Alpine Spine & Orthopedics (2025)

$This unique case of a D1 athlete (multisport volleyball/cheer/dance/etc) sustained 2 unilateral pars fractures and 2 sac...$

23/06/2025

This unique case of a D1 athlete (multisport volleyball/cheer/dance/etc) sustained 2 unilateral pars fractures and 2 sacral fractures, yet remained undiagnosed by doctors at some of the best institutions in California and was offered no direction or options. Fortunately the patient's mother did her own research and discovered our treatments. Our 3D imaging added further clarity to everything going on, and the procedures themselves also helped pin down the main pain generators. 4 months later both her pars fractures have healed with solid bone confirmed on CT scan, while her sacral fractures are more complex extending into the SI joint cartilage, thus will likely take longer to heal and recover but are still improving. The patient and mother have been extremely kind and grateful beyond words, and we feel immensely privileged to help in these complex cases.

Stem Cell + PRF autograft patching recapitulates the natural mechanisms of fracture repair utilizing bone marrow stem cells with sticky fibrin patches to seal the fracture and construct new tissue scaffolding to repair the defect. This is done minimally-invasively with 3D image-guidance to patch, repair, and reinforce the defects.

The Future of Spine & Orthopedic Interventions:
🇨🇭 Stem Cell Therapies
🇨🇭 Interventional Orthopedics
🇨🇭 Interventional Spine, Joint, & Nerve

✅️ Degenerative Discs, Nerves, & Spinal Facet Arthritis
✅️ Neck Pain, Back Pain, & Spine Disorders
✅️ Non-Union/Non-Healing Fractures

➡️ Minimally-Invasive Image-Guided Interventions
➡️ Spinal Interventions for Neck & Back Pain
➡️ Arthritis & Joint Therapies
➡️ Stem Cell, PRF, & Peptide Therapies

Copyright ©️ 2025 ASOI
PT AH

22/06/2025

This patient is a nationally-ranked wrestler who had new onset back pain and was found to have a complete left L4 pars fracture (4mm gap) and partial right L4 non-displaced stress defect. Upon reviewing the MRI the reasons became clear-- he also has a Bertolotti's type 4 variant where the L5 vertebra didn't correctly develop and essentially tried to become part of the sacrum on the left, thereby putting excess stress and strain through the L4 pars interarticularis above. Sadly this anatomy will always make him prone to reinjury, but this is a good example that even with extreme anatomic anomalies there can still be full healing, repair, and resolution of pain.

Stem Cell + PRF autograft patching recapitulates the natural mechanisms of fracture repair utilizing bone marrow stem cells with sticky fibrin patches to seal the fracture and construct new tissue scaffolding to repair the defect. This is done minimally-invasively with 3D image-guidance to patch, repair, and reinforce the defects. The patch itself integrates and diffuses many growth factors, peptides, and exosomes over the course of many months, and the stem cells are the construction workers that build connective tissue and bone bridging.

The Future of Spine & Orthopedic Interventions:
🇨🇭 Stem Cell Therapies
🇨🇭 Interventional Orthopedics
🇨🇭 Interventional Spine, Joint, & Nerve

✅️ Degenerative Discs, Nerves, & Spinal Facet Arthritis
✅️ Neck Pain, Back Pain, & Spine Disorders
✅️ Non-Union/Non-Healing Fractures

➡️ Minimally-Invasive Image-Guided Interventions
➡️ Spinal Interventions for Neck & Back Pain
➡️ Arthritis & Joint Therapies
➡️ Stem Cell, PRF, & Peptide Therapies

Copyright ©️ 2025 ASOI
PT MG

$Obviously not every case of minimally-invasive stem cell patching is completely successful for pars fracture repair... i...$

16/06/2025

Obviously not every case of minimally-invasive stem cell patching is completely successful for pars fracture repair... in this case, a football player achieved complete ossified repair of the right pars fracture but not the left side of this bilateral spondylolysis fracture. The right side was 4mm gap and the left was 5mm gap, but there are many other factors that contribute to success or failure, which is part of the research we're working on.

The Stem Cell + PRF autograft patching approach recapitulates the natural mechanisms of fracture repair utilizing bone marrow stem cells with sticky fibrin patches to seal the fracture and construct new tissue scaffolding to repair the defect. This is done minimally-invasively with 3D image-guidance to patch, repair, and reinforce the defects. The patch itself integrates and diffuses many growth factors, peptides, and exosomes over the course of many months, and the stem cells are the construction workers that build connective tissue and bone bridging. This patient has had complete resolution of his pain with excellent one-sided re-bridging and reunionization, and the other side should also continue to remodel and repair over time.

