatment for craniosynostosis.full story



Deep Brain Stimulation
Groundbreaking Deep Brain Stimulation Eliminates Essential Tremor
Brain Mapping Technology Allows For Greater Precision
Originally published Spring/Summer 2008
Carolina Neurosurgery & Spine Associates neurosurgeon Martin Henegar, M.D., recently performed Deep Brain Stimulation (DBS) with brain mapping to treat Essential Tremor, a nerve disorder characterized by uncontrollable shaking in different parts or sides of the body.


Epilepsy
A Minimally Invasive Solutions For Epilepsy Now Offered
Originally published Spring 2002
For over 50% of patients who are not good candidates for resective surgery, implantation of a left vagal VNS may significantly improve seizure control. full story

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Hyperhydrosis
Hyperhydrosis Now Cured With Minimally Invasive Procedure Which Drastically Reduces Recovery Time For Patients
Originally published Summer 2000
Hyperhydrosis, a condition which causes excessive, unpredictable sweating, is now curable using endoscopic sympathectomy. This minimally invasive procedure offers a dramatically shorter recovery time than traditional thoracic sympathectomy, which requires months of rehabilitation. click here for full story


Endoscopic Sympathectomy Helped Golfer Austin Zeigler Get His Swing Back
Originally published Summer 2000
Initially, Austin tried medication which proved ineffective. After a thorough explanation of the surgical options, Austin agreed to undergo an endoscopic sympathectomy. click here for full story


Forms of Hyperhydrosis
Originally published Summer 2000
Types of hyperhydrosis and their symptoms. click here for full story


Non-Surgical Treatment Options For Hyperhydrosis
Originally published Summer 2000
Conservative, non-surgical treatment is often suggested and recommended before considering surgical intervention for hyperhydrosis. click here for full story

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Neuroendovascular Surgery

New Intracranial Stent Used To Prevent Strokes
Practice Neurosurgeon One Of The First In The Southeast To Use Wingspan™ Stent System
Originally published Spring 2006
Joe Bernard, M.D., of Carolina Neurosurgery & Spine Associates, was one of the first physicians in the region to use a new, potentially lifesaving stent to open clogged arteries in the brain. If left untreated, such blockages can lead to a stroke. The new device, called the Wingspan™ Stent System, is the only device available in the U.S. for the treatment of intracranial atherosclerotic disease (ICAD) or blockages in the brain’s own blood vessels.Full story


Endovascular Coiling Offers Minimally Invasive Option For Treating Unruptured Brain Aneurysms
Originally published Summer 2005
A minimally invasive treatment option available through Carolina Neurosurgery & Spine Associates is endovascular coiling. This procedure accesses the treatment area from within the blood vessel. The practice is the only neurosurgery group in the region, and one of only three in the Carolinas, performing the aneurysm coiling procedure.Full story


Stent System Is Effective And Less Invasive In Preventing Stroke
Originally published Summer 2005
Our Practice To Become Regional Training Site For Carotid Artery Stenting
Carolina Neurosurgery & Spine Associates has used stents to treat carotid artery disease for the past five years, and is the only neurosurgery group in the region performing this procedure. Full story


Carolina Neurosurgery & Spine Associates Is Among The First In The Country To Offer New Treatment for AVMs
Originally published Summer 2005
Carolina Neurosurgery & Spine Associates will be one of the first in the country, and one of only three sites in North Carolina, to offer Onyx® Liquid Embolic System, a new FDA-approved treatment for arteriovenous malformations (AVMs). Onyx is a sealant that blocks these abnormal connections between veins and arteries in the brain using minimally invasive endovascular techniques. Full story


Carolina Neurosurgery & Spine Associates Involved With New FDA-Approved Stroke Treatment
Originally published Fall 2004
The Merci® Retriever, an innovative new treatment for stroke, recently received FDA approval. Carolina Neurosurgery & Spine Associates is proud to have been one of only two practices in the Carolinas and Virginia, and one of 10 sites on the entire East Coast, to participate in the clinical trial for the device. full story


Advancements In Endovascular Neurosurgery
Originally published Summer 2003
Carolina Neurosurgery & Spine Associates is playing a leading role in the advancement of endovascular neurosurgery in this region. Technological advances are being made in this field at a tremendous pace allowing more and more lesions to be treated with neuroendovascular therapy. click here for full story


