Spine Surgery Institute at TriStar StoneCrest in Smyrna, Tennessee
TriStar StoneCrest Medical Center's Spine Surgery Institute offers a dedicated spine care program designed to give patients the latest diagnostic and treatment options for back and neck pain while allowing them to remain close to home. As a patient at the Spine Surgery Institute, you receive individualized care from our highly trained, board-certified physicians as well as a dedicated team of nursing and rehabilitation personnel, discharge planners, pain management specialists and a spine care coordinator. Our spinal team will guide you every step of the way and ensure a comprehensive approach to your care — exploring all available options, including surgical and nonsurgical procedures, to maximize your spine health.
For a free physician referral or more information, call TriStar MedLine® at (800) 242-5662.
Nonsurgical spine care treatment
Nonsurgical treatment of the spine, sometimes referred to as “conservative” treatment, refers to any treatment or therapy not involving surgery. Our orthopedic care specialists can resolve many back and neck issues using nonsurgical means.
Some forms of nonsurgical spine treatment options include:
Physical therapy is important for patients with conditions affecting the spine and/or neck. Rehabilitation can help you avoid surgery, but it is also important after an operation. It can help you regain function by using exercises focused on specific areas, such as gait training and strength building.
A physical therapist may consult with you before discharge from the hospital. They will also work with your doctor to determine if other treatments - such as heat, ultrasound, spinal traction, electrical stimulation, spinal manipulation or aqua therapy - can help.
Epidural steroid injections (ESIs)
An ESI is an injection of steroid and anesthetic into an area of inflamed nerves in the back. The anesthetic acts to block the pain while the steroid works to reduce inflammation.
Facet joint injections
Spine specialists use facet joint injections to verify the location and source of pain. These injections can also be used to reduce inflammation or offer long-term relief.
A pain management specialist may prescribe medications to help patients manage spine pain without undergoing surgery. A physical therapist may also teach you techniques to help you manage pain and strengthen your back.
Types of spine surgery we perform
Our hospital is equipped to diagnose and treat any condition affecting the spine, but surgery is never our first choice. We will first discuss other treatment options, ranging from physical therapy to the use of assistive devices.
If spine surgery is necessary, you can be confident that our facility features the latest surgical technology and skilled spine surgeons who are trained in advanced equipment for spine care. This combination enables us to achieve improved patient outcomes and effective treatments with both traditional (open) and minimally invasive surgical options. .
Traditional spine surgery
We offer a wide range of traditional surgical procedures to treat back, spine and neck conditions, including:
Anterior cervical discectomy
Patients experiencing pain, weakness, numbness and/or tingling may have a cervical disk herniation. A herniated disk can be removed through an anterior approach (through the front of the neck) to relieve spinal cord or nerve root pressure and alleviate corresponding symptoms.
During this procedure, a small portion of the bone over the nerve root and/or disk material from under the nerve root is removed. This relieves pinching of the nerve and facilitates more room for the nerve to heal.
A spinal fusion helps patients who have degenerative disk disease or other conditions, especially when physical therapy and exercise do not alleviate symptoms. During this procedure, a metal or plastic graft is used to fuse the two vertebrae so there is no longer any motion between them. This procedure reduces some of the pressure on the nerves, aiding in pain reduction and potential nerve injury. This surgery can be performed using specific techniques depending on the patient’s symptoms and the cause of their symptoms.
Decompression surgical procedures
Goals for decompression surgery are to remove pressure off the pinched nerves and spinal cord and ultimately lessen pain and restore function.
These procedures include:
- Cervical laminoplasty – A procedure to remove pressure from the spinal cord in the neck by hinging the lamina open like a door and create more space in spinal canal without removing the lamia, preserving spinal stability.
- Discectomy – A procedure to remove part or all of the bulging/herniated disc to relieve pressure from the spinal cord and/or nerve.
- Facetectomy – A procedure to remove a portion of the facet joint and/or bone spur to relieve pressure from the pinched nerve.
- Foraminotomy – A procedure performed to enlarge the passageway to allow more space for the nerve root to exit the spinal canal.
- Laminectomy – A procedure that creates space by removing a portion of the vertebral bone (called the lamina).
Designed to replace the damaged disc while preserving the natural movement of the neck, unlike cervical fusion where vertebrae are fused together. Bone quality must be good with minimal effects of osteoporosis.
Spinal fusion surgery
Fusion surgery fuses two or more vertebrae together to become one solid piece of bone. This is accomplished by removing the disc and replacing it with a cage (spacer) filled bone graft material and is secured in place using titanium screws, rods and/or plates. Bone graft materials that can be used vary based on your type of surgery which include, but may include your own bone, synthetic bone, bone marrow from your own body or cadaver bone.
- Cervical fusions
- Anterior cervical discectomy fusion (ACDF)
- Posterior cervical fusion
- Lumbar fusions
- Anterior Lumbar Interbody Fusion (ALIF)
- Direct Lateral Interbody Fusion (DLIF)
- Sacroiliac (SI) joint fusion
- Transforaminal lumbar interbody fusion (TLIF)
Minimally invasive spine surgery
Minimally invasive surgical techniques were developed to effectively treat disorders while reducing damage to muscle tissue. Some minimally invasive procedures are performed with robotic technology that allows for more precise control. Other procedures can be done without robotic assistance.
In either case, this method allows our surgeons to see the spine with a surgical microscope. These procedures also allow for:
- Less pain
- Less scarring
- Reduced muscle damage
- Shorter hospital stays
- Shorter recovery periods
Robotic-assisted Spinal Surgery
TriStar StoneCrest Medical Center is the first hospital in Rutherford County, Tennessee, to offer a groundbreaking new robotic guidance and navigation system that provides minimally invasive surgical options for several complex spinal, orthopedic and neurological conditions.
With this advanced technology, our spine surgeons can perform a variety of spine surgeries with real-time visualizations of a patient’s anatomy to help improve the accuracy of procedures. The robotic guidance and navigation system puts the surgeon’s hands at the controls of a robotic platform so refined that even the most complex, delicate procedures are performed with unmatched precision.
What types of robotic spine surgery are there?
Types of robotic-assisted spine surgery we offer include:
- Cervical posterior fusion
- Posterior lumbar interbody fusion (PLIF)
How does Robotic-assisted Spinal Surgery Work?
Each patient will take a preoperative computerized tomography (CT) scan that will allow the surgeon to make a personalized surgical plan for each patient based on their anatomy. The preoperative CT scan along with the intraoperative CT scan and X-ray imaging allows our spinal surgeon to visualize a patient’s anatomy and the locations of their tools in real-time.
During surgery, the robotic arm guides the surgeon based on the patient’s personalized surgical plan to the exact location for screw placement.
Directions to our spine institute
We are located in Smyrna, Tennessee, near the intersection of Interstate 24 and Sam Ridley Parkway intersection. Our address is:
200 StoneCrest Blvd.
Smyrna, TN 37167
Free parking is available by the hospital's front entrance and by the emergency room (ER). For appointments, proceed inside the front entrance to find the admissions area. If you are checking-in for outpatient care, go the ER desk for assistance.
Spine care at TriStar Health
Spine doctors, who can be orthopedists or neurosurgeons, diagnose and treat problems linked to your spine. They can help with neck and back pain as well as injuries, trauma and diseases related to the spine. You may need to see a spine specialist if you have a herniated disk, nerve damage, sciatica or chronic back pain.Learn about Spine care