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.

Why Are My Screws Loose?

Spinal fusion often involves placing metal screws with rods or plates to immobilize bones and allow them to “fuse”, or grow together. I always tell my patients that fusion is a two-part process. The first part is the actual surgery, in which the nerves are decompressed and then the metal implants are placed. However, the…

Live-Streaming Brain Surgery

Most people use social media to show pictures or videos of themselves, their family or their friends doing activities. Live-streaming involves simultaneously recording and broadcasting media online in real-time. It is becoming more popular and statistics indicate 42% of the US population have live-streamed online content at some point. Nearly 44% say they watch less…

Caution with a Cranioplasty

“So over at the VA, they had to replace it with plastic.  It ain’t as strong, so I don’t know if I oughta go sailin’ down no hill with nothin’ between the ground and my brains but a piece of government plastic” -Cousin Eddie, National Lampoon’s Christmas Vacation For some neurological conditions, including infection, tumor…

Opiates Before Spine Surgery

In May 2018, Governor Hickenlooper signed Senate Bill 18-22 Clinical Practice for Opioid Prescribing. This limits the number of opioid pills a healthcare provider can prescribe and provides an outline for opiate management. From a surgeon’s perspective, we almost never provide preoperative opioids. After surgery, we try to incorporate ERAS (enhanced recovery after surgery) techniques…

Thanksgiving

This week’s blog will completely focus on Thanksgiving and skip the roundabout link to neurosurgery we usually try to include. “….and he realized as he spoke that the truth was slipping away from him, and soon he would no longer know what the truth was.” Paraphrased from Leo Tolstoy’s, War and Peace How did you…