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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Lumbar Procedures

Anterior Lumbar Interbody Fusion (ALIF)

Anterior Lumbar Interbody Fusion (ALIF) is a fusion technique for the relief of persistent lower back, pain, disc herniation, or instability. As its name describes, ALIF is performed from the anterior, or front, of the spine. The anterior approach is used when complete discectomy needs to be performed or 360 degree fusion is needed. A major advantage is that a larger implant can be incorporated in an anterior procedure. Interbody fusion refers to the removal of an intervertebral disc, which is replaced with a bone or prosthetic spacer, and the adjacent vertebrae are fused together.

ALIF can be used to treat nerve compression, disc space collapse, spondylolisthesis, and other conditions. After obtaining images of the spine with MRI and CT scans, a physician can determine just what type of implant would be best suited to correct the problem.

The ALIF procedure is performed under general anesthesia with the patient lying face up on an operating table. The surgeon makes an incision on the side of the abdomen near the affected area. The muscles of the back and the nerves do not need to be moved from this approach. The injured disc and bone spurs are taken out. A bone graft or bone morphogenetic proteins are then inserted in the open disc space along with any necessary instrumentation to promote stability in the spine.

Bone morphogenetic protein (BMP) is an FDA-approved treatment used in conjunction with spinal fusion surgery to stimulate bone growth within the treated area and achieve more successful results without the need for a bone graft.

Discovered in the 1960s, this group of protein extracts is found naturally in the body and can be created by doctors and then placed in damaged areas of the spine in concentrated quantities in order to fuse the bone ends together at a rate faster than or similar to the use of bone grafts. There are several different types of BMP found within the body, although BMP-2 is most thoroughly evaluated for this treatment.

As a still developing treatment, long-term side effects of BMP remain unknown, and it can be rather costly. It is currently approved for use in anterior lumbar interbody fusion. Most patients who undergo this treatment achieve successful fusion without having to extract a bone graft from another part of the body or using donor bone.

Contact our office to learn more about anterior lumbar interbody fusion (ALIF) 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 instability. 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 correct spinal compression, the discs above and below the affected vertebra are removed, along with the middle portion of the bone.

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

After surgery, patients will stay in the hospital for two to three days in order to facilitate proper healing. 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.

Lumbar Procedures
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