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Keeley N. Reed Smith, PA is in Houston, TX specializing in spine surgery and orthopedics/orthopedic surgery. Keeley N. Reed Smith, PA is affiliated with Houston Methodist Willowbrook Hospital, Houston Methodist and TMH PHYSICIAN ASSOCIATES PLLC.
Houston Methodist
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.
She has a state license in Texas.
Licensed In: Texas
Keeley N. Reed Smith, PA is associated with these hospitals and organizations:
Keeley N. Reed Smith, PA appears to accept the following insurance providers: CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare HMO, United Healthcare EPO, Blue Choice PPO, Blue Choice POS, First Health PPO, Aetna POS, Aetna QPOS, Aetna Workers' Compensation, Golden Rule, Best Doctors, Aetna Select, Aetna EPO, Trustmark , Aetna PPO, Aetna HMO, CIGNA Network, Aetna Affordable Health Choices, Aetna Signature Administrators, CIGNA PPO, CIGNA POS, CIGNA HMO, CorVel, Aetna Medicare PPO, CIGNA EPO, CIGNA Choice Fund, CIGNA Indemnity, AARP, Medicare Advantage, Blue Cross Blue Shield HMO, Blue Cross Blue Shield POS, Blue Cross Blue Shield EPO, Three Rivers Provider Network, Coventry PPO, HealthSpring, US Family Health Plan, Blue Cross Blue Shield PPO, United Healthcare, Humana, Cigna, Molina Healthcare, First Health, WellPoint, Aetna Open Access, United Healthcare Community Plan (AmeriChoice), Humana Medicare Advantage PPO, Horizon Blue Cross Blue Shield, CIGNA Network Open Access, PHCS PPO, MultiPlan PPO, Private Healthcare Systems (PHCS), Aetna APCN Plus Multi-Tier HM Tier 2, GeoBlue, BCBS PPO GUIDESTONE, TRS-Care Standard ALT B II Group 485006, TRS-Care Standard ALT B I Group 485005, Community Health Choice PREMIER Gold, TRS-ActiveCare Fully Insured Plan-South Texas Region Group 295430, TX Annual Conf of UMC-UMR, Aetna Student Health, Kelsey Seybold Affiliate Network, TRS-Care Standard ALT A II Group 485003, Aetna Transplant, TRS-ActiveCare Primary Group 385003, DEVOTED DUAL PLUS GREATER HOUSTON, Texas Kids First /Fidelity Security Student Accident Plan, DEVOTED CORE GREATER HOUSTON HMO, Occunet, TRS-Care Standard Group 485000, UnitedHealthOne, Reny Company Workers' Comp, TRS-Care Standard ALT A I Group 485002, Community Health Choice PREMIER Silver, Blue Essentials Access, UMR, TRS-ActiveCare Fully Insured Plan-West Texas Region Group 295781, TRS-ActiveCare 2 Group 385002, DEVOTED EXTRA GREATER HOUSTON (HMO), HAA Preferred Partners (International), Aetna Common Spirit Minimum Value Plan, Student Assurance Services Student Accident Plan, BCBS PPO Wespath, Aetna Health Network, Aetna Managed Choice / Elect Choice, United Health Integrated Services, Aetna Meritain Hlth/Aetna Premier Care (APCN), Olympus Managed Care (International), Aetna CommonSpirit Health KelseyCare, DEVOTED PREMIUM (PRIME) GREATER HOUSTON (HMO), Aetna Medicare HMO Prime, Aetna Choice POS / Open Choice, Aetna Signature Administrators Allied Benefits, Blue Edge, Blue Essentials, Aetna International, Aetna Medicare Dual Complete Plan (HMO D-SNP), Aetna TX Pref Plus II Network, Blue Cross Blue Shield FEP Federal Employee Plan, DEVOTED GIVEBACK GREATER HOUSTON (HMO), TRS-Care Standard CMED Group 485001, TRS-ActiveCare HD Group 385000, TRS-ActiveCare Primary Plus Group 385001, Aetna Signature Administrators TX Annual Conf of UMC, Texas Monarch/Web TPA Student Accident Plan, CareWorks Workers' Comp and Aetna Premier Care Network.
According to our sources, Keeley N. Reed Smith, PA accepts the following insurance providers:
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Ms. Keeley Reed Smith works as a spine surgery and orthopedics/orthopedic surgery. Her clinical interests include cervical herniated disc, neck pain, and spinal fusion. Ms. Reed Smith seems to honor several insurance carriers, including Trustmark, Aetna EPO, and Blue California. She is professionally affiliated with Houston Methodist Willowbrook Hospital.
