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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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Thoracic Procedures

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 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 metal prosthesis 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 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 or spinal instability. However, as with any type of surgical procedure for the spine, corpectomy can be associated with certain risks, including infection, bleeding, damage 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.

Instrumentation Spinal Fusion

Spinal fusion surgery using instrumentation devices has become increasingly common as advances have been made in both the techniques available and our knowledge of the biomechanics of the spine. Often the best option to treat spinal instability, spinal fusion is usually done in conjunction with other procedures that require the removal of bone, which can leave the area weak and unsupported. The instrumentation refers to metal implants, such as screws, rods and cages, that are designed to improve alignment between the vertebrae and help ensure fusion occurs. They provide strength and stability to the affected area of the spine.

The procedure is performed to join (fuse) the vertebrae together in patients with conditions such as spinal stenosis, degenerative disc disease or spinal instability. Spinal fusion may be done anywhere on the spine, depending on which vertebrae are affected. During fusion surgery, bone growth is stimulated and then used to link the vertebrae together to stop the painful movement in the area.

Spine fusion surgery can be performed through an incision in the front or back of the body, depending on the location of the affected vertebrae and each patient's individual condition. During the procedure, the disc between the affected vertebrae is removed, and a bone graft is inserted into the empty space. Titanium metal screws, a cage or other hardware can be used to fuse the new bones together. Fusion surgery is performed under general anesthesia in a hospital setting. Movement of the spine in the treated area will not be possible after surgery, so it is usually only performed in one area.

New technology allows spinal fusion to be performed with the help of a microscope to magnify and illuminate the damaged area. Instead of stripping away the muscle, your surgeon can insert a microscope through a much smaller incision and create a tunnel to the affected vertebra. This is done by splitting the muscle to pass the instrument through, and results in a much less invasive procedure.

After the fusion procedure, patients will need to stay in the hospital for two to three days, but are encouraged to get up and walk around as soon as they feel well enough. Patients will require physical therapy and other assistance after surgery in order to restore proper function. These personalized programs usually begin immediately after the initial recovery period and will continue on an outpatient basis when the patient returns home. Physical therapy is designed to control pain and inflammation throughout the often lengthy recovery process, and may include massage, electrical stimulation, ice and physical exercise.

Throughout the rehabilitation process, patients will gradually increase the intensity and activity levels of physical therapy exercises to develop new movement habits after fusion surgery. Your surgeon will provide you with specific instructions as to when you can return to work and other regular activities. Heavy lifting and other types of strenuous activities usually need to be avoided for several months.

Contact our office to learn more about instrumentation/fusion or to schedule a consultation.

Thoracic Procedures
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