About Our PracticeAbout Our Practice

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

Laminoplasty

A laminoplasty is a surgical procedure designed to relieve the nerve pressure and pain caused by spinal stenosis. Spinal stenosis is a narrowing of the spinal canal that puts pressure on the nerves and causes pain throughout the spine and extremities. It can develop as a result of bone spurs or just from aging.

In this procedure, a small section of bone that covers the back of the spinal cord, called the lamina, is cut into to relieve the compression. One side of the lamina is cut through completely and the other is cut partially, enabling it to swing open in a similar manner to a door. It is then held open, therefore increasing the amount of room for the spinal cord and decreasing compression on the nerves, with titanium spacers or bone graft and plates.

As symptoms of spinal stenosis worsen over time or more conservative treatments such as medication and physical therapy have failed to help, a laminoplasty may become necessary. It can provide relief from typical symptoms such as pain, numbness or weakness in one or both arms or legs.

A laminoplasty of the cervical spine is performed through the back of the neck under general anesthesia. The surgery can last between two and five hours. The typical hospital stay is two to three days. Patients are then required to wear a soft cervical collar for several weeks after surgery to promote stability and healing in the neck.

After a laminoplasty, you will most likely need to begin a regimen of physical therapy to build up the strength and flexibility in your neck muscles. You will be restricted from those activities that require bending and lifting for several weeks after the procedure. Generally, most people can return to work in two to six weeks after surgery.

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

Microdiscectomy

Microdiscectomy, also known as microdecompression, is a minimally invasive procedure designed to relieve pain caused by certain spinal conditions, including:

  • Disc bulge
  • Disc herniation
  • Spinal stenosis
  • Sciatica

Although this procedure targets the nerves of the spinal cord, the pain alleviated is usually in the legs. A microdiscectomy is typically reserved for patients who do not respond to more conservative methods of pain relief. Surgery is usually performed within three to six weeks of the onset of pain.

The procedure allows for the herniated nucleus to be removed without fully visualizing the spine, as temporary repositioning of the back muscles and nervous membrane allow for small surgical tools and microscopes to perform the operation with minimal soft tissue damage. In contrast to a laminectomy where the lamina is removed, the spine's shape takes little to no change, as minimal or no bone is removed during this procedure.

A microdiscectomy is generally an outpatient procedure with a very fast rate of recovery. Although it is recommended to restrict certain spine-intensive activities, such as twisting, bending and lifting, the patient's bone structure and tissue are completely unchanged and normal activity is quite feasible. The success rates vary between 90 and 95 percent with a relatively low recurrence rate of 5 to 10 percent, usually occurring in the first three months after surgery. If herniation reoccurs, the procedure may be repeated, although chances of continual recurrence will be much higher.

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

Posterior Cervical Decompression and Fusion (PCDF)

Posterior cervical decompression and fusion surgery removes the lamina, thickened ligament, and/or bone spurs that are putting pressure on the spinal cord and nerve roots. This compression is a result of a herniated or degenerated disc, spinal stenosis, and/or spinal instability. Nerve compression can lead to pain in the neck and arms, lack of coordination, and numbness or weakness in the arms.

As the name describes, this procedure is done through the back, or posterior, of the body. An incision is made in the midline of the back of the neck, the muscles are dissected and retracted, and the compression is removed. After the decompression of the nerves and spinal cord, the spine then needs to be stabilized by screws and rods to allow the bones to fuse together.

After surgery, a hospital stay is usually required. Complete recovery time may take between eight and twelve weeks. Although complications are rare, any surgical procedure carries risks. Possible risks include infection, 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 posterior cervical decompression and fusion (PCDF) or to schedule a consultation.

Cervical Procedures
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