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//Spine and Back Care

Alif: Anterior Lumbar Interbody Fusion (with bone graft and metal plate)

2018-07-26T09:21:37-05:00November 11th, 2017|

Alif: Anterior Lumbar Interbody Fusion (with bone graft and metal plate) Overview ALIF, or Anterior Lumbar Interbody Fusion, is utilized to relieve back and leg pain caused by degenerative disc disease. This procedure helps stabilize the spine by fusing the affected vertebrae together with material from a bone graft. Incision Made The surgeon will create a three to five-inch incision either directly in the center or on the side of the stomach. Disc Removed Next, the damaged disc is partially removed from the body. Portions of the disc wall are left in place to help the bone graft bind to a natural structure. Implantation The graft will be placed in the empty disc space [...]

Alif: Anterior Lumbar Interbody Fusion (with bone graft and pedicle screws)

2018-07-26T09:52:56-05:00November 11th, 2017|

Alif: Anterior Lumbar Interbody Fusion (with bone graft and pedicle screws) Overview Anterior Lumbar Interbody Fusion is a procedure utilized by orthopedic surgeons to correct severe leg and back pain. Degenerative disc disease is the source of spinal complication and is fixed through fusing bone graft material to the existing vertebrae. Incision Made To perform the procedure the surgeon will create a three or five-inch incision. This incision is made in one of two locations: directly above or on the side of the stomach. Disc Removed As the lumbar fusion procedure continues, the damaged disc is partially removed. Parts of the disc wall are left behind to help contain the bone graft replacement. Implantation [...]

Anterior Cervical Discectomy and Fusion (ACDF)

2018-07-26T09:42:18-05:00November 11th, 2017|

Anterior Cervical Discectomy and Fusion (ACDF) Overview An anterior cervical discectomy and fusion surgery, or ACDF, removes a herniated or degenerative vertebral disc in the neck with a bone graft replacement. This procedure is performed to relive stressful pain triggers on the spinal nerves. Preparation Before the procedure begins, you’re positioned on your back and anesthetized so the surgeon can make a small incision in the front of the neck. The structures within the neck are carefully moved aside to create a reasonable, non-invasive path to the spine. The damaged discs will be removed to leave space between the vertebrae. Graft Inserted The bone graft – commonly taken from the hip, a bone donor [...]

Anterior Cervical Discectomy and Fusion (Intervertebral Spacer)

2018-07-26T09:50:15-05:00November 11th, 2017|

Anterior Cervical Discectomy and Fusion (Intervertebral Spacer) Overview Anterior cervical discectomy and fusions can be performed with an intervertebral spacer as a secondary tactic to the procedure. The goal of this surgery is to relieve neck and chronic arm pain from stress triggered by discs pressing on nerve roots. Incision Created An incision is made on the front of the neck to begin the procedure and for easy access to reach the vertebral discs. Disc Removed Removing the damaged discs provide immediate relief on the affected nerves. Pain alleviation can be seen very quickly, however a replacement must be inserted to fill in the vertebral gap and promote full functional support and mobility. Spacer [...]

Anterior Endoscopic Cervical Microdiscetomy

2018-07-26T09:30:04-05:00November 11th, 2017|

Anterior Endoscopic Cervical Microdiscetomy Overview Anterior endoscopic cervical microdiscectomy procedures are minimally invasive surgeries performed to remove a herniated cervical disc with unnatural bulging. The surgery is conducted through a tiny hole in the neck and is designed to relieve chronic neck and arm pain from compressed nerve roots. Preparation The surgeon will need access to the front of the neck to perform the surgery, so the patient will lie on their back as the area is sterilized while receiving anesthesia. Accessing the Disc When the small-hole incision is made in the neck, the vital structures are pushed aside as the surgeon inserts a fluoroscope to guide his or her instruments towards the disc surface. A [...]

Alfonso Bello, MD

2019-03-22T07:28:22-05:00October 17th, 2017|

Dr. Alfonso Bello is a board-certified rheumatologist with an additional board certification in pain medicine. He provides care for arthritis, osteoporosis and inflammatory diseases. Dr. Bello provides advanced treatments, including the latest forms of chemotherapy, immunotherapy and biologic therapies. He puts particular emphasis on strategies to control patients’ pain, whatever the cause may be. He takes a holistic approach that combines medication with physical therapy, nutritional therapy and other treatments. His goal is to put patients’ illnesses into remission and to restore their quality of life. Dr. Bello is the director of rheumatologic research at IBJI. He and his fellow IBJI rheumatologists are conducting multiple clinical trials of new medications, providing patients with the opportunity to take part in these [...]

Gregory Brebach, MD

2019-03-26T00:52:17-05:00October 18th, 2017|

Dr. Greg Brebach is a board-certified Orthopedic Surgeon, fellowship-trained in spinal surgery. His practice is limited to disorders of the cervical, thoracic, and lumbar spine. Originally from the Barrington area, he graduated from Barrington High School. He joined Lake Cook Orthopedics, a Division of Illinois Bone & Joint Institute in 2003 after finishing first in his class at Rush Medical College and completing his Spine Fellowship at William Beaumont Hospital near Detroit, Michigan. Since 2007, Dr. Brebach has been on the Board of Directors of Wellness Place, a cancer recovery and education center. He lives in the Barrington area with his wife Elissa and their children, Nina and Henry.

