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

Kyphoplasty

Kyphoplasty is a minimally-invasive procedure to relieve pain from vertebral compression fractures, affecting the bones from which the spinal column is comprised. This procedure is usually performed on patients whose vertebral fractures have occurred as a result of osteoporosis or tumor metastasis.

Kyphoplasty is performed as an outpatient procedure under general anesthesia. You will be lying facedown for the duration of the procedure, which lasts around an hour. Once the general anesthesia has taken effect, the skin surrounding your spine will be sterilized and shaved, and a tiny cut will be made in the area. With X-ray assistance, an empty needle known as a trocar will be inserted into the spine until its tip is positioned properly within the fractured vertebra. A balloon is then inserted though the needle and inflated, restoring the bone to its original shape and creating a cavity. The balloon is then removed and orthopaedic cement is injected into the area, filling the cavity. Finally, the trocar is removed, pressure is applied to stop the bleeding, and a bandage is placed around the skin.

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

Laminectomy

A laminectomy is a surgical procedure designed to relieve the 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, osteoarthritis or even just from aging.

In this procedure, a small section of bone that covers the back of the spinal cord, called the lamina, is removed to relieve the compression. It is most commonly performed on the vertebrae in either the neck or the lower back.

The lower back, or lumbar region, is made up of the five lowest vertebrae (L1 - L5) that are just above the base of the spine. The lumbar region supports the bulk of the weight of the upper body and is the most common area of back pain.

A laminectomy of the lumbar spine is performed through the back of the spine under general anesthesia. Part or all of the lamina bones may be removed on both sides of the spine, along with the spinous process, which are projections from the back of the vertebrae. The removal of the lamina and any bone spurs or disk fragments relieves the pressure on the spinal cord and nerves.

If one of the vertebrae has moved over another or if there is a curvature of the spine, spinal fusion may be needed for stability along with the laminectomy. The remaining spine bones can be connected by fusing vertebrae together using bone grafts or titanium metal rods with screws attached to bones on each side. The procedure can also be done without fusion.

After a laminectomy, you will most likely remain in the hospital for a short stay. Soon afterward, most patients begin a regimen of physical therapy. You will be restricted from 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 their surgery.

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

Lateral Approach

The lateral approach is a surgical technique used in lumbar, or lower back, procedures. It offers access to the disc from the side. A minimally invasive technique, a lateral approach spine surgery can provide significant pain relief with much shorter recovery time, less blood loss and tissue trauma and better mobilization than more traditional approaches.

It is a beneficial treatment for numerous conditions, including degenerative disc disease, spinal instability, disc herniation, Spondylolisthesis and others. The patient is given general anesthesia and is positioned on his or her side on the operating table. Imaging equipment will be used for guidance to locate the problem area. The lateral approach can enable the surgeon to easily reach disc spaces when performing lumbar interbody fusions. The injured disc is removed and, with the lateral approach, even a very large implant can be inserted to restore disc height and decompress the nerve.

Approaches from the posterior, or back, necessitate the disturbance of muscles, nerves, blood vessels, bones and ligaments in the back. Approaches from the anterior, or front, of the body pass through the abdominal muscles and come near the aorta and other vascular structures and urinary organs. By approaching from the side of the body, the spine can be reached with a minimal amount of risk and tissue damage. The only muscle that needs to be crossed with a lateral approach is the psoas muscle, which is found up against the lower spine. Sometimes surgeons will combine the lateral approach with posterior or anterior approaches to accomplish more work on the spine in one all-encompassing procedure.

Many patients are up and walking again the very same day that their spinal surgery takes place when a lateral approach is performed, and they only need to remain in the hospital for a night or two. However, not everyone is a good candidate for a lateral approach to spinal surgery. Your doctor will consider several factors, including your personal anatomy and the precise nature and location of your condition.

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

Lumbar Procedures
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