For patients that are unresponsive to nonoperative care, we are prepared with the latest innovations in medical procedures. Our first choice of procedures for most cases will be minimally invasive, planned and executed with the minimum amount of time and pain possible.


A microdiscectomy is a minimally invasive spine surgery to remove portions of a damaged spinal disc in order to relieve back pain. During the procedure, only the affected portion of the disc is removed to leave the majority of the disc intact and maintain the integrity of the spine.


Anterior cervical discectomy + fusion (ACDF) is a combined minimally invasive surgical procedure to remove damaged or injured disc material from the spine in the neck and relieve the pain associated with compressed spinal nerves.


A minimally invasive posterior cervical discectomy resolves cervical spine pain caused by a herniated or damaged disc through the removal of damaged disc material by a minimally invasive posterior, or rear, approach to the neck.


A posterior cervical decompression is a minimally invasive spine surgery done to remove portions of the damaged or herniated disc triggering pain at the nerve.


For patients suffering from more than one damaged spinal discs, multi-level disc replacement can provide pain relief while in the past only replace a single disc could be replaced. Spinal discs are the soft cushions between the bones of your spine, known as the vertebrae, which allow for a smooth range of motion.


The minimally invasive laminectomy procedure relieves lower back and leg pain often caused by a condition called spinal stenosis by removing part of the spinal lamina. The lamina is the bony roof of the vertebrae’s arch that protects the spinal cord and nerves.

Minimally Invasive Laminotomy

An endoscopic laminotomy alleviates lower back and leg pain caused by compressed nerves by removing part of the spinal lamina. The lamina is the bony roof of the vertebrae arch protecting the spinal cord and nerves.


Vertebroplasty and Kyphoplasty are two minimally invasive surgical methods to stabilize and prevent further collapse and deformity of the spinal column from fractures, a condition known as vertebral compression fracture (VCF).


SI fusion is a minimally invasive procedure which fuses together the two bones linked by the SI joint at the base of the spine when the joint has deteriorated or been damaged causing pain. Fusing these bones together stabilizes the damaged joint and aims to relieve pain in the process.


This new technique for chronic lower back and leg pain uses fusion and is also muscle sparing. The procedure is done through a small incision on the side of the abdomen. This procedure allows for greater stabilization and promotes bone healing.


The minimally invasive lateral lumbar interbody fusion (XLIF or LLIF) allowes the surgeon to approach the spinal fusion from a patient’s side (lateral) instead of from the front (anterior) or back (posterior), thereby avoiding disruption of the major back muscles.


For patients experiencing persistent pain and spinal instability, the 360 fusion (also known as an anterior/posterior lumbar fusion) offers stability by fusing together affected areas of lumbar spine to minimize the pain-causing unstable or abnormal movement.


This procedure is used to fuse discs in the treatment of lower back and leg pain. By entering through the abdomen, back muscle and nerves are left untouched and a larger implant can be used allowing for better initial stability.


Minimally invasive spine surgery refers to any minimally invasive surgical procedure that specifically focuses on the spine through smaller incisions than traditional “open” back surgery.


Spinal cord stimulation is a type of neurostimulation therapy for patients experiencing persistent pain in the neck, back, arms or legs, which delivers mild electrical pulses to the nerves along the spinal column in order to interfere with or block nerve activity and minimize the sensation of pain reaching the brain.


Spinal fusion is a type of surgery in which two vertebrae are fused together in order to provide stability, reduce flexibility in the affected area of the spine, and provide overall relief for chronic pain.


Herniated, ruptured or damaged discs in your cervical spine can cause immense pain. Cervical disc replacement may be the solution to your neck or back pain.
Jeff TuffsJeff Tuffs
16:55 13 Apr 22
Very professional, and the conversation was understandable to even a layman. They didn’t try to push an agenda, but instead provided options.Very satisfied with my visit.
Yesenia MartinezYesenia Martinez
16:42 04 Apr 22
Thank you Everyone from Texas Spine & NuHope for offering what was needed in the process of a journey & a chapter of my life. With the hope and believing God was with me every step of my journey. I was bless to meet Dr. Adam Bruggeman as my spine doctor/surgeon & his medical team assistants, the care that was much needed!The surgery was a success, recovered well, was active again going back to the gym faithfully but after 2 years feeling pain again due to alarming physical and mental pain.By the Grace of God I am healed in not needing a second surgery that was going be quite different than the laminectomy surgery.God is Good. I thank God for medical teams and doctors that have the knowledge and guidance with the gift of helping others that are in need of Medical Necessity, God bless you All.Do not have fear of what God is able to do and what a surgery can do that is needed to live a better lifestyle to reduce the pain or have no pain at all.Thank you.-Yesenia
Lupita FloresLupita Flores
18:43 11 Mar 22
I have had 2 surgeries with Dr. Bruggeman and have done well. Dr Paredes is very courteous, professional, and treats us like family. All the staff is super friendly. I highly recommend this practice.
Mario GonzalezMario Gonzalez
20:16 28 Feb 22
This was my first time surgery and I was confident to leave this kind of surgery on Dr Adam Bruggeman.
Heather BlakleyHeather Blakley
12:04 01 Feb 22
I could write a novel but will try to be brief. I spent a large portion of my life ignored for the serious pain I lived with and Dr. Bruggeman discovered exactly what I was living with. It’s a rough road but he has made such a huge difference in my quality of life. I thank God I am in his care. His staff is hands down the best I have ever experienced. Dr. Bruggeman and his staff are all smart, kind, professional and there to help in every way. God bless you.