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 51-year-old, HIV+ female with severe low back pain due to infection. She was on chronic antibiotics with no improvement of her symptoms.

PHYSICAL EXAM

  • She had severe lumbar spasms forcing her to walk with a cane, stooping forward.
PREOPERATIVE IMAGING

Sagittal MRI sections showing L3-L4 osteodiscitis (infection of disc and surrounding bone) with erosion of the endplates and disc collapse, with expanding epidural phlegmon (collection of infection putting pressure in the nerves of the spinal canal).

DIAGNOSIS

  • Lumbar osteodiscitis (infection of the vertebral bodies and disc) with expanding epidural phlegmon (infection spreading into the spinal canal)

SURGERY

  • MIS (minimally invasive surgery) XLIF (extreme lateral interbody fusion) and posterior fusion with percutaneous pedicle screws placed between muscle planes.
  • 1 hour of operative time
  • 20 cc blood loss
POSTOPERATIVE IMAGING

AP and lateral Xrays showing interbody cage placed through a lateral tubular retractor after debridement of the infected disc and bone, and placement of unilateral pedicle screws placed between muscle planes. The interbody cage provides enough stability that only unilateral screws are necessary in this one level fusion, reducing operative time and pain.

OUTCOMES

  • The patient was in the hospital for one day for pain control.
  • She went home the following morning on oral pain medications with improved back pain.
  • In a patient with her characteristics (HIV+, spinal infection), MIS surgery was performed with less pain and less tissue dissection, minimizing the risks of wound breakdown and surgical site infection.
  • Six weeks after surgery, the patient was ambulating with an upright posture and no back pain.
  • Six months after surgery, her infectious disease specialist stopped her antibiotics as her infection had resolved.
***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.