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April 7, 2022 Uncategorized

Minimally invasive spine surgery (MISS) is a surgical procedure conducted on your spine to solve problems you may have with your back. Surgeons usually make a small incision about 1 – 2 inches long on your lower back during the surgical procedure. They then use specialized equipment (tubular retractor and a special operating microscope) to access your spine.
The tubular retractor is used to gently push aside your tissues and muscles, creating enough space for the spine surgeon to access the problem area on your spine. The special operating microscope provides your surgeon with real-time x-ray images of your back and spine.
On the other hand, traditional spine surgery is a surgical procedure where the surgeon has to make a 5 – 6 inches long incision on your lower back to access your spine. The surgeon then moves your muscles and soft tissues aside to access the diseased area and fix it. The process may involve the removal of some of your tissues.

How Is A Minimally Invasive Spine Surgery More Beneficial than Traditional Spine Surgery?

The main difference between minimally invasive spine surgery and traditional spine surgery is the impact each surgical procedure has on a patient’s body and health. MISS was created mainly to solve some of the health issues caused by traditional spine surgery. Below are some of the benefits of minimally invasive spine surgery.

  1. The amount of blood loss during the procedure is low.
  2. There is a reduced risk of injury to your muscles and other parts of your spine.
  3. Reduced recovery time and shorter hospital stays.
  4. Since back muscles are rarely overstretched during minimally invasive spine surgeries, the risk of postoperative disabilities is reduced.
  5. There is less pain due to little to no cutting of the muscles and surrounding soft tissues.
  6. There is a low risk of infection since the surgical incision made is small.
  7. Less pain after the operation means patients don’t have to rely heavily on pain medication

Conditions Treated Using Minimally Invasive Spine Surgery?

Minimally invasive spine surgery is used to correct problems with your back. And since not all back problems can be fixed using surgery, your physician will only recommend spine surgery when it’s necessary. Below are some of the medical conditions that require MISS to fix.

  • Spine infections
  • Herniated disc
  • Deformities like scoliosis
  • Spondylolysis (defect in your lower vertebrae)
  • Tumor removal from your spine
  • Spinal stenosis (a narrow spinal canal)
  • Fractured vertebra

Complications Associated With Minimally Invasive Spine Surgery

Like any other surgical procedure, there are several complications you’re likely to face after a MISS procedure. Therefore, it’s important to make sure that you and your physician carefully explore measures you can take to avoid these complications before the procedure. Below is a list of these complications.

  1. Possible allergic reactions to local or general anesthesia.
  2. Unexpected excessive blood loss – You should expect some blood loss during the procedure.
  3. Development of infection – You should receive antibiotics prior to, during, and after the procedure to lower infection risk.
  4. Possible blood vessel or nerve damage – Under the knife of an experienced surgeon, these complications are rare.
  5. Formation of blood clots in your legs – This is another rare complication that’s likely to cause health problems for you if the clots reach your heart.
  6. Pain – Some patients have reported experiencing pain in the area around the bone graft site.

How To Prepare For Minimally Invasive Spine Surgery

The best way to prepare for a MISS procedure is to ask for the help of your healthcare provider. If you’re taking any medication, whether prescribed by a doctor or over-the-counter medication, you should inform your physician. You might be required to stop taking some medicines before the procedure. A good example of drugs you’ll need to stop taking before the procedure is blood thinners.
If you’re a smoker, you’ll need to quit smoking, even if it’s for a few days. Smoking affects the amount of time you need to heal completely. And if you’d like to quit smoking completely, you can ask your physician for help. You should also inform your physician if you experience any changes in your health condition.
Before your procedure, your healthcare provider may be required to conduct X-rays, or magnetic resonance imaging (MRI) scans of your back.
Your healthcare provider will also recommend that you avoid eating or drinking after midnight of the night before your MISS procedure.
How Long Does It Take To Recover From A Minimally Invasive Spine Surgery?

