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 65-year-old athletic male with severe low back pain and foot weakness. He exercised regularly but had to give up his workout routine because of worsening back pain.

PHYSICAL EXAM

  • He had severe lumbar spasms, decreased range of motion and foot dorsiflexion weakness.
PREOPERATIVE IMAGING

AP and lateral dynamic X-rays showing unstable L4-5 spondylolisthesis

PREOPERATIVE IMAGING

Sagittal and axial MRI sections showing severe stenosis at L4-5. Note the severe ligamentous buckling impinging the neural elements posteriorly.

DIAGNOSIS

  • L4-5 lumbar spondylolisthesis with severe lateral recess stenosis

SURGERY

  • MIS (minimally invasive surgery) XLIF (extreme lateral interbody fusion) and PLF (posterior lateral fusion)
  • 1 hour of operative time
  • 5 cc blood loss
POSTOPERATIVE IMAGING

AP and lateral X-rays showing correction of the L4-5 spondylolisthesis with a cage placed through a small access portal by splitting the fibers of the iliopsoas muscle (hip flexor) and percutaneous screws placed between muscle planes with no muscle stripping. This was all done with the patient laying on his side in a lateral position.

OUTCOMES

  • The patient was discharged home six hours after surgery with only mild discomfort.
  • In a patient with his characteristics (athletic, older male who wanted to go back to the gym as soon as possible), MIS surgery performed through tubular retractors between muscle planes with minimal postsurgical pain and swelling allowed him to go back to exercising without any limitations in six weeks.
***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.