Issue link: https://viewer.e-digitaledition.com/i/456982
W HEN BACK PAIN recurs after an initial curative operation there is sometimes the need for a revision procedure. Often, spinal instability is the exacerbating factor, and if it continues, it will lead to disc reherniations or iatrogenic bone or vertebra slippage, which cause spinal stenosis. Typically, conservative strategies, such as physical therapy or epidural injections, effectively manage painful symptoms. However, when such treatment fails and MRI imaging reveals that structural problems likely cause the pain despite a previous operation, revision surgery is indicated. William J. Sonstein, MD, FACS, Senior Partner at NSPC, Chief of Neurosurgery at North Shore-LIJ Plainview Hospital, collaborates with the rest of NSPC's team of 15 neurological spine surgeons, as well as orthopedic surgeons, to pro- vide a wide array of surgical options for revision spine surgery: posterior lumbar interbody fusion, kyphoplasty and X-STOP interspinous spacers. He also uses minimally invasive approaches that reduce blood loss, complication risk and recovery time. For all procedures, Dr. Sonstein uses two state-of-the-art technologies that enhance the efficacy and safety of revision procedures. Advancing Spinal Surgery Dr. Sonstein selects his tools for spine surgery with an eye to progress and a focus on patient outcomes. The two devices he has recently incorporated are among the field's most game-changing developments in decades and will feature prominently in the Ultrasonic Spine Institute, which will be an NSPC Center of Excellence. William J. Sonstein, MD, FACS, Senior Partner at Neurological Surgery, P.C., Introduces Ultrasonic Spine Institute for Safer, More Effective Revision Spine Surgery By Michael Ferguson LEADING-EDGE ULTRASONIC TECHNOLOGY ENHANCES TREATMENTS FOR FAILED BACK SYNDROME. William J. Sonstein, MD, FACS, Senior Partner at NSPC, Chief of Neurosurgery at NorthShore-LIJ Plainview Hospital, discusses a planned surgical technique with a patient. COV ER FE AT UR E 6 | Long Island MD NEWS ■ M D N E W S . CO M