• Mon-Thu: 8AM - 5PM | Fri: 8AM - 3PM
  • 6630 S. McCarran Blvd., #A4 Reno, NV 89509
  • (775) 828-2873
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Accessibility Policy

The Web Content Accessibility Guidelines (WCAG) defines requirements for designers and developers to improve accessibility for people with disabilities. It defines three levels of conformance: Level A, Level AA, and Level AAA. The Sierra Regional Spine Institute Website is partially conformant with WCAG 2.0 level AA. Partially conformant means that some parts of the content do not fully conform to the accessibility standard.

Measures to support accessibility

Sierra Regional Spine Institute takes the following measures to ensure accessibility of One Nest Website:

– Assign clear accessibility goals and responsibilities.

– Employ formal accessibility quality assurance methods.

Compatibility with browsers and assistive technology

We made our best efforts to design and develop our website to be compatible with assistive technologies by focusion on:

  • Screen reader compatibility – our website works well with different screen readers, allowing users to consume the content in audio form
  • Browser compatibility – our website works and is supported by the latest popular web browsers (Chrome Browser, Mozilla Browser, Safari Browser) and others.
  • Keyboard Navigation – all content on the website is accessible from the users keyboard. Tab key navigates forward, Shift + Tab navigates backward.
  • Skip to Content – users can bypass repetitive elements at the top of the page by tabbing to the first “Skip to Main Content” link
  • Accessibility Toolbar – users can customize any part of the website (increase/decrease font size, make the font more readable, increase the contrast, remove color from the website etc.)
  • Images – we added a descriptive alternative text to all of the images we use which makes it easier for the screen reader to bring the image to life
  • Links – we have provided descriptive link texts to all of our links so users can easily understand their purpose and where they lead
  • Headings – we have used clear headings to communicate the content of the page
  • Use of ARIA – we used Accessible Rich Internet Applications (ARIA) to make our Web content more accessible to people with a wide range of abilities.
  • Enlarging Website Content – users can control the size of the content on our website either by using the accessibility toolbar or pressing the “Ctrl” and “+” keys (Control and Plus, or Command and Plus if the user uses macOS) to enlarge the website content and press “Ctrl” and “-” (Control and Minus) simultaneously to decreate the content size.

Sierra Regional Spine Institute Website is designed to be compatible with the following assistive technology:

  • Screen Readers
  • Pointers

Sierra Regional Spine Institute Website may not be compatible with:

  • Browsers older than 3 major versions
  • Mobile operating systems older than 5 years

Technical specifications

The Accessibility of our website relies on the following technologies to work with the particular combination of web browser and any assistive technologies or plugins installed on your computer:

  • HTML
  • WAI-ARIA
  • CSS
  • JavaScript
  • Elementor Plugins
  • WordPress CMS

These technologies are relied upon for conformance with the accessibility standards used.

Assessment approach

Sierra Regional Spine Institute assessed the accessibility of the website by the following approaches:

  • Lighthouse Analysis and Reports
Formal complaints

If you would like to submit a complaint about a feature not working the way it should, feel free to contact us by email or a call.

Feedback
We welcome and would like to hear your feedback on the accessibility of our website. Please let us know if you encounter any accessibility barriers while using our website, so we can improve it in the future. You can contact us by Phone at (775) 828-2873.
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Minimally Invasive Spine Surgery

Lumbar Fusion

Cervical Fusion

Decompression

Revision Spine Surgery

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  • Mon-Thu: 8AM - 5PM | Fri: 8AM - 3PM
  • 6630 S. McCarran Blvd., #A4 Reno, NV 89509
  • (775) 828-2873
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Artificial Disc Replacement

At Sierra Regional Spine Institute, we believe that the future is restoration of anatomy and function through motion. The artificial disc replacement is the answer to that problem. Sierra Regional Spine Institute continues to be a leader in Nevada when disc replacement surgery is needed.
It is a surgical procedure in which degenerated intervertebral discs in the spinal column are replaced with artificial disc implants in the lumbar or cervical spine.

The procedure is used to treat chronic, severe low back pain and cervical pain resulting from degenerative disc disease.

Artificial disc replacement has been developed as an alternative to spinal fusion, with the goal of pain reduction or elimination, while still allowing motion throughout the spine. Another possible benefit is the prevention of premature breakdown in adjacent levels of the spine, a potential risk in fusion surgeries.

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Revision Spine Surgery

Revision spine surgery is a surgery procedure performed in certain patients to correct the problems of earlier spine surgery. Revision surgery is only when working with patients who experience chronic pain or any worsening symptoms even after the initial surgery.
Other factors that can indicate the need for revision spine surgery include:
  • Post-surgical Complications
  • Scar Tissue Formations
  • Improper Diagnosis
  • Unsuccessful Initial Surgery

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Decompression

At Sierra Regional Spine Institute we use Decompression in a few ways to treat and make the process of recovery smoother for people with fractures: Microdiscectomy, Microendoscopic Laminectomy, Minimally Invasive Cervical Foraminotomy (MICF), Vertebroplasty and Kyphoplasty.

