OSALI is now South Island Orthopedics


Neck/Back & Shoulder

Spinal Injuries

Spinal trauma may occur as a result of several different factors, including a fall, motor vehicle accident, sports injury or violent encounter, and can lead to a fracture or dislocation of one or more of the vertebrae, as well as bleeding, swelling and inflammation within the spinal cord. After spinal trauma, patients may experience pain, loss of movement, loss of sensation, exaggerated reflexes and difficulty breathing, depending on the type, location and severity of their condition.

To evaluate spinal trauma, your doctor will most likely perform a series of imaging exams, including x-rays, CT scans, MRI and myelography, immediately after the injury and a few days later when swelling subsides. A neurological exam may be performed as well to test muscle strength and sensation.


Treatment for a spinal cord injury may vary depending on each patient’s individual condition, but often includes medication to reduce nerve damage, immobilization of the spine or surgery to remove bone fragments or herniated disks. Physical rehabilitation and long-term medication use can help manage the effects and minimize complications associated with spinal trauma. While there is no way to reverse spinal cord damage, many patients can relieve symptoms and restore functionality through a personalized treatment plan.

Shoulder Arthroscopy

Arthroscopy is a minimally invasive surgical technique that involves several small incisions into which a fiber-optic device (arthroscope) and tiny surgical instruments are inserted. Orthopedic surgeons can diagnose and treat many different shoulder conditions with arthroscopy, while patients can benefit from less tissue damage, shorter recovery times, less scarring and less post-operative pain. This technique also avoids cutting any muscles or tendons in order to gain access to the affected area.

Shoulder arthroscopy is often performed to confirm a diagnosis after a physical examination and other imaging procedures have been performed. Some conditions can also be treated during the same procedure by inserting a few additional instruments into the joint area.

Arthroscopy can be used to treat many conditions that affect the shoulder joint. Shoulder arthroscopy, also known as shoulder scope, can be used to treat:

  • Rotator cuff tears
  • Labral tears
  • Impingement syndrome
  • Biceps tendonitis
  • AC joint arthritis

While arthroscopy offers many benefits over a traditional open procedure, it is not for everybody. Some conditions, especially those that are not easily visible with the arthroscopic camera, may be better suited for traditional surgery. Your doctor will decide which type of procedure is right for you.

Rotator Cuff Surgery

The rotator cuff is a group of tendons and muscles that support the shoulder joint and allow for complete movement while keeping the ball of the arm bone in the shoulder socket. These tendons and muscles may become torn or otherwise damaged from injury or overuse and can lead to pain, weakness and inflammation. Surgery may be used to treat this often serious condition.

Rotator cuff surgery may be performed laparoscopically or through an open procedure, depending on the type and severity of the condition. Both procedures are performed under general anesthesia and aim to reattach the tendon back to the arm, along

Rotator cuff repair surgery is usually successful in relieving shoulder pain, although full strength cannot always be restored. Recovery time depends on the type of surgery, but can take several months. As with any surgery, there are certain risks involved with rotator cuff repair such as infection, pain or stiffness, nerve damage or the need for repeated surgery. These complications are rare and most people receive successful outcomes from this procedure.