Adam P. Smith, MD, FAANS is a board certified neurosurgeon and Rocky Mountain Brain & Spine Institute is his business providing neurosurgical information to the community. He is committed to the wellness of the patients he treats. Dr. Smith uses minimally invasive surgical approaches for the brain and spine, and uses the most up-to-date neuroimaging, surgical navigation, robotic and artificial intelligence modalities.

Interspinous Device

The Ineffectual, Inefficient, Inadequate, Insipid… Interspinous Device

“If it ain’t broke, don’t fix it”. Thomas Bertram Lance’s quote from 1977 is pretty plain but very useful advice, the Interspsinous Device doesn’t follow this advice. Traditionally, the most effective treatment of lumbar stenosis (compression of the nerve roots) has been decompression with laminectomy. The early Greeks and Byzantines started performing decompressions around 300…

carlson cts

How an Early Case of Carpal Tunnel Syndrome, Could Have Prevented More Carpal Tunnel Syndrome, but Ended Up Creating More…

Carpal tunnel syndrome is commonly considered an “over-use syndrome”. Repetitive activities may aggravate compression of the median nerve in the wrist by the transverse carpal ligament, manifesting as pain, tingling, numbness, and/or weakness of the hand. Chronic handwriting or computer typing can provoke the symptoms. In the 1930s after the Great Depression, Chester Carlson was…