Recovery time varies from one patient to another and depends on the type of MISS procedure the patient underwent. However, in general, some patients leave the hospital on the same day as their surgery and others stay for 1 or 2 days.
The stay time in a hospital is significantly shorter when compared to patients who’ve undergone open surgery. Traditional spine surgery patients stay in the hospital for about 3 to 5 days.
To help you speed up your recovery and help your body recover its strength, your health care provider might recommend physical therapy for you. However, physical therapy depends on the MISS procedure you underwent and the physical condition of your body. Your physician can also recommend specific exercises to help you return to your daily routine as fast as possible. You will also need to follow all the instructions your physician gives you carefully.
The possibility of you resuming your daily activities will depend on your physical condition and recovery speed. Only your health care provider can give you the go-ahead to resume your normal life.
Since the first minimally invasive spine surgery procedure was first performed in the 1980s, the field has been rapidly evolving as technological advancements continue. And as a patient, you need to experience the best care under the hands of experienced spine surgeons. Therefore, if you have any questions about the MISS procedure, don’t hesitate to call us. Or you can visit our website and learn more https://tennesseespinesurgeon.com/.

Dr. Juris Shibayama,
300 StoneCrest Boulevard #300 Smyrna Tennessee 37167,
615 267 6600

Find us on Social Media
https://twitter.com/bigortho1


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January 11, 2022 Uncategorized

Minimally invasive spine surgery (MISS) is a form of spinal surgery in which the surgeon uses minimally invasive tools and techniques to access the spine. The approach is designed to reduce risks and complications. In the United States, it is performed by anesthesiologists, general surgeons, and orthopedic surgeons with advanced training in spinal surgery. It is an alternative to open spinal surgery. As a result, minimally invasive surgery is growing in popularity.

This growth stems from new technology, the development of minimally invasive spinal surgery techniques, and improved search for the lowest surgical risks. In fact, the minimally invasive spine surgery technique has several advantages over conventional open spinal surgery to achieve excellent clinical results and functional recovery.

The main benefits of minimally invasive spine surgery are as follows.

Smaller injury to the neurovascular bundle

With minimally invasive surgery, the neurovascular bundle is spared. The neurovascular bundle is a cluster of nerve fibers (the nerves) and blood vessels that travel together through the spine and are responsible for maintaining control of basic bodily functions such as breathing, digestion, and circulation. Because of this, perioperative neurological complications are rare in minimally invasive procedures, especially when compared to open spinal surgery.

Easier recovery process

With minimally invasive spine surgery, a single incision is made as opposed to multiple incisions made during conventional open procedures. In addition, the presence of a spinal block decreases pain during recovery and increases patient comfort by immobilizing adjacent tissue. The more nerve roots and spinal nerves that can be accessed in one operation, the faster the patient can recover after surgery. Therefore, minimally invasive spinal surgery has a shorter recovery time than conventional open spine surgery because there are fewer surgical wounds or portals of entry in the body that take longer to heal or close.

Less tissue trauma

The surgeon does not have to retract muscle or bone as much as with an open technique with the minimally invasive approach. As a result, there is less tissue trauma during surgery, and patients recover faster. In fact, minimally invasive spine surgery reduces the surgical time and the recovery time from a week to three weeks. Meanwhile, minimally invasive spinal surgery reduces postoperative pain, which is one of the most important clinical complications after spine surgery.

Less blood loss and transfusion

Compared to an open procedure, minimally invasive surgery reduces blood loss during the operation and the requirement for blood transfusion. This is because less tissue trauma during the procedure leads to less bleeding. The average amount of blood loss in minimally invasive spine surgery is none or low, which is less than the open procedure.

In fact, minimally invasive spinal surgery uses a single-use vascular closure system, and wound packing with minimum surgical incisions helps to minimize hematoma accumulation. In addition, with minimally invasive surgery, the thoracic or abdominal cavity is not opened. This means less air and fewer blood clots in the chest. Compared to open surgery, minimally invasive spinal surgery results in fewer transfusions.

Less morbidity

Minimally invasive spine surgery has a lower incidence of postoperative complications than open spinal surgery does. In addition, the short hospital stay reduces the likelihood of complications after the operation, and patients can return home sooner. Therefore, minimally invasive spine surgery is associated with fewer complications and less cost, resulting in better quality for everyone concerned.

Less pain management

During the minimally invasive surgery, less pain medication is needed. Usually, only a topical anesthetic is used during the entire surgery. Pain and pain medications may still be needed after the surgical procedure, but minimally invasive spine surgery can be much less stressful for patients than open spinal surgery. In fact, minimally invasive spine surgery is the safest and most comfortable form of spinal surgery because patients don’t have to endure a lot of pain.

