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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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Lumbar Procedures


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 cameras 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 no bones are shifted whatsoever 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 is 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.

Minimally Invasive Surgery

Traditional spinal surgeries usually require large incisions and stripping away the muscles of the spinal column just to get access to a herniated disc. Now, new technology allows these complex procedures to be performed with the help of a microscope to magnify and illuminate the damaged area.

Minimally invasive procedures result in less visible scars and shorter recovery times. A discectomy, or removal of the disc, can often be performed this way. Your doctor will decide if a minimally invasive procedure is right for you.

Contact our office to learn more about minimally invasive surgery or to schedule a consultation.

Posterior Lumbar Decompression and Fusion (PLDF)

Posterior lumbar decompression and fusion is a surgical procedure performed to relieve pressure on the spinal cord and nerve roots in 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.

When lower back pain is the result of nerve compression, due to wear and tear, degenerative conditions such as disc disease or arthritis or congenital deformities, the pressure needs to be relieved in order for the symptoms to be alleviated. Worsening neurological deficits can take place if the nerves sustain prolonged damage.

If the problem does not respond to conservative therapies, surgical alternatives will be considered. In a posterior lumbar decompression and fusion, both sides of the lamina are usually removed to expand the size of the spinal canal, taking pressure off of the spinal canal and nerve roots. The lamina is the section of bone that covers the back of the spinal cord.

As the name suggests, this procedure is done through the back, or posterior, of the body. It is accompanied by spinal fusion to link the vertebrae together. During the fusion portion of the surgery, bone growth is stimulated and then the grafts are put into place to fuse the vertebrae and stop the painful movement in the area. Titanium metal screws or a titanium metal cage can be used to hold the new bones together and provide much needed spinal stability.

Contact our office to learn more about posterior lumbar decompression and fusion (PLDF) or to schedule a consultation.

Lumbar Procedures
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