Dr. Enyinna L. Nwachuku, MD is a neurosurgeon in Akron, OH specializing in neurosurgery. He graduated from University of Pittsburgh School of Medicine in 2015 and has 9 years of experience. Dr. Enyinna L. Nwachuku, MD is affiliated with University of Pittsburgh Physicians, Cleveland Clinic, Cleveland Clinic Main Campus, Akron General Physician Office Building, PARTNERS PHYSICIAN GROUP and Akron General Medical Outpatient Center.
224 W Exchange Street
Akron, OH 44302
Unable to locate address.
762 S. Cleveland - Massillon Road Mail Code Akr
44333
9500 Euclid Avenue
Cleveland, OH 44195
Craniotomy
Craniotomy and craniectomy are surgical procedures used to access the brain and treat tumors, intracranial pressure, or other conditions. These surgeries are performed by creating holes in the skull, or cranium, to expose the brain. The opening in the skull can be immediately replaced (craniotomy), or it can be replaced during a later procedure (craniectomy). The following procedures use craniotomy or craniectomy:
To perform a craniotomy, the surgeon will need to make an incision on the scalp to expose the skull. Some of the hair may be shaved, and the scalp will be cleaned with antiseptic solution. Following the incision, the surgeon will use a drill to remove a piece of the skull, called a bone or skull flap. If the surgeon needs to reach a tumor or perform an aspiration, the dura, which covers the brain, will be incised (cut) to access the lesion. The bone flap will be reattached once the surgeon has completed the procedure. If the surgeon is performing a craniectomy, the same steps will be followed, but a mesh piece will be placed where the bone flap was, and the scalp will be surgically closed. Patients will need to wear a special helmet for a few months after the procedure. The bone flap will be preserved and replaced during a later operation, or it may never be replaced.
Patient recovery period can range from two days to two weeks, depending on the specific procedure and condition. Patient will require monitoring and may be given medication for pain or brain swelling. Patients will have to restrict their physical activity for some time after the procedure, and they may need to work with a physical therapist.
Spinal Cord Stimulation (SCS)
If conservative treatment options and other spine surgeries have failed to provide someone pain relief, they may be a candidate for spinal cord stimulation. Spinal cord stimulation is a treatment for chronic back or leg pain. A spinal cord stimulator, which is surgically implanted underneath the skin (subcutaneously), can deliver electrical pulses to the area of pain. These pulses will reach the brain before the pain signals can, so instead of pain, patients will experience a tingling sensation.
To determine if spinal cord stimulation may benefit someone, they will first undergo a trial period. During this period, a temporary electrode lead is placed subcutaneously above the spinal cord, and it is connected to an external stimulator that they will carry with them. The procedure is typically completed within an hour, and patients may return home the same day. After a few days or weeks, the trial stimulator will be assessed for effectiveness. If the trial is unsuccessful, patients may undergo a second trial period, or the leads will be removed, and other treatment options will be considered. If, instead, a patient's pain is relieved during the trial, they will undergo surgery for implantation of a permanent stimulator and leads.
The components of a spinal cord stimulation system include the stimulator, the leads, and the wire that connects the two. Implantation of permanent leads may be percutaneous (through the skin) or involve a surgical incision. The spinal cord stimulator is implanted subcutaneously in the abdomen or buttock. The stimulator is battery-powered and may be rechargeable. If the battery is not rechargeable, it will last around 2-5 years, and a patient will need surgery to replace it.Their doctor will program the neurostimulator following the procedure.
After spinal cord stimulator surgery, patients may be released from the hospital the same day or the next one. In the weeks following the operation, patients will need to work with their doctors to find the optimal settings for their neurostimulator. Activities such as driving, twisting, bending, raising one's arms, sleeping on one's stomach, or lifting heavy objects should be limited.
Spinal Fusion
Spinal fusion is a surgical procedure to permanently join together two or more vertebrae, the bones in the spine. Certain spinal disorders can lead to instability and pain, and the idea behind spinal fusion is that fusing vertebrae together can both make them stronger and reduce motion, which can sometimes reduce pain.
There are several different types of spinal fusion surgery available, mostly depending on where a patient's pain is located and whether his or her surgeon will perform the procedure through the back, front, or side. In general, a fusion is performed by packing the vertebrae to be fused with grafted bone. This bone may be taken from the patient's hip, may be donated from a cadaver, or it may be a manufactured synthetic material. The bone is placed along the vertebrae, and sometimes, the disc that lies in between the vertebrae is removed and replaced with grafted bone. The bone material will grow and cement the two vertebrae together. After the bone graft is placed, the vertebrae are sometimes held in place with rods, screws, plates, or cages, depending on the weakness of the spine and needs of the graft.
Spinal fusion is a significant surgery and can take three to four hours or more. Recovery is typically two to four days in the hospital. After surgery, it is important to remember that the fusion takes time to grow from the bone graft. So, the actual fusion is not complete for several months. Patients will probably feel somewhat better right away, but it may take a while to feel the full effects of the fusion as the bone grows into place. In the meantime, doctors might have patients wear a brace to protect their spine and keep it properly aligned.
Spinal fusion is not used for all kinds of back pain. Changing the way the spine moves can lead to strain on the other joints in the back, and fusion is only performed when the benefits outweigh the risks. Some spine disorders that are treated with fusion include:
Regardless of the diagnosis, there is always a possibility of 'failure' with spinal fusion, or of the surgery not fully solving the pain. This is more likely when fusion is used primarily to treat pain instead of structural problems. Patients can improve their chances of a successful outcome by stopping smoking, maintaining a healthy weight, moving their body every day, and following their doctor's instructions for any physical therapy that they are prescribed.
Dr. Enyinna L. Nwachuku, MD graduated from University of Pittsburgh School of Medicine in 2015. He completed residency at University of Pittsburgh Medical Center (UPMC). He has a state license in Pennsylvania.
Medical School: University of Pittsburgh School of Medicine (2015)
Residency: University of Pittsburgh Medical Center (UPMC) (2022)
Licensed In: Pennsylvania
Dr. Enyinna L. Nwachuku, MD is associated with these hospitals and organizations:
Dr. Enyinna L. Nwachuku, MD has an exceptional overall rating with an average of 5.0 out of 5 stars based on 3 ratings. We collect ratings and reviews of Dr. Enyinna L. Nwachuku, MD from all over the web to help you find the right in Akron, OH.
Dr. Enyinna Nwachuku practices neurosurgery in Cleveland, OH and Akron, OH. Dr. Nwachuku's areas of expertise include sports health, meningioma, and artificial disc replacement. He is professionally affiliated with the University of Pittsburgh Physicians and Cleveland Clinic Main Campus. He studied medicine at the University of Pittsburgh School of Medicine. Dr. Nwachuku's residency was performed at the University of Pittsburgh Medical Center (UPMC). The average patient rating for Dr. Nwachuku is 5.0 stars (out of 5).