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340 spine surgeons to know — 2017

Here are 340 spine surgeons to know: Todd Lanman, MD, is the founder of Beverly Hills, Calif.-based Lanman Spinal Neurosurgery. He has published more than 10 peer-reviewed articles and book chapters on neurological surgery and has served as principal investigator on several clinical trials.   Read More...  
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Beware of the ‘text neck’ posture while typing: Doctors

Spine surgeons are noticing an increase in people suffering from neck and upper back pain. According to a recent report, poor posture during prolonged smartphone use could be the cause behind the ailments.   Read More...
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Leaning forward during phone use may cause ‘text neck’

(Reuters Health) - Spine surgeons are noticing an increase in patients with neck and upper back pain, likely related to poor posture during prolonged smartphone use, according to a recent report.   Read More...
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Could phones change the way our spines curve? Scientists warn an entire generation is plagued by ‘text neck’

'In an X-ray, the neck typically curves backward, and what we're seeing is that the curve is being reversed as people look down at their phones for hours each day,' said study coauthor Dr. Todd Lanman, a spinal neurosurgeon at Cedars-Sinai Medical Center in Los Angeles.   Read More...
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Leaning forward during phone use may cause ‘text neck’

“In an X-ray, the neck typically curves backward, and what we’re seeing is that the curve is being reversed as people look down at their phones for hours each day,” said study coauthor Dr. Todd Lanman, a spinal neurosurgeon at Cedars-Sinai Medical Center in Los Angeles.   “By the time patients get to me, they’re already in bad pain and have disc issues,” he told Reuters Health. “The real concern…
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2-level cervical disc replacement with Medtronic Prestige LP just as effective, safe as ACDF

A study published in Journal of Neurosurgery: Spine compared 24-month outcomes for two-level cervical disc replacement using the Medtronic Prestige LP device versus anterior cervical discectomy and fusion surgery.   The study included 209 patients undergoing two-level cervical disc replacements, or cervical arthroplasty, with a Prestige LP, and 188 patients undergoing ACDF between June 2006 and November 2007.   Read More...
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Artificial Disc Replacement Gaining Popularity

Artificial disc replacement is gaining popularity, proving to be a safe and effective motion-sparing alternative to spinal fusion. Approved for cervical and lumbar regions, the procedure involves replacing a degenerated disc with a prosthesis.   Here are 15 things to know about the field.   Read More...
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Interlaminar stabilization fills the spinal stenosis ‘Transition Zone’ — And now payment codes are catching up

Lumbar spinal stenosis affects 8 percent to 11 percent of people in the United States; by 2021, around 2.4 million Americans are expected to have spinal stenosis. The typical spinal stenosis sufferer is more than 50 years old and can present with varying degrees of the disease. For years, there were two options for treating spinal stenosis patients: a simple decompression or decompression and spinal fusion.   Read More...
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Dr. Todd Lanman highlights 4D Health Approach for disc replacement: 5 key notes

Todd H. Lanman, MD, of Beverly Hills, Calif.-based Lanman Spinal Neurosurgery, unveiled his 4D Health Approach for one-and two-level total disc replacement. Here are five key notes: 1. The 4D Health Approach is holistic and takes into consideration a patient's overall health, ailments, environment and future aspirations. Read More...
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Leading Spine Surgeon Talks Protecting Spine During Tennis

If you think that tennis could be causing your low back pain, you are probably right, and you’re not alone. Studies show that 62% of tennis players have some degree of injury in their lower (lumbar) spine. Most of the time these injuries do not cause noticeable symptoms, but in 3 out of 10 cases there is disc herniation where a part of the disc between the spinal bones pokes…
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Living should be thriving, not just surviving: The 4D health approach

“I’m alive, which is better than the alternative,” a new patient once told me when I asked him how he was. The alternative to being alive, we are to assume, is death; being alive is better than being dead.   This certainly wasn’t the first time I had heard someone reply this way, but it was the first time I considered it as more than a mere cliché. What if…
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What’s Really Happening When Your Hands and Feet Fall Asleep

You know that feeling when after sitting cross-legged for awhile, your foot feels foreign to you? Not only does it feel tingly and uncomfortable, but poking and prodding doesn’t seem to make a difference. Same thing happens when you’re scrolling through your Instagram feed for too long, and that pins-and-needles sensation suddenly creeps through your hand.   Read More...
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How to protect your spine from your tennis serve

When most people think about chronic injuries that occur from tennis, they usually think of “tennis elbow.” But if you ask a serious tennis player about the most common tennis-related injuries, low back pain will almost always make that list. There’s good reason for that. We spoke with Dr. Todd Lanman, a spine surgeon in Beverly Hills, California.   Read More...
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Preventing and Treating “Text Neck” – abc7 Los Angeles

Symptoms can range from minimal neck pain to serious long term problems. Dr. Todd Lanman joins abc7 Los Angeles to discuss "text neck".  
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Artificial Disc Replacement in 2-Level Cervical Disease: Long Term Outcomes

Anterior cervical discectomy and fusion (ACDF) has been the standard surgical treatment for cervical degenerative disc disease with myelopathy and/or radiculopathy since the 1950s. While ACDF is generally successful at reducing pain and neurological symptoms, patients are left with decreased range of motion in the neck. Read More...
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Is Your Cell Phone Giving You “Text Neck”?

