Greenberg Spine

Learn

Spine Surgery in Fort Wayne, Indiana

Spine surgery is considered when symptoms, physical exam, imaging, and failed non-surgical care point to a specific structural problem that surgery can reasonably address. Many people who see a spine surgeon do not need an operation; the visit should clarify the safest path.

Spine surgery is considered when a patient’s symptoms, physical examination, imaging findings, and the failure of adequate non-surgical treatment all point toward a structural problem that surgery can reasonably address. Many people with back or neck pain do not need surgery — and a thorough evaluation is the first step in determining whether an operation makes sense for your specific situation.

When to seek urgent evaluation

New loss of bladder or bowel control or saddle numbness requires emergency assessment: go to the nearest emergency department or call emergency services now. Rapidly progressive weakness or a severe new walking problem also requires prompt assessment and should not wait for a routine appointment.

Conditions that may lead to spine surgery

Not everyone with these conditions needs an operation. Surgery is typically discussed when non-surgical treatments have not provided adequate relief and imaging confirms a problem that a procedure can address. The following are conditions that, in some patients, may warrant surgical evaluation:

Sciatica

Leg pain, numbness, or weakness caused by compression of the sciatic nerve, often from a herniated disc or stenosis.

Herniated Disc

Disc material pressing on a spinal nerve root, causing arm pain or leg pain, numbness, and weakness.

Spinal Stenosis

Narrowing of the spinal canal causing leg pain, cramping, and difficulty walking — often relieved by sitting or leaning forward.

Cervical Radiculopathy

A pinched nerve in the neck causing pain, numbness, or weakness radiating into the shoulder, arm, or hand.

Cervical Myelopathy

Spinal cord compression in the neck causing balance problems, hand clumsiness, and walking difficulty.

Spondylolisthesis

One vertebra slips forward over another, potentially causing back pain, leg pain, or nerve compression.

Procedures Dr. Greenberg may discuss

The specific procedure recommended depends on your diagnosis, anatomy, symptoms, and goals. Each patient receives a personalized evaluation — there is no single operation that fits everyone. Below are procedures commonly discussed during spine surgery consultations:

Microdiscectomy

Removes the herniated fragment of disc compressing a nerve through a small incision using a microscope.

Lumbar Laminectomy

Removes bone and ligament to create space for nerves compressed by spinal stenosis.

ACDF

Anterior cervical discectomy and fusion — removes the damaged disc through the front of the neck and stabilizes the segment.

Cervical Disc Replacement

Preserves motion by replacing the damaged cervical disc with an artificial joint rather than fusing it.

Endoscopic Spine Surgery

Camera-assisted decompression through a narrow working channel for selected anatomy.

Robotic Spinal Fusion

Robotic guidance can help align selected instruments with a planned trajectory during some fusion procedures; verification and surgeon control remain essential.

Lumbar Fusion (TLIF/PLIF)

Posterior lumbar interbody fusion to stabilize the spine when instability or deformity is present.

Kyphoplasty

Minimally invasive treatment for painful vertebral compression fractures using balloon inflation and bone cement.

Surgery is not always the answer

One of the most important parts of a spine surgery consultation is determining whether surgery is the right next step — or whether additional non-surgical treatment, time, or a different approach is more appropriate. Not every MRI finding requires an operation, and not every patient with back or neck pain is a surgical candidate.

Factors that influence whether surgery is recommended include: how long symptoms have been present, whether non-surgical treatments were adequate and complete, the correlation between your symptoms and what the imaging shows, the presence or absence of progressive neurological changes, and your overall health and personal goals.

Second opinions before spine surgery

Seeking a second opinion before spine surgery is a standard and appropriate part of medical decision-making. It is not a sign of mistrust — it is a way to confirm that the proposed plan is the right one for your specific anatomy, symptoms, and goals. A second opinion can provide peace of mind when the recommendation is confirmed, or reveal an alternative path when it is not.

Dr. Greenberg provides independent second-opinion evaluations for patients who have been told they need spine surgery. The evaluation includes a personal review of your MRI and imaging, a neurological examination, and a candid discussion of whether the proposed surgery is appropriate — and whether any alternatives, including less invasive or motion-preserving options, should be considered.