Lesions Previously Thought Inoperable Now Treated Locally With Neuroendovascular Surgery
Originally published Fall 2000
Neuroendovascular surgery is an emerging specialty combining the skills of neurosurgery and interventional neuroradiology. These minimally invasive techniques have proven effective in the diagnosis and treatment of strokes, brain aneurysms, tumors, arterial venous malformations (AVMs), intracranial atherosclerosis, blocked carotid, vertebral and subclavian arteries, from inside the blood vessel. click here for full story


Conditions Successfully Treated With Neuroendovascular Surgery
Originally published Fall 2000
Following are a few examples of how neuroendovascular surgery is now making treatment possible for a variety of life-threatening conditions. click here for full story

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Normal Pressure Hydrocephalus
Normal Pressure Hydrocephalus (NPH):
Its Symptoms, Diagnosis And Treatment
Originally published Fall 2004
Hydrocephalus occurs when there is an excess accumulation of cerebrospinal fluid (CSF) in the brain. It can be caused by a variety of disorders affecting the brain and spinal cord. If the cause is idiopathic, meaning that it cannot be identified, the condition is commonly known as Normal Pressure Hydrocephalus (NPH). click here for full story


Introducing The Adult Hydrocephalus Specialty Clinic
Originally published Fall 2004
Carolina Neurosurgery & Spine Associates recently established The Adult Hydrocephalus Specialty Clinic (AHSC) at its Edgehill Road office in Charlotte. The clinic offers the latest in diagnostic techniques to identify and treat adults suffering from Hydrocephalus, including Normal Pressure Hydrocephalus (NPH). full story

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Parkinson's Disease
Surgical Options Increasingly Effective for Many Parkinson's Patients
Originally published Fall 2000
Of the approximately 1 million people in the United States living with Parkinson’s disease, an increasing number are seeking surgical treatment for relief. This is due to advancements in surgical techniques as well as the fact that more patients are building up a resistance to medications which once proved effective for them. click here for full story



Physiatry
Ultrasound Aids In Treatment Of Musculoskeletal
And Peripheral Nerve Injuries
Originally published Spring 2008
Ultrasound technology is now being utilized at our Concord & Huntersville offices to evaluate and treat musculoskeletal and peripheral nerve injuries. full story

Expanded Nonsurgical Options & Rehabilitation Now Available At The Practice
Two Physiatrists Join Carolina Neurosurgery & Spine Associates
Originally published Fall 2005
Physiatrists David R. Wiercisiewski, M.D., and John A. Welshofer, M.D., have recently joined Carolina Neurosurgery & Spine Associates. Board Certified in Physical Medicine and Rehabilitation, both physicians have practiced in the Charlotte region for more than a decade. full story



Physical Therapy
On-Site Physical Therapy Makes Treatment More Convenient For Patients
Originally published Fall 2005
Graham Claytor, MPT, and Ryan Klomparens, MSR, PT, now offer on-site physical therapy services at our new Charlotte office. These licensed physical therapists work together with our physiatrists and neurosurgeons to review patient progress, exchange information, and share ideas that lead to optimal patient care. full story



Pituitary Tumors
A Rare Pituitary Tumor Was The Single Cause Of Multiple Health Problems
Originally published Spring 2005
When Susan Jarrett went on her family vacation in the summer of 2004, she never expected how much a week at the beach would change her life. full story


Pituitary Tumors: Their Symptoms & Treatment
Originally published Spring 2005
Symptomatic pituitary tumors are uncommon. While more than 99% of pituitary tumors are benign, a pituitary tumor can cause problems due to its size, its production of excessive hormones, or because it causes the pituitary gland to become underactive. Because pituitary tumors can have such a wide range of effects on the body, they often present with what seem to be a long list of unrelated symptoms.full story


Transsphenoidal Surgery Effective In Treatment Of Pituitary Tumors
Originally published Spring 2002
For the majority of pituitary tumors, surgical care does not require a craniotomy. Instead, the preferred approach involves a transsphenoidal route (through the nose and across the sphenoid sinus of the face), resulting in no noticeable facial scar. The surgery involves some moderate facial discomfort, but is extremely well tolerated. full story



Practice News & Innovations
Practice Neurosurgeon Serves As Director On American Board Of Neurological Surgeons
Originally published Winter 2008
Neurosurgeon Craig VanDerVeer, M.D., of Carolina Neurosurgery & Spine Associates is currently serving as one of ten Directors on the American Board of Neurological Surgeons (ABNS). full story