Microdiscectomy

Microdiscectomy, also called microlumbar discectomy (MLD), is a very common MIS decompression procedure performed in patients with a symptomatic lumbar herniated disc. The operation consists of removing the portion of the intervertebral disc that is herniated and compressing a spinal nerve root.

Minimally Invasive Cervical Foraminotomy

This is a MIS cervical foraminotomy decompression procedure that enlarges the space in which a spinal nerve root exits the cervical spinal canal (intervertebral foramen). This narrowing can be caused by a herniated disc, bone spurs, thickened ligaments or joints, which may result in pinched nerves.

Vertebroplasty

Vertebroplasty for the treatment of vertebral compression fractures (VCFs) was introduced in the United States in the early 1990s. The procedure is usually done on an outpatient basis, although some patients stay in the hospital overnight. The procedure may be performed with a local anesthetic and intravenous sedation or general anesthesia.

Using x-ray guidance, a small needle containing specially formulated acrylic bone cement is injected into the collapsed vertebra. The cement hardens within minutes, strengthening and stabilizing the fractured vertebra. Most experts believe that pain relief is achieved through mechanical support and stability provided by the bone cement.
Kyphoplasty
Kyphoplasty involves an added procedure performed before the cement is injected into the vertebra. First, two small incisions are made and a probe is placed into the vertebral space where the fracture is located.

The bone is drilled and one balloon (called a bone tamp) is inserted on each side. The two balloons are then inflated with contrast medium (which are visualized using image guidance x-rays) until they expand to the desired height and removed. The spaces created by the balloons are then filled with the cement. Kyphoplasty has the added benefit of restoring height to the spine.

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Cervical Fusion

Cervical Fusion is an operation that creates a solid union between two or more vertebrae in the upper spine (neck) area. This procedure may assist in strengthening and stabilizing the spine and may thereby help to alleviate severe and chronic back pain.
The best clinical results are generally achieved in single-level fusion, although fusion at two levels may be performed in properly selected patients.

Bone grafts may be taken from the hip or from another bone in the same patient (autograft) or from a bone bank (allograft). Bone graft extenders and bone morphogenetic proteins (hormones that cause bone to grow inside the body) can also be used to reduce or eliminate the need for bone grafts.

Fusion sometimes involves the use of supplemental hardware (instrumentation) such as plates, screws, and cages. This fusing of the bone graft with the bones of the spine will provide a permanent union between those bones. Once that occurs, the hardware is no longer needed, but most patients prefer to leave the hardware in place rather than go through another surgery to remove it.

Fusion can sometimes be performed via smaller incisions through MIS techniques. The use of advanced fluoroscopy and endoscopy has improved the accuracy of incisions and hardware placement, minimizing tissue trauma while enabling an MIS approach.

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Lumbar Fusion

This is a MIS technique that is performed in patients with refractory mechanical low back and radicular pain associated with spondylolisthesis, degenerative disc disease, and recurrent disc herniation. The procedure is performed from the back (posterior) with the patient on his or her stomach.

Using x-ray guidance, two 2.5-cm incisions are made on either side of the lower back. The muscles are gradually dilated and tubular retractors inserted to allow access to the affected area of the lumbar spine.

The lamina is removed to allow visualization of the nerve roots. The disc material is removed from the spine and replaced with a bone graft and structural support from a cage made of bone, titanium, carbon-fiber, or a polymer, followed by rod and screw placement.

The tubular retractors are removed, allowing the dilated muscles to come back together, and the incisions are closed. This procedure typically takes about 3 to 3 1/2 hours to perform.

Outcome & Benefits

  • Quicker Recovery & Body Fusion
  • Less Blood Loss
  • Shorter hospital stay
  • Shorter Operative Time
  • Less Trauma

Pioneers of both surgical and non-surgical techniques

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Minimally Invasive Spine Surgery

MIS was first performed in the 80s but has recently seen rapid advances. Technological advances have enabled surgeons to expand patient selection and treat an array of spinal disorders, such as degenerative disc disease, herniated disc, fractures, tumors, infections, instability, and deformity.
This can result in quicker recovery, decreased operative blood loss, and speedier patient return to normal function. In some MIS approaches, also called, “keyhole surgeries,” surgeons use a tiny endoscope with a camera on the end, which is inserted through a small incision in the skin. The camera provides surgeons with an inside view, enabling surgical access to the affected area of the spine.

Benefits of Minimally Invasive Surgery

  • Smaller incisions
  • Decreased postoperative narcotics
  • Shorter hospital stay
  • Quicker return to work and activities
  • Less Scar Tissue
  • Faster recovery
  • Less pain

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