Joshua Barber, MD

14/01/2025

Physicians’ Clinic of Iowa (PCI), in Cedar Rapids, is one of Iowa's largest, private specialty medical groups. We're in this together. Together in health.

02/06/2024

PTP Spine Summit 2024 • Alphatec Spine
- honored and privileged for the opportunity to present, as one of the youngest surgeons in attendance, to surgeons and colleagues that I’ve looked up to, admired, listened to, and learned from over the years
- always a pleasure to part of a culture and collaborate with a company that ensures patient outcomes, evidence-based surgical practice, and safety comes first

04/02/2024

Presentation:
38 YO M, Healthy
2 Year Hx of R>L C5 and C7 Radiculopathy
6 Month Hx of Progressive Myelopathy
S/P C5-C6 ACDF in 2013 at OSH
Failed Conservative Tx, Positive Dx ESI
Severe C4-5 / Moderate C6-7 Cervical Stenosis
Cord Signal Change / Myelomalacia R C4-5
Severe Bilateral Foraminal Stenosis C4-5 / C6-7

Treatment:
C4-5 and C6-7 ACDR with Neuromonitoring
Semi-Constrained Stryker M6
Resolved Radicular Sx
Interval Improvement in Myelopathic Sx
Upcoming 3 Week Post-Op Appt

25/11/2023

62 YO F, Healthy, BMI 29, Osteopenia. Debilitating Back Pain. Coronal and Sagittal Deformity. Right L4/L5 Radic, Right L5 Weakness. - T10-Pelvis, L4-S1 TLIF, T8-T9 Vertebroplasty. - Single Surgeon. Single Stage. 8 Hours Skin to Skin. 350 EBL. D/C POD3.

25/11/2023

Mid 60s, Healthy, Active. Professional NASCAR/F1 Driver. Mild-Moderate Bilateral L4 Radic. Severe Neurogenic Claudication. Delayed Until Racing Season Over. - Prone Lateral. Direct and Indirect Decompression. Open and MIS Techniques. - Complete, Immediate Resolution of Symptoms. 2.5 Hours OR Time. Discharged

08/10/2023

Before and After. Keys to Success - Neurologic Decompression, Minimize Morbidity, Treat Patients not Imaging, Thoughtful Solutuons, Sagittal and Coronal Correction, Optimize Alignment.

25/06/2023

L5-S1 ALIF, L2-L3 PTP, T11-L5 HWR, T3-Pelvis PSDFI. — Single surgeon. Single stage. Absolutely thrilled patient. It’s not about where you start, but where you finish.

08/04/2023

Before and After - ASD / Left SI Joint Pain - PTP Revision

08/04/2023

IMAST 2023 - Dublin, Ireland 🇮🇪

08/11/2022

Every surgical plan should be unique and customized to each and every patient based on a variety of factors. By having an armamentarium of surgical approaches and techniques, both minimally invasive and open traditional, one can adapt for pathology, anatomic considerations, medical comorbidities, surgical risk, and previous surgery.

Patient is an 81 yo M with left L2 and L3 radiculopathy +\- L1 involvement. Physiologically active as he walks 4 miles / day and does 100 pushups per day despite a triple CABG in 06/2021. History of L1 and L2 laminectomy 3+ years ago. Underwent L L2-L3 and L3-L4 TF-ESI with notable improvement in neurologic symptoms - 8/10 -> 3/10.

Performed L1-L4 prone [PTP] lumbar interbody fusion with L1-L4 percutaneous screw fixation. Discharged within 24 hours with complete oxygen relief of neurologic symptoms and no back discomfort. EBL - 50 mL. Total lateral retractor time - 79 min. Total surgical time - 205 min.

06/11/2022

While minimally-invasive procedures are often tempting, slick, and equally effective compared to open procedures, the art of medicine is understanding when and where to utilize each appropriately. These two cases were performed the same day, both done on an outpatient basis. First case - BMI 38, surgical time 3:30. Second case - BMI 28, surgical time 2:30. Both procedures were left-sided open L4-L5 TLIFs, utilizing both indirect and complete direct decompression. Both woke up with complete and immediate resolution of all preoperative leg and back pain. Tough to argue with excellent clinical and radiographic results…

07/10/2022

Blessed and Honored. ALIF/TLIF L4-S1.

What happens if your back surgery fails? Should you be afraid to have surgery again? Sandy, a mother and grandmother from Lisbon, Iowa, faced these questions...