Shorter hospital stay

Because a minimally invasive procedure is performed in two or three days rather than over several days, patients have fewer complications and shorter recovery times. This is especially beneficial for those who have been injured in a car accident, a fall, or a sports injury. In fact, minimally invasive spine surgery reduces patients’ hospital stay by about 35% compared to open spinal surgery. In addition, minimally invasive spine surgery can significantly shorten the patient’s stay in the hospital following surgery by reducing the need for postoperative diagnostic tests, like CT scans or MRI.

Lower infection rates

Open surgery is more likely to result in open wounds or cuts, all of which provide ample opportunity for bacteria to infect the patient. Minimally invasive spine surgery greatly reduces the number of cuts, thereby reducing bacteria’s chance to infect the surgery site. In addition, the smaller incisions used in minimally invasive surgery reduce the risk of post-op complications so that patients can recover more quickly after surgery.

Less scarring

The actual surgical incisions caused by minimally invasive spine surgery can be completely hidden for some patients. In most cases, scars from minimally invasive procedures fade away within two months of surgery. As for open spinal surgery, there are still visible scars on the patients’ back. In addition, because of the smaller and numerous incisions, there is less bleeding and swelling, reducing scarring.

Can be performed at an outpatient surgery center

Minimally invasive spine surgery can typically be performed in an outpatient setting. This is a major benefit for patients because it eliminates the need to stay in the hospital overnight. In addition, patients who undergo minimally invasive spine surgery in an outpatient setting can often go home the same day as their procedure.

Minimally invasive surgery has been clinically effective for treating several spinal disorders, including degenerative diseases such as disc herniation and compression fractures. Minimally invasive surgery is likely to continue to grow in importance in spine surgery due to increased recognition of early degenerative changes in the cervical and lumbar spines that can be treated with minimally invasive techniques. You can visit https://tennesseespinesurgeon.com/ to learn more about minimally invasive spine surgery.

Dr. Juris Shibayama, 300 StoneCrest Boulevard #300 Smyrna Tennessee 37167, 615 267 6600

Find us on Social Media
https://twitter.com/bigortho1


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September 22, 2021 Uncategorized

There are many types of spine surgery, and the decision to seek a specific treatment largely depends on the condition you have. Most professionals recommend trying non-surgical treatments first, especially if the required surgical procedure is complex and has a prolonged healing period. If you proceed with spinal surgery, you must adhere to some dos and don’ts to ensure a quick and thorough recovery. But first, what does spinal surgery really entail?

Spine Surgery To Treat Leg Pain

If you experience severe pain in the leg, also known as radiculopathy, you may have a pinched nerve to thank for it. When you have leg pain, medical professionals usually recommend 4 to 6 weeks of conservative treatment. If the pain does subside within this time frame, they may recommend an MRI scan or similar imaging study to determine the presence of nerve pinching and its cause.
Most back surgery procedures for a pinched nerve are minimally invasive and can take one to three weeks to fully recover. We may recommend lumbar decompression spine surgery or injections to take pressure off the pinched nerve when you come to us. Decompression spine surgery has an impressive success rate, with most patients experiencing significant pain relief afterward.

Spine Surgery For Low Back Pain

Spine surgery in Nashville, TN is used to treat low back pain is usually more complex than other types of back surgery and carries a longer healing time. Also, it is crucial to note that the success rate for surgery for low back pain is lower than that for leg pain. Fusion surgery may be recommended after conservative treatment of 6 to 12 months without significant pain relief.

Recovery After Spine Surgery

Patients often experience symptoms for years before seeking medical help and may overlook the pain because it progresses very slowly. Symptoms of lower back pain and leg pain in persons older than 55 years usually stem from osteoarthritis or degenerative arthritis which causes the spinal canal to narrow and destabilizes a vertebral segment. Basically, the pain caused by these back conditions is aggravated by walking and can be improved with sitting. A professional may recommend lumbar decompression with spine fusion or without if a patient’s low back pain progresses so much that it impedes their ability to function.
It can take anywhere between three to twelve months to fully recover from spine fusion surgery. Depending on your condition, some spinal surgeries have a pain relief success rate of up to 90%. People suffering from persistent low back pain may also be able to receive artificial disc surgery or total disc replacement as a treatment option.