The Future of Spine & Orthopedic Interventions!
🇨🇭 Stem Cell Therapies
🇨🇭 Interventional Orthopedics
🇨🇭 Interventional Spine, Joint, & Nerve

We Frequently Treat:
✅️ Degenerative Discs, Nerves, & Spinal Facet Arthritis
✅️ Neck Pain, Back Pain, & Spine Disorders
✅️ Non-Union/Non-Healing Fractures

We Provide New Cutting-Edge Solutions:
➡️ Minimally-Invasive Image-Guided Interventions
➡️ Spinal Interventions for Neck & Back Pain
➡️ Arthritis & Joint Therapies
➡️ Stem Cell, PRF, & Peptide Therapies

Copyright ©️ 2025 ASOI
PT CH

11/05/2025

*Pars Fracture Defects: New Minimally-Invasive Regenerative Treatment Interventions with 3D Guided Navigation*

Pars Fracture Repair can recapitulate the natural mechanisms of fracture repair utilizing bone marrow stem cells with sticky fibrin patches to seal the fracture and construct new tissue scaffolding to repair the defect. This can be done minimally-invasively with no downtime as it repairs, remodels, and restrengthens. The patch itself is flexible and diffuses many growth factors, peptides, and exosomes over the course of many months, and the stem cells will migrate through the scaffolding and remodel the bone over this time. Because the pars fracture can sometimes enter the facet joint and because the joints and discs adjacent to pars defects are often destabilized and degenerative due to the biomechanical decompensation (including facet joints, discs, and sacroiliac (SI) joints), I may also patch the facet cartilage, annular ligament around the disc, and intra-articular and peri-articular SI joint structures to provide as much repair and stabilization of the spine as possible. We have had numerous athletes not only heal and fully resolve their pain but also fully and successfully return to their sport even after a single treatment with these minimally-invasive regenerative procedures, some as early as three months post-procedure, although we typically recommend several months for the stem cell patch with bridging scaffolding through the pars defect gap to properly remodel and strengthen over time.

***The Leader in Regenerative Medicine & Interventional Orthopedics, Spine, Nerve, Pain, & Sports Medicine.***

Alpine Spine & Orthopedics Institute
https://www.AlpineSpineOrthopedics.com/

Minimally-Invasive Surgery Alternatives & Image-Guided Interventions for Spine & Joints: Endoscopic & Minimally-Invasive Spine Treatments for Spinal Discs, Nerves, Facets, Spondylosis, Spondylolysis, Pars Defects and Fractures of the Cervical, Thoracic, & Lumbar Spine.

Copyright © 2025 Richard J. McMurtrey MD MSc
Alpine Spine & Orthopedics Institute
All Rights Reserved

What is a Pars Defect? Updated Info for New Pars Fracture Treatment Options:
Pars Fractures, Pars Defects, Spondylolysis, Spondylolisthesis, and Spinal Stress Fractures
(Previous Video): https://www.youtube.com/watch?v=vXAi2cigrGo

$Can nerves also be repaired in pars fracture cases? Some cases of pars fractures and spondylolisthesis also have nerve r...$

11/05/2025

Can nerves also be repaired in pars fracture cases? Some cases of pars fractures and spondylolisthesis also have nerve root compression or irritation, and patients wonder if this can resolve in addition to their back pain. Leaving nerve root symptoms untreated can eventually possibly result in permanent nerve damage, so this is one of the few symptoms that can lead you towards surgical interventions, but we now have good data with numerous patients who have had significant nerve root pain fully resolve after our minimally-invasive pars fracture BMSC + PRF patching repair procedures. There are a few mechanisms that enable this nerve protection and repair:

1) Once the bridging pars patch is in place, it prevents bone fragments from grinding into the nerve (see the the pars bone fragment in Patient 1 on the top row where the PRF patch formed a protective roof over the nerve, and this patient now has no nerve pain at all).

2) Once the bridging pars patch integrates and begins to solidify, the vertebrae stabilize and do not shift and pinch the nerve (see the resolution of the pars defects in Patient 2 on the bottom row, who also now has no nerve pain at all).

3) I also use epidural approaches to place a regenerative hydrogel cushion around the nerve root and lubricate between the disc and the nerve root with regenerative agents to promote nerve repair through a variety of growth factors and cell signaling mechanisms.

