Cervical Spine Procedures

Dr. Rojeh Melikian brings exceptional orthopedic spine surgery expertise to patients throughout Southern California, with convenient office locations in Marina del Rey, Newport Beach, and surrounding areas. His practice is built on a foundation of advanced surgical techniques, particularly minimally invasive procedures that reduce recovery time and allow patients to return to their normal activities sooner. With prestigious fellowship training from Harvard and Emory, Dr. Melikian combines cutting-edge medical knowledge with a compassionate approach that puts patients at ease. His commitment to ongoing research and medical advancement ensures that his patients receive the most current and effective treatments available in spine care.

The journey to a pain-free life begins with proper diagnosis and personalized treatment planning. Dr. Melikian understands that each patient's condition is unique, which is why he develops customized surgical approaches tailored to individual needs and goals. His efficient scheduling and streamlined surgical process minimize waiting times and unnecessary stress, allowing patients to focus on their recovery. The high level of trust Dr. Melikian has earned is reflected in numerous patient testimonials that highlight not only his technical skill but also his genuine concern for their well-being. Many patients arrive with limited mobility and significant pain but leave with restored function and a renewed quality of life. Contact us today to schedule your consultation and start your journey toward lasting relief.

ACDF represents one of the most reliable surgical solutions for patients suffering from cervical disc herniations and cervical radiculopathy. This procedure involves removing the damaged disc that's compressing nerves or the spinal cord, then stabilizing the spine through fusion of the adjacent vertebrae. Dr. Melikian performs this surgery with precision through a small incision at the front of the neck, minimizing tissue damage while effectively relieving nerve pressure. Patients typically experience significant reduction in arm pain, weakness, and numbness following this procedure, with many reporting improvement immediately after surgery.

Cervical artificial disc replacement offers a motion-preserving alternative to fusion for appropriate candidates with cervical disc pathology. This innovative procedure involves removing the damaged disc and replacing it with an artificial device designed to maintain normal neck movement. Dr. Melikian's advanced training in this technique allows him to provide patients with a solution that can reduce pain while preserving the natural biomechanics of the spine. The procedure often results in faster recovery times compared to fusion surgery and may reduce the risk of adjacent segment degeneration over time.

Cervical Foraminotomy

Cervical foraminotomy is a precise surgical technique focused on relieving nerve compression in the neck without fusion. During this procedure, Dr. Melikian carefully removes bone spurs or disc material that's narrowing the foramen—the opening through which spinal nerves exit the spinal canal. This minimally invasive approach is performed through a small posterior incision and is particularly effective for patients with isolated nerve compression causing radiating arm pain. Patients often appreciate this option for its ability to address specific symptoms while preserving the natural motion of the spine.

Cervical Laminoplasty

Cervical laminoplasty provides an effective solution for patients with multilevel spinal stenosis in the neck. This sophisticated procedure creates additional space for the spinal cord by restructuring rather than removing the lamina, effectively creating a "hinge" that allows the spinal canal to expand. Dr. Melikian's expertise in this technique allows him to relieve pressure on the spinal cord while maintaining the supporting structures of the spine. The procedure is particularly valuable for patients with compression affecting multiple levels, offering decompression without the need for fusion in many cases.

Cervical Laminectomy and Fusion

Cervical laminectomy and fusion combines decompression with stabilization for patients with severe spinal stenosis and instability. This comprehensive procedure involves removing the lamina to relieve pressure on the spinal cord, followed by fusion to stabilize the affected segments. Dr. Melikian employs advanced instrumentation techniques to ensure proper alignment and solid fusion following decompression. This approach is particularly beneficial for patients with both neurological compression and instability issues, providing lasting relief from symptoms like weakness, numbness, and difficulty with coordination.

Cervical Laminectomy and Fusion

Cervical laminectomy and fusion combines decompression with stabilization for patients with severe spinal stenosis and instability. This comprehensive procedure involves removing the lamina to relieve pressure on the spinal cord, followed by fusion to stabilize the affected segments. Dr. Melikian employs advanced instrumentation techniques to ensure proper alignment and solid fusion following decompression. This approach is particularly beneficial for patients with both neurological compression and instability issues, providing lasting relief from symptoms like weakness, numbness, and difficulty with coordination.