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Arthrex’s technology allows surgeons to remove the herniated part of the disc through a single incision of less than one centimeter. Lumbar spine disc herniations were previously treated utilizing a microscope and larger incisions to accommodate for visualization. The smaller incision allows for many benefits, including minimal to no blood loss, less to no opioids prescribed post-op, less tissue disruption and bone resection, less post-op pain, faster recovery, and quicker return to work and daily activities when compared to traditional techniques.
Specially designed instruments like the endoscope, which is about the width of a pencil, allow surgeons to view and reach small areas of the spine without the need for the large incision required for traditional spine surgery. This minimizes disruption and damage to muscles responsible for stabilizing the back, and reduces the need to remove any bone.
Dr. Zhou is the only female spine neurosurgeon in the health system, and the associate program director of the neurosurgical residency at University Hospitals. She hopes to expand the program by training the next generation of physicians.
“This type of surgery is the future. Adopting this at UH and training our residents in it sets them up for success in their own careers,” Dr. Zhou explained. “We are providing healing and teaching the next generation, while discovering new, minimally invasive ways of achieving surgical success. This fits so well with our UH mission – To Heal. To Teach. To Discover.”
The first successful case was performed this month and provided 33-year-old patient, Brenna Paradinovich, with reduced pain and an enhanced quality of life. In August of 2023, Brenna fell and hurt her back. After persistent pain and trying to relieve it with physical therapy, an MRI showed herniation in her spine. Brenna’s pain management specialist suggested an epidural spinal injection, which helped for a short time, but she eventually needed to continue physical therapy.
When the pain persisted, Brenna’s healthcare team knew that surgery would be the best option. She initially had a traditional spine surgery, in which a larger incision is used, in October of 2024 with Dr. Zhou. The disc re-herniated, which is not uncommon, and she was referred back to Dr. Zhou for this new surgery option. Following the endoscopic discectomy, Brenna was able to go home the same day. She believes her recovery time took about two weeks less than the traditional surgery. She said after having this procedure, she would never have traditional spine surgery again.
“Dr. Zhou explained the surgery in a way that was easy to understand and made me feel comfortable,” Brenna explained. “I was able to go home the same day, and this procedure was much better for me recovery-wise compared to the traditional spine surgery I had initially. The incision was about two inches long for my first surgery, and this one was much smaller. I also have autism and so social settings can be difficult for me to navigate. Dr. Zhou was very personable and walked me through every step of the surgery and how it would work. I sing her praises.”
“Not only does this new type of surgery give patients a quicker recovery time and avoids scarring, due to the small – less than a centimeter – incision, but it helps them with the anxiety of having a procedure done to one of the most important parts of their body,” Dr. Zhou added. “It’s especially beneficial for younger patients. I’m grateful to be able to offer this advanced technique to my patients, and look forward to continuing to grow this program as I train more surgeons in this area.”
For more information about the procedure and to learn about eligibility requirements for patients, please call: 440-816-2860.
Dr. Zhou will be hosting a UH health talk about this new surgery option at UH on February 27 at 6 p.m. ET. Details will be posted here: https://www.uhhospitals.org/health-talks
For more information about Arthrex, as well as photos, video, b-roll and comparison techniques to traditional spine surgery, visit: https://newsroom.arthrex.com/Arthrex-Ultra-Minimally-Invasive-Spine-Portfolio
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About University Hospitals / Cleveland, Ohio Founded in 1866, University Hospitals serves the needs of patients through an integrated network of more than 20 hospitals (including five joint ventures), more than 50 health centers and outpatient facilities, and over 200 physician offices in 16 counties throughout northern Ohio. The system’s flagship quaternary care, academic medical center, University Hospitals Cleveland Medical Center, is affiliated with Case Western Reserve University School of Medicine, Northeast Ohio Medical University, Oxford University, Taiwan National University College of Medicine and the Technion Israel Institute of Technology. The main campus also includes the UH Rainbow Babies & Children’s Hospital, ranked among the top children’s hospitals in the nation; UH MacDonald Women’s Hospital, Ohio’s only hospital for women; and UH Seidman Cancer Center, part of the NCI-designated Case Comprehensive Cancer Center. UH is home to some of the most prestigious clinical and research programs in the nation, with more than 3,000 active clinical trials and research studies underway. UH Cleveland Medical Center is perennially among the highest performers in national ranking surveys, including “America’s Best Hospitals” from U.S. News & World Report. UH is also home to 19 Clinical Care Delivery and Research Institutes. UH is one of the largest employers in Northeast Ohio with more than 30,000 employees. Follow UH on LinkedIn, Facebook and Twitter. For more information, visit UHhospitals.org.
