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 Scoliosis Fusion Surgery?
Scoliosis fusion surgery is a procedure performed to correct the curvature of the spine resulting from disc degeneration of the spine (also) known as adult degenerative scoliosis. In many cases, the surgery can be performed using minimally invasive techniques. The disc degeneration may result in curvature of the spine, spinal stenosis and instability such as that seen with a spondylolisthesis. Symptoms typically include back pain, leg pain, numbness, tingling, and possibly weakness.
The function of surgical treatment is to dramatically improve quality of life. Back surgeon Dr. Sandro LaRocca could suggest surgical treatment in the event of notable weakness, soreness or when all other treatment methods have been exhausted.
What to Expect
Currently, there are three conventional techniques for performing a fusion operation: posterior (back) method, anterior (front) method and a blended anterior/posterior method. The suggested method relies upon the area and type of curve. No matter the method used, there is a quick return to function with bony recovery taking three to six months. A back brace could also be encouraged.
Posterior Surgical Approach
A posterior approach can be used to address any region of the spine: cervical, thoracic, or lumbar. From the back, Dr. LaRocca will surgically expose the bony structures of the spine. Screws are then inserted into the bone and rods are inserted to provide stability. Correction of the curve using these implants may also be obtained. When spinal stenosis is present, a laminectomy may also be performed.
After the rods are in place, graft material will be applied along the spine after the top layer of bone is removed to expose the soft healing bone underneath, promoting the fusion of the vertebrae. The bone graft material is rarely taken from the hip but may also be donated from a cadaver or consist of various biologically compatible materials that promote bone growth.
Anterior Surgical Approach
An anterior approach may be necessary if the realignment of the spine column and added stability is needed in any region of the spine It may provide added structural support and also increase the chance of fusion.
An anterior approach involves approaching the spine from the front of the body and performing an anterior release by removing the vertebral discs located between the affected vertebrae. When the appropriate discs are removed, the space will be filled with bone graft material to allow the vertebrae to fuse together.
After the discs between the affected vertebrae are removed to loosen up the spine, the empty disc space will then be filled with bone graft material or cages. These cages are typically packed with bone graft material to allow the vertebrae to fuse together. The bone graft material is rarely taken from the hip but may also be donated from a cadaver or consist of various biologically active materials that promote bone growth.
The Anterior Advantage
This approach has several advantages over the posterior approach including:
- Allows for better correction of spinal alignment
- Better fusion/healing rates
- Added structural support for the spine