Top Spine Surgery in NJ
At Princeton Neurological Surgery, we offer excellence in complex spine surgery and minimally invasive spine surgery to patients in New Jersey and surrounding areas. Dr. Lipani is a board certified, fellowship-trained top spine surgery specialist. Common procedures include spinal fusion surgery, laminectomy, and microdiscectomy. Dr. Lipani also treats patients who require revision spinal surgery and spine surgery patients who are considered too challenging to be treated at other institutions.
Diagnosing Spine Pain
Chronic back pain can be debilitating and as a sufferer, you will have likely been in regular consultation with a specialist regarding your options. It may be comforting to learn that the majority of back pain sufferers do not require spine surgery. Most back pain results from muscle strain or spasm. Other common diagnoses include chronic degenerative arthritic changes that affect the spinal column and intervertebral discs.
Non-Surgical Treatment Options
Chronic conditions, as mentioned above, may be treated initially with physical therapy, chiropractic manipulation, acupuncture, trigger point injections and epidural steroid injections. Unless the patient is suffering from a spinal condition that requires urgent surgical intervention, Dr. Lipani prefers to delay spine surgery until at least 6 weeks of conservative therapy that fails to control the patient’s symptoms.
Do I Need Spine Surgery?
Deciding whether to undergo spine surgery can be a big decision for an individual. However, not all spine surgery is elective. For example, if your spinal cord is compromised to the point of interfering with neurologic function, such as weakness or numbness in extremities, urgent spinal surgery may be recommended in an effort to preserve function. Delaying spine surgery in these cases may result in irreversible nerve damage. Additionally, non-urgent spinal conditions may develop into urgent conditions that gradually or suddenly compromise neurologic function.
Symptoms That Lead to Spine Surgery
Typical symptoms that may require urgent spinal surgery include:
- Sudden onset of arm or leg weakness
- Numbness in the trunk
- A difficulty with fine hand motor control
- Gait clumsiness
- Spastic gait
- Bowel and/or bladder dysfunction
- Perianal numbness.
- Debilitating back pain that does not respond to medication
Common Spine Conditions
There are many spinal conditions that patients can suffer from. The following are some of the most frequently experienced spinal conditions.
- Herniated Disc: Also known as a Ruptured Disc is another common cause of back pain. Treatment options range depending on the severity.
- Spinal Stenosis: Spinal stenosis is a term that describes the narrowing of the bony canal through which a nerve root or spinal cord travels. Bony restriction around the spinal cord or nerve root may impair its function and result in symptoms. It can cause pain in the back, arms, or legs depending on the level of stenosis.
- Lumbar Spine Arthritis: This condition affects the joints in the spine and can cause significant discomfort or pain even without moving.
- Spondylolisthesis: The destabilization of the spinal vertebrae when one vertebral body slips upon an adjacent vertebra. The slip may result in spinal cord and/or nerve root compression.
- Sciatica: Caused by damage or pinching of the sciatic nerve, the large nerve that runs down the legs, and can be caused by a herniated or slipped disk, piriformis syndrome, pelvic injury, fracture or pelvic tumor.
Spine Surgery Procedures
Our team of experts headed by top spine surgeon Dr. John Lipani offers complex and minimally invasive spine surgery procedures, some of which are listed below:
- Spinal Fusion: Surgery that joins together two vertebrae in the spine. Fusion permanently joins two vertebrae together so there is no longer movement between them that causes pain.
- Cervical Spinal Surgery: Performed to correct part of the spine in the neck, including problems with the bones (vertebrae), discs, and nerves.
- Spinal Surgery Lumbar: Corrects problems with the spinal vertebrae, disks, or nerves of the lower back, also known as the lumbar spine.
- Minimally-invasive Spinal Surgery: Similar to the cervical spinal surgery, our team of specialists will cater to your needs by developing a plan to ensure the quickest recovery following the best treatment.
- Spinal Surgery Thoracic: Corrects problems with the spinal bones, disks, or nerves of the mid back, also known as the thoracic spine.
If you don’t see a surgery that will help your spinal condition see the list below to select which Surgical Spine Procedures or Non-Surgical Spine Procedure you would like to learn more about.
Surgical Spine Procedures
Non-Surgical Spine Procedures*
*Please Note: non-surgical procedures are for educational purposes only. We do not offer non-surgical procedures at Princeton Neurological Surgery. Patients requiring these procedures will be referred to other local New Jersey specialists prior to committing to surgery at our practice.
Schedule a Consultation
Our top expert spine surgeon, Dr. John Lipani, is capable of providing you with the advice, recommendations, and spine surgery procedures to assist you in living a full and comfortable life again. For more information about Dr. John Lipani or to learn more about our spine surgery procedures, call one of our New Jersey locations!
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Princeton Neurological Surgery Spine Institute Newsletter
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