New York Orthopaedic Spinal Associates
Call Us: 631-246-6100
Drs. Ira and Marc Chernoff perform Spine Surgery and maintain privileges at hospitals throughout Long Island including Mather, St. Charles, St. Catherine's, and Winthrop Hospital.
This type of surgery involves removing the portion of the disc that has herniated through a small incision in the back. This is an ambulatory procedure and typically patients can go home the same day.
Lumbar Laminectomy, Discectomy :
This procedure involves removing the lamina and disc from the affected vertebra. This is to create an opening to take the pressure off the nerve. This opening is protected by the thick back muscles. This is often performed for spinal stenosis.
Anterior Cervical Discectomy and Fusion(ACDF)
A pinched nerve in the neck can cause neck pain and pain that radiates down one or both arms. This can be associated with variable amounts of numbness, tingling and weakness. The herniated disc in the neck is removed through an incision on the front side of the neck and a spacer consisting of allograft and peek is inserted as well as a thin buttress plate is placed to support affected spinal segment. Typically you are able to go home the next morning after surgery and a soft collar is worn for six weeks.
The diseased disc and lamina are first removed. Then, bone grafting is done by having pieces of bone removed from your hip (donor) and placing them along the spine and between the vertebrae. When the bone heals, it is a bone fusion and the vertebrae no longer moves separately. This fusion takes 4-6 months to heal.
Preparing for Surgery:
It may be necessary for an additional medical evaluation by your own family physician depending on any preexisting health conditions. If you are a smoker, it is advised to quit prior to surgery--ensuring your back to heal faster. Certain medications may also need to be stopped two weeks before surgery as advised by the surgeon.
Scoliosis is a "side-to-side" curve of the spine. Normally, the spine is straight if you look at a person's back from the back view. In scoliosis, the side-to-side curve may cause a child to lean to one side and often produces other noticeable physical deformities. Scoliosis will often worsen as the child grows, especially during puberty. Scoliosis can be diagnosed through a physical exam of the spine. Depending on the severity of the curve, different treatments are available. The severity is measured in degrees through use of X-ray and by physical exam. For instance, in spinal curves less than 40 degrees, in a growing child, a scoliosis brace may be recommended.
Braces have been shown to slow progression in some but not all cases.
There are two types of braces:
TLSO - A brace that is worn 16-24 hours per day
Nighttime Bending Brace - A brace that is worn at nighttime only
For larger curves, surgery may be recommended to prevent the curve from worsening.