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Specialties

We believe in a conservative care approach to spine problems, which includes good diagnostic tests so a complete evaluation can be performed. After visiting the Spine Center of Miami and consulting with Dr. Nordt, patients have a good understanding of their condition.

Diagnostics

Dr. Nordt’s medical training and decades of experience results in a unique and balanced approach to patient care and finely honed diagnostic skills. Earlier in his career, his practice included general orthopedics, sports medicine, total joint care and major knee and shoulder orthopedic surgery as well as spinal cord injuries while he was a professor at the University of Miami. In the past 30 years, he has performed thousands of surgical procedures, all of which have resolved debilitating spinal pain for his patients.

Anterior Cervical Discectomy and Fusion

Anterior cervical discectomy and fusion is a surgery to remove a herniated or degenerative disc in the neck. An incision is made in the throat area to reach and remove the disc. A graft is inserted to fuse together the bones above and below the disc. ACDF surgery may be an option if physical therapy or medications fail to relieve your neck or arm pain caused by pinched nerves.

Kyphoplasty

Balloon Kyphoplasty is a minimally invasive procedure that uses orthopedic balloons and bone cement to repair a spinal fracture. The procedure sets the broken vertebra by creating an internal cast. Many patients report relief from fracture pain and increased mobility immediately following the procedure.

Spinal Fusion

Spinal fusion is a surgical technique used to join two or more vertebrae. Supplementary bone tissue, either from the patient (autograft) or a donor (allograft), is used in conjunction with the body’s natural bone growth (osteoblastic) processes to fuse the vertebrae.Fusing of the spine is used primarily to eliminate the pain caused by abnormal motion of the vertebrae by immobilizing the faulty vertebrae themselves, which is usually caused by degenerative conditions. However, spinal fusion is also the preferred way to treat most spinal deformities, specifically scoliosis and kyphosis.

Laminectomy

Laminectomy is surgery that creates space by removing the lamina — the back part of the vertebra that covers your spinal canal. Also known as decompression surgery, laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves. Sometimes posterior fusion with instrumentation is used to facilitate stability.

TLIF: Transforminal
Lumbar Interbody Fusion

A Transforaminal Interbody Lumbar Fusion treats spinal instability or weakness by permanently uniting bones of the lumbar spine. The goals of a TLIF are to remove the pressure from the spinal cord and/or nerves, re-stabilize the spine, and prevent further movement and degeneration at the joints in question.

Medical Expert Opinion – Spine

Dr. Nordt has long term and significant experience in determining the justification of spine surgeries for insurance determinations,  legal defense and liability for accidents on the defense side. The results of his work are successful defense verdicts in court, and the minimization of losses related to unwarranted surgeries or surgeries that had already been executed. As a private practitioner, Dr. Nordt reviews countless unsubstantiated, non-validated spine surgeries. One of the main mistakes is basing recommendations for surgery on image only (i.e., MRI) findings without any clinical substantiation. In many cases, when the images are removed from the diagnostic equation, ultimately there is no valid diagnosis because there is no clinical relevance documented by the physicians.

 

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