Kraus Back and Neck Institute in Houston, TX

Relief from Lower Back and Neck Pain

surgery optionsavoid surgery
      At the Kraus Back and Neck Institute (KBNI), we specialize
                 in non-surgical as well as surgical treatments
                                of Back and Neck  Pain
     Conservative to Surgical Options: MINIMALLY INVASIVE SPINE SUGERY 
 "Applying Science to the Art of Medicine"                                                  
                 Dr. Kraus is available for Neurosurgery consultation (surgical and non-surgical) in Houston.
                      Offices:  1) West Houston Medical Center
                                    2) Memorial Hermann Memorial City Hospital
                                    3) Katy
           FILM REVIEW:  send an e mail                                       
      To arrange  an appointment, call 281-870-9292,  visit
or   send an e mail
              For national and international patients, we can help with  travel arrangements
                                         top doctors houston texas 2007 top docs united states neurosurgery spine   top doctors houston texas 2008 top docs united states neurosurgery spine  top doctors houston texas 2009 top docs united states neurosurgery spine   best doctors in america, united states neurosurgery spine
                                            Dr. Kraus is honored to be listed in
                                            "Best Doctors in America" (2001-2008) and
                                             "Top Doctors of Houston, Texas" (2007, 2008, 2009)     

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Low Back Pain, can be very debilitating.  The effects of Low Back Pain in the USA are staggering!!

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spinal cord stimulator (medtronic mdt) implant surgery


For pain in the lower extremities and lower back, the stimulator electrode implant (medtronic - mdt) is placed between T9 and L1, over the lower end of the spinal cord.  Placement of the spinal cord stimulator implant is usually done with a local anesthetic, and intravenous sedation.

The patient is brought to the operating room, and rolls over onto his/her abdomen.  The patient is kept in as comfortable a position as possible.  The anesthesiologist gives intravenous sedation, and the surgeon injects a good amount of "numbing" local anesthetic medicine, under the skin, and deeper as the surgery progresses. 

Bone is removed (lamina) at the appropriate level, to facilitate placement of the spinal cord stimulator implant  paddle electrodes (medtronic - mdt) behind the dura (covering of the spinal cord).  The spinal cord stimulator implant electrodes aspinal cord stimulator (medtronic - mdt) surgery, houston, texas, west houston, river oaks, neurosurgeon, neurosurgery, surgeryre now connected to a pulse generator (medtronic - mdt), and with the patient awake, stimulation is begun.  Now the patient can determine whether a certain pattern of firing of the implant electrodes successfully relieves his/her pain.  The patient will often describe a good feeling.  Because of the design of the medtronic implant electrodes (medtronic - mdt), there are actually four contact points on each side, and this provides the ability to cover varying amounts of spinal cord within the area of stimulation.  Seen in the x ray (taken from a C arm fluoroscopy unit in the operating room), the two columns of four implant electrodes are seen overlying the L1 vertebral body (note: the lowest level in the thoracic spine (T12) has ribs coming off of it).   One can determine, through the stimulator box, which electrode will be positive (+) and which will be negative (-).  In addition, the amplitude and frequency of the pulses to the spinal cord stimulator implant (medtronic - mdt) can be set.

The leads are brought out through an incision several inches away from the open surgical site.  The patient goes home with the stimulator attached through a wire fed through the skin.  He will determine over the next several days, whether or not the device provides sufficient relief. 

If the patient feel the relief of pain is good, he will come into the hospital several days later, and the battery pulse generator (medtronic - mdt) will be permanently implanted within a pocket under the skin, usually below the rib cage.  This procedure is done with the patient on his/her side, and a general anesthetic is used.  The patient does not need to be awake because the position of the stimulating electrodes will not be adjusted.

Seen below are the electrodes and battery pulse generators (medtronic - mdt) (on left), and the electrodes, battery pulse generators and connecting cable (on the right).


spinal cord stimulator (medtronic - mdt) surgery, houston, texas, west houston, river oaks, neurosurgeon, neurosurgery, surgery

spinal cord stimulator (medtronic - mdt) surgery, houston, texas, west houston, river oaks, neurosurgeon, neurosurgery, surgery







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