Lumbar Surgeries
Lumbar spine procedures target pain and dysfunction in the lower back caused by disc herniations, spinal stenosis, or instability. Dr. Ashana specializes in minimally invasive surgeries designed for faster recovery, reduced pain, and long-term stability.
Basivertebral Nerve Ablation
Basivertebral nerve ablation is a minimally invasive procedure used to treat chronic low back pain originating from the vertebral endplates. This condition, often associated with Modic changes seen on MRI, can cause persistent pain that does not respond to conservative treatment. Using image-guided technology, Dr. Ashana targets and ablates the basivertebral nerve within the vertebral body to interrupt pain signals. The procedure is performed through a small incision, minimizes tissue disruption, and can provide long-term pain relief while preserving spinal stability.
Kyphoplasty
Kyphoplasty treats spinal compression fractures caused by osteoporosis or trauma. Using a balloon-assisted device, Dr. Ashana restores spinal height and injects bone cement to relieve pain and stabilize the fracture.
Lumbar Artificial Disc Replacement
For select patients, artificial disc replacement preserves spinal motion while relieving pain from diseased discs. Dr. Ashana uses state-of-the-art implants to replicate natural movement and help prevent adjacent disc problems. Unlike the traditional open approach, he performs this procedure using a muscle-sparing, minimally invasive technique, reducing tissue disruption and promoting faster recovery.
Lumbar Laminectomy
This procedure removes a portion of the vertebral bone (lamina) to create more space for the spinal cord and nerves. It helps relieve pain, numbness, and weakness caused by lumbar stenosis or nerve compression. When performing this procedure, Dr. Ashana uses muscle-sparing endoscopic or tubular techniques to minimize tissue disruption and reduce the amount of joint removal needed to decompress the nerves.
Lumbar Microdiscectomy
A precise, minimally invasive procedure designed to remove small portions of herniated disc material that compress spinal nerves. It is highly effective for relieving leg pain associated with sciatica. Dr. Ashana performs most procedures endoscopically, avoiding bone removal in the majority of cases.
Minimally Invasive Revision Lumbar Surgery
Dr. Ashana frequently treats patients who have undergone previous lumbar surgeries and need revision or correction. Using advanced minimally invasive techniques, he carefully performs these procedures to minimize tissue disruption, shorten recovery time, and restore spinal stability and function. The specific tools and techniques are selected for each patient, tailored to their unique anatomy and surgical needs.
Minimally Invasive, Navigation- Robotic-Guided TLIF (Transforaminal Lumbar Interbody Fusion)
This procedure restores spinal stability through two very small, muscle-sparing posterior incisions rather than a traditional midline approach. Dr. Ashana removes damaged discs and fuses the affected vertebrae while minimizing disruption to surrounding muscles and tissues. Using advanced navigation and robotic-assisted techniques, he achieves greater precision, reduces postoperative pain, and promotes faster recovery. This approach is particularly beneficial for patients with spondylolisthesis or degenerative disc disease.
Minimally Invasive, Navigation- and Robotic-Guided LLIF (Lateral Lumbar Interbody Fusion)
Traditional lateral approaches often pass between the psoas muscle, putting the lumbar plexus at risk. Dr. Ashana uses an ultra-minimally invasive technique that avoids the psoas and the nerves within it. Combined with advanced navigation and robotic guidance, this allows for highly precise surgery with minimal tissue disruption. LLIF uses a side approach to the lower spine to stabilize the affected vertebrae and is commonly used to treat disc collapse or instability, promoting faster recovery and less postoperative pain.
Minimally Invasive, Navigation- and Robotic-Guided SI Joint Fusion
The sacroiliac (SI) joint is a three-dimensionally complex structure connecting the spine to the pelvis. Instability can cause lower back and buttock pain. Dr. Ashana uses a minimally invasive approach with advanced navigation and robotic guidance to precisely target the optimal areas of the joint for fusion. Specialized implants stabilize the joint, relieving pain while minimizing tissue disruption and promoting faster recovery.
Oblique Lumbar Interbody Fusion (OLIF)
Unlike the traditional approach performed through the lower abdomen (ALIF), Dr. Ashana uses an ultra-minimally invasive technique that avoids cutting abdominal muscles. In this procedure, he removes a damaged disc and replaces it with a bone graft or implant. Using advanced navigation and robotic guidance, Dr. Ashana performs the surgery with greater precision. By sparing back muscles, this approach reduces pain and promotes faster recovery.

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430 Davis Dr, Suite 180, Morrisville, NC 27560
In the heart of RTP • Central to Raleigh, Cary, Morrisville & Durham • Easy highway access
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