Fort Wayne office

Greenberg Spine — Marc Greenberg, MD

Fort Wayne is the primary practice location for Greenberg Spine. In-person consultations, imaging review, and surgical planning take place here. Patients from throughout Northeast Indiana and Northwest Ohio travel to Fort Wayne for specialized spine surgery evaluation.

Minimally Invasive Spine Surgery

Endoscopic, robotic, and motion-preserving surgical techniques — candidacy, recovery, and FAQ

All Procedures

Complete index of surgical procedures offered by Dr. Greenberg — from endoscopic to fusion

Choosing a Spine Surgeon in Indiana

Evidence-based criteria to help you evaluate any spine surgeon — training, experience, and approach

When Is Spine Surgery Necessary?

A practical guide to understanding when surgery is the right next step — and when it is not

On This Page

Considering spine surgery?

Schedule a consultation to discuss your diagnosis, review your imaging, and understand your treatment options — surgical and non-surgical.

Call Monday-Friday during office hours to discuss current availability.

Quick Facts

  • Fellowship-trained in complex & minimally invasive spine surgery
  • Training: Mayo Clinic, Johns Hopkins, Brown University
  • Endoscopic, robotic & motion-preserving techniques
  • Serving Fort Wayne & Northeast Indiana
  • Second opinions before spine surgery available

Related reading: spine surgery in Indiana · spine surgery second opinions in Indiana

When to seek urgent care

Call 911 or go to the emergency department right away if you have any of the following:

  • Loss of bowel or bladder control, or new difficulty urinating
  • Numbness in the groin, buttocks, or inner thighs (saddle anesthesia)
  • Rapidly worsening weakness in one or both legs
  • New clumsiness in the hands — buttons, handwriting, dropping things
  • Unsteadiness, imbalance, or falls when walking
  • Rapidly progressive weakness or numbness in the arms or legs

These can be signs of a problem that needs emergency treatment.

Request a consultGet a second opinion

This is general educational information, not medical advice. A clinical evaluation is the only way to know what’s right for you.

Answers

Frequently asked questions

What spine surgeries are offered in Fort Wayne?

Dr. Greenberg offers microdiscectomy, lumbar laminectomy, ACDF, cervical disc replacement, endoscopic spine surgery, robotic-assisted spinal fusion, TLIF/PLIF lumbar fusion, and kyphoplasty. Each patient receives an individualized recommendation based on their imaging, symptoms, exam findings, and personal goals — not a one-size-fits-all approach.

When should I see a spine surgeon?

Consider a spine surgery consultation when you have persistent back or neck pain that has not improved after several weeks of conservative treatment, leg or arm pain with numbness or weakness, difficulty walking more than short distances, or symptoms that interfere with work or daily activities. A consultation does not mean you will need surgery — it is an opportunity to understand your diagnosis and all treatment options.

Do I need surgery for back pain?

Most back pain does not require surgery. The majority of patients improve with non-surgical care including physical therapy, medications, activity modification, and sometimes injections. Surgery is considered when conservative treatment has not provided adequate relief, imaging shows a correctable structural problem, and symptoms are significant enough to affect quality of life. Dr. Greenberg discusses all non-surgical options before surgery is presented as a path forward.

Can I get a second opinion before fusion?

Yes, and it is a common and appropriate step. Fusion is a significant decision that alters spinal mechanics permanently. Dr. Greenberg provides independent second-opinion evaluations that review your imaging, exam findings, and the proposed surgical plan. The goal is to confirm whether fusion is the right path for your specific situation — or whether a decompression-only or motion-preserving alternative may be appropriate.

What should I bring to the visit?

Bring your MRI or CT images on disc or USB (not just the report), any X-rays, radiology reports, a list of treatments you have already tried (physical therapy, injections, medications), current medication list, insurance card, and a written list of your questions. Bringing a family member or friend to help take notes is often helpful. Prior operative reports are essential if you have had spine surgery before.

Talk with a fellowship-trained spine surgeon

Most spine problems improve without surgery. When an operation is warranted, the goal is to match the least-disruptive effective option to the diagnosis and anatomy.