Tristan Blase Fried MD

Hawaii Spine Doc
Tristan Blase Fried MD

Hawaii Spine Doc
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Advanced, Minimally Invasive Spine Treatments in Honolulu

Relief from back and neck pain through cutting-edge techniques designed to minimize pain, speed recovery, and get you back to the life you love.

Minimally Invasive Spine Surgery

Dr. Fried specializes in minimally invasive techniques designed to treat spinal problems with the least tissue disruption possible.


These procedures often use tiny incisions, tubular retractors, and endoscopic cameras, allowing precise surgery with minimal impact on surrounding muscles and structures.

Core Surgical Procedures

Anterior Cervical Discectomy and Fusion (ACDF)

Anterior Cervical Discectomy and Fusion (ACDF)

Anterior Cervical Discectomy and Fusion (ACDF)

Removes a damaged disc in the neck and fuses the spine to relieve pressure on nerves and the spinal cord.

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Cervical Disc Replacement

Anterior Cervical Discectomy and Fusion (ACDF)

Anterior Cervical Discectomy and Fusion (ACDF)

Replaces a worn or herniated cervical disc with an artificial one to maintain motion and reduce pain.

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Cervical Endoscopic Foraminotomy

Anterior Cervical Discectomy and Fusion (ACDF)

Cervical Endoscopic Foraminotomy

Minimally invasive procedure using a tiny camera to relieve nerve compression in the neck through a small incision.

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Endoscopic Spine Surgery

Lumbar Endoscopic Laminectomy/Discectomy

Cervical Endoscopic Foraminotomy

Ultra-minimally invasive approach using a small camera and instruments to treat herniated discs or nerve compression.

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Kyphoplasty

Lumbar Endoscopic Laminectomy/Discectomy

Lumbar Endoscopic Laminectomy/Discectomy

Stabilizes and relieves pain from spinal compression fractures by injecting bone cement into the affected vertebra.

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Lumbar Endoscopic Laminectomy/Discectomy

Lumbar Endoscopic Laminectomy/Discectomy

Lumbar Endoscopic Laminectomy/Discectomy

Uses a small camera to remove bone or disc material in the lower back to relieve nerve pressure.

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Microsurgical Cervical Laminoplasty

Microsurgical Cervical Laminoplasty

Microsurgical Cervical Laminoplasty

Reshapes and expands the spinal canal in the neck to decompress nerves while preserving motion.

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Minimally Invasive Lumbar Fusion

Microsurgical Cervical Laminoplasty

Microsurgical Cervical Laminoplasty

Fuses unstable vertebrae in the lower back through small incisions to reduce pain and improve stability.

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Open Lumbar Decompression/ Fusion

Microsurgical Cervical Laminoplasty

Open Lumbar Decompression/ Fusion

Traditional surgery to relieve nerve pressure and stabilize the spine when minimally invasive techniques aren’t appropriate.

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Posterior Cervical Fusion (PCF)

Posterior Cervical Fusion (PCF)

Open Lumbar Decompression/ Fusion

Fuses vertebrae in the back of the neck to treat instability, deformity, or severe degeneration.

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Robotic Lumbar Fusion

Posterior Cervical Fusion (PCF)

Robotic Lumbar Fusion

Uses robotic guidance to precisely place implants and fuse vertebrae with improved accuracy and safety.

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Non-Surgical Options

Physical Therapy

Injections (Epidural, Facet, Nerve Blocks)

Physical Therapy

Strengthens supporting muscles, improves posture, reduces pain. Often first-line for many spine conditions.

McKenzie Therapy

Injections (Epidural, Facet, Nerve Blocks)

Physical Therapy

A specialized, exercise-based program that teaches patients how to relieve symptoms and prevent flare-ups through targeted movements and posture correction — especially effective for herniated discs, sciatica, and mechanical back pain.

Injections (Epidural, Facet, Nerve Blocks)

Injections (Epidural, Facet, Nerve Blocks)

Injections (Epidural, Facet, Nerve Blocks)

Targeted pain relief and diagnostic value to confirm the source of symptoms.

Medications

Holistic Modalities (Chiropractic, Acupuncture, Meditation)

Injections (Epidural, Facet, Nerve Blocks)

Short-term anti-inflammatory or nerve pain medications to help manage symptoms while the body heals.

Holistic Modalities (Chiropractic, Acupuncture, Meditation)

Holistic Modalities (Chiropractic, Acupuncture, Meditation)

Holistic Modalities (Chiropractic, Acupuncture, Meditation)

Non-invasive approaches to complement medical care: chiropractic for alignment, acupuncture for natural pain relief, and mindfulness practices to reduce tension and stress that can worsen pain.

Lifestyle Changes & Education

Holistic Modalities (Chiropractic, Acupuncture, Meditation)

Holistic Modalities (Chiropractic, Acupuncture, Meditation)

Weight management, ergonomics, and activity modifications to protect spine health long-term. 

Technology and Innovation

Robotic-Assisted Surgery

Endoscopic Visualization Systems

Augmented Reality Navigation

Allows for assisted implant placement, with the goal of improving outcomes and minimizing risk.

Augmented Reality Navigation

Endoscopic Visualization Systems

Augmented Reality Navigation

Real-time 3D visualization of anatomy for accuracy in complex procedures.

Endoscopic Visualization Systems

Endoscopic Visualization Systems

Endoscopic Visualization Systems

Provides crystal-clear magnified views inside the spine through the smallest incisions. 

Start Your Journey to Relief

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Excel Neurosurgery & Spine

500 Ala Moana Blvd tower 4 470, Honolulu, Hawaii 96813, USA

160 Paia Pohaku Pl, Unit B Lahaina, Maui, Hawaii, 96761 64-5188 Kinohou Street, Waimea, HI 96743 Scheduling: 808-909-9115 Clinical Questions for Dr. Fried : tristan.fried@excelhealth.co <<https://excelhealth.co/team/tristan-fried-md/<<

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