Dr. Jho's Innovative Minimally Invasive Neurosurgery
Director of the Jho Institute for Minimally Invasive Neurosurgery
Diretor of Microneurosurgery Teaching Laboratory
Center Coordinator: Robin A. Coret, B.S.
Despite advances in the art of microneurosurgery, the risk of surgery for brain and spinal diseases is still significant. It is even greater for surgery involving skull base tumors or vascular lesions and complex spinal diseases. Escalating health care costs are another important concern. Ideal neurosurgical treatment should provide patients with cure of the disease, minimal risk, and rapid recovery as well as return to employment.
Dr. Jho has developed various innovative minimally invasive surgical techniques for spine and brain disorders that have now been applied to patient care. Among these techniques are endoscopic transsphenoidal pituitary surgery through a nostril without skin incision or nasal packing, endoscopic skull base surgery through a nostril, a nose-bridge incision craniotomy for skull base tumors, an orbital roof craniotomy or superolateral orbital craniotomy through a small eyebrow incision for tumors and aneurysms, a subtemporal approach through a small temple incision for skull base tumors and aneurysms, and a retromastoid approach for tumors, cranial nerve disease, and aneurysms. Postoperatively, patients require only small incisional bandages. Delicate microsurgical techniques which utilize an operating microscope and an endoscope help to achieve successful treatment of brain lesions through small and precise exposure. Brain retractors are never used in order to avoid unwanted brain damage. Many of these procedures can be done on an outpatient or short hospital stay basis.
New surgical techniques for spinal disease have been developed as well. These innovative procedures include a disc-perserving cervical disc operation, microdecompression of the spinal cord for cervical stenosis, anterolateral or posterolateral approach for cervical spinal cord tumors, outpatient thoracic discectomy, outpatient lumbar microdiscectomy, microdecompression for lumbar stenosis, etc. Those operations are performed mostly on an outpatient basis. If required, spinal instrumentation and bone fusion are also performed by minimally invasive techniques.
Disorders and Diseases Treated
Disorders and diseases treated at Dr.Jho's Innovative Minimally Invasive Neurosurgery for Spine and Brain include:
cervical stenosis: Minimally Invasive Cervical Stenosis Surgery (The Jho procedure for cervical stenosis)
Table of Contents
Minimally Invasive Innovative Microneurosurgery
Minimally Invasive Innovative Spine Surgery
Cervical Disc Herniation:
Disc preservation outpatient surgery which does not require a
brace or collar postoperatively.
Spondylotic Cervical Stenosis:
Spinal Cord Decompression via Anterior Foraminotomy
Overnight stay surgery which does not require bone fusion or a brace.
Cervical Spinal Cord Tumors:
Anterolateral or Posterolateral Approach
Thoracic Disc Herniation:
Microscopic Endoscopic Transpedicular Approach
Outpatient surgery performed through an inch skin incision.
Lumbar Disc Herniation:
Microdecompression via a Unilateral Laminotomy
Microdecompression of C2
Minimally Invasive Innovative Skull Base Surgery
Through a nostril with no skin incision: overnight stay surgery.
Endoscopic Skull Base Surgery
Endoscopic Brain and Cranial Surgery
Trigeminal neuralgia, hemifacial spasm, vertigo, tinnitus, glossopharyngeal neuralgia, spasmodic torticollis.
For referral information or appointment for consultation contact:
Manager: Robin A. Coret, B.S.- (412)359-6110 or e-mail at
Address: JHO Institute for Minimally Invasive Neurosurgery
7th Floor, Snyder Pavilion, Allegheny General Hospital, 320 East North Avenue, Pittsburgh, PA 15212-4772
Contact Dr. Jho via email: DrJho@DrJho.com
Copyright © 1995-2002 by Mi-Ja Jho, B.E., H.D. Jho M.D., Ph.D., JHO Institute for Minimally Invasive Neurosurgery, All rights reserved