Emergency Spine Surgery

Most spine surgeries to treat severe leg pain or low back pain are not necessarily an emergency. However, some symptoms indicate a more serious medical condition and may necessitate emergency medical attention. They include:

  • Severe, persistent back and abdominal pain, which could be a sign of an abdominal aortic aneurysm
  • Sudden bladder or bowel incontinence (the inability to hold waste), or both. Also, persistent weakness in the legs. These could be symptoms of Cauda Equina Syndrome, a condition where nerves at the end of the spinal cord swell due to extreme pressure.

If you or a loved one exhibits any of the symptoms above, it would be best to seek immediate medical assistance.

Dos and Don’ts After Spine Surgery

The thought of undergoing spine surgery may be quite intimidating. However, you will find that many pain complications can be relieved or treated successfully with minimally invasive surgical procedures with short recovery periods. Whether you undergo a straightforward procedure like laser spinal surgery or a more complex treatment such as spinal fusion, taking special care afterward to ensure recovery and prevent injury is crucial.

Dos During Spine Surgery Recovery

  • Be patient with yourself

You must manage your expectations regarding what your body can and cannot do after your surgery. For instance, you may not be able to perform basic cleaning right after the procedure, and you shouldn’t try to. Instead, you should get lots of sleep at night and try to move about regularly but cautiously during the day to promote gradual healing.

  • Follow doctor’s orders to the latter

When it comes to your health, the doctor knows best. As such, it would be in your best interest to follow all doctor’s orders including prescribed medication and medical equipment such as back or neck braces. These braces aid in supporting and stabilizing your body as you recover. Without them, you may put unnecessary strain on your spine and impede recovery.

  • Ask for help

We recommend seeking help with errands and meal preparation after spine surgery, whether you live alone or with someone else. You can even hire a private healthcare provider if you need more assistance.

Don’ts After Spine Surgery

  • Don’t bend over

Professionals recommend that you refrain from bending over for at least several weeks after your spine surgery. As such, you may need to place items you often need within arm’s reach to avoid straining your back. Flip-flops come in handy as an alternative to shoes that need tying, and you can buy an easy-to-use “grabber” to help too.

  • No Alcohol

Alcohol is a depressant that can trigger a bad mood and make your recovery more difficult. Also, alcohol can react with your medication, causing adverse body reactions.

 

  • No Exercise

Save for gentle movements recommended by your doctor, you should refrain from any exercise or strenuous activities that might affect your recovery or lead to injury.
While spine surgery is an effective treatment for low back and leg pain, it is not always the answer. If you or your loved one has any spinal issues, book an appointment with us at https://tennesseespinesurgeon.com/.

Dr. Juris Shibayama
300 StoneCrest Boulevard #300
Smyrna Tennessee 37167
615 267 6600

Find us on Social Media
https://twitter.com/bigortho1


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July 12, 2021 News

TriStar StoneCrest Medical Center in Smyrna, Tenn., added the ExcelsiusGPS robotic system for spine surgery, according to a July 1 announcement in Rutherford Source.

Juris Shibayama, MD, debuted the system April 1, and John Burleson, MD, also performs cases with it.

The navigation system creates a preoperative scan and helps surgeons visualize a patient’s anatomy in real-time during procedures.

“It provides improved visualization of patient anatomy to optimize patient treatment, streamline the surgical workflow, and greatly reduce radiation exposure to surgeons and staff,” Dr. Shibayama said. “This technology is a win-win for the patient, our colleagues, and our hospital.”

Read the article on Becker’s Spine Review


Additional articles: TriStar StoneCrest Medical Center is Changing the Way Patients Receive Spine Surgery in Rutherford County



July 9, 2021 News

Our backs were built for physical activity and not to sit in one place and work. Office chairs are usually not very helpful in maintaining back health. If you speak to a spine doctor, they will confirm that an office chair that doesn’t provide proper back support can create a lot of pressure on the lower back.

