Frequently Asked Questions
Why is minimally invasive surgery at Laser Spine Institute better for me than other surgical options?
At Laser Spine Institute, we use advanced, minimally invasive spine procedures to treat neck and back conditions with a smaller incision, lower infection rate and a quicker recovery.^ Within this short time, everything from pre- operation to post-operation is thoughtfully planned out for you. Integrated services such as evaluation, diagnostic testing and pain management are conveniently located within the walls of each of our surgery centers or by trusted providers nearby*.
* Some patients' individual medical conditions may require additional testing that Laser Spine Institute will facilitate through a third-party service provider.
What are the risks of your minimally invasive spine procedures?
Our surgery complications are generally very low compared to open neck or back surgery. Our procedures are minimally invasive and require a small incision. Postoperative infection at the incision site is a complication that rarely occurs. The Laser Spine Institute infection rate is 0.38 percent, compared to average infection rates of up to 19 percent at hospitals for open neck and back surgery.^
What type of anesthesia is used for these spine procedures?
Nearly all of the surgeries at Laser Spine Institute are performed utilizing a combination of local anesthesia (numbing medicine) and intravenous sedation (pain medication, sedatives). Our board-certified anesthesiologists and certified registered nurse anesthetists work together to assure patient safety and comfort throughout surgery. Following surgery, patients are taken to the recovery area. Most patients remain there for 60 to 90 minutes prior to discharge from the facility.^
I have spinal stenosis or foraminal stenosis. Can I be helped?
Yes, our procedures are effective for these conditions. Laser Spine Institute can remove impingements to the spinal or foraminal canal and free the nerve, thereby relieving the pain and symptoms.
How many spine procedures will I require to solve my neck or back pain?
Neck and back pain is very individualized as to how many procedures will be needed. During the initial evaluation, it will be determined how many levels of damage are causing symptoms. In most cases, problems are found at multiple levels, but only one or two of them may be causing symptoms. Most patients just need one surgery but many have multiple procedures within that surgery. These procedures can be done concurrently by Laser Spine Institute surgeons so that you are in the operating room only once and your recuperation, time and costs are kept to a minimum*.
Can you help me if I have had failed open back surgery?
Yes, we typically can. In fact, a large percentage of our patients have had failed open back surgery in the past or have new spine conditions. Laser Spine Institute's procedures can correct many spine conditions.
What medications should I avoid prior to having your minimally invasive spine procedures?
There are many medications, both prescription and over-the-counter, which can increase your chance of bleeding. Because of these effects, there are requirements that certain medications be held prior to surgery. As an example, you must be off all aspirin or anti-inflammatory drugs (or any combinations drugs that contain these ingredients). Aspirin and aspirin products require a hold of 10 days prior to coming for surgery. Anti-inflammatory medications require a hold of five days prior to coming for surgery. Some vitamins and herbal supplements also can cause bleeding and will need to be held for 10 days prior to coming for surgery. For some medications, such as Coumadin, Plavix, and Pradaxa, we will consult your physician regarding holds prior to surgery. If you are taking any other medications, please inform us at the time you are scheduling surgery so we can advise you on an individual basis, as there are other medications that may need to be held. Our nurses will give you detailed instructions prior to and after your surgery as to which medications can be taken or not. Patients should not discontinue any prescription or over-the-counter medication prescribed by a physician without consulting that physician first.
How soon after surgery can I drive?
Due to the IV sedation that we utilize, under typical circumstances, you're able to return to normal driving and other activities of daily living after 48 hours of your procedure.
If I have cervical surgery, how long will I have to wear a neck collar?
It is recommended that a cervical collar be worn for the first two weeks after surgery. Patients are instructed to wear the collar if they are sitting or walking for an extended period of time, such as working at a desk or driving in a car.
How is the laminotomy procedure different from a laminectomy?
To open up the spinal canal, we use a miminally invasive approach for laminotomies. We do not perform laminectomies. A laminotomy is a surgical procedure that is used to relieve pressure off the spinal canal for the exiting nerve root and spinal cord, increasing the amount of space available for the neural tissue and thus releasing the nerve(s). The difference is that a laminotomy removes only part of the lamina and a laminectomy removes the entire lamina.
When is the laser used?
The laser is generally used to ablate, or vaporize, tissue on a high setting. Our surgeons can use the laser to ablate the nerves that lead to painful, arthritic facet joints. On a low setting, the laser can be used to shrink tissue. For example, our surgeons utilize the laser on a low-energy setting to treat a bulging disc by tightening up and shrinking the protrusion. In addition, the laser may be used on a low setting to stimulate the cells in a disc and produce more disc material as in our RegenaDISC® procedure. The laser also can be used to ablate other tissues during a procedure.
What do I have to do to find out if I'm a candidate for Laser Spine Institute procedures?
One of our Spine Care Consultants will contact you at the time and manner in which you request, and answer your questions. Next, you will provide us a copy of your MRI or CT scan with the written report so that we can review and study to preliminarily determine if you're an initial candidate for our procedures. A Spine Care Consultant will then call you to discuss your condition and the next steps we recommend for you. The final determination will occur during your clinical evaluation with history and physical.
If I'm coming from out of town, how long will I have to stay in your area?
We perform outpatient surgery, so there is no overnight stay at our facility. If you are from out of town, a Laser Spine Institute Spine Care Consultant can assist you in making arrangements for the length of your stay. There are numerous hotels that we partner with that offer you lower rates and are within the immediate area of Laser Spine Institute surgery centers. There are one to two preoperative days of evaluation, then surgery, followed by a day of rest and recovery, and a final postoperative appointment. If a second surgery is needed, the process would repeat after a determined number of days. Preoperative testing does not have to be repeated if more surgery is required within a 30-day period. In general, a patient is looking at staying in our area for five to seven days for a surgery.§
What are my limitations after minimally invasive spine surgery, and how long will I be out of work?
