| Clinical Programs: | |
| Brachial Plexus | |
| Epilepsy Surgery | |
| General Neurosurgery | |
| Head Injuries | |
| Movement Disorder Surgery | |
| Neuroendoscopy | |
| Neuro-Oncology | |
| Neurovascular Surgery | |
| Pain | |
| Pediatric Neurosurgery | |
| Spinal Instrumentation | |
| Stereotactic Surgery |
The MCG neurosurgery pain surgery service offers
comprehensive surgical management of drug resistant pain problems, including
cancer pain and pain of other origin. Chronic pain patients who have failed
comprehensive non-surgical pain management may be candidates for surgical alleviation of pain.
The most commonly performed procedures are morphine pump implantation and
spinal cord stimulation. In addition to these procedures, the program has
experience in the full spectrum of ablative pain procedures. The senior
neurosurgeon has 30 years experience with pain procedures (many of them
ablative), and the team routinely implants morphine pumps and spinal cord
stimulators. Most recently, the non-invasive technique of
gamma knife
trigeminal rhizotomy for trigeminal neuralgia has been added to the
procedures we offer for surgical management of pain.
Cancer Pain
Morphine pump (PIC 1)
Percutaneous cordotomy (PIC 2a-b)
Mesencephalic tractotomy (PIC 3)
Cingulumotomy /Capsulotomy (PIC 4a-b)
Commissural Myelotomy
Non-Cancer Pain
Spinal Cord Stimulation (PIC 5)
DeepBrain Stimulation (PIC 6a-b)
Trigeminal Rhizotomy (PIC 7a-c)
Microvascular Decompression (PIC 8a-b)
The Pain Surgery Team
Joseph R. Smith, M.D., F.A.C.S., Director of Functional & Stereotaxic
Neurosurgery
John R. Vender, M.D., Section of Neurosurgery
MIchael Rivner, Director of Neurology Pain Management
Dan Martin, M.D., Department of Anesthesiology