Before I ever joined Laser Spine Institute, I was their patient.

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1 GUIDEBOOK

2

3 Before I ever joined Laser Spine Institute, I was their patient. Like you, I ve lived with chronic pain. I was an active and athletic person my whole life, but my world changed the moment I injured my neck playing college football. As my pain got worse it took a toll on my daily activities, affecting my work as well as my personal life. There is hope. I should know. I m living proof. I did everything, short of a surgical procedure to stop my pain. Physical therapy, electrical stimulation, ultrasound, traction and epidural steroid injections all were only temporary fixes. I met with four different surgeons. Each one had the same diagnosis and treatment. They wanted to take a bone out of my hip, cut the front of my neck six inches, fuse the bone to the vertebrae and place a steel plate and six screws to hold everything in place. Thankfully, two days before my surgery date, I met a friend for lunch. He told me about a spine procedure his wife had just undergone. It was minimally invasive and performed in an outpatient setting. When I found out that it was Dr. St. Louis who performed the procedure, I canceled my previous surgery immediately. Right after surgery, I felt instant relief. That evening, I walked around the neighborhood without pain. I returned to work just a few days later and started lifting light weights shortly after. I played a round of golf just a couple of weeks later. I was so impressed with the procedure and my incredible results that I became a managing partner for Laser Spine Institute and I am now the CEO. There is hope. I should know. I m living proof. Bill Horne CEO and actual patient

4 Less than 1-inch incision.

5 CONTENTS Contents 2 Overview 4 Your pain level 5 Your journey 6 Facilities 7 Surgeons 8 Testimonials 13 FAQ 14 Procedures

6 OVERVIEW They were the first doctors in six years who were able to actually properly diagnose what was wrong with my back. Laser Spine Institute saved my career. Natalie Gulbis LPGA Golfer and Laser Spine Institute Patient* 97% PATIENT SATISFACTION RATE

7 Minimally invasive. Maximum relief. OVERVIEW When you ve tried every conservative treatment under the sun to find relief, it s time to find a more effective alternative. Our minimally invasive spine procedures are designed for patients seeking minimal downtime, a less than 1-inch incision, an outpatient setting and most of all, maximum results. If you re suffering from any of these conditions, Laser Spine Institute may be your next stop. Pinched nerve Bulging/herniated disc Spinal stenosis Arthritis of the spine Sciatica Other chronic conditions Accredited by the Advantages of Laser Spine Institute s minimally invasive spine surgery: Less than 1-inch incision. Hospital stay Infection rate Complication rate Costs No lengthy recovery* 97% patient satisfaction rate Outpatient procedure Minimally invasive procedures Outpatient 0.13% 4% $ Board-certified surgeons + Less than 1-inch incision Traditional open back surgery 2-5 Days Up to 4.7% 9 to 19% $$$ *Each patient is different. Results may vary. +For more information, visit LaserSpineInstitute.com/surgeons. 3

8 YOUR PAIN LEVEL Identify your pain level Why just survive when you can thrive? If pain is adversely affecting you and those you love, it s time to take your life back. The journey to relief begins with a single step. We ve designed the chart below to help you get started. How much do you hurt? No pain Mild pain Pain is present but does not limit activity Nagging pain Can do most activities with rest periods Miserable pain Unable to do some activities because of pain Intense pain Unable to do most activities because of pain Worst pain Unable to do any activities because of pain If you score a 4 or higher, it may be time to consider minimally invasive spine surgery.

9 Your journey to relief Why wait another day? Get your life back faster and eliminate costly hospital stays with Laser Spine Institute s minimally invasive procedures. Gathering facts about Laser Spine Institute Meet your surgeon Schedule surgery YOUR JOURNEY Discuss your path MRI review Preoperative prep SURGERY Initial medical screening Choosing relief Full medical evaluation Rest and recovery Postoperative review Arrive at Laser Spine Institute STAND SM TALL Head home Get your life back Follow up The duration of the experience will vary for each patient. Patients may be required to rest 48 hours post-surgery. Should the patient be given a surgical order for a stabilization, additional time might be needed prior to the procedure for insurance authorization purposes. Some patients individual medical conditions may require additional testing that Laser Spine Institute will facilitate through a third-party service provider. 5

