Conditions We Treat

NJNBI offers a wide range of treatment options for common conditions affecting all aspects of the spine including:

Spondylolisthesis occurs when one of the vertebrae of the spine slides out of place, with the most common occurrence in the lower back (lumbar) region.

Cervical spondylosis is the result of degenerative disc disease, where the facet joints within the spine begin to develop arthritis from increased pressure.

Cervical spondylotic myelopathy (aka spinal cord compression) is a condition where narrowing of the spinal canal occurs due to wear and tear over time.

Degenerative disc disease is not a disease but rather a term used to describe the normal changes in the spinal discs over the course of time.

Also known as adult onset scoliosis, degenerative scoliosis is when the curvature of the spine is caused by the degeneration of the facet joints.

A herniated disc, also known as a slipped or ruptured disc, is one of the most common spinal injuries. Learn about the causes and diagnosis here.

While there are a variety of causes for lower back pain, the majority of them result from the natural degeneration of parts of the spine.

Lumbar spinal stenosis is a condition where the spinal canal narrows, compressing the spinal cord and nerves in the lower back.

Neck pain is a common problem categorized as discomfort in the neck area. Read more about the common symptoms and treatment options available.

Radiculopathy is a condition that causes radiating pain into the extremities along the course of a spinal nerve root, commonly in the lower back and neck.

Sciatica is a condition that causes pain that radiates through the sciatic nerve, which runs through the lower back then splits and travels down each leg.

A spinal tumor is an abnormal tissue growth typically associated with cancer. Learn about the 3 types of spinal tumors as well as diagnosis and treatments.

A vertebral compression fracture is a vertebra in the spine that has decreased in height, between 15 to 20 percent, due to a fracture.

Spondylolisthesis occurs when one of the vertebrae of the spine slides out of place. Though this can happen anywhere in the spine, the most common occurrence is in the lower back (lumbar) region.

Two of the most common types of spondyloisthesis that affect adults are:

Degenerative Spondylolisthesis (DS)

The degenerating of the spinal discs leads to disc herniation. As a result, arthritis and DS begin to form.

When arthritis develops, the joints and ligaments holding the vertebrae together begin to weaken. This causes the vertebrae to slip forward and form a condition known as spinal stenosis, narrowing the spinal canal and putting excessive pressure on the spinal cord or nerves.

Those most affected by this type of spondylolisthesis are women and those over the age of 50. Studies suggest there is a higher occurrence in the African American population.

Spondylolytic Spondylolisthesis

A condition that starts in adolescence in most cases, spondylolytic spondylolisthesis is the result of a fracture of the lumbar region of the spine known as pars interarticularis and goes unnoticed until adulthood. The fracture is generally stressed by disc generation and causes the vertebrae to slip forward.

Due to the nature of the pars fracture, only the front portion (vertebrae) of the spinal bone slips forward, making it less likely for pressure to impact the spinal cord. This condition is mostly commonly found in middle-aged men.

An xray of Adult lumber SpondylolisthesisSymptoms of Adult Lumbar Spondylolisthesis

Symptoms of DS

Symptoms of DS generally occur after the slippage has begun to put pressure on the spinal nerves and include:

  • Leg and/or low back pain
  • Numbness, tingling and/or pain affected by posture
  • Slight weakness after long periods of sitting or standing

Symptoms of spondylolytic spondylolisthesis

The majority of patients with spondylolytic spondylolisthesis are unaware of their condition, reporting to a doctor only when low back/leg pain is associated with certain activities.

How Is Adult Lumbar Spondylolisthesis Diagnosed?

Following a thorough discussion regarding medical history and symptoms, Dr. LaRocca will conduct a physical examination of the back. By applying pressure to different areas of the spine, Dr. LaRocca can determine where the pain resides. During the exam, patients may be asked to move and adjust their body accordingly, such as bending forward, backward or side-to-side.

Diagnostic Tests

Diagnostic imaging tests may be performed to confirm a diagnosis, including:

X-rays: X-rays are used to determine if a vertebrae has slipped forward as well as signs of disc degeneration, such as loss of disc height, bone spurs or spinal instability.

Computed tomography (CT): This scan shows a cross-section of the spine and is more detailed overall than an x-ray.

Magnetic resonance imaging (MRI): MRIs are done to show any damage to the soft tissues including the ligaments, muscles, spinal discs and nerves.

Both DS and spondylolytic spondylolisthesis are diagnosed with these examination tests and techniques.

What Treatments Are Available?

Using the latest advances in the industry, Dr. LaRocca of New Jersey Neck & Back Institute (NJNBI) and his network of experienced physicians provide a variety of minimally invasive surgical as well as non-surgical options including:

  • Anti-inflammatory and analgesic medications
  • Cortisone injections
  • Laminectomy
  • Physical therapy and exercise
  • Spinal fusion surgery

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