Procedures We Perform
Managing all aspects of the spine, NJNBI offers an array of surgical options including:
ACDF is a minimally invasive surgical procedure for relieving pressure on the nerve roots that causes pain, numbness or tingling in the neck and arm.
ALIF is a surgical procedure performed to fuse vertebrae in the spine together to provide stability.
The cervical spine is comprised of seven vertebrae that begin at the base of the skull and connect to the top of the thoracic spine in the shoulder region.
A cervical laminectomy is a procedure that relieves painful pressure on the spinal cord in patients with spinal stenosis.
A laminoplasty is a surgical procedure for creating more space in the spinal canal.
Lateral lumbar interbody fusion is a procedure that accesses the spine from incisions created on the side of the body.
The lumbar spine is the lower portion of the back that curves inward toward the abdomen.
Lumbar decompression surgery treats spinal stenosis, a condition in which the spinal nerve roots are compressed by degenerated portions of the lumbar spine.
Lumbar Fusion is a procedure where the vertebrae in the lower back are surgically joined together, minimizing any movement of the vertebrae themselves.
A laminectomy, also known as a decompression surgery, is a surgical procedure that relieves pressure on the spinal nerves or cord.
A lumbar microdiscectomy is where an incision is made on the disc herniation to remove the portion creating pressure on the nerve roots.
A microdiscectomy is a minimally invasive procedure conducted to relieve nerve impingement (pinched nerves) and allow the nerves to heal.
Minimally invasive spine surgery is a procedure using specialized techniques and instruments allowing Dr. LaRocca to operate with few effects on the body.
Spinal fusion is a surgery performed to permanently connect two or more vertebrae in the spine together for stability, eliminating motion.
A posterior laminotomy is a procedure typically performed on the cervical (neck) region of the spine for relieving pressure on the spinal cord and nerves.
Posterior lumbar interbody fusion is a procedure performed to fuse the vertebrae in the lumbar region of the spine together for stability.
Scoliosis fusion surgery is a procedure for correcting the curvature of the spine resulting from disc degeneration of the spine.
The thoracic spine refers to the upper and middle sections of the back. Learn about Dr. LaRocca’s advanced procedures to treat the thoracic spine here.
What Is An Anterior Cervical Discectomy and Fusion (ACDF)?
ACDF is a minimally invasive surgical procedure performed to relieve pressure on the nerve roots or spinal cord that causes pain, weakness, numbness or tingling in the neck and arm. Pressure on the nerves causes a radiculopathy or a myelopathy. ACDF is commonly performed to treat these symptoms, which stem from conditions including degenerative disc disease and disc herniation.
The aim of surgical treatment is to significantly improve your total well being. Spine doctor Dr. LaRocca may possibly endorse surgical treatment in case of significant fatigue, pain or any time all other treatment procedures have been explored.
What To Expect
During the Procedure
During the procedure, Dr. LaRocca will make a 1 to 1 ½ inch incision in the front of the neck and cut through one thin muscle and a layer of fibrous tissue covering the spine to access the cervical vertebrae.
Using an X-ray for guidance, a needle is inserted into the injured disc space to confirm the proper location. The discs as well as any disc material or bone spurs pressing on the spinal cord or nerves are also removed.
Next, to prevent the now-empty disc space from collapsing, a bone graft is put in place. The bone graft material is rarely taken from the hip but may also be donated from a cadaver or consist of various biologically active materials that promote bone growth. Cages of varying biologically compatible materials may also be used and filled with bone graft to be placed in the space. The graft is then reinforced with a screwed in metal plate to provide stability while the vertebrae fuse.
After the Procedure
Depending on the level of fusions, patients may go home the same or the following day after the surgery. While the majority of patients recover within four to six weeks, it may take 3-6 months for the fusion to fully take hold. However, early return to activity is encouraged.
Patients may be required to wear a neck brace and asked to avoid lifting, pushing, pulling or overhead reaching. Any bending or twisting may also be recommended as well as a gradual ease back into normal day-to-day activity.