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Paul Houle, MD, FAANS, Neurological Surgeon

Paul Houle, received his medical degree from Boston University School of Medicine in Boston, and completed his residency in neurosurgery at the University of Georgia. He is certified by the American Board of Neurological Surgery.

Dr. Houle was first introduced to Cape Cod Hospital during his surgical rotation in medical school. “I saw what a great institution it was, and thought it would be a great place to practice,” he said.

Cape Cod Hospital is one of the few hospitals in the country that provide true minimally invasive options for spine surgery, according to Dr. Houle. “Very few people in the U.S. are able to perform laminectomies and micro discectomies the way we perform them here,” he said. “We feel this is an optimum way to perform this surgery because our patients recover faster, have less pain and are back to their normal lives very quickly.”

Dr. Houle is particularly excited about Cape Cod Hospital’s commitment to providing surgeons with the latest technology. An example of this is the O-Arm®, an interoperative CT scan that allows the neurosurgeons to transfer detailed images to a surgical navigation system.

“We’re a very busy spine service and we perform a large number of spine fusions. We do so with very few complications and now, with the addition of the O-Arm, we can do it faster and safer,” he said.

Transforaminal Endoscopic Discectomy

Germany is home to the transforaminal endoscopic discectomy. Most discectomies in Germany and all of Asia are performed in this way, however, the U.S. is behind in this technology. Dr. Houle visited two surgeons in Germany who have performed the most of these surgeries; Dr. FLorian Alfen in Wurzburg, Germany and Dr. Menno Iprenburg in the Netherlands. He completed an international fellowship in endoscopic surgery over the course of a week and was named instructor for the United States for this procedure.

This minimally-invasive procedure, also known as the Joimax procedure, is performed through a tubular device. It is designed to relieve pain caused by herniated discs pressing on nerve roots. This surgery is usually performed on an outpatient basis, which allows the patient to leave the hospital the same day. Learn more.

Lumbar Spinal Stenosis Presented by Paul Houle, MD

Lumbar Spinal Stenosis- Part 1

Part 1


Lumbar Spinal Stenosis- Part 2

Part 2


Neurosurgical Treatment Options

Part 3


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