Category Archives: Degenerative Disease of the Spine

Spine Deformities Treatment in White Plains

Deformities of the Spine in White Plains

Spine Deformities Treatment in White Plains

Spine Deformities Treatment in White Plains

If you need a doctor for experienced spine deformities treatment in White Plains, there is only one name that comes up: Dr. Andrew Casden. When you need a Westchester spine surgeon expert, Dr. Andrew Casden is that top rated doctor. A renowned board-certified orthopedic surgeon, Dr. Andrew Casden is experienced in both traditional and minimally-invasive spinal surgery. His comprehensive approach takes each patient’s lifestyle and expectations into consideration, and his approach focuses on offering the most sensible treatment options for each individual. His services include minimally invasive spinal surgery, disc replacement, revision spinal surgery, spinal fusion, scoliosis, and treatment of degenerative spinal diseases including herniated discs and spinal stenosis.

Two of the most common deformities of the spine are scoliosis and kyphosis. Scoliosis is a deformity of the spine in which the straight spine develops a curve when viewed from behind. This curve can be either very subtle or quite severe. Scoliosis most commonly occurs in the thoracic area of the spine, but can also occur in the lumbar back. It is usually noted in the early teens but can present at any age, and it is also much more common in girls than boys. Children are screened by their pediatrician and at school for scoliosis and are referred to a specialist for diagnosis if there is any question as to whether they have the condition. In most teenagers, no cause for the scoliosis is noted and this is called “idiopathic” scoliosis. In adults, the scoliosis may be due to excessive wear and is called “degenerative scoliosis.” This spine deformity treatment in White Plains depends on the age of the patient and the degree of the curvature. Curves less than 10 degrees are not even considered scoliosis and no treatment is required. Moderate curves may require a brace, and more severe curves may need surgery. Spinal surgery for scoliosis is done to improve the curve and stop the progression. Most adults are managed with physical therapy and exercise. However, if the curve is severe and painful then surgery may be indicated.

Kyphosis is a deformity of the spine in which the normal contours of the spine are exaggerated. Commonly referred to as “sway back” or “dowager’s hump”, it can be very mild to quite severe. Kyphosis usually occurs in the thoracic spine and can be seen in teenagers and adults. In teenagers the cause is thought to be due to a growth disturbance in the vertebrae, and in older adults to compression deformities of the vertebrae themselves. The spine deformity treatment in White Plains for kyphosis is to carefully monitor the condition. If the curve progresses and the deformity becomes severe, surgery may be required. The surgery results in reduction of the curve and improved posture.

Andrew Casden, MD
222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010

NYC Spine Doctor

Degenerative Disease of the Spine in NYC

NYC Spine Doctor

NYC Spine Doctor

A renowned board-certified orthopedic surgeon, Dr. Andrew Casden is experienced in both traditional and minimally-invasive spinal surgery. His comprehensive approach takes each patient’s lifestyle and expectations into consideration, and his approach focuses on offering the most sensible treatment options. Named a Top Doctor by US News and one of New York’s Best Doctors by New York Magazine, Dr. Casden, a NYC spine doctor, treats both children and adults at his position at the Mount Sinai Hospital. His services include minimally invasive spinal surgery, disc replacement, revision spinal surgery, spinal fusion, scoliosis, and treatment of degenerative spinal diseases including herniated discs and spinal stenosis.

Degenerative disc disease is a condition in which one or more of the intervertebral discs between the vertebrae become damaged, resulting in arthritis of the spine. This can occur in any area of the spine and usually is a result of the normal aging process. The damage to the discs results in narrowing and degeneration of the disc, and this transfers stress to other supporting structures. The vertebrae react with the formation of bone spurs and enlargement of ligaments. This sometimes leads to a narrowing of the area for the spinal cord and nerves. Deformity of the spine can also result. Degeneration of the spine leads to the onset pain, often developing very slowly. As the degeneration gets worse, the pain will often increase and can become severe in some patients. The symptoms may be in the cervical and/or lumbar spine. Pain radiating into the arms or legs may also occur. After a careful history and physical examination by the NYC spine doctor, x-rays will usually show the degeneration of the affected part of the spine. In addition, an MRI or CT may be ordered to confirm the diagnosis.

For most patients, non-operative care such as exercise, physical therapy, anti-inflammatory drugs and alteration of certain daily activities will eliminate or reduce the pain significantly. In some cases, surgery may be necessary and new minimally invasive techniques used by the NYC spine doctor permit a faster recovery and return to normal activity. These techniques include the X lift procedure, where a device is inserted into the spine from the side. Alternatively, a minimally invasive TLIF (transforaminal lumbar interbody fusion) may be a better choice. In certain cases, a disc replacement may be considered. In some situations the fusion is done from the front of the spine (called an anterior spinal fusion). If you are experiencing any of the symptoms of degenerative disease of the spine, call us today for an appointment with our highly skilled and experienced doctor today.

Andrew Casden, MD
222 Westchester Avenue, Suite 101
West Harrison, New York 10604
(914) 946-1010