Cantor Spine Institute signals a paradigm shift in the practice of spinal surgery thanks to its embrace of scientific breakthroughs, ultrasonic technology, and motion- and function-sparing techniques. Dr. Cantor and his team are responsible for the development of many groundbreaking minimally-invasive “ultrasonic” techniques in the surgical treatment of spinal disorders.
Our practice is anchored by a comprehensive, whole body approach to spinal care, and patient-specific perioperative risk mitigation program. Our first goal is always to avoid surgery. If a patient does not respond to a well-managed, non-surgical treatment path, then we identify the ideal minimally-invasive procedure to pursue.
Cantor Spine Institute is committed to continuously evolving, identifying, addressing, and solving for the myriad shortcomings of traditional spine surgery and dated methodology – which includes recurring pain, the creation of three new problems in the fixing of one, compromised mobility and function, over-stress of joints, likelihood of additional surgery, and less-than-optimal outcomes. Our team develops non-destructive processes, techniques, and procedures that are the result of exhaustive research, painstaking outcome analysis, incessant practice, and a positive embrace of the benefits of ultrasonic technology.
Ultrasonic technology is Cantor Spine Institute’s signature platform, enabling the organization to perform minimally-invasive treatments that are smarter, safer, future-minded, and better.
Traditional Spine Surgery:
Get the pressure off the nerves, at any cost. Often, this involves the removal of important structural components of the spine (as in a traditional laminectomy). These natural structural components are replaced by fusions supported by rods and screws implemented in the spine. Instead of preserving function and mobility up front, the thinking is that patients will adapt to limitations in mobility, and compromised function, and ultimately recover well. In time, the over-stress of joints above and below the surgery site can become painful and compromised, and additional surgeries may be required.
Cantor Spine Institute Approach:
Cantor Spine Institute is committed to better. Whenever possible, we avoid procedures that alter mechanics, transfer stress, impair function and mobility, or may require future surgeries. We develop revolutionizing non-destructive processes, techniques, and procedures that are the result of exhaustive research, painstaking outcome analysis, incessant practice, and an embrace of the benefits of ultrasonic technology.
Traditional spine surgery relies on drills and saws that need plenty of room between the tools and the nerves in order to avoid damage, and require the removal of important structures in order to safely treat a pinched nerve. The removal of these structures compromises function and mobility. Later, the over-stress of areas near the surgery site will likely require attention.
While lasers can disable a nerve from feeling pain, they cannot safely remove painful pressure from a pinched nerve. Lasers are a sometimes-solution for relieving back pain, as it is a treatment that focuses on minimizing pain, vs. addressing the cause of the pain via the removal of the pressure around the nerves.
Neither traditional spinal surgery, nor lasers, can achieve anywhere near the level of safety, specificity, sensitivity, and success possible with ultrasonic technology.
Cutting-Edge Ultrasonic Technology (Forward-Thinking):
Cantor Spine Institute is home to a team of experts intent on developing the most sophisticated new surgical techniques and tools. The technique involves using high frequency “ultrasonic” vibrations to dissolve painful bone spurs from the inside, out. These ultrasonic tools allow the Doctors to tackle incredibly sensitive areas through the smallest incisions – removing pressure in and around the nerve, without causing damage. All the while, preserving structure, strength, mobility and function.
Neither traditional spinal surgery, nor lasers, can achieve anywhere near this level of safety, specificity, sensitivity, and success.
Do what is necessary to get the pressure off of the nerves. This will involve laminectomy, removing important structural components of the spine. Replace these natural structural parts with fusions supported with rods and screws. Patients will adapt and do fine with their limitations in mobility, loss of strength, and compromised function. When joints above and below the surgery site break down and become painful, do additional surgery to include new broken painful areas.
Do a better operation for the patient. Avoid whenever possible procedures that alter mechanics or transfer stress. Do not be satisfied with surgery that compromises structure and mobility and increases the chance of needing additional surgery. Remove pressure from pinched nerves non-destructively. Structures that are not damaged prior to surgery should not be compromised after. Structures that need to be altered should be rebuilt using the natural process of healing and not with the use of fusions, rods, and screws. Preserve structure strength, mobility, and function. Patients want to and need to be able to function after surgery.
Use traditional cutting tools making laminectomy the only available technique. Because laminectomy will eliminate the natural cables that hold the spine together, use metal implants to replace the natural structure. Remove pressure on all nerves that may be a problem because after laminectomy other "potentially" problematic areas may become painful.
Clearly identify exactly where and what is pinching the nerves, repair those areas and stay away from everything else!
Avoid laminectomy. Avoid fusion and rods and screws whenever possible. Develop and employ techniques that do not interfere with and do not damage the normal mechanical integrity of the spine. Develop and employ new techniques that work through smallest incisions and work under and around normal structural parts of the spine. Without altering mechanics and changing the stresses on the spine, areas that are not painful will not be altered and are less likely to become problematic after surgery.
Employ techniques normally used in shoulder, knee, and other joint surgery to preserve and rebuild rather than remove and replace structure. These methods are not usually used or considered in spinal surgery.
"Old fashioned" Traditional drills and saws used for spinal surgery are sharp and spin at high rates of speed. Safe use of these tools around delicate nerves requires plenty of room between sharp tools and the nerves. The result: removing lots of bone and important structure to safely get to the pinched nerve. The removed structures are important.
Lasers that are strong enough to cut bone cannot be used safely around nerves. High powered cutting lasers are difficult to control. They can cut through bones and what is behind them including the spinal cord, nerves, blood vessels, and intestines resulting in dangerous complications. Lasers can disable a nerve from feeling pain. If you have a nail in your toe you can laser the nerve that goes to the toe and immediately and temporarily feel better. It is probably a better idea to remove the nail. Lasers are sometimes solutions for relieving back pain but cannot safely remove painful pressure from pinched nerves.
New ultrasonic tools use high frequency vibration to dissolve what is causing pain. When used properly, they melt away bone spurs that pinch nerves like an electric toothbrush removes plaque from a tooth. These tools do not have sharp edges and do not spin. They can be used directly on the nerves. Because these tools can be used safely even with contact of nerves, they permit completely different types of surgery. Surgery is done through the smallest incisions, under and around important parts. Essentially the painful pressure on the nerve is removed from the inside out. Structure is preserved along with strength, mobility, and function. Ultrasonic tools allow the goals of "real minimally invasive surgery" to be a reality rather than a wish or dream.
Ultrasonic bone cutters are the safest and most precise instruments used for spinal surgery. Lasers or traditional tools cannot come close to their safety and accuracy.