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Our doctors are all highly experienced and renowned in the field of orthopaedic medicine and surgery.

We offer:

  • Board Certification in Orthopaedic Surgery
  • Board Certification in Anesthesiology
  • Board Certification in Pain Medicine
  • Decades in practice helping patients

In the News!

A Second Chance by Dr. Lospinuso

Freedom To Move by Dr. Bhatnager


The following doctors have been named Jersey Choice Top Doctors 2014 by New Jersey Monthly


  • Dr. Ramil Bhatnagar, MD FAAOS
  • Michael F. Lospinuso, MD FACS
NJ Monthly Top Doctor 2014
About Our Practice
Dr. Bhatnagar's Congratulations Letter
Dr. Lospinuso's Congratulations Letter
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Cervical Procedures

The cervical spine (neck region) is one of the most important and agile parts of your body. It begins at the base of the skull and consists of seven bones separated by intervertebral discs that allow the spine to move freely. The neck has the greatest amount of movement of any area of the spine and is also responsible for protecting the spinal cord and supporting the skull. Because of its vital function in our everyday lives, injury or disease of the cervical spine is a very serious condition.

Click on a cervical procedure below to learn more:

Anterior Cervical Discectomy & Fusion (ACDF)

Anterior cervical discectomy and fusion surgery removes an intervertebral disc and/or bone spurs that are putting pressure on nerve roots and/or the spinal cord. This condition is a result of a herniated or degenerated disc and is known as nerve root or spinal cord compression. Compression can lead to pain in the neck and arms, lack of coordination, and numbness or weakness in the arms.

Once the disc is removed it may be replaced with a small bone graft or prosthetic cage that will allow the vertebrae to fuse together over time. The bone may be obtained from the spine itself, another part of the patient's own body, a bone bank utilizing donor bone or a synthetic bone graft substitute. Typically, a metal plate and screws are inserted to stabilize the spine while it heals.

As the name describes, this procedure is done through the front, or anterior, of the body. An incision is made in the front of the neck, off to one side, and the disc is removed. Removing the herniated disc relieves the pressure placed on the nerves and therefore relieves the symptoms as well. It is performed under general anesthesia.

After surgery, a hospital stay is usually required. Complete recovery time may take between six and twelve weeks. Although complications are rare, any surgical procedure carries risks. Possible risks include infection, difficulty swallowing, bleeding, reactions to anesthesia, injury to the spinal cord, pain at the treated site, damage to nerves or arteries, blood clots and paralysis. These risks can be minimized by choosing an experienced surgeon to perform your procedure, and by adhering to your surgeon's instructions before and after your procedure.

Contact our office to learn more about anterior cervical discectomy & fusion (ACDF) or to schedule a consultation.

Corpectomy

A corpectomy is a surgical procedure performed to remove the vertebral body and disc spaces in order to relieve pressure on the nerves within the spine caused by stenosis or bone spurs. Patients with these conditions often experience pain in the affected area, as well as numbness, tingling or weakness in the extremities. Depending on the location and severity of the condition, symptoms may also include loss of balance and a loss of bowel and bladder control.

The vertebral corpectomy procedure is performed under general anesthesia in a hospital setting. During the procedure, an incision is made in the side of the body at the affected area, usually in the cervical or lumbar spine. Any organs or tissue will be gently moved aside to allow for greater access to the spine. In order to relieve spinal compression, the discs above and below the affected vertebra are removed, along with the middle portion of the bone.

A bone graft or prosthetic cage may be inserted to stabilize the spine after the damaged structures have been removed. The entire procedure takes approximately three to four hours to perform, depending on the severity of the condition.

After surgery, patients will stay in the hospital in order to facilitate proper healing and monitoring. There may be some pain at the incision site, although this can usually be managed through pain medications prescribed by your doctor. Symptom relief is usually noticeable right away, and will continue to improve gradually. Most patients can get up and walk around a few hours after their procedure. Your doctor will advise you as to when you can return to work and physical exercise.

Corpectomy is often effective in gradually relieving symptoms of spinal stenosis. However, as with any type of surgical procedure for the spine, corpectomy can be associated with certain risks, including infection, bleeding, damaged to the spinal cord and damage to nerve roots in the area. Your doctor will discuss these risks with you prior to surgery.

Contact our office to learn more about corpectomy or to schedule a consultation.

Cervical Procedures
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