Physiatrist John Lesher, MD, MPH
Joins Concord & Huntersville Offices
Originally published Winter 2008
Fellowship-trained, board-certified interventional physiatrist John Lesher, MD, MPH, recently joined our Concord and Huntersville offices. full story


New Surgery Center Offers Advanced Technology
And Convenience For Patients

Originally published Spring 2007
Carolina Center For Specialty Surgery, a joint effort between Carolina Neurosurgery & Spine Associates and Carolinas Medical Center, offers a convenient, comfortable and safe alternative to having surgery at a hospital. This new facility, located at 1822 Brunswick Avenue in Charlotte, was designed specifically for elective outpatient and ambulatory surgical procedures. full story


Carolina Neurosurgery & Spine Associates Opens New Charlotte Office & Expands Services
Originally published Fall 2005
On October 31, 2005, Carolina Neurosurgery & Spine Associates relocated its Charlotte office from Edgehill Road to a new building at the corner of Third Street and Baldwin Avenue. The practice’s administrative office and research department also moved to the new location.full story


Expanded Nonsurgical Options & Rehabilitation Now Available At The Practice
Two Physiatrists Join Carolina Neurosurgery & Spine Associates
Originally published Fall 2005
Physiatrists David R. Wiercisiewski, M.D., and John A. Welshofer, M.D., have recently joined Carolina Neurosurgery & Spine Associates. Board Certified in Physical Medicine and Rehabilitation, both physicians have practiced in the Charlotte region for more than a decade. full story


Practice Neurosurgeon Elected Vice President Of The Congress Of Neurological Surgeons
Originally published Winter 2005
Anthony Asher, M.D, was elected Vice President of the Congress of Neurological Surgeons (CNS) at the organization’s annual meeting held October 16-21 in San Francisco.full story


Introducing The Adult Hydrocephalus Specialty Clinic
Originally published Fall 2004
Carolina Neurosurgery & Spine Associates recently established The Adult Hydrocephalus Specialty Clinic (AHSC) at its Edgehill Road office in Charlotte. The clinic offers the latest in diagnostic techniques to identify and treat adults suffering from Hydrocephalus, including Normal Pressure Hydrocephalus (NPH). full story


Scott McLanahan, M.D. Elected To American Board Of Pediatric Neurosurgery
Originally published Fall 2004
Practice neurosurgeon Scott McLanahan, M.D., was recently elected to the American Board of Pediatric Neurological Surgery (ABPNS). The nine-member board is the governing body for the certification and recertification of pediatric neurosurgeons. full story


Carolina Neurosurgery & Spine Associates Holds Groundbreaking For New 52,000-Square-Foot Facility
Originally published Summer 2004
Upon completion, the new building will allow the practice to consolidate its office on Edgehill Road, as well as the administrative office and research department, which are currently on Morehead Street. full story


Addition Of Mobile “Short-Bore” MRI Means Greater Convenience And Comfort For Patients
Originally published Summer 2004
For the added convenience of patients, and to enhance their continuity of care, Carolina Neurosurgery & Spine Associates recently added in-house MRI services to the practice’s Edgehill Road and Ballantyne offices. full story


Specialized Mid-Level Practitioners Add Efficiency And Continuity Of Care
Originally published Summer 2004
Since the addition of the first physician assistant in 1997, mid-level practitioners continue to play vital roles at Carolina Neurosurgery & Spine Associates. full story


New Neurosurgeon Enhances Level Of Care At Our Rock Hill Office
Originally published Winter 2004
Mark Smith, M.D., joins Michael Cowan, M.D., at our Rock Hill office in offering a complete range of neurosurgery procedures. full story.


Neurosurgeon Trained In Complex Spine Disorders Joins Practice
Originally published Winter 2004
Vinay Deshmukh, M.D., is the newest addition to our neurosurgical team. He recently completed a complex spine fellowship and is a graduate of the University of Florida School of Medicine. full story.


New Ballantyne Office Opens
Originally published Winter 2004
Carolina Neurosurgery & Spine Associates recently opened a new satellite office in the Ballantyne area. full story.


Craniotomies Can Now Be Performed In Rock Hill
Originally published Winter 2004
A dedicated surgical ICU for neurosurgical patients, a clinical nurse specialist dedicated to neurosurgery, and the addition of an advanced BrainLab surgical device, have made it possible for the neurosurgeons of Carolina Neurosurgery & Spine Associates to treat brain tumors, vascular abnormalities, and other intra-cranial targets in Rock Hill. full story.


