Spine Surgery
We offer a full range of diagnostic and treatment services for back pain and spinal disorders. Click the links below to learn more about our procedures and spine conditions.
Resources:
Endoscopy Brain
The endoscopic transphenoidal approach is performed through the nostrils. A natural passageway exists at the back end of the nose leading into the sphenoid sinus, which can be enlarged so that the endoscope and instruments can pass into this air-filled cavity. From this region the sella turcica is easily accessed which is the location of pituitary adenomas, craniopharyngiomas and rathke's cleft cyst.
Using the same approach, the endoscope can be directed upwards through the ethmoid sinuses to the base of the frontal lobe. This approach is useful in removing meningiomas as well as tumors that extend into the suprasellar region.
By directing the endoscope downward, the surgeon can easily see the back of the throat and palate to remove tumors of the clivus such as chordomas and chondrosarcomas.
Read more at http://endoscopicskullbasesurgery.com/surgery_endo.htm
Intraoperative MRI
A specialized growing subset of interventional MRI is that of intraoperative MRI in which the MRI is used in the surgical process. Some specialized MRI systems have been developed that allow imaging concurrent with the surgical procedure. More typical, however, is that the surgical procedure is temporarily interrupted so that MR images can be acquired to verify the success of the procedure or guide subsequent surgical work.
View Slideshow of Intraoperative MRI at:
http://www.mskcc.org/research/brain-tumor/slideshow/intra-operative-mri-slide-show
Ambulatory Electroencephalogram (EEG)
The Ambulatory EEG is a long recording that gives important information about how your brain works. At the Michigan Brain and Spine Surgery Center, we perform 72 hours of continuous brain wave monitoring, which can help to detect epilepsy, brain tumors, cerebral palsy, and several other diseases of the brain. This test can also help find the causes of problems such as seizures, headaches, dizziness and blackouts.
During the examination, the patient’s head will be measured and marked with a skin marking pencil. The marks will then be prepped with skin prepping soap. About 26 electrodes will be filled with a conductive paste and placed on the patient’s scalp. EEG wires are attached to the face and scalp. The standard full EEG set up is called a ‘double banana’, called because the 26 leads are arranged in two banana shapes. The patient’s head is then wrapped to protect the electrodes and help with a more accurate test result. The patient will wear the electrodes and leads at home for the duration of the testing. These electrodes will be placed in a pouch that the patient will keep with them until the end of the study.
For more information about Ambulatory Electroencephalography or to schedule an appointment with the Michigan Brain and Spine Surgery Center, please call 248-723-2477
Sidney Broder, MD - Neurologist
Dr. Broder was born and raised in Detroit, Mi. He majored in chemistry and earned a Bachelor’s of Science at Wayne State University. He then went to medical school at Cetec University and completed his residency in neurology at St. Vincent’s Hospital, a major trauma center for mid and lower Manhattan in New York and affiliate of New York Medical College and Columbia University.
Dr. Broder then moved back to Michigan, established a private practice and served on Michigan State University’s clinical teaching staff. Dr. Broder has been practicing adult neurology for over 20 years and is happy to join Michigan Brain and Spine Surgery Center.
