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 Lumbar Laminectomy?
A laminectomy, also known as a decompression surgery, is a surgical procedure that relieves pressure on the spinal nerves or cord. This is accomplished by removing the lamina, the back portion of the vertebrae that covers the spinal canal.
Pressure on the spinal nerves and canal is commonly the result of bony overgrowths within the canal and may occur in people with arthritis.
Why Is A Lumbar Laminectomy Performed?
The bony overgrowths narrow the spinal canal, the space where your spinal cord and nerves are located, causing pressure and pain. Radiating symptoms such as weakness, numbness or tingling can also be caused by this condition. A laminectomy relieves the radiating symptoms more than the pain itself.
Dr. LaRocca may recommend this procedure if:
- Conservative methods of treatment have been exhausted and fail to improve symptoms
- Loss of bowel or bladder control is experienced
- Weakness or numbness in the muscles that make standing or walking problematic
In addition, a laminectomy may be performed to treat a herniated disc if part of the lamina needs to be removed in order to treat the affected disc.
What To Expect
During the procedure
During the laminectomy, spine specialist Dr. LaRocca will make a posterior (back) incision and move the muscles away from the affected area. Small instruments are then used to remove the lamina.
Other procedures may be conducted in conjunction such as such as a discectomy to treat a herniated disc or spinal fusion to provide stability for the spine.
After the procedure
Following the procedure, patients may be able to go home the same day or may require a short hospital stay. Physical therapy to improve spine strength and flexibility may also be recommended.
After the procedure, limit activities that involve lifting and bending for a suggested period of time.