Spine Surgery.
Only When It’s Truly Necessary.
Done Right.
Time to understand your condition. Judgment about whether surgery is necessary.
Louis G. Cornacchia III, M.D., FAANS, FACSNeurosurgeon · Founder, Apteum SpineExplore his training and experience ↗
A more personal approach
Time to listen.
Clarity to decide.
At Apteum Spine, neurosurgeon Dr. Louis G. Cornacchia III leads your spine evaluation and surgical care. When other treatment is appropriate, care is coordinated through TSCN collaborating specialists.
We believe in patient advocacy and empowerment. You become an active participant in your treatment plan. We take the time to listen to your concerns, answer your questions, and explain your condition and the available treatment options.
No one can evaluate a patient in a 10-minute session. We take time to get to know each patient. Together, we develop a personalized care plan tailored to your unique needs, ensuring that you are an informed decision-maker throughout the process.
Core services
Expertise.
With careful
judgment.
Most patients are rushed into decisions or given unclear answers. We take the time to determine the correct diagnosis and the right treatment—surgical or not.
You will not be rushed through a 10- or 20-minute evaluation here.
Spine Surgery
Advanced surgical interventions for complex spinal conditions.
Robotic Spine Surgery
Minimally invasive procedures with robotic precision for faster recovery.
Pain Management
Comprehensive strategies to manage and alleviate chronic back and neck pain.
Revision Surgery
Expert care for patients requiring follow-up or corrective spinal procedures.
Second Opinions
Thorough evaluations to confirm diagnoses and explore all treatment options.
Why patients choose Apteum Spine
Experience matters.
So does the time
we give you.
Most patients with spine problems are overwhelmed by conflicting opinions, rushed consultations, and uncertainty about what to do next. At Apteum Spine, we believe patients deserve careful evaluation, honest recommendations, and enough time to truly understand their condition before making major decisions.
Spine Surgery — Only When Truly Necessary.
Most patients with spine problems are overwhelmed by conflicting opinions, rushed consultations, and uncertainty about what to do next. At Apteum Spine, we believe patients deserve careful evaluation, honest recommendations, and enough time to truly understand their condition before making major decisions.
Experienced Evaluation Matters
Dr. Cornacchia has more than 30 years of experience treating complex spine conditions, including minimally invasive and robotic-assisted spine surgery. Every patient is evaluated individually, with attention to imaging, symptoms, neurological findings, prior treatment history, and long-term outcomes.
Not every patient needs surgery. Not every spine problem has a simple answer.
Surgery Only When It Is Truly Necessary
Many patients come to Apteum Spine after being told they need surgery immediately — or after being told nothing can be done.
We believe thoughtful surgical judgment matters.
Whenever possible, conservative treatment options are considered first. When surgery is appropriate, the focus is on precision, safety, minimizing tissue disruption, and improving long-term function and quality of life.
Complex and Revision Spine Cases
Apteum Spine frequently evaluates patients with failed prior spine surgery, persistent pain after treatment, complex spinal instability, severe nerve compression, difficult diagnostic problems, traumatic injuries, and work-related and personal injury cases.
Complex spine problems often require more than a brief office visit or a generic treatment plan.
Robotic and Minimally Invasive Expertise
Dr. Cornacchia has extensive experience with advanced minimally invasive and robotic-assisted spine techniques designed to reduce tissue disruption, improve surgical precision, minimize blood loss, and shorten recovery time when appropriate.
Technology alone does not create good outcomes. Experience, judgment, and careful patient selection remain essential.
A More Personal Approach to Spine Care
Patients are not numbers or appointment slots.
At Apteum Spine, we believe patients deserve time, explanation, careful listening, honest communication, and coordinated care.
Our mission is to help patients make informed decisions with clarity and confidence.
Conditions treated
Understand your
spine condition.
Expert diagnosis and treatment for a wide range of spinal issues.
View all conditions ↗Care after injury
Spine care after
auto accidents.
Specialized care for injuries sustained in motor vehicle accidents. We provide comprehensive support from initial assessment to final recovery.
- Detailed Evaluation
- Complete Documentation
- Personalized Treatment
What we offer
Specialist surgery.
Coordinated care.
Your care begins with a neurosurgical evaluation of your symptoms, imaging, neurological findings, and prior treatment. Dr. Cornacchia helps you understand whether surgery is appropriate. Surgical care is led by Apteum Spine; other treatments are coordinated through TSCN collaborating specialists.
Spine surgery at Apteum
- Cervical (neck) spine surgery
- Thoracic (mid-back) spine surgery
- Lumbar (lower back) spine surgery
- Sacral spine surgery
Including minimally invasive and robotic-assisted (ExcelsiusGPS) surgery, revision and failed-back surgery, and independent second opinions.
Other treatments through TSCN
For everything beyond surgery, your care is coordinated through the Tri-State Specialized Care Network (TSCN).
- Pain management and spinal injections
- Physical therapy and rehabilitation
- Chiropractic care
- Diagnostic imaging (MRI / CT)
Offered through TSCN collaborating doctors.
From Dr. Cornacchia
Spine surgery
is a journey.
Louis G. Cornacchia III, M.D., FAANS, FACS
“I see every patient as someone whose life I may be able to substantially improve.
The process cannot be a snapshot. Too much is lost without a thorough understanding of the patient—and without helping the patient understand what I see.
Spine surgery is a journey. If we do not shortchange the exploration and evaluation stage, the result can be truly remarkable for the patient.
The final step—actually performing the surgery—can now be done with a level of repeatable precision that was never possible before, particularly with the use of modern surgical robotics.”
Your next step
Ready to start your
journey to recovery?
Request an appointment or call our 24/7 intake line.