Minimally Invasive Spine Surgery

There are several new methods of Minimally Invasive procedures geared at treating Stenosis, Sciatica, Leg Pain, Back Pain, Arm pain and Tired Legs


We work with all insurers

Phone consultations offered with Dr. Pazmino for out of state, international, or distant patients

Spine Cal Surgeries are completely performed by Board Certified Spine Surgeons. No residents, medical students or interns will ever perform or even be present during any portion of your procedure.

Spine Cal patients enjoy unlimited, instant contact with our Doctor and staff

  • Long Doctor visits…you will not feel rushed during your appointment
  • In Depth MRI review: This is unique to our practice, as Dr. Pazmino was once a 3rd grade teacher, he will ensure you will understand your films completely by the time you leave our office…This is a Spine Cal guarantee
  • Cutting edge technology
  • Ultra-fast recovery
  • Concierge Medicine
  • Satisfaction
  • Results
  • Quality
Common Terms
Some of the terms commonly used to describe this conditions that can be treated with MIS surgery include lumbar stenosis, sciatica, back pain, and arthritis. Other terms that are closely related include disc protrusion, bulging disc, pinched nerve, sciatica, disc disease, disc degeneration, degenerative disc disease, and black disc.

As we age our disc or shock absorber dehydrates. This can lead to a constant low back pain and ache. Eventually the joints of the spine become arthritic and in response to this the body stiffens its ligaments. This thickening of extra bone and ligaments will begin to compress the nerves. Once a nerve is pinched, pain from this nerve will radiate into the regions served by affected nerve roots that are irritated or impinged by the arthritic material. Often, patients have pains in the thighs, knees, or feet. Other symptoms may include sensory changes such as numbness, tingling, muscular weakness, paralysis, paresthesia, and abnormal reflexes.

All areas under compression from excess tissue are removed by Dr. Pazmino under direct magnification. Dr. Pazmino utilizes special surgical loupes or a surgical microscope to find and remove all excess bone and arthritic ligaments.
Pain Relief
    When Dr. Pazmino removes the excess arthritic or herniated material you will wake up with resolution of your radiculopathy (arm, leg, buttock, and back pain).
Baxano iO-Flex®

The Baxano is one way Dr. Pazmino is able to offer his patients a Rapid, Direct, Controlled Decompression in a Minimally Invasive Manner

  • Directly removes impinging ligament and bone with controlled bimanual reciprocations
  • Can be used in patients with all severities of symptomatic, single and multi-level stenosis

Preservation of Facet Integrity

The iO-Flex® System’s “inside out” approach vs. traditional rigid instruments

  • Offers better access to lateral recess and foramen
  • Preserves facet joints and lamina
  • Maintains biomechanical stability
  • Offers greater reservation of bone for fusion fixation


Cutting Edge Technology
There are always new innovations in Spine surgery. Dr. Pablo Pazmino is always evaluating or designing new cutting edge technologies for use in the operating room. He was on the design team for Lanx’s new cervical PEEK ACDF cage. Dr. Pablo Pazmino is always involved in clinical research trials and is flown nationwide to instruct procedures he performs to other Spine Surgeons.
Customized Care
Every patient at Spine Cal gets custom care from Dr. Pazmino that is tailored to the individual, we remove barriers and burdens, so the patient and family can focus on their recovery.We work with you to understand your individual needs while also tailoring a plan of care that will maximize your comfort.
Straightforward Operation in Experienced Hands
Dr. Pazmino travels nationwide as an instructor to teach other surgeons how to perform Minimally invasive procedures. Patients in California, or those who travel to Spine Cal have the distinct advantage of having Dr. Pazmino perform the procedure himself. Dr. Pazmino can perform most surgeries through a minimally invasive approach. Through a minimally invasive procedure Dr. Pazmino limits dissection through important posterior muscular structures, which therefore speeds patient recovery and return to work.