https://www.napierspine.com/blog daily 0.75 2026-03-02 https://www.napierspine.com/blog/0ohq5io5uvfjutoyg3xk4b2k5p9npu monthly 0.5 2026-03-02 https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/63e820aa-0a78-44d6-9549-4db883949e17/Screenshot+2026-03-02+at+4.21.25%E2%80%AFPM.png Blog - Dr. NaPier offers Barricaid Annular Closure Device to Reduce Risk of Recurrent Disc Herniation and Sciatica - Make it stand out In this image the Red represents a Lumbar Disc Herniation or Herniated Nucleus Pulposis, a common cause of sciatica https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/5d84d49f-32ac-4f5a-bed3-ee9277d42e2e/Screenshot+2026-03-02+at+4.28.52%E2%80%AFPM.png Blog - Dr. NaPier offers Barricaid Annular Closure Device to Reduce Risk of Recurrent Disc Herniation and Sciatica - Make it stand out The Barricaid Annular Closure Device is shaped like a catcher’s mitt and is anchored to your bone in order to prevent recurrent disc herniation. https://www.napierspine.com/blog/dr-napier-publishes-new-manuscript-sagittal-plane-optimization-with-prone-transpsoas-lateral-interbody-fusion-ptp-lifnbsp-seminars-in-spine-surgery monthly 0.5 2025-08-31 https://www.napierspine.com/blog/dr-napier-speaks-at-indiana-workers-compensation-institute-iwci-annual-seminar monthly 0.5 2025-08-16 https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/1d82e4dd-7756-4093-a2e4-207742812a39/IWCI+1.JPEG Blog - Dr. NaPier Speaks at Indiana Worker’s Compensation Institute (IWCI) Annual Seminar - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.napierspine.com/blog/dr-napier-lectures-on-optimizing-spinal-alignment-with-prone-transpsoas-lateral-interbody-fusion-ptp-lif monthly 0.5 2025-06-28 https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/7693d054-e367-40c2-ab96-ba60d891c527/Screenshot+2025-06-28+at+3.45.01%E2%80%AFPM.png Blog - Dr. NaPier Lectures on Optimizing Spinal Alignment with Prone Transpsoas Lateral Interbody Fusion (PTP LIF) - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.napierspine.com/blog/dr-napier-demonstrates-new-minimally-invasive-technique-to-treat-spondylolisthesis-xlif-lateral-interbody-fusion-lif monthly 0.5 2025-06-28 https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/5db767bc-77c2-4388-8918-70c7c9d7c1f5/Screenshot+2025-06-28+at+3.29.03%E2%80%AFPM.png Blog - Dr. NaPier Demonstrates New Minimally Invasive Technique to Treat Spondylolisthesis (XLIF, Lateral Interbody Fusion, LIF) - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.napierspine.com/blog/dr-napier-named-top-20-spine-surgeon-under-age-40-napier-leads-through-education-innovation monthly 0.5 2025-03-30 https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/ccb6b4ca-047a-4878-92df-570b37712265/Screenshot+2025-03-30+at+3.06.18%E2%80%AFPM.png Blog - Dr. NaPier named Top 20 Spine Surgeon under age 40: NaPier Leads Through Education, Innovation - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/71e93270-175f-4180-ba2f-60ffbd49ffdf/Screenshot+2025-03-30+at+3.07.31%E2%80%AFPM.png Blog - Dr. NaPier named Top 20 Spine Surgeon under age 40: NaPier Leads Through Education, Innovation - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.napierspine.com/blog/what-is-anterior-cervical-discectomy-and-fusion-acdf monthly 0.5 2024-09-01 https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/e6e64681-047b-4ab0-b4a3-51bc5a84e0d2/Screenshot+2024-09-01+at+1.32.09%E2%80%AFPM.png Blog - What is Anterior Cervical Discectomy and Fusion (ACDF)? - Make it stand out Lateral xray demonstrating a collapsed degenerated disc (RED) with bone on bone arthritis and bone spurs compressing nerve roots and the spinal cord. A healthy disc (GREEN) is outlined for comparison. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/2e893ea8-103b-4b18-abf5-2ae847b9fd45/Screenshot+2024-09-01+at+1.33.18%E2%80%AFPM.png Blog - What is Anterior Cervical Discectomy and Fusion (ACDF)? - Make it stand out MRI demonstrating a healthy level with open nerve tunnels (GREEN). https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/5f3304bd-5aa2-4eae-95e2-813b6bed2da8/Screenshot+2024-09-01+at+1.34.18%E2%80%AFPM.png Blog - What is Anterior Cervical Discectomy and Fusion (ACDF)? - Make it stand out MRI demonstrating degenerated level with spinal cord and nerve root compression (RED). https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/7bd4e0ca-be8f-4c33-a470-9511c692fd97/Screenshot+2024-09-01+at+1.37.03%E2%80%AFPM.png Blog - What is Anterior Cervical Discectomy and Fusion (ACDF)? - Make it stand out Xray after surgery demonstrating removal of bone spurs and placement of ACDF fusion cage. The bone spurs have been removed (GREEN), the alignment and disc height have been restored, and the body is forming a fusion or bridge of bone THROUGH the fusion cage (BLUE). This patient experienced immediate, significant relieve of her neck pain and nerve pain symptoms. Individual results may vary. This blog is published for general educational purposes only and is not intended as medical advice. https://www.napierspine.com/blog/what-is-prone-transpsoas-lateral-interbody-fusion-ptp-lif monthly 0.5 2024-05-13 https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/496cd275-9e89-44ca-967c-22b8b3d52007/Screenshot+2024-05-05+at+1.30.15%E2%80%AFPM.png Blog - What is Prone Transpsoas Lateral Interbody Fusion (PTP LIF)? - Make it stand out Traditional Spine Surgery: The surgeon directly decompresses pinched nerves by removing bone spurs. Fusion is achieved by tricking the body into thinking there is a fracture between two adjacent bones. The body then forms a bridge of bone in the posterolateral gutter (Green Oval), connecting or “fusing” the two bones into one continuous mass of bone. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/e89c1695-9dc2-4c24-822a-36ecc8352620/Screenshot+2024-05-05+at+1.40.00%E2%80%AFPM.png Blog - What is Prone Transpsoas Lateral Interbody Fusion (PTP LIF)? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/db98a951-6128-4bbc-a955-267852882d46/Screenshot+2024-05-05+at+1.44.42%E2%80%AFPM.png Blog - What is Prone Transpsoas Lateral Interbody Fusion (PTP LIF)? - Make it stand out Minimally invasive fusion for a spondylolisthesis, or slipped disc. In this case the patient had severe lower back pain from bone on bone arthritis and a slipped disc in his lumbar spine. He also had severe pain radiating down his leg or sciatica and weakness due to pinched nerves. The red circle shows a pinched nerve tunnel. Using minimally invasive techniques a large titanium cage was placed that restored the alignment in his spine. The blue circle shows his enlarged nerve tunnel. The patient experienced immediate relief of back pain and sciatic. The cage also provides an extremely stable environment for successful fusion (blue crescent) through the interbody space. Screws and rods were placed through 1 inch incisions on either side of the patient’s back with minimal damage and disruption to his important paraspinal muscles. This resulted in less pain and blood loss and faster recovery. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/eb2da7bf-a7df-45f3-a3a5-d6178ff0dca2/Screenshot+2024-05-05+at+1.55.06%E2%80%AFPM.png Blog - What is Prone Transpsoas Lateral Interbody Fusion (PTP LIF)? - Make it stand out When screws and rods are required for additional stability they are placed through small incisions using a natural plane BETWEEN paraspinal muscles (arrow in top right picture) rather than damaging and detaching the muscles. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/67cf7cb4-5b12-424d-a051-82b51838bebf/Screenshot+2024-05-05+at+2.03.45%E2%80%AFPM.png Blog - What is Prone Transpsoas Lateral Interbody Fusion (PTP LIF)? - Make it stand out Lateral Interbody Fusion (LIF) allows for the placement of a large, strong cage that is able to open nerve tunnels, promote fusion, and achieve optimal spinal alignment. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/0e4fbe61-ea16-4cd2-8e19-8b0dc2077eb9/Screenshot+2024-05-05+at+2.09.40%E2%80%AFPM.png Blog - What is Prone Transpsoas Lateral Interbody Fusion (PTP LIF)? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/9360f5d4-1719-4641-92a6-3553c844f671/Screenshot+2024-05-05+at+2.20.26%E2%80%AFPM.png Blog - What is Prone Transpsoas Lateral Interbody Fusion (PTP LIF)? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/41451bba-b9c3-49f7-b069-e3327a8b1af2/Screenshot+2024-05-05+at+2.21.23%E2%80%AFPM.png Blog - What is Prone Transpsoas Lateral Interbody Fusion (PTP LIF)? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/fb622feb-29be-4546-8dc0-33d268358471/PTP.gif Blog - What is Prone Transpsoas Lateral Interbody Fusion (PTP LIF)? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/cfba39cd-a496-4504-92c8-c88b8680f5d5/Screenshot+2024-05-05+at+2.37.43%E2%80%AFPM.png Blog - What is Prone Transpsoas Lateral Interbody Fusion (PTP LIF)? