Why a Spine Surgeon? While spine procedures have been successfully performed for over 100 years, the field of spinal surgery has seen a technological explosion over the past twenty years. The variety of instrumentation systems for spinal fusion, non-fusion technologies including artificial discs replacements for the cervical and lumbar spine and new minimally-invasive techniques and technologies make it essential for your surgeon to dedicate himself to the field of spinal surgery. No longer can the general orthopaedic surgeon or neurosurgeon stay current with the array of technologies and techniques to provide patients with optimal outcomes. Below are some basic questions that you should ask your surgeon prior to consenting to treatment. 1. Are you a board-certified by your specialty organization? Orthopaedic Surgeons and Neurosurgeons must complete a two-part certification exam that tests a broad base of knowledge in their respective fields. The first part is a written exam usually taken at the end of residency training. The second part, an oral exam, is taken after the physician has been “in practice” for two years. These exams assess the breadth of knowledge in a particular field as well as a physicians indications (their reason for suggesting surgery) and technical competence in completing their surgeries. Board Certification demonstrates that a physician practices with competence and within basic ethical standard. 2. Are you fellowship-trained in spinal surgery? A fellowship is an extra year, or two, of additional sub-specialty training. This is completed after residency training. A fellowship-trained spine surgeon has completed additional training in the diagnosis and treatment, both surgical and non-surgical, of spinal disorders. 3. What percentage of your practice is dedicated to Spine Surgery? Both orthopaedic surgeons and neurosurgeons are “board-certified” to perform an array of procedures. In addition to the Spine, Orthopaedic Surgeons specialize in the treatment of musculoskeletal disorders of the shoulder, elbow, wrist, hips, knees and ankles as well as all the bones that connect those joints. Neurosurgeons specialize in the treatment of disorders of the nervous system including the Brain and Spinal Cord. It is important to have a surgeon who dedicates his or her practice to spinal surgery. Numerous studies demonstrate that better surgical outcomes are directly correlated with the number of those procedures done per year by your surgeon. New Jersey Spine Center is dedicated to the diagnosis and treatment of spinal pathology. 4. Who covers you when you are away? Because most orthopaedic surgeons and neurosurgeons do not perform spine surgery, it is important to know that your surgeon has coverage when he or she is not available. New Jersey Spine Center has three boardcertified spine surgeons and one board-certified non-operative spine specialist. There is always a spine surgeon available should you have a question or, worse, an emergency. Most likely, you will know each of us from your time in the office or in the hospital after surgery. 5. Do you use a microscope? While not every spine procedure requires a microscope, it is important for your surgeon to have expertise in using a microscope. Microsurgical technique minimizes the size of your incision and amount of tissue that needs to be dissected or removed to complete your surgery. Less tissue dissection correlates with less post-operative pain, a quicker recovery and earlier return to function.