{"id":1440,"date":"2024-09-03T04:34:23","date_gmt":"2024-09-03T04:34:23","guid":{"rendered":"https:\/\/backinstituteneurosurgery.com\/main\/?page_id=1440"},"modified":"2025-10-05T02:37:44","modified_gmt":"2025-10-05T02:37:44","slug":"smallestscope","status":"publish","type":"page","link":"https:\/\/backinstituteneurosurgery.com\/main\/smallestscope\/","title":{"rendered":"Non-traumatic Procedure (NANO) &#8211; smallestscope"},"content":{"rendered":"<h3><strong>WHERE DO WE MAKE OUR NANO SKIN NICK OR NICKS?<\/strong><\/h3>\n<h3>SEE EXAMPLES<\/h3>\n<table border=\"0\">\n<tbody>\n<tr>\n<td>\n<h3><u>Position 1 &#8211; Starting point between 0 and 5 degrees from midline.<\/u><\/h3>\n<p><span style=\"font-family: inherit; font-size: inherit;\">Nick in the skin for non-traumatic lumbar spine procedure (no effect on the normal spine) \u2013 picture taken one day after the procedure (only available at Back Institute).<\/span><\/td>\n<\/tr>\n<tr>\n<td><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1362\" src=\"https:\/\/backinstituteneurosurgery.com\/main\/wp-content\/uploads\/2024\/06\/4mmNick.png\" alt=\"\" width=\"500\" height=\"496\" srcset=\"https:\/\/backinstituteneurosurgery.com\/main\/wp-content\/uploads\/2024\/06\/4mmNick.png 500w, https:\/\/backinstituteneurosurgery.com\/main\/wp-content\/uploads\/2024\/06\/4mmNick-300x298.png 300w, https:\/\/backinstituteneurosurgery.com\/main\/wp-content\/uploads\/2024\/06\/4mmNick-150x150.png 150w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/p>\n<p>&nbsp;<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table border=\"0\">\n<tbody>\n<tr>\n<td>\n<h3><u>Position 2 &#8211; Access at 35 to 65 degrees<\/u><\/h3>\n<p>Nick in the skin for non-traumatic lumbar spine procedure (no effect on the normal spine) \u2013 picture taken one day after the procedure (only available at Back Institute).<\/td>\n<\/tr>\n<tr>\n<td><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1255\" src=\"https:\/\/backinstituteneurosurgery.com\/main\/wp-content\/uploads\/2024\/02\/zaffino.png\" alt=\"\" width=\"500\" height=\"358\" srcset=\"https:\/\/backinstituteneurosurgery.com\/main\/wp-content\/uploads\/2024\/02\/zaffino.png 500w, https:\/\/backinstituteneurosurgery.com\/main\/wp-content\/uploads\/2024\/02\/zaffino-300x215.png 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table border=\"0\">\n<tbody>\n<tr>\n<td>\n<h3><u>Position 3 &#8211; Access at 80 to 100 degrees<\/u><\/h3>\n<p>Nick in the skin for non-traumatic lumbar spine procedure (no effect on the normal spine) \u2013 picture taken one day after the procedure (only available at Back Institute).<\/td>\n<\/tr>\n<tr>\n<td><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1237\" src=\"https:\/\/backinstituteneurosurgery.com\/main\/wp-content\/uploads\/2024\/02\/Jarrett-nano-nick.png\" alt=\"\" width=\"500\" height=\"438\" srcset=\"https:\/\/backinstituteneurosurgery.com\/main\/wp-content\/uploads\/2024\/02\/Jarrett-nano-nick.png 500w, https:\/\/backinstituteneurosurgery.com\/main\/wp-content\/uploads\/2024\/02\/Jarrett-nano-nick-300x263.png 300w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/p>\n<p>Position 3 is the opening on the left. The opening on the right is position 2.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong><span style=\"font-size: medium;\">Example of Typical NANO Skin Nick for Non-traumatic Procedure<br \/>\nNano means &#8211; <u>N<\/u>ormal <u>A<\/u>natomy Maintained, <u>NO<\/u> Internal Cutting, Not Invasive to the Spine.<br \/>\n\u2013 picture taken one day after the procedure (only available at Back Institute). <\/span><\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-190\" src=\"https:\/\/backinstituteneurosurgery.com\/web\/wp-content\/uploads\/2021\/11\/nick.png\" alt=\"\" width=\"600\" height=\"337\" \/><\/p>\n<p>&nbsp;<\/p>\n<h4 id=\"target-section\">&nbsp;&nbsp;<\/h4>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h4>Internally Non-Traumatic Lumbar Spine Procedure<\/h4>\n<p><iframe loading=\"lazy\" title=\"Non Traumatic Lumbar Spine Procedure\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/P5p1MDg6QXw?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<p>At the Back Institute, we perform the most advanced non-traumatic procedures available, using state of the art tools and equipment. Some of our technology is only available here.<\/p>\n<p>In a Non-Traumatic Discectomy, there is no cutting, no bleeding and no scarring. So patients are left with only a dot opening that is covered with a band aid.<\/p>\n<p><strong>Outpatient Procedure<\/strong><br \/>\nA Non Traumatic Discectomy is an outpatient procedure done to physically remove the offending disc material. The procedure is performed in the operating room. Patients are administered local anesthesia; IV sedation is given by the anesthesiologist.<\/p>\n<p><strong>Technique<\/strong><br \/>\nUsing a x-ray fluoroscopy and a magnified video for guidance, a small,specially designed nano probe is inserted through the skin of the back, between the vertebrae and into the problem disc location. Nano tools are then used through the hollow center of the probe to remove the offending disc. The Nano tools can be used to push the bulging disc back into place; they can also be used to remove disc fragments and small bone spurs.<\/p>\n<p><strong>No Stitches<\/strong><br \/>\nOn average, the procedure takes about 45 minutes to an hour. Typically, there is no pain. Upon completion, the probe is removed and a small band-aid is placed over the incision. There are no stitches.