We recommend you limit lifting over 10 pounds for at least six weeks, and that you return to normal activities gradually to allow for maximum healing. Patients who have desk jobs can normally return to work within two weeks and patients with physically strenuous jobs should wait at least six weeks, depending on the job. Each patient's surgery and job differs; subsequently, the time in which one may return to normal daily activities depends on an individual's work environment and the type of surgery performed.
What arrangements do I need to make with a Care Partner in order to have surgery at Laser Spine Institute?
You will need to have someone available for you 24 hours after your surgery that is at least 18 years of age, in good physical and mental health, and capable of providing care. They must either drive you home (if you are local) or stay with you at a local hotel (if you are from out of town). Your Spine Care Consultant will assist you in making arrangements. You will need to bring all medications you are currently taking.
Why aren't more surgeons around the country using these types of procedures?
Due to the nature of these procedures and the steep learning curve, it takes a highly skilled and well-trained surgeon to utilize the laser and other advanced surgical instruments through such a small incision. At this time, the procedures performed by the surgical team at Laser Spine Institute are not widely taught in residency programs. A surgeon must be professionally trained by a certified physician in the specialty of minimally invasive spine surgery in order to master the technique. We are fortunate to have board-certified surgeons operating at Laser Spine Institute who are enjoying positive results.*
* Laser Spine Institute requires each surgeon to complete an extensive Laser Spine Institute training program.
When will I meet the surgeon?
Multiple medical providers will be involved in your experience, and each patient’s process is individualized based on your plan of care. Depending on specific surgical needs, our patients will meet their surgeons either the day before, or morning of surgery.
May I request a specific surgeon?
Yes, patients can make a request on which surgeon they would like to perform their surgery at Laser Spine Institute, however we cannot guarantee that a specific surgeon will definitely perform all the procedures. Every patient is different due to their anatomy or history of physical symptoms. Therefore, every case is reviewed by each surgeon and delegated according to each surgeon's specialty and the availability in the schedule.
Will my insurance cover this procedure?
Laser Spine Institute is pleased to work with many insurance companies with the goal of providing a cost-effective way for patients to find relief from their neck or back pain. We want you to know that your financial responsibility will be determined by your individual health insurance coverage. Because each individual insurance policy provides varying levels of coverage, we encourage you to call our team directly. Doing so will allow us to spend the time needed to review your particular policy and ensure you have all the information to make the decision that’s right for you.
I have an HMO policy. Will you accept it?
Because Laser Spine Institute is an out-of-network provider, coverage of our procedures is dependent on many factors. Please call your Spine Care Consultant so we can provide you with more information about how we work with HMO policies.
Is Laser Spine Institute considered an Out of Network provider?
Yes, we are an out-of-network provider. As long as your specific insurance policy has out-of-network benefits, we can work with your plan.
Do you work with Medicare?
Laser Spine Institute is contracted with Medicare for all services except the facility fee. Because our facility is not covered by Medicare, this facility fee covers only your surgery center services. Medicare and/or private insurance patients may also receive an invoice or statement for professional and facility services. This may happen if they have not met their deductible, co-insurance or copay, or do not have a secondary insurance. The fee we collect from you at our facility depends on your insurance carrier.
Will you verify my benefits and help file my insurance?
Our Patient Financial Services team is dedicated to achieving the highest level of reimbursement possible. This includes verifying any co-insurance, deductibles, out-of-pocket maximums, policy limitations and pre-certifications as provided by your specific insurance carrier. Because some of our services require precertification/authorization, we will attempt to verify your benefits prior to your surgery.
After your procedure, Laser Spine Institute will also file your claims on your behalf for most insurance carriers. In many cases, you might receive information/correspondence regarding your claims directly. Should you receive any information from your insurance carrier regarding your precertification or claims information, it is important that you contact us immediately. Most insurance companies will process claims within 90 days; however, many can take several months for processing. In any event, we will work closely with your insurance carrier to expedite claim processing.
Is there an up-front cost for your procedures?
Many times there is an up-front cost, which can fluctuate depending on your insurance policy and the potential patient responsibility that they determine to be due. We are happy to talk with you about your individual insurance policy and what it will or will not cover as well as the financing options we have available. Please call our team so we can provide you with all the information you need to make an informed decision.
Is outpatient surgery less expensive than a traditional open neck or back surgery?
Unlike traditional open back surgery, which requires an overnight hospital stay (or longer), outpatient surgery is usually quicker, easier and in many cases, more cost effective. At Laser Spine Institute, we frequently treat multiple conditions at one time so that the patient does not have to return, keeping time and cost at a minimum. Laser Spine Institute has seven state-of-the-art outpatient surgery centers located in major cities. This allows us to provide a convenient way for our patients to reach us and keep their time away from home minimal.
Do you offer financing options for my surgical procedure?
Laser Spine Institute is pleased to offer a convenient way and affordable way to finance your surgery through our partnership with CareCredit. When approved for this popular financing option, patients will:
- Get up to 24 months at 0% deferred interest
- Receive up to five years at a fixed interest rate
- Incur no penalty for early payments
- Have the flexibility to use this card nationwide for most medical services
- Enjoy a quick application process
- Be allowed to add co-applicants
Supplemental financing options are available to those who do not qualify. Call us today and one of our Spine Care Consultants will walk you through the application process.
Spine surgery financing options
Need additional assistance planning for your spine surgery expenses? We’re here to help. Learn how a variety of financing plans could make getting your life back a reality.