Cervical Disc Replacement

2017-11-27T10:13:48-05:00September 11th, 2011|Orthopedics Care|

For many years patients with cervical radiculopathy, or “pinched nerves” in their neck, have been treated with surgery when other simpler treatments such as medications, physical therapy, or injections fail to help. […]

Brian Clay, MD

2019-03-26T00:55:07-05:00October 18th, 2017|

Dr. Brian Clay is a physiatrist and interventional pain management specialist, fellowship trained in anesthesia pain medicine. As a physiatrist, Dr. Clay is a nerve, muscle and bone expert who treats injuries and illnesses that impact how the human body moves. Many of Dr. Clay’s patients rely on him to manage painful arthritic conditions affecting peripheral joints and pain due to disorders of the cervical and lumbar spine. He also works with individuals who have suffered traumatic brain or spinal cord injuries. Another key area of expertise is outpatient sports medicine. Born and raised in Chicago, Dr. Clay has been fascinated by science since childhood. After earning an undergraduate degree in biochemistry and completing medical school, he concentrated his focus [...]

Don’t Despair A Degenerative Disc Disease Diagnosis

2017-11-22T09:01:06-05:00February 15th, 2012|Orthopedics Care|

As every person ages they will begin to damage their spinal discs but most people will never know the pain of degenerative disc disease (DDD). The name is potentially misleading though. It is actually a condition, not a disease, which usually affects either the lumbar or cervical regions in the back. It is a result of the normal movement over a lifetime that causes deterioration of the discs in the spine. […]

Jonathan Erulkar, MD

2019-03-26T00:51:28-05:00October 20th, 2017|

Dr. Jonathan Erulkar is a board-certified orthopedic surgeon who specializes in non-operative and operative management of cervical (neck), thoracic (upper back), and lumbar (lower back) conditions. In providing care, Dr. Erulkar tailors his treatments to the individual patient by correlating and considering medical history, physical examination, diagnostic imaging as well as work/social circumstances. He strives to guide and educate his patients through non-operative treatments as well as considering their surgical options. He is experienced in performing microdiscectomy, laminectomy, spinal fusion and instrumentation surgeries. In many cases, these can be performed using minimally invasive techniques which can reduce post- operative strain on the patient and minimize recovery times. Dr. Erulkar completed a combined Spine Surgery Fellowship at the New England Baptist [...]

Theodore Fisher, MD

2019-03-26T00:53:06-05:00October 20th, 2017|

Dr. Theodore Fisher is a board-certified orthopedic surgeon who specializes in treating cervical (neck), thoracic (mid-back) and lumbar (lower back) spine problems in adults and children. He provides care across the spectrum of spinal disorders, including scoliosis (curvature of the spine) degenerative diseases such as arthritis, disc herniation and spinal stenosis (narrowing of the spinal canal), tumors, and fractures. In many cases, Dr. Fisher is able to treat patients with non-surgical methods. When surgery is needed, he often is able to perform minimally invasive procedures, which decrease patient discomfort and speed recovery times. They include disc replacements, spinal fusions (joining bones of the spine), microdisectomy, laminectomy and kyphoplasty (a minimally invasive treatment for spine fractures caused by osteoporosis). In providing care, Dr. [...]

Thomas Gleason, MD

2019-03-26T00:55:09-05:00October 20th, 2017|

A founding member of Illinois Bone & Joint Institute, Dr. Thomas F. Gleason is a board-certified orthopedic surgeon who specializes in treating spinal problems in adults and performing hip and knee joint replacements. He offers patients an array of treatment options for spine conditions, including cervical and lumbar disk replacements, laminectomy, spinal fusion, microendoscopic discectomy, intradiscal electrothermal therapy and kyphoplasty. Dr. Gleason also performs other procedures including arthroscopy, total knee replacement and total hip replacement. The son of an orthopedic surgeon, Dr. Gleason was inspired by the difference his father made in patients’ lives and the satisfaction it gave him. He keeps informed of the latest developments in his field through his work as a reviewer of articles submitted for publication [...]

Mark Gross, MD

2019-03-26T00:51:13-05:00October 22nd, 2017|

Dr. Mark Gross is a board-certified orthopedic surgeon who has been in practice at Lake Cook Orthopedics, a division of IBJI, since 1985. His clinical interests include the treatment of spinal disorders, arthritis, sports medicine, fractures, pediatric orthopedics, hand problems and neurologic abnormalities. He specializes in comprehensive, conservative and surgical interventions within these areas. Dr. Gross is a Fellow of the American Academy of Orthopaedic Surgeons, a member of the American Board of Orthopaedic Surgery and of the North American Spine Society. As well, he has given numerous community presentations in the areas of sports medicine, arthritis management, joint arthroplasty, and the treatment of spinal disorders. Currently, Dr. Gross is an Attending Physician at Advocate Good Shepherd Hospital in Barrington and is [...]

