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 Spinal Fusion?
Spinal fusion is a surgery performed to permanently connect two or more vertebrae in the spine together for stability, eliminating motion. It is designed to simulate the natural healing process of the bones in the body.
There are three common approaches to fusion surgery: posterior (back) approach and anterior (front) approach and a combined anterior/posterior approach. The recommended approach is dependent on location and type of curve. Regardless of the approach, there is early return to function with bony healing taking 3 to 6 months. A brace may also be recommended.
Posterior Surgical Method
The posterior method can be executed to focus on any region of the spinal column: cervical, thoracic, or lumbar. Dr. LaRocca will then surgically expose the bony structures of the spine by going through the back. Next, screws are positioned into the bone. Rods are also inserted to give durability. A laminectomy is often performed in cases where spinal stenosis is found. Once the rods are in place, graft material will be inserted through the spine after the top layer of bone is taken away to expose the soft healing bone underneath, which encourages the vertebrae to join together.
Anterior Surgical Method
An anterior method might be required if there is a situation where there is extra stability needed for realignment in any area of the spine. Compared to a posterior approach, this method provides more stability and support, which results in a better probability of fusion and healthier spinal alignment.
This procedure involves coming towards the spine from the front of the body and taking out the vertebral discs which are located between the impacted vertebrae.
Once the discs between the impacted vertebrae are taken out, the vacant disc area will then be filled with bone graft substance or cages. These cages are normally filled with bone graft matter to allow the vertebrae to link together. Rarely is the bone graft material extracted from the hip. It may also be donated from a cadaver or consist of a number of biologically active substances that encourage bone growth.
Why Are Spinal Fusions Performed?
Spinal fusion may be performed to correct a deformity or provide relief from back pain. Dr. LaRocca may recommend a spinal fusion procedure to treat conditions including:
- Adult degenerative scoliosis
- Adult lumbar spondylolisthesis
- Broken vertebrae that are severe enough to cause spinal instability
- Deformity of the spine resulting from conditions such as scoliosis
- Herniated disc
- Spinal weakness or instability from conditions such as arthritis (spondylosis).
The purpose of operative surgery is to greatly enhance well being. Back specialist Dr. LaRocca could advocate an operation in case of considerable weakness, incapacitating discomfort or when all other solutions have been explored.
What Are The Different Types of Spinal Fusion Surgeries?
There are several types of fusion surgery available depending on the condition and its location of the spine. Dr. LaRocca and the experienced team at New Jersey Neck & Back Institute will help patients determine the best surgical options. Types of spinal fusion offered include: