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 Transforaminal Lumbar Interbody Fusion (TLIF)?
TLIF is an effective surgical procedure conducted to fuse the vertebrae in the lumbar (low back) region into solid bone for stability and may be performed using minimally invasive techniques. It may be recommended as a treatment option to relieve pain resulting from conditions such as spondylolisthesis, degenerative disc disease or disc herniation.
What to Expect During and After The Procedure
During the Procedure – Dr. LaRocca will create an incision in the back, moving aside the muscles for access to the spine. Once the path to the spine is clear, the affected disc material is removed and the bones are slightly spread apart to make room for the bone graft. Spreading the bone also supports proper curvature of the spine and widens the opening to relieve pressure on the impinged (pinched) nerves.
A cage packed with the patient’s own bone, cadaver bone or various other biologically active materials is then placed in the empty disc space. Bone graft is also placed along the back of the vertebrae to fuse the two vertebrae together. When the implant is firmly in place, pedicle screws are inserted into the bone and rods are placed between the screws to keep the spine fixed and stable.
After the Procedure – The day after the procedure, patients will begin a physical therapy walking program as well as be shown how to get out of bed to walk independently and safely. Discharge from the hospital will occur two to four days following the procedure with oral pain medication. Patients may be able to return to work four to six weeks after the procedure.