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
NJ 07960
Call: 973-998-9651
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  • The patient is a 68-year-old male, British banker, with diabetes and severe sacroiliac pain after a prior spinal fusion. He had terrible difficulty negotiating uneven terrain and difficulty with prolonged sitting.


  • The patient had severe gluteal spasms and quadriceps weakness.

AP and lateral X-rays, showing severe SI (sacroiliac joint) arthritis and L3-4 adjacent segment degeneration in the setting of a prior L4-S1 decompression and fusion


  • Sacroiliac (SI joint) arthritis as a result of adjacent segment degeneration


  • MIS (minimally invasive surgery) SI (sacroiliac) fusion with percutaneous screws and L3-4 XLIF (extreme lateral interbody fusion) with lateral plate
  • One hour of operative time
  • 20 cc blood loss

AP fluoroscopic images showing three screws across the right and left SI (sacroiliac) joints placed through a minimally access tubular retractor under fluoroscopic guidance with preservation of the gluteal muscles.


AP and lateral X-rays showing three screws across the right and left SI (sacroiliac ) joints and L3-4 interbody cage and plate placed through a muscle splitting corridor through the iliopsoas muscle (hip flexor), avoiding muscle stripping of the posterior lumbar musculature.


  • The patient was discharged home four hours after surgery on mild oral pain medications.
  • In a patient with his characteristics (diabetic and high-level banker), correct diagnosis and MIS surgery allowed us to perform two different surgeries in the same sitting. MIS surgery via a lateral approach avoided massive muscle stripping and increasing scar formation in classic revision spine surgery. MIS surgery for the sacroiliac joint avoided gluteal muscle stripping.
  • The patient was able to sit and return to his job the following day.
  • Note that in a patient with this complex picture, correct diagnosis and surgical planning are critical for optimal results.

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.