New York City Spine

For any inquiries call 212-506-0240

Manhattan Office

New York City Spine Surgery, PLLC
343 West 58th Street
New York, NY 10019
Call: 212-506-0240
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NJ Office

New York City Spine Surgery, PLLC
261 James Street, Suite 2G
Morristown,
NJ 07960
Call: 973-998-9651
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HISTORY

  • The patient is a 76-year-old retired attorney who practices recreational tango dancing who presented with severe low back pain and stiffness, left leg numbness and weakness and difficulty walking.

PHYSICAL EXAM

  • He had severe weakness of his legs and an obvious curved spine.
PREOPERATIVE IMAGING

AP and lateral X-rays show degenerative spondylolisthesis and scoliosis with left lumbar curve and severe disc collapse from L1 to L5.

PREOPERATIVE IMAGING

Sagittal and coronal MRI sections showing severe arthritis, stenosis, scoliosis and spondylolisthesis

PREOPERATIVE IMAGING

Axial MRI and CT sections showing severe arthritis with hypertrophic facets and stenosis.

DIAGNOSIS

  • Degenerative adult scoliosis with severe lumbar spondylolisthesis and lumbar spinal stenosis

SURGERY

  • MIS (minimally invasive surgery) L1-L5 XLIF with posterior percutaneous pedicle screws placed from a lateral position between muscle planes.
  • 2.5 hours of operative time
  • 20 cc blood loss
POSTOPERATIVE IMAGING

AP and lateral X-rays showing multilevel interbody cages placed through a lateral portal and percutaneous screws placed between muscle planes. Note the correction of the scoliotic deformity and restoration of the disc heights.

OUTCOMES

  • The patient went home two days after surgery with improved function, decreased weakness, much better posture and significant improvement in his curved spine.
  • Five weeks after surgery, he celebrated by taking a trip to Argentina.
  • In a patient of these characteristics (elderly with multilevel disease), MIS surgery avoided the large muscle stripping of open back surgery, allowing this patient to recover rapidly with less pain. After this four-level fusion, the patient’s flexibility improved and he was able to touch his toes from a standing position.
***Disclosures

Hospital Affiliations

Outpatient Surgery Centers

Malo Surgery Center 201 Route 17 North 12th floor
Rutherford, NJ 07070
Phone: 201-549-8890
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Midtown Surgery Center 305 East 47th St.
New York, NY 10017
Phone: 212-751-2100
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Advanced Spine Surgery Center 855 Lehigh Ave,
Union, NJ 07083
Phone: 908-557-9420
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Denville Surgery Center LLC3130 Route 10 West
Denville, NJ 07834
Phone: 973-328-3475
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Daveed D. Frazier, MD is the medical director of New York City Spine Surgery PLLC and specializes in non-surgical and minimally invasive surgical treatments for back/neck pain and spine-related disorders. New York City Spine Surgery PLLC has 2 main locations in New York City and New Jersey with the main office located at 343 West 58th Street, New York, NY 10019. Call 212-506-0240 for an appointment at either location. Fax 212-265-0739.