Elbow and Shoulder Pain Caused by Narrowing of Spine’s Cervical Discs: Jesse’s Story

2019-02-06T10:18:23-05:00March 31st, 2015|

 The full-blown pain Jesse Manarang lived with for two years began gradually. It started in his early 40’s, with tingling and numbness in the index, middle and ring fingers of both hands. […]

Matthew L. Jimenez, MD

2019-03-25T13:28:05-05:00October 23rd, 2017|

Matthew L. Jimenez, M.D., FACS is a board-certified orthopedic surgeon, fellowship-trained in joint and pelvis reconstruction, specializing in orthopedic fracture care and joint reconstruction. His patient-centered focus is on soft-tissue preservation and rapid recovery. He has a special interest and expertise in the Direct Anterior Approach for total hip arthroplasty. Dr. Jimenez received his M.D. degree from the University of Iowa College of Medicine in 1989 after completing his undergraduate training at the University of Utah. After earning his medical degree, Dr. Jimenez completed his residency in orthopaedic surgery at Northwestern University. He then completed a one-year post graduate fellowship in orthopaedic trauma and joint reconstruction at the University of Toronto, Sunnybrook Medical Center, under the direction of Dr. Marvin Tile. [...]

Enjoyed a Three Week Bicycle Trip Without Back Pain: Jim’s Story

2019-02-01T10:34:10-05:00July 27th, 2018|

Recently I hurt my back for the first time.  Waking up the next morning, I was in great pain, and almost unable to move.  This was also 3 days before my wife and I were taking a 3 week bicycle trip celebrating her recent retirement.  I was eventually able to get myself to the IBIJ OrthoAccess facility in Glenview.  Fantastically, they got me in within minutes, gathering my information and getting an initial set of x-rays as quickly and easily as I could imagine.  Once back in the examination room and after only a short wait, I met with Dr. Gary Shapiro, a spine specialist.  After reviewing the x-rays, Dr. Shapiro very patiently listened to the story, asked great questions [...]

Where Lower Back Pain Begins

2019-02-22T09:47:34-05:00November 11th, 2017|

Where Lower Back Pain Begins Overview Lower back pain is a common problem that can severely impact the quality of your life. Many different causes may lead to pain in your lower back and it can limit your ability to be active or even miss work. About the Lumbar Spine Learning about the structure of the lumbar spine will help you better understand back pain. The lumbar spine is located in the lower back and is made up of five vertebrae. Between these vertebrae are discs that cushion the bones and allow the spine to bend and twist.  Spinal Nerves The structure of the spine protects the nerves that ravel through a space [...]

Steven M. Mardjetko, MD

2019-04-16T17:23:16-05:00October 20th, 2017|

Dr. Steven Mardjetko is a board-certified orthopedic surgeon specializing in treating spine conditions, with an emphasis on pediatric spinal deformities, including early onset spinal deformity. He provides the gamut of treatment options for very young children all the way to adults, including advanced techniques not widely available. Because he treats adults as well as children and has been in practice for more than two decades, Dr. Mardjetko is able to understand how a spinal condition will affect a child later in life and to provide treatment that keeps long-term outcomes in mind. He was drawn to the challenge of pediatric orthopedics. He honed his abilities caring for children with rare conditions for 17 years at Shriners Hospital for Children in [...]

Mark Mikhael, MD

2019-04-05T07:20:49-05:00October 20th, 2017|

Dr. Mark Mikhael is an orthopedic surgeon specializing in surgical treatment of spine disorders such as disc herniations, stenosis, fractures, instability and degeneration (arthritis). His special interest is in complex cervical spine surgery. Whenever possible, he offers minimally invasive surgical techniques, which help avoid complications and reduce patient recovery times. He also has extensive experience in nerve decompression surgery and complex spinal reconstruction. Dr. Mikhael works with each patient to explore conservative treatment options before pursuing surgery. His goal for each patient is to increase their ability to engage in the activities they enjoy while reducing their pain and discomfort. He keeps informed of the latest developments in his field through his work as a manuscript reviewer for the journal [...]

David Norbeck, MD

2019-03-26T00:52:26-05:00October 20th, 2017|

Dr. David Norbeck joined Lake Cook Orthopedics, a Division of Illinois Bone & Joint Institute in 1989 as a general orthopedist treating all orthopedic problems. After performing orthopedic surgery for 25 years, Dr. Norbeck now works to treat orthopedic problems non-operatively. He maintains full medical staff privileges at Good Shepherd Hospital in Barrington, Illinois and is Board Certified by the American Board of Orthopedic Surgery. He is also a Fellow in the American Academy of Orthopedic Surgeons. Dr. Norbeck is a native of the western suburbs of Chicago. He is married with two children and enjoys reading non-fiction. He went back to school in 2012 for a Masters in Theological Studies at Trinity Evangelical Divinity School and now serves in [...]