10 State-of-the-art facilities FACILITIES Our outpatient surgery centers are more than just operating rooms. They re filled with a special kind of care, one that s customized to meet our patients every need. In each of our beautifully appointed facilities you ll find dedicated, compassionate employees, focused on helping you get your life back. Laser Spine Institute has facilities stretching across the country to the places our patients need us most. Our seven state-of-the-art surgery centers are strategically situated near major airports in cities you can easily access. And once you arrive, you ll find them equipped with the very best in medical, technological and patient-centered amenities. From preoperative imaging, to diagnostic testing,* a beautiful patient café offering delicious meals and snacks, complimentary wireless Internet, art, music and cozy lounges to read or work on a puzzle, we want you to relax and enjoy the creature comforts of home. Our goal is simple, to provide exceptional care, in a warm and inviting space, to the people who inspire us most our patients. Accredited by the Cleveland Philadelphia Cincinnati St. Louis Oklahoma City Scottsdale Tampa *Some patients individual medical conditions may require additional testing that Laser Spine Institute will facilitate through a third-party service provider. 6

11 Meet our surgeons The surgeons at Laser Spine Institute specialize exclusively in relieving neck and back pain through minimally invasive, outpatient spine surgery. Our surgeons led by Chairman, Department of Surgery, Dr. Michael C. Weiss perform more minimally invasive procedures each month than any other spine surgery center in the world. Michael C. Weiss, D.O., FAOAO Chairman, Department of Surgery Mark A. Flood, D.O. Chief of Surgical Innovation William Sukovich, M.D. Orthopedic Spine Surgeon Jed P. Weber, M.D. Neurosurgeon SURGEONS Zoltan Bereczki, D.O. Orthopedic Spine Surgeon Chris Reeves, D.O. Orthopedic Spine Surgeon Stefan Prada, M.D. Orthopedic Spine Surgeon Jeffrey F. Shall, M.D. Orthopedic Spine Surgeon Timothy Luke, M.D. Orthopedic Spine Surgeon Thomas Francavilla, M.D., FAANS Neurosurgeon Keith Girton, M.D. Orthopedic Spine Surgeon Reginald J. Davis, M.D., FACS Neurosurgeon Jeffrey P. Nees, M.D. Neurosurgeon Bruce D. Moffatt, M.D. Neurosurgeon Troy Caron, D.O. Orthopedic Spine Surgeon Raj Kakarlapudi, M.D. Orthopedic Spine Surgeon 7

12 I can play with my kids go run out in the lawn and throw a Frisbee, play football. Whatever I want to do, I can do. Peter Miller Professional Fisherman and TV Show Host and Laser Spine Institute Patient* TESTIMONIALS

13 More than 50,000 patients are standing tall. See for yourself how our minimally invasive spine procedures can give you your life back. A LESS THAN 1-INCH INCISION TESTIMONIALS I wasn t in pain anymore. I should have done this a long time ago. It has changed my life. Cheryl H. Laser Spine Institute Patient* *Individual spine conditions, treatment and recovery times may vary. Each patient s expe rience with minimally invasive spine surgery will differ. When I came to Laser Spine Institute, I was treated like I was family. Everybody was pleasant, kind and helped me with anything I needed. Mike C. Laser Spine Institute Patient*

14 After I had the surgery, I can lift up my 3-year-old; I can carry him. Casey A. Laser Spine Institute Patient* TESTIMONIALS *Individual spine conditions, treatment and recovery times may vary. Each patient s expe rience with minimally invasive spine surgery will differ.

15 More than 98 percent of patients would recommend us to their friends and loved ones. Watch actual patient testimonials now by visiting LaserSpineInstitute.com and selecting Patient Experience from the top navigation bar. Watch them. Be inspired. And believe. Because you can Stand Tall again.

16 I felt the doctor I had was outstanding. He was caring; he was a professional. TESTIMONIALS Lou Holtz Football Coach and Laser Spine Institute Patient*

17 Frequently asked questions * We understand you want to be fully informed before making a decision about surgery. That s why we ve listed a few of the questions we receive on a daily basis. For more frequently asked questions, please visit LaserSpineInstitute.com or contact a Spine Care Consultant. Q: How do you differ from other spine surgery providers? A: Unlike the approach of some providers, orthopedic surgeons and neurosurgeons perform our minimally invasive spine surgery. Our esteemed surgical team performs the surgery using a muscle-sparing technique in which muscles are moved aside as opposed to cut or torn. This technique helps patients recover much quicker. We have helped more than 50,000 patients since Every month, more people come to Laser Spine Institute for help in relieving their neck and back pain than to any other spine surgery center in the world. More than 98 percent of our patients would recommend Laser Spine Institute to their friends and family. Q: What if I am on a blood thinner such as aspirin or Coumadin? A: If you are taking any anticoagulants or blood thinners including, but not limited to, aspirin, Coumadin, Plavix, Xarelto, Pradaxa and others, you must obtain written approval from the prescribing physician before stopping these important medications. It is essential that, once approval from your doctor is obtained, you stop taking the medication(s) for the exact number of days prescribed before your date of surgery. Laser Spine Institute has a Medical Care Screening Department guided by the medical staff. This department will communicate with you by phone regarding details and questions about blood thinners and other medications. Q: What are my limitations after minimally invasive spine surgery, and how long will I be out of work? A: Weight-lifting restrictions vary based on your procedure, however, your surgeon will provide you with detailed postoperative instructions. Patients who have desk jobs can 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; so, the time in which one may return to normal daily activities depends on an individual s work environment and the type of surgery performed. Q: Is minimally invasive spine surgery covered by health insurance? A: Our team works with insurance companies to make our outpatient surgery more accessible to you. Your maximum financial responsibility will be determined by your individual health insurance coverage and can be discussed at any time with one of our Spine Care Consultants. To confirm your health insurance benefits, call today to speak to a Laser Spine Institute Spine Care Consultant. FAQ *Individual spine conditions, treatment and recovery times may vary. Each patient s expe rience with minimally invasive spine surgery will differ. 13