The Future of Mininally-Invasive Image-Guider Spine, Orthopedics, Joint, & Nerve Interventions:
🇨🇭 Stem Cell Therapies for Tissue Repair
🇨🇭 Interventional Orthopedics
🇨🇭 Interventional Spine & Nerve

Copyright © 2025
Richard J. McMurtrey MD, MSc
Alpine Spine & Orthopedics Institute
All Rights Reserved

30/04/2025

Well today was crazy... we had 2 more sets of follow-up imaging reports come in from 2 different radiologists in 2 different states from 2 patients who each had L4 pars fractures and each underwent the BMSC+PRF patching procedures around 3 months ago. Both patients had different variants of Bertolotti's syndrome with partial sacralization of L5, which puts more strain onto L4. Both patients used their home radiology facilities to compare before and after images, and both orders requested specifically to assess for healing of pars fractures. Review of the imaging along with both reports confirmed complete full osseous repair with resolution of stress reactions (summary of reports shown). I am in the process of putting the mass amounts of data together and writing this up for publication, but the process is long and patient requests keep piling up despite working late every night, so thank you everyone for your patience, we are onto something critically important 🙏

The Future of Spine, Orthopedics, Joint, & Nerve Interventions!
🇨🇭 Stem Cell Therapies for Tissue Repair
🇨🇭 Interventional Orthopedics
🇨🇭 Interventional Spine & Nerve

We Frequently Treat:
✅️ Degenerative Discs and Spinal Facet Arthritis
✅️ Neck Pain, Back Pain, & Spine Disorders
✅️ Non-Union/Non-Healing Pars Fractures

New Cutting-Edge Solutions:
➡️ Minimally-Invasive Surgery Alternatives & Image-Guided Interventions
➡️ Spinal Interventions for Neck & Back Pain
➡️ Arthritis & Joint Therapies
➡️ Stem Cell, PRF, PRP, & Peptide Therapies

Copyright © 2025
Richard J. McMurtrey MD, MSc
Alpine Spine & Orthopedics Institute
All Rights Reserved
PT DM MG

$Further significant advancements and discoveries in pars fracture repair:Pre-Op Pars Fracture Imaging showing 6-8mm spon...$

28/04/2025

Further significant advancements and discoveries in pars fracture repair:

Pre-Op Pars Fracture Imaging showing 6-8mm spondylolysis gaps with 8mm spondylolisthesis. Compare with 3 months Post-Op after minimally-invasive regenerative patching with PRF scaffolding with bone marrow stem cells showing good bridging and remodeling with partial ossification through defects on both sides. This approach recapitulates the natural mechanisms of fracture repair utilizing bone marrow stem cells with sticky fibrin patches to seal the fracture and construct new tissue scaffolding to repair the defect. This is done minimally-invasively with no downtime as the patches repair, remodel, reinforce, and restrengthen the defects. The patch itself is flexible and diffuses many growth factors, peptides, and exosomes over the course of many months, and the stem cells migrate through the scaffolding to build connective tissue and bone. This patient has had complete resolution of his pain plus excellent bridging and reunionization of pars fractures, and this will also continue to remodel and strengthen over time.

“I am on the edge of mysteries, and the veil is getting thinner and thinner." --Louis Pasteur

The Future of Spine, Orthopedics, Joint, & Nerve Interventions!
🇨🇭 Stem Cell Therapies for Tissue Repair
🇨🇭 Interventional Orthopedics
🇨🇭 Interventional Spine & Nerve

We Frequently Treat:
✅️ Degenerative Discs and Spinal Facet Arthritis
✅️ Neck Pain, Back Pain, & Spine Disorders
✅️ Non-Union/Non-Healing Pars Fractures

New Cutting-Edge Solutions:
➡️ Minimally-Invasive Surgery Alternatives & Image-Guided Interventions
➡️ Spinal Interventions for Neck & Back Pain
➡️ Arthritis & Joint Therapies
➡️ Stem Cell, PRF, PRP, & Peptide Therapies

28/04/2025

*BEFORE & AFTER* Real Results of our Stem Cell Patching Procedures in a Pro Soccer Player:

There's nothing we love more than confusing radiologists with a rapid successful repair of an injury ;) Here is another example of unbiased MRI reports from a radiologist unaware of our treatments comparing old and new images only 2 months apart showing that:

1) The labral tear was fully repaired and healed.

2) The tear at the myotendinous junction of the psoas hip flexor was fully repaired and healed.

This again confirms the incredible potential for injury repair using regenerative tissue engineering!

