Expert Surgeons Advanced Care Life In Motion
Board-Certified spine surgeons serving Southern New Jersey with a combined 60+ years of expertise and a singular commitment to precision over convenience.
Request an AppointmentWhen conservative care has been thoroughly explored and symptoms persist, our spine team offers the full range of modern surgical options. Every recommendation is made because the clinical evidence and the patient's individual circumstances support it. Below is an overview of the procedures our surgeons perform, with links to dedicated pages for each.
Robotic-assisted spine surgery combines advanced real-time imaging with navigational guidance to help enhance precision during spinal procedures. Rather than performing the surgery, the technology serves as a sophisticated guidance system, allowing the surgeon to confirm accurate placement of screws and implants before they are secured in their final position. This added level of accuracy can be especially valuable in complex multilevel spinal fusions, revision procedures, and minimally invasive spine surgeries where precision is critical. By combining advanced technology with surgical expertise and judgment, robotic assistance brings greater precision to the art of spine surgery, supporting personalized surgical planning and confident implant placement.
Minimally invasive spine surgery describes a family of surgical techniques performed through small incisions using specialized instruments and real-time imaging. The goal is to address the source of pain while causing the least possible disruption to surrounding muscles, ligaments, and tissues. At Premier Orthopaedic Associates, MISS is not treated as a marketing phrase but as a surgical philosophy: approach the problem precisely, protect what does not need to be disturbed, and give the patient the fastest, most durable recovery possible. MISS techniques are applicable to disc herniations, spinal stenosis, foraminal narrowing, and certain fusion procedures.
A laminectomy removes a portion of the lamina, the posterior arch of the vertebra, to relieve pressure on the spinal cord or nerve roots. It is one of the most established procedures in spine surgery and is used to treat stenosis, herniated discs, and degenerative changes that narrow the spinal canal. Decompression can be performed in the cervical, thoracic, or lumbar spine depending on the location of symptoms. Our surgeons perform both traditional open and minimally invasive decompression, selecting the approach based on the complexity of the compression and the patient's overall health.
A microdiscectomy is a precise, targeted procedure that removes a small portion of a herniated disc to relieve pressure on a spinal nerve root. It is one of the most commonly performed spine surgeries and is particularly effective for lumbar disc herniations causing sciatica. Performed through a small incision with magnification and careful tissue preservation, microdiscectomy allows most patients to return to light activity within a few weeks. It is often recommended when nerve compression symptoms, including radiating leg pain or weakness, have not responded adequately to conservative care.
Spinal fusion permanently connects two or more vertebrae to eliminate painful motion at a compromised segment. Transforaminal Lumbar Interbody Fusion (TLIF) is performed through a posterior approach and is well-suited for degenerative disc disease, spondylolisthesis, and revision cases. Anterior Lumbar Interbody Fusion (ALIF) accesses the disc space from the front of the body, allowing a larger implant and potentially greater restoration of disc height. Our surgeons select the approach based on the patient's anatomy, the extent of degeneration, and the degree of correction required. Both procedures are offered at Premier Orthopaedic Associates and may be performed using minimally invasive techniques when appropriate.
Cervical disc replacement (arthroplasty) preserves motion at the treated cervical disc level by replacing the degenerated disc with a mobile prosthetic device. It is an alternative to cervical fusion for appropriately selected patients and is designed to reduce the risk of adjacent segment degeneration over time. The procedure addresses cervical radiculopathy and myelopathy caused by disc herniation or degenerative disc disease. Dr. Shah has specific expertise in cervical disc replacement and minimally invasive cervical approaches, reflected in his academic and research contributions to this area.
A foraminotomy enlarges the foramen, the bony opening through which a nerve root exits the spinal canal, to relieve pressure caused by narrowing or bone spurs. It is commonly performed in the cervical spine for radiculopathy and can be done as a standalone procedure or in combination with other decompressive techniques. The procedure preserves spinal motion and is an effective option for patients with foraminal stenosis that has not responded to conservative management.
