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.
The Lumbar Spine
The lumbar spine is the lower portion of the back that curves inward toward the abdomen. Beginning approximately six inches below the shoulder blade line, the top of the lumbar spine connects to the end of the thoracic spine and extends downward to the sacral spine.
The lumbar spine has several features that make it unique including:
- As the largest un-fused vertebrae in the spine (L-1 – L-5), the lumbar region is able to bear the most weight and supports the entire torso of the body. Because of this, L4 and L5 and L-5 and S-1 are the most prone to degeneration and injury.
- Where the lumbar spine and the sacral spine meet (L-5 and S-1) is known as the lumbosacral joint. This joint allows for extensive rotation of the lower half of the body, such as the swinging of the hips and pelvis when running.
- At the point where the lumbar spine connects with the bottom of the thoracic spine, the spinal cord ends and nerve roots continue downward and branch out to the groin, buttocks, legs and feet. This collection of nerve roots in the lumbar spine is known as the cauda equina.
Lumbar Surgical Procedures
Dr. LaRocca and the professional team at New Jersey Neck & Back Institute utilize the latest advancements in techniques and equipment to provide the best surgical options for conditions of the lumbar spine including: