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 Microdiscectomy?
A microdiscectomy, also known as a microdecompression, is a minimally invasive procedure conducted to relieve nerve impingement (pinched nerves) and allow the nerves to heal.
*This procedure can also be performed minimally invasive.
Why Is A Microdiscectomy Performed?
Microdiscectomy is performed when all other methods of treatment for disc herniation or radiculopathy have been exhausted. It is also generally recommended for patients who have experienced leg pain for a minimum of six weeks.
What to Expect
During the Procedure
During the microdiscectomy, Dr. LaRocca will create a small incision (1 inch to 1 1/2 inches) in the lower back (lumbar region), lift the back muscles from the bony arches of the spine and move them out of the way. The membrane that protects the nerve roots known as the ligamentum flavum is then removed and operating glasses (loupes) or an operating microscope are utilized to visualize the nerve root. The affected nerve root is moved to the side and this disc material beneath the root causing the impingement is removed.
Because all of the joints, ligaments and muscles are left intact, a microdiscectomy will not change the function of the lumbar spine in any way, making it minimally invasive and shortening recovery time.
After the Procedure
A microdiscectomy is generally performed on an outpatient basis, with patients going home the same day or the day after surgery. Patients may be asked to restrict certain forms of movement, such as bending, twisting or lifting for the first few weeks following their procedure.