Practice Physician Develops Online Journal For Neuro-Oncology
Originally published Spring 2001
An online journal called the Select Review of Neuro-Oncology www.neurosurgery.org/tumor/selectreview/ has been developed under the direction of Anthony Asher, M.D., F.A.C.S., of Carolina Neurosurgery & Spine Associates. click here for full story


Mark P. Redding, M.D., Joins Board of North Carolina Spine Society
Originally published Spring 2001
Mark Redding, M.D., of our Concord location, was recently named to the board of the North Carolina Spine Society.click here for full story


Carolina Neurosurgery & Spine Associates Physician Named Chief Of Neurosurgery At Presbyterian Hospital
Originally published Summer 2000
E. Hunter Dyer, M.D., of Carolina Neurosurgery & Spine Associates, was recently appointed Chief of Neurosurgery for Presbyterian Hospital. click here for full story


Neurosurgeon Joe D. Bernard, Jr., M.D., Joins Practice
Originally published Summer 2000
Dr. Bernard is a graduate of the University of Louisville School of Medicine and completed his neurosurgical residency at the University of Tennessee, Memphis. click here for full story


Spine Specialist Joins Practice
Originally published Winter 1999
Spine specialist, Dom Coric, M.D., specializes in the diagnosis and treatment of spinal conditions such as spinal trauma, disc disease, spinal tumors, degenerative diseases of the spine, spinal cord injuries and congenital spinal malformations. click here for full story


The William R. Pitts Foundation - Established To Make a Difference
Originally published Winter 1999
As founder of Carolina Neurosurgery & Spine Associates, the late William Reid Pitts, M.D., was a caring physician, respected colleague, and trusted friend. The goal of the William R. Pitts Foundation is to support research and education in the field of neurosurgery. click here for full story


Neurosurgeon Michael Cowan, M.D., Joins Carolina Neurosurgery & Spine Associates
Originally published Fall 1999
Michael Cowan, M.D., studied thoracoscopic spine surgery for treatment of thoracic disc herniations and other spinal disorders. According to Dr. Cowan, this procedure allows patients to leave the hospital as early as the next day after surgery. click here for full story

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Spasticity
Intrathecal Baclofen Pump Is An Effective Option For Treating Spasticity
Originally published Spring 2001
Since 1990, Scott McLanahan, M.D., of Carolina Neurosurgery & Spine Associates has offered both neurosurgical and surgical options for managing spasticity in both children and adults. click here for full story



Spinal Fusion
Complex Spinal Fusion Is Used To Prevent
Paralysis In Patient With Gorham’s Disease
Originally published Spring 2006
In April of 2005, Malcolm Brelsford was suffering from a spinal staph infection that had left him unable to walk and almost completely paralyzed in his legs. The infection was causing the bones of his spine to deteriorate, and if left to progress would have resulted in fractures in his spine and eventual permanent paralysis. "When I was consulted, Malcolm's spinal infection was severe, his spine was gradually becoming more crooked, and there was pressure on his spinal cord," said Dr. Deshmukh. “We needed to clean out the infection and essentially rebuild his spinal column with screws, rods, and spinal fusion.” Full story


Condition Profile:Gorham’s Disease
Originally published Spring 2006
With fewer than 200 cases reported in the medical literature, Gorham’s Disease is an extremely rare bone disorder. This condition is characterized by bone loss (osteolysis) often associated with swelling or abnormal blood vessel growth (angiomatous proliferation). Full story


Minimally Invasive Spinal Fusion Got Sandra Back On Her Feet The Day After Surgery
Originally published Spring 2005
Sandra underwent minimally invasive Posterior Lumbar Interbody Fusion (PLIF), an alternative to traditional, open spinal decompression and fusion. As with most minimally invasive procedures, the primary advantage is faster recovery for the patient. full story


If Effective, OP-1 Putty May Drastically Reduce Patient Recovery Time By Eliminating Use Of Autograft In Spine Fusions
Originally published Summer 2003
Carolina Neurosurgery & Spine Associates was selected as one of only 24 sites in the United States and Canada, and the only one in North Carolina, for an innovative new clinical trial. The study will compare the efficacy of OP-1 Putty to illiac crest autograft in uninstrumented posterolateral lumbar spine fusions. click here for full story


