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
Read Full Article

Thoracic Procedures


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. For best results, kyphoplasty should be performed within two months of the fracture's occurrence.

Before undergoing kyphoplasty, your doctor will perform a physical examination, review your medical history, and order blood tests. Spinal x-rays, MRI, and other imaging tests will be done to verify the existence of vertebral compression fracture that will benefit from kyphoplasty. Be sure to notify your doctor of all medicines you are currently taking, any allergies you may have, and if you are or may be pregnant. Your doctor will provide you with specific instructions regarding eating, drinking, and taking medications on the day of your procedure.

Kyphoplasty is performed as an outpatient procedure under sedation, although general anesthesia may also be used; therefore, you will need a friend or relative to drive you home afterward. You will be lying facedown for the duration of the procedure, which lasts around an hour. Once the sedative and/or 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 evenly with the fractured vertebra. A balloon is then inserted though the needle and inflated, reverting 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 bleeding, and a bandage is placed around the skin.


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 thoracic spine (upper back region) is between the cervical and lumbar spines, and stretches from the base of the neck to the bottom of the rib cage. The thoracic spine consists of 12 vertebrae that are each separated by an intervertebral disc, which connect the bones and allow for movement of the spine. The discs in the thoracic spine are thinner than those in the other parts of the spine, resulting in less movement of the upper back. However, the thoracic area is still sensitive to injury and disease.

A laminectomy of the thoracic 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.

Thoracic Procedures
1   |   2

back to top