Cervical radiculopathy, often called a pinched nerve in the neck, produces pain, numbness, tingling, or weakness that radiates from the neck into the shoulder, arm, or hand. Treatment begins with a conservative approach: physical therapy, anti-inflammatory medication, and image-guided cervical epidural injections. When conservative care does not provide lasting relief, surgical options including posterior foraminotomy, anterior cervical discectomy and fusion (ACDF), or cervical disc replacement are evaluated based on the specific level and nature of compression. Our team offers both surgical and non-surgical pathways and guides each patient through the evidence for their specific presentation.
Kyphoplasty and vertebroplasty are minimally invasive procedures used to stabilize vertebral compression fractures, most commonly caused by osteoporosis. In kyphoplasty, a small balloon is inflated within the fractured vertebra to restore height before bone cement is injected to stabilize the fracture. Vertebroplasty uses cement injection without the balloon-assisted step. Both procedures are typically performed on an outpatient basis and provide rapid pain relief for patients whose fractures have not responded to conservative management. They are appropriate for recent, painful fractures with evidence of vertebral instability on imaging.

Your first appointment begins with a thorough conversation, not just a review of your imaging. Your surgeon will ask about your lifestyle, what activities you have lost to pain, and what recovery means to you. After reviewing your history and imaging, a detailed assessment and preliminary care plan will be shared with you before you leave.
If additional imaging or diagnostic studies are needed, our team will coordinate them quickly and explain what they are looking for and why. You will never be left waiting without a clear understanding of the next step.
For most patients, the first phase of treatment involves a structured conservative plan including physical therapy, targeted exercises, anti-inflammatory medication, and possibly image-guided injections. Progress is monitored at follow-up appointments and the plan is adjusted based on your response.
When surgery is the right next step, your surgeon will walk you through the procedure in detail, including what will be done, what will be protected, what the recovery timeline looks like, and what outcomes are realistically expected based on your specific anatomy and condition. There is no pressure and no rushing.
Our surgical team coordinates every aspect of your procedure, from pre-operative preparation through inpatient or outpatient care. Postoperative instructions are detailed and specific. Rehabilitation milestones are set in advance so you always know where you are in the recovery process.
Spine care does not end at discharge. Our team monitors your recovery at regular intervals, adjusts therapy as needed, and remains available to you as your condition and activity level evolve. Many of our patients remain part of the POA community for years following their initial treatment.
Most patients with spine conditions do not ultimately need surgery. The determining factors include the type and severity of the condition, how long symptoms have been present, how they have responded to physical therapy and other conservative treatments, and the degree to which they are interfering with daily life. At your first consultation, our surgeons will review your imaging, assess your symptoms, and give you a clear, honest recommendation. Conservative care is almost always the starting point unless there is a neurological emergency such as rapidly progressing weakness or loss of bowel or bladder control.
Traditional open spine surgery uses a longer incision and involves moving or cutting muscle tissue to reach the spine. Minimally invasive techniques achieve the same surgical goals through smaller incisions, using specialized instruments and real-time imaging to navigate with precision. The result is typically less blood loss, a shorter hospital stay, faster return to activity, and reduced postoperative pain. Not every spine condition is a candidate for a minimally invasive approach. Our surgeons select the technique based on what is clinically appropriate for each patient's specific anatomy and the complexity of the procedure required.
Our spine surgeons see patients across our Southern New Jersey network of locations. Scheduling and availability vary by location. When you request a consultation, our patient care team will match you with the appropriate surgeon and the most convenient location based on your diagnosis and needs. Both surgeons collaborate on complex cases and share clinical resources across the practice.
Recovery timelines vary significantly depending on the type and complexity of the procedure. A microdiscectomy may allow return to light activity within two to four weeks. A spinal fusion involving multiple levels typically requires a structured rehabilitation program over three to six months. Your surgeon will give you a specific, realistic recovery timeline during your consultation and pre-operative planning appointments. We set milestones in advance so you always know where you are in the process and what to expect next.
We recommend bringing any prior imaging studies, including MRI, CT, or X-ray discs and reports, along with a list of current medications, a summary of prior treatments such as physical therapy or injections, and any relevant surgical history. If you have been referred by another physician, bringing that referral and any clinical notes is helpful. Most importantly, come prepared to describe in your own words how your symptoms are affecting your daily life, what activities you have lost, and what you most want to achieve through treatment.