Bone Graft Alternatives Lead To Shorter Recovery Times
Originally published Spring 2001
Traditionally, bone from a patient’s own iliac crest was used to complete a spinal fusion. Today, we can now utilize banked bone as an alternative. This allows patients to avoid the pain and inconvenience of a donor incision, which often causes pain greater than that of the spinal incision itself. click here for full story


Spinal Stenosis
Taking A Shot At Avoiding Surgery
Epidural Injections Help Ed Karp To Manage The Pain Of Lumbar Spinal Stenosis
Originally published Winter 2008
Ed Karp has lived with lumbar spinal stenosis for nearly a decade. The intense pain this condition causes in his left calf can make it difficult to walk. Yet thanks to periodic epidural injections, physiatrist John Welshofer, MD, has helped Ed manage the pain and avoid surgery for 10 years. full story


Minimally Invasive Laminectomy Relieves Lumbar Spinal Stenosis With Faster Patient Recovery Time
Originally published Spring 2004
Through the use of endoscopic technology, Margaret underwent a minimally invasive lumbar laminectomy, returned home the same day, and felt immediate relief.
Click here for the full story


Lumbar Spinal Stenosis - The “Unknown” Spine Disorder
Originally published Winter 1999
According to the American Association of Neurological Surgeons, medical professionals should be aware of a degenerative condition known as Lumbar Spinal Stenosis (LSS) when treating older adults for lower back pain. click here for full story

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Spine Surgery
Patients Find Alternatives To Spinal Fusion Surgery
By Seeking A Second Opinion
Originally published Spring 2008
Chuck Cloninger of Asheville and Robert Bass of Huntersville know the value of seeking a second medical opinion. They were both told that a spinal fusion was the only option to relieve their conditions and both found fusion alternatives at Carolina Neurosurgery & Spine Associates. full story


From “Unbearable” To “Pain-Free” In One Afternoon
We Helped Developer Mel Graham Overcome A Ruptured Disc
Originally published Summer 2007
Mel Graham doesn’t like to slow down. When the intense pain of a ruptured disc stopped him in his tracks, Graham, nephew of evangelist Billy Graham and president of a real estate development and investment company, turned to Carolina Neurosurgery & Spine Associates. Full story


Time And Expertise Make The Difference In Patients Recovering From Traumatic Injury
Originally published Spring 2007
Quinteris Long was 14 years old when he tried a flip on a backyard trampoline and landed on the back of his neck. Right away, he noticed he could not move his arms or his legs. At the hospital, his family was told that he had a 50% chance of walking again. Remarkably, thanks to the speed in which he got to the hospital and the access to state-of-the-art care, he was able to start in his first JV basketball game just six months later. Full story


X Stop® System Is A Less Invasive Alternative For Treating Spinal Stenosis
The FDA-approved X STOP® system is a titanium implant that fits between the spinous processes of the symptomatic lumbar levels of the spine to relieve the symptoms of lumbar spinal stenosis. The procedure does not require removal of bone or soft tissue, does not result in fusion, and is completely reversible. Full Story


New Artificial Disc Study Seeks To Expand
Options For Patients With Degenerative Disc Disease
Kineflex™ Cervical & Lumbar Artificial Disc Implants To Be Studied
Originally published Spring 2006
Carolina Neurosurgery & Spine Associates continues to explore new innovations in spine surgery by participating in two new randomized clinical trials for the Kineflex cervical and lumbar artificial discs. Full story


An Artificial Disc Was The Perfect Fit For Mike Mariano
Originally published Spring 2006
Some say life begins at 40. Mike Mariano would probably agree. After living with intense back pain for 20 years, Mike underwent artificial disc surgery to replace his L5S1 disc, and felt immediate relief afterward. He refers to the procedure as his fortieth birthday present and says it completely changed his life. Full story


Carolina Neurosurgery & Spine Associates Implants The First Lumbar Artificial Disc In The Carolinas
Originally published Winter 2005
On Thursday, November 18, 2004, neurosurgeon Dom Coric, M.D., of Carolina Neurosurgery & Spine Associates, performed the first implantation of a lumbar artificial disc in North or South Carolina. The Charité™ Artificial Disc is the first device of its kind to be approved by the U.S. Food and Drug Administration (FDA). The artificial disc, which is used to replace a damaged or worn spinal disc, is designed to be an alternative to spinal fusion surgery.full story


