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Minimally Invasive Spine Surgery

APTEUM / SPINENEUROSURGERY & SPINE CARE
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MINIMALLY INVASIVE SPINE SURGERY • NYC & NJ

A smaller incision starts
with the right diagnosis.

Explore whether a minimally invasive approach fits your spine condition, anatomy and treatment goals.

Request a Spine Evaluation (Form)

Telehealth or in person. Your request does not confirm an appointment.

Diagnosis before a treatment decision

A careful review before a surgical decision.

Small incisions are one part of a surgical plan. Review your imaging, prior care and alternatives to understand the benefits, limits and recovery expectations for your case.

01 · REVIEW

Bring your imaging

Bring available spine imaging, treatment records and prior operative reports.

02 · COMPARE

Discuss the alternatives

Review previous care, nonsurgical options, expected benefits, limitations and risks.

03 · DECIDE

Choose the appropriate next step

Surgery is discussed when symptoms, examination and imaging support it. No outcome is guaranteed.

Neurosurgeon Dr. Louis G. Cornacchia III

Experience & careful judgment

Meet Dr. Cornacchia.

Louis G. Cornacchia III, M.D., FAANS, FACS

A board-certified neurosurgeon with 30 years of spinal cord stimulation experience.

More about Dr. Cornacchia’s experience and SCS device decisions

Spinal cord stimulation experience

Experienced neurosurgical judgment before device decisions.

A spinal cord stimulator is a medical device decision, but it is also a diagnosis decision. Apteum’s evaluation is designed to clarify whether SCS is reasonable, whether another spine problem needs attention, and what goals should define success for you.

He works with a community of experienced pain-management doctors and with Medtronic, Boston Scientific, and other manufacturers.

Manufacturer relationships do not imply endorsement of a specific device for every patient. Brand and system selection should be based on clinical need, anatomy, MRI considerations, programming goals, prior device history, and shared decision-making.

MedtronicBoston ScientificAdditional systems as clinically appropriate

Your evaluation focuses on your diagnosis, prior care and goals. Discuss the expected benefits, limitations, risks and alternatives before choosing your next step. An evaluation is not a commitment to surgery or an implant.

Read Dr. Cornacchia’s training and experience →

How spinal cord stimulation works

Watch this explanation created by Dr. Cornacchia. Spinal cord stimulation is one option for selected patients after evaluation; it is not appropriate for every cause of pain and does not replace the discussion of the treatment on this page.

English video. Press play to watch.

Minimally Invasive

Minimally Invasive

Smaller incisions for appropriately selected spine procedures.

Overview

Minimally invasive spine surgery uses specialized techniques and instruments to treat spinal conditions through small incisions. This approach aims to reduce muscle and tissue disruption. Blood loss, hospital stay and recovery vary by procedure and patient.

What We Offer

Microdiscectomy
Minimally invasive laminectomy
Endoscopic spine surgery
Percutaneous pedicle screw fixation
Tubular retractor-based procedures

Key Benefits

Smaller incisions and less scarring
Reduced blood loss during surgery
Shorter hospital stays
Faster return to daily activities

What Is Minimally Invasive Spine Surgery?

Minimally invasive spine surgery (MISS) treats spinal conditions through small incisions, using specialized instruments and imaging to reach the spine with less disruption to surrounding muscle and tissue. At Apteum Spine, Dr. Louis G. Cornacchia III uses these techniques — including robotic-assisted navigation — whenever they can deliver the same or better result as open surgery with an easier recovery.

Potential Benefits

• Smaller incisions and less muscle damage
• Reduced blood loss and lower infection risk
• Less postoperative pain
• Faster recovery and shorter hospital stay when appropriate

Conditions Often Treated

Herniated discs, spinal stenosis, degenerative disc disease, spondylolisthesis, and select cases requiring fusion or decompression.

Is It Right for You?

Not every condition is suited to a minimally invasive approach. Candidacy depends on your specific diagnosis, anatomy, and prior treatment — determined after a thorough evaluation.

Frequently Asked Questions

Is minimally invasive surgery as effective as open surgery?

For the right candidate, it can achieve comparable results with less tissue disruption. The best approach depends on your condition.

How long is recovery?

Recovery is often quicker than open surgery, but varies by procedure and patient. We’ll set clear expectations for your case.

Medically reviewed by Louis G. Cornacchia III, M.D., FAANS, FACS — board-certified neurosurgeon. Last updated: June 2026. This page is for general education and is not a substitute for medical advice. For urgent symptoms, call (609) 831-0998 or go to the nearest emergency room.

Your next step

Find the approach that fits your condition.

Request an evaluation to review your symptoms, imaging, goals and prior treatment history.

The team will contact you to discuss your request. No outcome is guaranteed.

Contact Apteum

Choose the appropriate line for your inquiry.

Request a Spine Evaluation (Form)New patients · (609) 831-0998Existing patients · (732) 784-6072Doctors / referrals · (732) 800-5762Contact page

For medical emergencies, call 911.

Patient intake coordinator · (201) 819-0484
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