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/87da5735-9507-4a34-996a-b105abdccee7/Screenshot+2024-05-05+at+2.41.20%E2%80%AFPM.png Blog - What is Prone Transpsoas Lateral Interbody Fusion (PTP LIF)? - Make it stand out Right: This patient had a failed fusion (red line) and pinched nerve tunnels (red oval) Left: After PTP LIF with Dr. NaPier the patient has wide open nerve tunnels (blue oval) and successful fusion through the interbody space (green crescent) https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/49810c5e-039d-400d-8c40-6aad6af99fbf/Screenshot+2024-05-05+at+2.41.28%E2%80%AFPM.png Blog - What is Prone Transpsoas Lateral Interbody Fusion (PTP LIF)? - Make it stand out Happy Patient from above case walking into clinic after PTP LIF https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/b941b9e8-6db2-451d-980f-59b75ce5881c/Screenshot+2024-05-05+at+3.08.08%E2%80%AFPM.png Blog - What is Prone Transpsoas Lateral Interbody Fusion (PTP LIF)? - Make it stand out A revision spine surgery using PTP LIF to restore spinal alignment and stabilize slipped discs. https://www.napierspine.com/blog/what-is-minimally-invasive-posterior-cervical-fusion-mis-pcf monthly 0.5 2024-09-01 https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/d8163f86-784c-48b8-bc96-070e4305b6ca/Screenshot+2024-03-03+at+8.44.56%E2%80%AFAM.png Blog - What is Minimally Invasive Posterior Cervical Fusion (MIS PCF)? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/e5f1ce3f-4ee2-49be-aaba-2f31f36ef254/Screenshot+2024-03-03+at+8.56.10%E2%80%AFAM.png Blog - What is Minimally Invasive Posterior Cervical Fusion (MIS PCF)? - Make it stand out Surgical exposure for traditional, open posterior cervical spine surgery. After exposure screws and rods are inserted to provide stability for fusion. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/9c40a932-8dec-43f5-92f6-5eec2c9d2b8a/Screenshot+2024-03-03+at+8.49.44%E2%80%AFAM.png Blog - What is Minimally Invasive Posterior Cervical Fusion (MIS PCF)? - Make it stand out Surgical incision for MIS PCF https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/03de91ac-dfbf-4e24-ba26-56397ca39e32/Screen+Shot+2022-08-31+at+5.40.45+PM.png Blog - What is Minimally Invasive Posterior Cervical Fusion (MIS PCF)? - Make it stand out Followup PA and Lateral Xray of high risk cervical fusion patient who underwent MIS PCF. https://www.napierspine.com/blog/what-is-minimally-invasive-spine-surgery monthly 0.5 2024-05-05 https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/c4ab8cc0-8eb0-4cce-8c68-d53a49ca078a/Overview-of-the-Different-Parts-of-the-Vertebral-Column-1.jpeg Blog - What is Minimally Invasive Spine Surgery? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/85b01b67-8f9d-42ca-ba69-4afeb8e846c3/Screen+Shot+2023-12-23+at+7.27.48+AM.png Blog - What is Minimally Invasive Spine Surgery? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/2ec4b35a-6823-472e-80ce-b4760d3aa851/traditional+spine+surgery.jpg Blog - What is Minimally Invasive Spine Surgery? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/af04ca79-ffb6-485a-8b47-a55262f23bdc/MIS.jpg Blog - What is Minimally Invasive Spine Surgery? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/8b1aee85-cfc0-4bfb-bd4a-fe85aed52cbd/Screenshot+2024-02-28+at+3.08.20%E2%80%AFPM.png Blog - What is Minimally Invasive Spine Surgery? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/19124961-b945-4ba6-83e6-b3d3fc02f955/MIS2.jpg Blog - What is Minimally Invasive Spine Surgery? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/11a2f2d3-2c31-4e08-9bc4-f7a43c5fd563/Screenshot+2024-02-28+at+3.10.33%E2%80%AFPM.png Blog - What is Minimally Invasive Spine Surgery? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.napierspine.com/about daily 0.75 2026-03-22 https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/cd9dae15-a30a-4e85-9e9e-9b055491f15b/2.jpg Meet Dr. NaPier - Experience & Dedication. Dr. Napier is a fellowship-trained orthopedic spine surgeon practicing in the Northern California area. His main goal is to find a nonsurgical treatment plan to relieve pain and restore function. For the small minority of patients who do require surgery, I prefer to utilize the safest and most minimally invasive techniques possible to allow for less pain and faster recovery. https://www.napierspine.com/home daily 1.0 2026-03-24 https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/1645592429473-8KM7IBR0QCLCK91OKC9J/Cervical+Stenosis.png Home https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/1646697796955-HXWDKDSJ2YSKAFO219VK/back-pain-and-figure-of-woman-2021-08-30-07-39-07-utc.jpg Home https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/1646114483061-MHE6OVFVU2B5XSRDDK9Z/Lumbar+Disk+Herniation.jpeg Home https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/7afa41f5-acf6-4efc-98e6-a048c1a7272d/AAOS.jpg Home https://images.squarespace-cdn.com/content/v1/6102ed01be07fa54165c51e0/ee4aafca-06f5-435f-8615-609bbae1d83a/DSC03012.jpg Home events-01 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