Practice Neurosurgeon Is First In The Carolinas To Utilize Artificial Disc Device For Treatment Of Ruptured Discs
Originally published Winter 2004
An innovative new surgical procedure utilizing an artificial disc to treat degenerative disc disease (ruptured disc) was performed for the first time in both North and South Carolina by Dom Coric, M.D., a neurosurgeon with Carolina Neurosurgery & Spine Associates in Charlotte. full story


Why A Neurosurgeon Is The Best Choice For Spine Treatment
Originally published Summer 2003
Neurosurgeons are usually associated with treating brain injuries and disorders. However, in most cases, a neurosurgeon can provide the highest level of expertise when it comes to treating spine disorders. That's because neurosurgeons actually complete more spinal surgery training than any other specialty and are the only physicians who treat the entire spine. click here for full story


Artificial Disc May Replace Fusion As Treatment For Cervical Disc Herniations
Originally published Summer 2003
The practice was selected as one of only 27 test sites in the country for the trial involving the Bryan® Cervical Disc System, an artificial disc designed to provide the motion and elastic characteristics of the natural cervical disc. click here for full story


Life-Changing Spine Techniques Reach From Concord To Rock Hill
Originally published Fall 2001
Our neurosurgeons have remained at the forefront of developing and implementing the latest advancements in the treatment of spinal disorders. click here for full story


Concord Oncologist Finds It’s A Small World When It Comes To Getting Minimally Invasive Spine Surgery
Originally published Fall 2001
With the help of Carolina Neurosurgery & Spine Associates and Northeast Medical Center, oncologist Richard F. Williams, MD, PhD, was able to undergo a minimally invasive operation called cervical microendoscopic discectomy (MED) without ever leaving Concord. click here for full story


Spine Surgery Gets Triathlete Back In The Race
Originally published Fall 2001
Just eight months after he underwent a posterior lumbar interbody fusion, Frank Bates completed an Olympic triathlon in two hours and fifty minutes. click here for full story


Endoscopic Disctectomy Surgery Proved to be an Ace in the Hole for Tim Hodge
Originally published Summer 2001
At the age of 40, Tim Hodge had never had surgery or hit a hole-in-one. Then within a two week period, he did both. click here for full story


Carolina Neurosurgery & Spine Associates Surgeon Is One Of First In The Country To Offer Microendoscopic Discectomy Surgery To Correct Cervical Disease
Originally published Winter 1999
Tim Adamson, M.D., of Carolina Neurosurgery & Spine Associates has recently developed a new form of microendoscopic discectomy surgery for correction of cervical disc disease. This technique significantly reduces the pain and recovery time usually associated with herniated disc surgery of the cervical area by decompressing the nerve root. click here for full story


New Cervical Procedure Helps Charlotte Obstetrician Make His Rounds (On and Off the Golf Course)
Originally published Winter 1999
John Allbert, M.D., had planned to undergo traditional microsurgery to correct his cervical condition, when he learned that he was a candidate for a new microendoscopic procedure developed by Tim Adamson, M.D. click here for full story

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Trigeminal Neuralgia
Effective Treatment Options For Trigeminal Neuralgia
Originally published Summer 2001
Trigeminal Neuralgia or Tic Douloureux is a disorder of the fifth cranial (trigeminal) nerve that causes episodes of intense, stabbing, electric shock-like pain in the areas of the face where the branches of the nerve are distributed - lips, eyes, nose, scalp, forehead, upper jaw, and lower jaw. click here for full story


Carolina Neurosurgery & Spine Associates Trigeminal Neuralgia Study
Originally published Summer 2001
In an effort to assess response to various therapies here in Charlotte, Carolina Neurosurgery & Spine Associates conducted chart reviews and patient contacts were performed to evaluate patients treated in our clinic over the last four to five years. click here for full story

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Vagal Nerve Stimulator
Carolina Neurosurgery & Spine Associates Surgeon Implants First Vagal Nerve Stimulator In North Carolina For Treating Depression
Originally published Fall 2005
The first vagal nerve stimulator (VNS) implant for Treatment Resistant Depression (TRD) in North Carolina was recently placed in a local patient by Michael Heafner, M.D., of Carolina Neurosurgery and Spine Associates and John Blumer, M.D., of Charlotte Eye Ear Nose & Throat Associates. full story


A Minimally Invasive Solutions For Epilepsy Now Offered
Originally published Spring 2002
For over 50% of patients who are not good candidates for resective surgery, implantation of a left vagal VNS may significantly improve seizure control. full story

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