What Is The Problem With Sitting For Too Long

As we all know, sitting for too long in a chair that doesn’t give adequate back support can lead to many problems. This is because, when you are sitting, the lumbosacral discs at the spine’s base have three times more pressure than when you are standing. If your chair doesn’t provide the right kind of support, it can lead to bad posture, stressing the joints and soft tissues, leading to pain.
A part of the problem is also the way you sit in the chair. If you sit down and shift your weight forward in the chair, it can increase the stress on the joints, soft tissues, and discs. This further leads to back pain and muscle tension.

Signs of a Bad Office Chair

There are so many chairs available in the market today. So how does one know what type of chair is terrible for your back? Here are some signs to watch out for:

  • The chair doesn’t have lumbar support leading to poor posture and back pain
  • No padding on the seat leading to pressure on discs
  • A fixed backrest that doesn’t allow for the position of the backrest to be adjusted
  • Fixed armrests that can get in the way of the desk. This can put pressure on your lower back and thighs
  • No armrests
  • A hard seat puts pressure on the lower back
  • No back support leading to bad posture
  • Not height adjustable leading to shoulder tension
  • Rigid backrest lacking sufficient back support
  • No wheels or castors leading to lack of movement, leading to muscle strain
  • Concave backrest in the lumbar area leading to poor posture and lack of support to the spine

    The Impact of a Bad Office Chair on the Back

    People are often familiar with the aches that come with sitting in an uncomfortable chair for a few hours. However, when these hours extend to days and weeks, the impact can last longer as well. The most common back problems caused by bad office chairs include:

    • Chronic back or neck pain
    • Bad posture
    • Spine degeneration
    • Carpal tunnel syndrome
    • Sciatica
    • Poor blood circulation
    • Pinched nerves

    What To Look For In An Office Chair

    We often think our spine is relatively straight. However, this is not true. The lower area of our spine curves naturally inwards towards the belly; this is known as the lordotic curve. This area of the back should be well-supported. A seat with good lumbar back support aids in improving posture by offering cushioning effect to the spine.
    When you get a good office chair that supports the lumbar back, the muscles around the spine are relieved of their job of keeping the spine curved naturally. The lumbar back support on the chair does this job. As a result, the pressure on the muscles is released, reducing the muscle tension that would have otherwise caused back pain.
    When your chair doesn’t provide this lumbar support, it becomes difficult to maintain the right posture. Without the support, your lumbar spine will find it challenging to maintain good posture. The large muscles in your lower back and the lumbar spine have to work extra hard to support proper spine alignment and curvature. Over time, the muscles supporting your spine in the right position begin to get weak. We tend to push our heads and upper back forward to compensate for this weakness. This further leads to more muscle tension and back pain.

    How To Find The Right Office Chair

    Keep these points in mind when you look for an ergonomic office chair:

    • It should be easily adjustable to suit your height. Your feet should be flat on the floor and your thighs horizontal when you sit on them.
    • The seat should be deep and wide to support the body comfortably.
    • The backrest should provide good support to the lower back and the spine’s natural curvature.
    • You should be able to adjust the lumbar support to suit your height.
    • The armrest should be low enough to support the arms when the shoulders are relaxed.

    Each day, several Americans spend their workdays stuck to an office chair, followed by a long commute home, where they are seated and then lounging in front of their televisions at home. This sedentary lifestyle can cause a wide range of health issues, some of which will involve the spine. As per research, a majority of adults in the US spend at least 65% of their weekdays at work, and most of that time in an office chair. That is why it is important to get an office chair that promotes good posture and a healthy spine.
    Spine problems can lead to lifelong health issues. It is important to take corrective measures as soon as you begin to notice any back pain. One of the first things to do is change your office chair if you think that is the cause of your pain. The next thing is to get timely treatment for the pain to prevent further aggravation. We offer minimally invasive spine surgery to treat back pain and other spine issues. The surgery causes minimal pain so patients can get home sooner, leading to less tissue trauma, lesser blood loss, and faster recovery. Tennessee Spine Surgeon also offers telemedicine consults to evaluate spine disorders that may need surgery. You may contact us for an appointment whether you have back pain due to a lousy office chair or any other issue related to the spine.

    Dr. Juris Shibayama
    300 StoneCrest Boulevard #300
    Smyrna Tennessee 37167
    615 267 6600


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March 19, 2021 News

Has your spine surgeon recommended an incision from the front and the back for your fusion?