18 Laser Spine Institute specializes in minimally invasive procedures. Searching for a safer and more effective alternative to traditional open neck or back surgery? Look no further than Laser Spine Institute. We ve already helped more than 50,000 patients get their lives back. And 98 percent of patients say they d recommend us to a friend, co-worker or loved one. With a quicker recovery, a less than 1-inch incision and a culture of care unlike any other, it s no wonder we re the leader in minimally invasive spine surgery. Minimally invasive decompression procedures Foraminotomy To relieve pressure on the nerve root as it exits the spinal cord. Laminotomy To relieve pressure on the spinal cord compressed by spinal stenosis. Discectomy To remove the portion of a herniated or bulging disc that is pressing on a nerve root or the spinal cord. Surgeons utilize X-ray monitoring and fiber-optic devices in order to see precisely what is compressing the nerve and to remove it without causing any destabilization of the spine. Facet thermal ablation To deaden the painful nerves in the facet joint utilizing a laser. PROCEDURES Disc treatment RegenaDISC This is an innovative and preventive treatment that offers you the chance to improve your spine health. RegenaDISC regenerates the spinal disc and promotes long-term spine health by using the patient s own cells through stem cell treatment. 14

19 Minimally invasive stabilization procedures In some instances, our patients can greatly benefit from a minimally invasive approach to spine fusion called minimally invasive stabilization (MIS) surgery. Laser Spine Institute currently specializes in the following MIS procedures all performed in our state-of-the-art, outpatient setting: Decompression with an Interlaminar Stabilization device This procedure helps relieve pain associated with spinal stenosis. Through a small incision, the surgeon first decompresses the affected areas, eliminating the source of pain. Once the stenosis has been decompressed, the surgeon will insert a device, which will help to stabilize the spine and maintain the decompression without limiting the patient s range of motion. Anterior cervical discectomy and fusion (ACDF) This is a less invasive alternative to traditional open neck fusion. Its focus is to relieve neck pain, weakness and tingling associated with herniated disc or degenerative disc disease. During the ACDF procedure, the damaged disc is removed and implants are inserted to help stabilize the spine. Cervical disc replacement A cervical disc replacement is a minimally invasive procedure in which an artificial disc replaces an unhealthy vertebral disc. Posterior cervical fusion This is a minimally invasive procedure that is performed through the back of the neck. During the procedure, two or more vertebrae are fused together to help relieve symptoms associated with compressed nerves, spinal instability and deformity, and severe herniated discs. Transforaminal lumbar interbody fusion (TLIF) This is a less invasive alternative to traditional open back fusion. Its focus is to relieve back pain caused by spondylolisthesis, degenerative disc disease or a herniated disc. During the TLIF procedure, the damaged disc is removed and implants are inserted to help stabilize the spine. Lateral lumbar interbody fusion This is a minimally invasive spine surgery that accesses the spine through small incisions on the side of the body. This procedure avoids disrupting or stripping soft tissue and muscle that is required for other spine fusion procedures. SI joint fusion This is a minimally invasive procedure where the sacrum and the pelvis are joined. Laser Spine Institute surgeons will perform the procedure through a small incision with the guidance of a fluoroscope. Because there is typically limited mobility in the SI joint without the procedure, most patients will not lose any range of motion. 15 PROCEDURES

20 Call or visit LaserSpineInstitute.com for your MRI review today. Join our community Get expert advice, connect with actual patients and more. Facebook.com/LaserSpineInstitute YouTube.com/user/LaserSpineInstitute Twitter.com/LaserSpine Pinterest.com/LaserSpine Plus.google.com/+LaserSpine NB

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