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 A Laminoplasty?
A laminoplasty is a surgical procedure performed to create more space in the spinal canal for the spinal cord and nerve roots by removing the source of a compression, such as a bone spur. Performed on the cervical (neck) or lumbar (low back) portions of the spine, a laminoplasty may be done to treat one of the following conditions:
- Cervical spondylotic myelopathy, a spinal cord compression in the neck as the result of natural wear and tear.
- Spinal stenosis, a narrowing of the space in the spinal canal which places pressure on the spinal cord
- Spinal tumors, an abnormal growth of tissue on parts of the spine
- Syringomyelia, fluid-filled cyst that forms within the spinal cord
The purpose of surgical treatment is to substantially maximize your overall quality of life. Back doctor Dr. LaRocca might endorse an operative surgery in case of considerable weakness, discomfort or any time all other treatment procedures have already been explored.
What to Expect
During the Procedure
During the procedure, Dr. LaRocca will make an incision in the back of the neck, moving aside muscles and other tissue for a clear window of the spine. The lamina, the protective bony arch covering of the spinal cord, is then cut to allow the vertebrae of the spine to open like a hinged door. This allows for more space within the spinal canal and relieves pressure from the spinal cord and nerve roots. Dr. LaRocca will then remove whatever is causing the compression.
The flap of bone is propped open using small wedges of bone to ensure the spinal canal remains in place. In some instances, screws and small metal implants may be inserted to keep the wedges in position.
After the Procedure
Patients may return home following a one to three-day stay at the hospital and only after they are comfortable walking independently. In addition, a soft collar may be recommended for a period of time.