When lumbar spinal fusion surgery is performed, there are several different approaches that can be selected. One option is an incision in the front and an incision in the back. This is called an anterior lumbar interbody fusion or an ALIF.  Although this is one option to do a lumbar fusion surgery, better options exist.

A minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) can be performed through two incisions that are 1 inch each (shown in picture above).  This accomplishes the same surgical goal as an ALIF. It is much less invasive and can frequently be done on an outpatient basis.

Some surgeons will even suggest doing the front incision under one surgical setting and then bring the patient back for a second surgery to do the incision on the back. While there is nothing technically wrong with that approach, it is a tremendous amount of surgery, anesthesia, and muscle tissue trauma.

A minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) is a much better option for the same result. Although the fusion rate for an ALIF is slightly higher than that for an MIS TLIF, the small difference in fusion rates does not justify the extra morbidity and surgical trauma, hospital stay time, and increased pain from the surgery.

If your surgeon has suggested a lumbar fusion surgery with an incision in the front and the back, it would be a good idea to get a second opinion from Dr. Shibayama to see if you are a candidate for a minimally invasive transforaminal lumbar interbody fusion (MIS TLIF) potentially on an outpatient basis.



April 5, 2020 NewsUncategorized

Telemedicine Appointments

Dr. Shibayama is now offering telemedicine consults for evaluation of spine disorders which may require surgery.  If your provider is not available or you just don’t want to travel to your spine surgeon’s office, Dr. Shibayama can see you virtually via telemedicine.

You can be safe at home and save travel time to and from the office.  No longer will you have to sit in the waiting room of his office for your appointment.  You can just relax at home with your mobile device or computer ready to receive your telemedicine visit with Dr. Shibayama.

Telemedicine consults are available to anyone, anywhere in the United States and even the world. Even if you are already established with another spine surgeon, Dr. Shibayama is available for a visit for any issues you may be having.

If surgery is recommended, the number of visits to the office and hospital can be reduced to the bare minimum to keep you as safe as possible at home while preparing and/or recovering from surgery.

If you have been told you need spine surgery, our office is happy to conduct a brief telemedicine visit with you to review your condition and any associated imaging, such as an MRI, to help reassure you that spine surgery is necessary and to provide you with any alternative options including minimally invasive surgical solutions.

Schedule a Virtual Visit

Scheduling a virtual visit is easy.

  1. Call to Schedule an Appointment 615 – 267 – 6600
  2. Explain your request for a virtual visit
  3. Dr. Shibayama and his staff will schedule a convenient date and time for your Virtual Visit

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March 2, 2020 News

The sacroiliac (SI) joint connects the hip bones (iliac crests) to the sacrum, the triangular bone between the lumbar spine and the tailbone (coccyx). The primary function of the sacroiliac joints is to absorb shock between the upper body and the pelvis and legs.


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February 10, 2020 News

What is a Slipped Disc (Spondylolisthesis)?

A slipped disc, also known as spondylolisthesis, is a condition that occurs when a bone in the lower spine shifts out of position and is displaced forward over the vertebrae (bone) beneath it. The condition can develop from spondylolysis, which is a stress fracture in one of the stacked bones (also called vertebrae) that make up the spinal column. Spondylolisthesis occurs when spondylolysis weakens the bone to the point that it begins to shift out of position in the spinal column. In addition with arthritis, the facet joints may become worn out and are no longer able to stabilize the vertebra which causes degenerative spondylolisthesis. If the bone shifts out of position too far, it may begin to press on surrounding nerves causing irritation or nerve damage that can cause shooting pain down the legs.

What Are the Symptoms of a Slipped Disc?


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In Short Words

Dr. Juris Shibayama is an orthopedic surgeon in Smyrna, Tennessee and is affiliated TriStar StoneCrest Medical Center. He received his medical degree from University of Illinois College of Medicine. He did his orthopedic residency training at the University of Miami/Jackson Memorial Hospital in Miami, FL. He then completed a one year fellowship dedicated exclusively to spine surgery at Rush University Medical Center in Chicago, IL. He has been in practice 13 years.

© 2021 | Juris Shibayama, M.D., Orthopedic Spine Surgeon