Orthopaedic Spine Services

The New England Neurological Associates (NENA) Division of Orthopaedic Spine Surgery focuses upon the comprehensive evaluation and treatment of conditions afflicting the cervical, thoracic, and lumbar spine, in all age groups, from infant to senior citizen. Our approach is to consider surgical intervention only after nonoperative approaches have been thoroughly investigated.

If surgery is pursued, a variety of techniques are available, ranging from minimally invasive to complex reconstructive spine surgery. We specialize in the evaluation and treatment of such bony, structural issues as stenosis (choking of the nerves), scoliosis (abnormal spine curvature when looking from the front), kyphosis (abnormal spine curvature when looking from the side) and spondylolisthesis (one vertebrae slipping on the next).

Led by a Board Certified, Fellowship-trained orthopaedic spine surgeon with particular expertise and experience in the evaluation, care, and treatment of spinal deformities, the Division treats a number of conditions, including:

  • disc herniations
  • stenosis (neurogenic claudication and myelopathy)
  • scoliosis (idiopathic, degenerative, neuromuscular, congenital and post-traumatic)
  • spondylolisthesis (degenerative, isthmic and congenital)
  • spinal trauma to include fractures (compression and osteoporotic)
  • spinal tumors (primary bone cancer and metastatic cancer)
  • spinal infections
  • kyphosis (Scheuermann’s and congenital)
  • cauda equina syndrome
  • degenerative conditions
  • spinal sports injuries

Cervical procedures performed include anterior discectomy/fusion, laminoplasty, and posterior decompression/fusion. Lumbar procedures performed include conventional open microdiscectomy, decompression, fusion and deformity correcting osteotomy as well as minimally invasive discectomy, decompression and fusion (transforaminal and direct/extreme lateral interbody techniques). When appropriate, motion-sparing spinal surgical techniques may be employed. In these select cases, artificial spinal disc replacement may be considered.

The surgeons of the Divisions of Orthopaedic Spine Surgery and Neurosurgery work in close collaboration to evaluate, diagnose, and treat a variety of conditions relating to the spine.