Neurosurgery

Expert Neurosurgery Care Dedicated to Your Wellbeing

Recovering from an accident requires specialized expertise. Our integrated team focuses on treating injuries from auto accidents, slip-and-falls, and unexpected incidents with customized care plans. From your initial evaluation to your final stage of recovery, we are dedicated to relieving your pain, restoring your mobility, and getting you back to the life you love.

Neurosurgery

Better Insights for Better Outcomes

Common Neurosurgical Conditions We Treat

Spine & Neck Injuries

  • Herniated, Ruptured, or Extruded Discs: Disc displacements in the cervical (neck), thoracic (mid-back), or lumbar (lower back) spine.
  • Spinal Stenosis & Foraminal Narrowing: Narrowing of the spinal canal or nerve root exits, leading to severe pain and nerve impingement.
  • Radiculopathy & Sciatica: Pinched or compressed nerve roots causing shooting pain, numbness, tingling, or weakness radiating down the arms or legs.
  • Facet Joint Syndrome: Damage to the small stabilizing joints of the spine, causing severe localized or referred pain.
  • Spinal Fractures & Instability: Spondylolisthesis (vertebral slippage), subluxations, or compression fractures.
  • Myelopathy: Direct compression of the spinal cord often requiring neurosurgical intervention to prevent permanent neurological deficits.

Traumatic Brain & Head Injuries (TBI)

  • Concussions & Mild-to-Moderate TBIs: Closed-head injuries resulting from acceleration-deceleration forces (whiplash) or direct blunt force trauma.
  • Post-Concussion Syndrome (PCS): Chronic, lingering neurological symptoms following a head injury, including headaches, cognitive fog, dizziness, and memory disruption.

Peripheral Nerve Disorders

  • Nerve Entrapment & Compression: Pressure on major peripheral nerves, including acute carpal tunnel syndrome (wrist) or ulnar nerve compression (elbow).

What Sets Us Apart

Multidisciplinary Team Approach

We bring a powerhouse alliance of specialists under one umbrella. Because our neurosurgery, orthopedics, and pain management teams are integrated, we don’t push patients toward a single type of treatment. We manage the entire spectrum of care.

Advanced Diagnostics

We utilize advanced, state of the art imaging and diagnostic protocols to accurately pinpoint pathology.

Surgery Only When the Medical Evidence Suggests It

We believe in exhausting all evidence-based, conservative treatment before considering the operating room.

Minimally Invasive Techniques for Rapid Recovery

When surgery is required, our neurosurgeons utilize advanced, minimally invasive techniques wherever possible. This means, less pain, less risk, and faster recovery times.

How We Treat

The aftermath of an injury can leave you dealing with debilitating neck and back pain. When conservative treatments like therapy and injections fail to provide lasting relief, specialized neurosurgical interventions are often required to restore function and eliminate pain.

Choosing the right surgical path is a critical step toward recovery. The sections below outline some of the most frequent spine procedures performed to address trauma-induced spinal injuries.

Cervical Arthroplasty (Artificial Disc Replacement)

When an accident causes a cervical disc herniation, the damaged disc can compress nearby nerve roots or the spinal cord, leading to radiating arm pain, numbness, tingling or weakness. Cervical disc arthroplasty is a motion-preserving alternative to traditional fusion surgery. During this procedure, the neurosurgeon removes the damaged, herniated disc from an anterior (front of the neck) approach to decompress the pinched nerves or spinal cord. Instead of fusing the surrounding bones together, an artificial, mobile implant is inserted into the empty disc space. This technique preserves the natural biomechanics and range of motion of the neck, which reduces the risk of mechanical stress and premature wear on the adjacent levels of the spine.

Anterior & Posterior Cervical Fusion

When there is structural instability, severe multi-level degeneration, or significant neural compression, fusing the vertebrae may be necessary to stabilize the neck.

 

  • Anterior Cervical Discectomy and Fusion (ACDF) is a procedure we perform to relieve neck and arm pain caused by a pinched nerve or spinal cord compression. Breaking down the name tells you exactly how the surgery works: anterior (from the front), cervical (the neck), discectomy (removing the damaged disc), and fusion (locking the bones together) with a low profile titanium plate and screws.
  • Posterior Cervical Fusion (PCF): Unlike anterior surgery, which focuses heavily on disc removal, a posterior fusion is primarily a space-creating and instability correcting procedure. It is frequently combined with a laminectomy (removing rigid bone covering the back of the spinal canal) to widely decompress a pinched spinal cord across multiple segments. The surgeon utilizes rods and screws along the back of the vertebrae to establish rigid internal stabilization, creating a solid environment for successful bone fusion.

Lumbar Microdiscectomy

When a disc ruptures and presses directly against a nerve root, it causes severe, shooting leg pain known as radiculopathy or sciatica. A lumbar microdiscectomy is a minimally invasive procedure designed specifically to relieve this compression. Utilizing an operative microscope and specialized micro-instruments, the neurosurgeon accesses the spine through a very small incision in the lower back. The herniated fragment of the disc pressing on the nerve is removed, leaving the healthy portion of the disc intact.

Lumbar Fusion

When spinal stabilization is necessary, structural reinforcement is required to stop painful, abnormal motion between the spinal segments. Lumbar interbody fusions are highly effective at achieving this stability.

During this procedure, the surgeon removes the damaged disc and places a spacer directly into the disc space to restore normal spinal height and relieve pressure on the nerves. The segment is then locked into place with pedicle screws and rods to achieve structural balance, long-term stability, and a solid environment for successful bone fusion.

Frequently Asked Questions

Do I have to have surgery?

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Not necessarily, we believe in exhausting all evidence-based, conservative treatment before considering the operating room. Our multidisciplinary team begins by exploring all conservative, non-operative treatment options first—such as specialized physical therapy, targeted interventional pain injections, or targeted medications. Surgery is recommended if these conservative therapies fail to provide relief, or if advanced imaging indicates it is immediately necessary for your safety and long-term recovery.

Will I need to stay overnight in the hospital?

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The short answer is not necessarily. A big advancement in modern neurosurgery is the shift toward outpatient spine surgery; often performed at a specialized Ambulatory Surgery Center (ASC) rather than a traditional hospital. Staying overnight depends entirely on the specific procedure and your overall health.

Same-day outpatient procedures

  • Lumbar microdiscectomy
  • Cervical arthroplasty (artificial disc replacement)
  • ACDF (anterior cervical discectomy and fusion
  • SI Joint Fusion

Hospital Stay (24-48 hours)

  • Lumbar Fusions
  • Posterior Cervical Fusions

TESTIMONIALS

Customer Reviews

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Dr. Behrmann and his staff are very professional and thorough. Experience with front office staff to the medical staff has been absolutely a joy to work with. Dr. Behrmann doesn't rush you and explains the procedure in detail. The Neurologist and PA are very compassionate and really try to comfort you. I would recommend this provider and his staff.

Barbara S

☆☆☆☆☆
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When I came in I was in so much pain. With the help of the kind Doctors and staff at Integrity Medical Group I was soon feeling better and pain free. They took the time to ask questions and answered all my questions. Thank you to all the staff.

Maureen C

☆☆☆☆☆

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