72 April 2015 NJMONTHLY.COM
Special Advertising Section
Q: What are the other areas of expertise within
A: We treat fractures and congenital deformities, such as dislocated hips, clubfeet and neuromuscular conditions. We are regionally recognized for our
work in sports and scoliosis because of the pioneering
techniques I’ve adopted during my 25 years of practice.
Members of our group have subspecialty training in
pediatric sports, spine, hip, hand, foot and ankle, and
neuromuscular disorders. This allows us to provide
cutting-edge treatment to all of our patients.
Q: What are the most common conditions you
A: Scoliosis and sports injuries remain the
most common conditions. One in 100 children will
develop a spinal asymmetry during adolescence, and
sports injuries are common because adolescent sports
are so prevalent. I also see many children with clubfeet,
since I am the only orthopedist in the state certified
in the nonsurgical Ponseti treatment. Fortunately, the
most common condition I see at the end of treatment
is a young healthy patient.
NEW JERSEY SPINE SPECIALISTS
Dr. Mark Drzala, partner,
and Dr. Mitchell Reiter, partner
Q: Dr. Drzala, what solutions could you recom-
mend to a patient with chronic neck pain or pain
radiating from the neck down into the arm?
A: If the pain is the result of a cervical disc
herniation, which causes pinching of a nerve, we might
consider a cervical disc replacement. It is a new FDA-approved procedure and an excellent alternative to the
more traditional treatment, which involves a cervical
Q: How is cervical disc replacement performed?
A: The surgery involves removing the herniated
or damaged disc from between two vertebrae, which
relieves the pressure on the nerve. The space that is created between the bones is then filled with a prosthetic
disc, so that motion between the vertebrae is maintained.
Most cervical disc replacement patients can return to
light work within a week.
Q: Dr. Reiter, what types of symptoms would war-
rant this procedure?
A: Symptoms of a herniated disc typically
include chronic neck pain with pain, numbness, or
weakness that radiates into the arms. Except in cases
where the nerve damage is severe, surgery should not be
considered until a patient has exhausted other nonsurgical options, such as physical therapy.
Q: What are the advantages of disc replacement
compared to cervical fusion?
A: With disc replacement, motion is preserved,
which means that the stress on the remaining cervical
discs is not increased. This will hopefully reduce the risk
of accelerated deterioration of the other discs that can
be seen with fusion surgery. Other advantages of disc
replacement are that there is no need for a bone graft
and plate, and therefore no risk of a nonhealed fusion.
Mitchell F. Reiter, MD; Heidi M. Hullinger, MD;
Mark R. Drzala, MD.