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.

Transforaminal Lumbar Interbody Fusion is a surgical procedure conducted to fuse the vertebrae in the lumbar region into solid bone for stability.

What Causes a Herniated Disc?

Discs can be thought of as the “shock absorbers” or “cushions” between the vertebral bones in the spine. Discs are made up of a fibrous, tough, outer ring (the annulus) which surrounds a central core of gelatinous, soft material (the nucleus). If the annulus tears, the nucleus can then extrude through the hole in the annulus and place pressure on the nerve roots.

(It is similar to what would happen if a jelly doughnut is crushed – the jelly would leak out through the side of the doughnut). This is what is called a herniated disc. The pressure on the nerve roots caused by the herniated disc can result in pain, weakness, or numbness/tingling of the buttocks and lower extremities.

How is a Lumbar Microdisectomy Performed?

Lumbar microdiscectomy surgery is done to relieve pressure on the nerves and help treat your symptoms. After making a small incision over the area of the disc herniation in the lower back, our surgeon Dr. LaRocca, removes the portion of the disc that is creating pressure on the nerve roots. Some additional loose disc material is also removed, but the entire disc is NOT removed because doing so is unnecessary. The goal of the operation is to remove the portions of the disc material contributing to the leg pain.

Recovery Time

Most patients go home on the same day of their spine surgery. Occasionally, an overnight stay is needed. Patients usually go home when:

  • Pain is controlled by oral pain pills
  • They can eat and drink
  • They are able to walk
  • They pass urine independently

Why Choose The New Jersey Neck & Back Institute in Lawrenceville?

At the New Jersey Neck and Back Institute, our objective is getting our patients results that allow them to live happy, comfortable, and pain-free lives. Our experienced and professional medical team understands your concerns about scoliosis, and we’re prepared to help you understand your diagnosis and choose the treatment that’s most likely to give you the results you’re looking for.

Have Another Question?

Contact us online or call us at 609-896-0020 for more information or to schedule a consultation with Dr. LaRocca. We serve all of New Jersey (including Princeton, Lawrenceville, Trenton, and Hamilton) and Buck’s County, Pennsylvania.