Spine Surgery & Procedures

Spine Surgery and Procedures

Spine Surgery & Procedures

Orange Regional's expert team performs a variety of spine procedures including:

  • Diskectomy
  • Fusion
  • Oncologic spine surgery
  • Interspinous spacers, and more.

Most people think of neurosurgeons as "brain surgeons," but in fact, the majority of operations most neurosurgeons perform are on the spine.

Neurosurgeons have completed a six or seven year residency after medical school, and some elect to pursue further training in a field such as spine surgery. After a period of practice, a neurosurgeon is eligible to take an oral examination for Board certification by the American Board of Neurological Surgery.

Common Orthopedic Spine Procedures

Our expert team performs a variety of orthopedic spine procedures. Below lists out some of the most common procedures performed at Orange Regional.


This procedure involves the removal of a herniated disc (or a fragment of a herniated disc) to relieve pressure on the nerve. Though typically done as an "open diskectomy," the minimally invasive techniques available at Orange Regional allow our surgeons to perform microdiskectomies utilizing special retractors, instruments and an operating microscope. This allows for a much smaller incision, less trauma to surrounding tissues and less disruption to the normal anatomy of the spine. The net result for you is a faster recovery, a shorter hospital stay (sometimes an overnight stay is not even required), and a quicker return to work and leisure activities.


Used to treat vertebral fractures resulting from osteoporosis, cancer or multiple myeloma, kyphoplasty is a minimally invasive surgical procedure available at Orange Regional that uses an inflatable bone tamp to reduce these fractures and help them heal. The procedure utilizes a special balloon, which is inserted and gently inflated inside the fractured vertebrae to restore height to the bone. Then, a special cement-like material is injected to help reduce deformity of the spine.

Performed as an outpatient service, kyphoplasty generally offers immediate pain relief and stabilization of the spine.


Neurosurgery is the surgery discipline focused on treating the central nervous system, peripheral nervous systems and spinal column diseases amenable to surgical intervention. Modern neurosurgery has benefited greatly from advances in microsurgery, computer assisted imaging computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), magnetoencephalography (MEG) and the development of stereotactic surgery. Some neurosurgical procedures even involve the use of MRI and functional MRI intraoperatively. As one of the most research-oriented specialties of medicine, the scope of neurosurgery has expanded as new diagnostic techniques allow surgeons to perform more complicated surgeries.

Interspinous Spacers

Interspinous spacer devices allow for minimally invasive treatment of spinal stenosis, as well as several other common spinal disorders. Commonly known by their trade names (X-Stop or Lanx Aspen), these implants often allow for a shorter operation (with shorter duration of general anesthesia) than conventional techniques. They work by keeping the stenotic segment in a flexed position, which allows the underlying nerve roots to be decompressed.

Spine Fusion

A spine fusion is performed to link together two or more vertebrae – restricting the motion in that portion of the spine in an effort to eliminate the source of back problems. If a patient requires greater stability in a segment of the spine, then fusion in both the front and back of the spine may be recommended.

Minimally invasive spine fusion surgery is also available at Orange Regional – and may help certain patients benefit from:

  • Smaller incisions
  • Reduced pain
  • Less blood loss
  • Faster recovery


This procedure involves removing arthritic bone spurs and other material in an effort to relieve pressure on the spinal nerve – usually to address symptoms of spinal stenosis. While a traditional laminectomy often requires a 6-inch incision, the minimally invasive techniques available at Orange Regional can often allow the same procedure to be performed through a much smaller incision using a tubular retractor, allowing for quicker recoveries and fewer complications.

Non-Fusion Disc Replacement

Developed overseas and in the United States, a non-fusion disc replacement or "disc arthroplasty" is a specialized surgical procedure designed to take the place of a fusion operation for certain patients. Several of our staff spine surgeons have received specialized training in this operation, and we invite you to see one of them in consultation, to determine whether this operation is best for you.

Posterior Dynamic Stabilization

This procedure offers an alternative to spinal fusion – utilizing flexibile materials to help stabilize the spine while still retaining some natural motion. External spacers are used to stabilize the joints and eliminate pain while a flexible implanted device permits careful controlled movement. Once the devices are attached bilaterally, the dynamic push-pull relationship between spacer and cord stabilizes the joints, keeping the vertebrae in a more natural position.

Oncologic Spine Surgery

Orange Regional offers oncologic spine surgery utilizing the most advanced techniques available. This ranges from minimally invasive treatments, such as kyphoplasty, to complete spinal reconstructions used to treat aggressive metastatic disease. Our surgical experts work closely with our outstanding team of medical oncologists and radiation oncologists, to coordinate every aspect of your care.

Should you have any questions about your stay at Orange Regional Medical Center or about planning to visit a family or friend who is a patient, do not hesitate to contact us at 845-333-1000.

Total Joint Replacement Pre-op Class

Register for our free pre-operative patient education class, led by our Bone and Joint Center team. During this informative class, you will learn how to prepare for surgery, what to expect and about the recovery process. Our team will answer all your questions and help alleviate any concerns you may have about the process.