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 47-year-old male construction worker who fell from a ladder and was unable to stand up or walk after the fall.

PHYSICAL EXAM

  • He had severe weakness of both legs (quads 2/5, feet dorsiflexion 3+/5) and numbness.
PREOPERATIVE IMAGING

Sagittal and axial CT sections showing L3 burst fracture with coronal split and with severe retropulsion into the spinal canal causing stenosis

PREOPERATIVE IMAGING

Sagittal and axial MRI sections showing L3 burst fracture with fracture retropulsion causing severe canal stenosis and displacement of the thecal sac (nerve roots)

DIAGNOSIS

  • L3 burst fracture with canal retropulsion causing severe lumbar spinal stenosis

SURGERY

  • MIS (minimally invasive surgery) lateral corpectomy, placement of expandable cage and percutaneous screws placed between muscle planes
  • 3 hours of operative time
  • 120 cc blood loss
POSTOPERATIVE IMAGING

Intraoperative X-ray AP image showing docking of the expandable tubular retractor at the fracture site for corpectomy and canal decompression. This retractor is placed by splitting the fibers of the iliopsoas (or hip flexor muscle), therefore preserving muscle function.

POSTOPERATIVE IMAGING

AP X-ray image showing placement of the cage after corpectomy and expansion of the cage with spinal column height restoration.

POSTOPERATIVE IMAGING

AP and lateral Xray images showing a cage with restoration of vertebral body height and placement of percutaneous pedicle screws in between muscle planes. These screws are placed from a lateral position, preventing the need to flip the patient during surgery, decreasing complications and surgical time.

OUTCOMES

  • The patient recovered full leg strength after surgery.
  • He returned to work without any restrictions six months after surgery.
  • In a patient with his characteristics,(young heavy laborer), MIS surgery preserved his back muscles and minimized the fusion levels, allowing him to return to his prior employment without any restrictions.
***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.