New Minimally-Invasive Image-Guided Regenerative Intervention Treatment Techniques for Tendon Tears, Ligament Tears, & Labrum Tears using Autologous Bone Marrow Stem Cells with a Fibrin Scaffolding Matrix to Patch & Bridge the Defects and Induce Remodeling, Healing, & Repair.

See YouTube video on these procedures : https://youtu.be/ftTn73knNp4

Alpine Spine & Orthopedics Institute
https://www.AlpineSpineOrthopedics.com/

**The Leader in Regenerative Medicine & Interventional Orthopedics, Spine, Nerve, Pain, & Sports Medicine.**

Copyright © 2025
Richard J. McMurtrey MD, MSc
Alpine Spine & Orthopedics Institute
All Rights Reserved

24/04/2025

*BEFORE & AFTER* Real Results of our Stem Cell Patching Procedures:

Unbiased MRI reports from a large hospital unaware of our treatments-- the hospital radiologist compared old and new images 9 months apart showing that:

1) Cartilage improved from Grade IV ("bone on bone") to Grade III (thin cartilage layer near 50% of normal thickness)!

2) Rotator cuff tears had dramatic healing, with a full thickness tear rebuilding to just a partial thickness tear (near 50% of normal thickness), and the partial thickness tear rebuilt to just a background tendinopathy showing continued remodeling!

The patient said it took 6 months before he felt the strength and function return, but once it turned a corner he then made rapid improvements and wanted to get a followup MRI because he felt so good and wanted to see what evidence of repair had actually happened. What a spectacular result-- regenerative tissue engineering truly is the future of medicine!

New Minimally-Invasive Image-Guided Regenerative Intervention Treatment Techniques for Tendon Tears, Ligament Tears, & Labrum Tears using Autologous Bone Marrow Stem Cells with a Fibrin Scaffolding Matrix to Patch & Bridge the Defects and Induce Remodeling, Healing, & Repair.

See YouTube video on these procedures : https://youtu.be/ftTn73knNp4

Alpine Spine & Orthopedics Institute
https://www.AlpineSpineOrthopedics.com/

**The Leader in Regenerative Medicine & Interventional Orthopedics, Spine, Nerve, Pain, & Sports Medicine.**

Copyright © 2025
Richard J. McMurtrey MD, MSc
Alpine Spine & Orthopedics Institute
All Rights Reserved

04/04/2025

Discover the best solutions for your particular spine and orthopedic conditions with advanced ultra-high-resolution 3D imaging.

30/03/2025

The Power of 3D Guidance in Pars Fracture Repair: another athlete who went years trying to manage back pain only to find a pars fracture and was told surgery was the only option. He underwent minimally-invasive regenerative patching with PRF scaffolding, bone marrow stem cells, and peptides. Now his 3 month follow-up MRI shows good bridging and remodeling with dense patching and partial ossification through defects on both sides. This approach recapitulates the natural mechanisms of fracture repair utilizing bone marrow stem cells with sticky fibrin patches to seal the fracture and construct new tissue scaffolding to repair the defect. This is done minimally-invasively with no downtime as the patches repair, remodel, reinforce, and restrengthen the defects. The patch itself is flexible and diffuses many growth factors, peptides, and exosomes over the course of many months, and the stem cells migrate through the scaffolding to build connective tissue and bone. This patient has had complete resolution of his pain and synovial cysts plus excellent bridging and reunionization of pars and facet fractures, and this will also continue to remodel and strengthen over time!

The Future of Spine, Orthopedics, Joint, & Nerve Interventions!
🇨🇭 Stem Cell Therapies for Tissue Repair
🇨🇭 Interventional Orthopedics
🇨🇭 Interventional Spine & Nerve

We Frequently Treat:
✅️ Degenerative Discs and Spinal Facet Arthritis
✅️ Neck Pain, Back Pain, & Spine Disorders
✅️ Non-Union/Non-Healing Pars Fractures

We Provide New Cutting-Edge Solutions:
➡️ Minimally-Invasive Surgery Alternatives & Image-Guided Interventions
➡️ Spinal Interventions for Neck & Back Pain
➡️ Arthritis & Joint Therapies
➡️ Stem Cell, PRF, PRP, & Peptide Therapies

Alpine Spine & Orthopedics

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22/06/2025

16/06/2025

11/05/2025

11/05/2025

30/04/2025

28/04/2025

28/04/2025

24/04/2025

04/04/2025

30/03/2025

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