Texting, Facebooking, and Snapchatting can be a real pain in the neck—literally. See how "text neck" can hurt you, and how to avoid this modern malady.   Read More...
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What’s Really Happening When Your Hands and Feet Fall Asleep

You know that feeling when after sitting cross-legged for awhile, your foot feels totally foreign to you? Not only does it feel super tingly and uncomfortable, but poking and prodding doesn’t really seem to make a difference. Same thing happens when you’re scrolling through your Instagram feed for too long and that pins-and-needles sensation suddenly creeps through your hand.   Read More...
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Should I Consider Artificial Disc Replacement for My Back or Neck Pain?

Artificial disc replacement has made great strides since it was first approved to treat low back pain in 2005 and neck pain in 2007. Todd H. Lanman, MD, a spinal neurosurgeon and leader in total disc replacement, shares his thoughts on the current state of this surgical alternative to spinal fusion.   Read More...
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Beverly Hills Neurosurgeon Warns ‘Text Neck’ Could Cause Serious Damage

A neurosurgeon in Beverly Hills says that if we don’t change the way we use our phones, we could cause some serious damage to our bodies. Kacey Montoya reports for the KTLA 5 News at 10 on Dec. 8, 2016. Watch Now...
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Artificial cervical disc replacement for two-level disease

In the last half of the 20th century, patients who needed surgery for two-level cervical disease almost certainly were treated with anterior cervical discectomy and fusion (ACDF). The procedure no doubt served those patients well, presumably reducing pain and improving or preventing neurological problems. The tradeoff for a resolution to their neck pain was decreased range of motion. To many, this was a reasonable compromise, because there were exceedingly few…
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15 spine surgeons discuss techniques revolutionizing spine care

Todd Lanman, MD, Lanman Spinal Neurosurgery, Beverly Hills, Calif.: Over the past decade, artificial disc replacement has become an attractive option for patients with degenerative disc disease who would benefit from surgical treatment. Artificial disc replacement is now a compelling rival to the current standard of care for this patient population, vertebral disc fusion. In fact, I anticipate artificial disc replacement may eclipse vertebral fusion in the very near future…
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Spine surgery for patients in the transition zone

About three years ago, I saw a patient with terrible back and neck pain. He is an elite tennis player, actor, singer—an all-around active and vibrant man. His pain was brutal, and it was severely affecting his personal and professional life. Surgery was clearly indicated, but the surgical approach was anything but straightforward.   Read More...
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Analyzing Artificial Cervical Disc Replacement

Your dear friend has had pain in her left hip for the past decade, and it has only gotten worse. Her films show severe osteoarthritis, even though she had joint resurfacing just a few years ago. This vibrant, 50-something woman now has so much pain that she can barely get through her day. Her nights are plagued with a dull, persistent ache—she can’t remember the last time she had good…
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The Future Is Now: Artificial Disc Replacement Rises to Its Potential

Disc Replacement Overtakes Spinal Fusion as the Most Effective Procedure The latest research shows that disc replacement surgery is now poised to take over as the primary solution for patients seeking to relieve spinal pain from degenerative disc disease and other causes in the neck.   For more than 70 years, anterior cervical discectomy and fusion, or simply spinal fusion, has been the gold standard for treating patients who experience…
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Be Greater than Better

How the Fourth Dimension of Health Does More than Make You Better As a neurosurgeon, I specialize in spinal surgery. But my work is more than surgery. My work begins with assessing what I call the fourth dimension of health. As we live longer, we want to be more active and functional as we age. We aim for a  quality of life that is often greater than what our parents…
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Patients maintain clinical benefits 7 years after two-level cervical disc replacement

CHICAGO — At the American Association of Neurological Surgeons Annual Meeting, Todd H. Lanman, MD, FAANS, spoke about the long-term results of a prospective, randomized, controlled multicenter FDA-approved clinical trial of the Prestige LP Cervical Disc (Medtronic) implanted at two adjacent levels. The low-profile titanium ceramic composite-based artificial cervical disc is indicated for single-level cervical disc disease causing nerve or spinal cord compression from C3 to C7, and is pending…
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AGING MANAGEMENT – WHAT WE CONSIDER

Bone health: Bone health can be improved using vitamin D at least 2000 international units a day with calcium with a minimum of 1200 mg a day. I often recommend particularly the patients in Southern California to markedly increase their vitamin D. These supplements are highly in medical grade and resolvable are provided by me.  I usually prescribe 10,000 units of vitamin D with a bone supplement, which contains calcium,…
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DR. LANMAN’S PERSONAL JOURNEY

All the areas of the recommendations that I have designed in the treatment of my spine patients were derived from my own personal experience having undergone four spine surgeries over the last 11 years. I am fully functional, I am able to ski, swim, surf, hike, and be fully active in weight training and cardiovascular exercise. I freely admit that I have modified my nutrition in the similar way that…
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THE EFFECTS OF BAD ADVICE

I see many patients who have been given what I consider to be bad advice. These are the patients who have been told wait until your back is so bad that you have to crawl into the doctor to get your back surgery. This was the advice given to patients who needed hip and knee replacement surgery years ago. We now know that advice is probably bad advice because when…
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