<\/p>\n<p><strong>Tiny Opening<\/strong><br \/>\nThe amount of nucleus tissue removed varies, and the supporting structure of the disc is not affected by the surgery. In comparison to large incisions required for open surgery, the access route to the disc in non-traumatic procedures consists of only the probe\u2019s small puncture site; usually the size of a freckle.<\/p>\n<p><strong>No Bone Removal<\/strong><br \/>\nA Non Traumatic Discectomy is very different from an open lumbar disc surgery: there is no traumatic back muscle dissection, no bone removal, and no large skin incision. At the Back Institute, complications are almost non-existent.<\/p>\n<p>Higher risk operations\u2013such as laminotomy, foraminotomy, MED, and microdiscectomy\u2013are done at other facilities around the country. Meanwhile, the description \u201cminimally invasive\u201d that many hospitals and centers employ has become misleading. For these so-called minimally invasive procedures are actually very invasive: surgeons are cutting muscle and removing bone in order to get to the disc. They are just doing it through a smaller opening, so they call it minimally invasive. But here at the Back Institute, we do Non-Traumatic procedures, where there is no muscle cut, no bone removed, and no stitches.<\/p>\n<hr class=\"wp-block-separator\" \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-191\" src=\"https:\/\/backinstituteneurosurgery.com\/web\/wp-content\/uploads\/2021\/11\/compare-1.png\" alt=\"\" width=\"657\" height=\"655\" \/><\/p>\n<hr class=\"wp-block-separator\" \/>\n<p><iframe loading=\"lazy\" title=\"compare between Non traumatic Procedure and other\" width=\"500\" height=\"375\" src=\"https:\/\/www.youtube.com\/embed\/nzQ8isuln-U?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h2><strong>Why don\u2019t more surgeons around the country perform Non-Traumatic Discectomy?<\/strong><\/h2>\n<p>They are simply not able to do a zero access damage procedure. They do not have the correct technology available to them and they have no experience with the use of this technology. Many surgeons around the country, even at the biggest centers, claim to do minimally invasive spine surgery, when, in reality, they are performing surgery that, by comparison, is actually old fashioned traumatic spine surgery.<\/p>\n<p>The advancements in proprietary equipment and totally non-traumatic techniques that the Back Institute has made in the last 20 years make us the unique leader in performing Non-Traumatic Spine Procedures.<\/p>\n<p>It is a source of confusion that the words \u201cminimally invasive\u201d have lost their original meaning. Today, many surgeons around the country are still missing the real point of what \u201cminimally invasive,\u201d should be, which is not to cut muscle, not to remove bone, not to cause scarring, and not to alter the normal anatomy of the spine in order to get to the problem disc area. In fact, \u201cminimally invasive\u201d is not specific, clear or understandable language at all, but \u201czero damage in getting to the problem\u201d is clear.<\/p>\n<p>As spine centers around the country rely on clever marketing and catchy words like \u201claser\u201d to attract patients, they continue to lack the experience, expertise, credentials and technology to do a truly Non-Traumatic Procedure. In fact, a laser is rarely needed in any of these procedures, whether done at the Back Institute or elsewhere.<\/p>\n<h2><strong>No Cutting \u2013 No Bleeding \u2013 No Scarring<\/strong><\/h2>\n<table>\n<tbody>\n<tr>\n<td valign=\"top\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-193\" src=\"https:\/\/backinstituteneurosurgery.com\/web\/wp-content\/uploads\/2021\/11\/body.jpg\" alt=\"\" width=\"250\" height=\"326\" \/><\/td>\n<td>\n<ul>\n<li><strong>Major Breakthrough<\/strong><br \/>\nBy Leading neurosurgeon, Board Certified; Yale Fellowship<\/li>\n<li><\/li>\n<li><strong>Non Cutting Surgical Technique<\/strong><\/li>\n<li><strong>Preven Irreversible damage from Old Style Cutting Spine Surgery<\/strong><\/li>\n<li><strong>Home Same Day, No Stitches<\/strong><\/li>\n<li><strong>Many thousands successfully treated since 1986.<\/strong><\/li>\n<li><strong>Highly effective &amp; Safest method<\/strong><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"<p>WHERE DO WE MAKE OUR NANO SKIN NICK OR NICKS? SEE EXAMPLES Position 1 &#8211; Starting point between 0 and 5 degrees from midline. Nick in the skin for non-traumatic lumbar spine procedure (no effect on the normal spine) \u2013 picture taken one day after the procedure (only available at Back Institute). &nbsp; Position 2 &#8211; Access at 35 to 65 degrees Nick in the skin for non-traumatic lumbar spine procedure (no effect on the normal spine) \u2013 picture taken one day after the procedure (only available at Back Institute). Position 3 &#8211; Access at 80 to 100 degrees Nick&#8230; <\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1440","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/pages\/1440","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/comments?post=1440"}],"version-history":[{"count":6,"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/pages\/1440\/revisions"}],"predecessor-version":[{"id":2000,"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/pages\/1440\/revisions\/2000"}],"wp:attachment":[{"href":"https:\/\/backinstituteneurosurgery.com\/main\/wp-json\/wp\/v2\/media?parent=1440"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}