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Kara Klobus, surgical coordinator, and Cinthya Aviles, front-desk receptionist, review the scheduling of a patient's upcoming procedure. Nicholas Friar, DPT, provides instruction for therapeutic exercise. " We maintain a broad spectrum of diagnostic and treatment capabilities under one roof with multiple locations in New York and New Jersey. Our team of experts are all leaders in their fields, and our inpatient care program at NYU Langone's Hospital for Joint Diseases is unrivaled." ALEXANDRE DE MOURA, MD, FAAOS, FOUNDER AND MEDICAL DIRECTOR, NEW YORK SPINE INSTITUTE Alexandre de Moura, MD, FA AOS, board-certified orthopedic surgeon, and Founder and Medical Director of New York Spine Institute comfortable that we have the familiarity and expertise necessary to successfully address the full spectrum of concerns that a-ect their spines." Such expertise ex tends to revision operations that require high levels of surgical proficiency. The New York Spine Institute serves as a referral center for tri-state area patients who have had one or more previous surgeries that have not resolved their conditions. In such cases, a lignment is of ten a key concern. Institute specialists per- form pedicle subtraction osteotomy to surgica lly adjust vertebra l a lignment by removing portions of the bone and internally bracing the spine to maintain its newly crafted position and restore anatomical structure and function. The complex procedure is planned with the assistance of detailed imaging studies and performed by veteran orthopedic spine specialists for optimal outcomes. New York Spine Institute specialists also helped pioneer the use of artificial disc replacement and were among the first in the region to employ the tech- nique for managing disc herniation and degeneration. Often used in place of a traditional fusion surgery, artificial disc replacement allows for a more natural range of motion and helps extend the life of surrounding structures, reducing the need for future interventions. A r tif icia l disc replacement is not appropriate for a ll patients and is not commonly performed on all portions of the spine. For lower back issues, New York Spine Institute surgeons perform anterior lumbar interbody fusion (ALIF), during which a degenerative disc is partia lly removed and replaced with an implant containing bone graft material that helps restore vertebral spacing, easing tension on the surrounding nerves. The anterior approach spares tissue and speeds patient recovery. Over time, the bone graft grows and fuses the vertebrae together, helping prevent future degenerative issues. SCOLIOSIS SPECIALISTS Both surgical and nonsurgical scoliosis interventions are available at the New York Spine Institute. "Scoliosis can a-ect children or develop later in life in adults," Dr. de Moura says. "It is a complex condition that requires expert monitoring and care. New York Spine Institute is a premier scoliosis treatment center." For some patients, bracing may be necessa r y to prevent t he cond it ion from advancing. "If surg ica l inter vention is neces- sar y, the procedure is ver y involved," Dr. de Moura explains. "Our relationship with NYU Langone's Hospital for Joint Diseases means we have access to world- class surgical suites for these procedures. 0 8 C O V E R S T O R Y 0 8