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 Lumbar Interbody Fusion (ALIF)?
ALIF is a surgical procedure performed to fuse vertebrae in the spine together to provide stability. It is generally performed for the following reasons:
- Adult degenerative scoliosis
- Adult lumbar spondyloisthesis
- Broken vertebrae that are severe enough to cause spinal instability
- Deformity of the spine resulting from conditions such as scoliosis
- Degenerative Disc Disease
- Herniated disc
- Spinal weakness or instability from conditions such as arthritis(spondylosis)
What to Expect
During the Procedure
In contradistinction to the posterior lumbar interbody fusion (PLIF), ALIF is performed through the abdomen instead of the back. During the procedure, Dr. LaRocca will create a three to five-inch incision in the abdomen and move the muscles to the side. The organs located in the abdomen are contained within a large sac known as the peritoneum, which is also moved for easy, non-intrusive access to the spine.
Finally, after the blood vessels are moved aside and the spine is exposed, the affected disc material is removed and a bone graft or a bone graft and anterior body cage is inserted to stabilize the spine. An anterior interbody cage is a porous, titanium or PEEK cylinder that is put in the disc space and allows the bone graft to grow through and fuse the vertebrae together. 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.
After the Procedure
Patients are able to go home following a two to three day stay at the hospital, during which time they will receive instructions from a physical therapist on proper entry and exit from the bed and independent walking. Patients may also be instructed to avoid bending, twisting or lifting for several weeks and may return to work as soon as two to three weeks after the procedure.