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Millions of people suffer from the broad range of diseases that can affect the spine. Debilitating pain and impaired function often keep people from working and enjoying normal lives. While spinal conditions and injuries, particularly neck and back pain, are quite common, they can be among the most complex and difficult ailments to treat. This is especially true with patients who have had little improvement with prior spinal surgery or failed medical treatments for such diseases as scoliosis or degenerative disk disease. Our experienced team of highly-skilled neurosurgeons and staff work together to provide the best care possible. Whether the pain is acute or chronic, we are committed to understanding the problem and will work with each patient to determine the best way to treat it. Patients travel from across the Northeast to have our experts treat problems, including spinal cord and nerve compression, spinal deformities, spinal tumors, neck and back pain, and sciatica. Our focus is on helping patients overcome their disability, rather than performing surgery or providing physical therapy. We provide comprehensive diagnostic services for patients whose conditions have not been definitively identified, as well as for those who had unsuccessful treatments, including previous surgeries. Because we are a major referral center for neurosurgical problems of all types and levels of complexity, our patients benefit from our collaborative, interdisciplinary environment that enhances opportunities for advancing care. Our services include: Minimally invasive surgery:Advanced, one-day surgical procedures, including vertebroplasty and disk electrocauterization, are available for appropriate candidates. Vertebroplasty relieves pain among some osteoporosis sufferers with collapsed vertebrae. Surgical bone cement is injected into the affected areas bolstering bone growth. Disk electrocauterization involves the use of a needle to shrink disks by burning them. Complex surgery:Our Spine Center specializes in this type of surgery, which is reserved for cases in which all other treatment options have been considered. Our surgeons can perform spinal reconstructions for severely deteriorated spines or repair damage from trauma or prior surgeries. Cutting-edge techniques, such as discography, make it possible to track electrical activity within the spine with exceptional precision to localize the site of injuries. Support services:Yale New Haven Hospital is a Level I trauma center, fully equipped to handle complex spinal cord injuries. Spine patients who undergo surgery benefit from specially equipped surgical suites. They will recover in the hospital’s Neurosurgical Intensive Care Unit (NICU), the only specialized unit of its kind in the region, staffed with experienced neurocritical care nurses. Our team continuously challenges current practice to ensure our programs reflect the most advanced treatment options delivered in a way that enhances the health and comfort o

The Yale Pediatric Spine program treats children with spinal conditions using the highest level of expertise and care. Because we understand that navigating the treatment options for a child’s spinal condition can be a difficult experience, we focus on bringing our providers together as a team dedicated to delivering cohesive, expert care. The spine team includes anesthesiologists, nurses, advanced practice providers, physical therapists, child life specialists, and fellowship-trained neurosurgeons and orthopaedic surgeons who are experienced in treating the most complex spinal conditions using up-to-date and evidence-based techniques to provide outcomes of the highest quality and value. Our providers tailor spinal deformity treatments to each patient according to their needs. We offer several treatment options, including physical therapy, bracing, growth-friendly solutions for early onset scoliosis, halo gravity traction for complex deformities, and newer fusionless techniques for appropriately selected patients. Nonoperative strategies are almost always utilized as initial treatment, but if surgical care becomes necessary, our team and program provide the technical expertise and rapid surgical recovery pathways to ensure the smoothest recovery possible.

Spine radiosurgery is a noninvasive, painless technique that precisely targets high doses of radiation at tumors within or near the spine.Our goal is to provide long-lasting control of pain and local disease for patients with spinal metastases. Our team consists of radiation oncologists, neurosurgeons, and neuroradiologists who work together to determine and deliver the optimal treatment plan for each patient.

At the Spine Center, we care for adults experiencing neck and back pain. Our team of specialists are experts in the fields of neurosurgery, orthopedics, physical medicine and rehabilitation, behavioral health, and physical therapy. Working together our specialists create a treatment plan tailored to fit your specific needs. Your treatment begins with a detailed evaluation to fully understand your condition. We develop a personalized care plan that may include a combination of non-surgical treatments, pain management techniques, and surgical interventions when necessary. Our integrated care model ensures that you have access to a variety of spine health experts in one central location, streamlining your care and enhancing the quality of the services we provide. Non-Surgical Care Physical medicine and rehabilitation Pain Management using the safest and most effective methods for your condition. Behavioral Health therapists focus on improving your ability to manage and cope with chronic pain. Spine physical therapy for advanced conditions that require specialized therapy. Surgical Care Minimally invasive spinal surgery Spinal fusions Spinal decompressions Surgical intervention for spinal tumors Treatment of vertebral fractures

During a woman’s lifetime, she might face a reproductive problem that requires evaluation and possible surgery. Some gynecologic conditions that may require surgery are endometriosis, ovarian cysts, fibroids, abnormal bleeding, intrauterine scarring, damaged fallopian tubes, pelvic pain or abnormal development of the reproductive tract. Minimally invasive and robotic surgery have transformed the field of surgery, radically reducing trauma and recovery. In this approach, small skin incisions (less than an inch in size) and specialized tools are used. Our program utilizes the following methods for women’s reproductive conditions requiring surgery: Hysteroscopy. A small, narrow telescope (a hysteroscope) allows for visualization of the inside of the uterine cavity without incisions. This is often performed when evaluating abnormal uterine bleeding. Laparoscopy. A small telescope inserted through small abdominal skin incisions is used to evaluate the pelvic anatomy (uterus, ovaries, fallopian tubes, etc.). The laparoscope (camera) sends live pictures to a video monitor, which allows the surgeon to see the anatomy and perform complex surgeries with minimal trauma to the patient. Robotics. Robotic surgery was approved for gynecological conditions in 2005 and has since opened up the option of minimally invasive surgery for women who otherwise would not have been eligible for vaginal surgery or traditional laparoscopic surgery. Surgeons are trained in using the daVinci Robot for select laparoscopic surgeries. “Open“ surgery, or surgery performed through traditional large incisions (similar to a cesarean section), is associated with longer hospitalizations, increased pain, increased surgical risk, and longer postoperative recovery times. With a surgery performed using a minimally invasive approach, patients are often able to go home on the day of surgery or the next morning with less postoperative pain.

The Division of Hip & Knee Joint Reconstruction is dedicated to providing comprehensive care for patients with hip and knee joint-related issues. Our skilled orthopaedic surgeons use the latest scientific research and innovative surgical techniques to relieve pain and improve joint function, ultimately enhancing the quality of life for our patients. Our specialists treat a wide range of conditions, including: Inflammatory arthritis and degenerative osteoarthritis Avascular necrosis (loss of blood supply to the bone) Congenital and post-traumatic injuries Infections Fractures One of our primary research areas is understanding the outcomes of joint replacement surgeries. By analyzing data from large national databases, we evaluate the effectiveness of different surgical techniques, implant designs, and patient-specific factors. This research helps us improve surgical methods and ensure the best possible care for our patients. We are also focused on developing and testing new biomaterials and designs for implants. Our team collaborates with experts in biomedical engineering and materials science to create better joint replacement options. These efforts aim to improve the durability and compatibility of implants, leading to longer-lasting and more effective treatments. In addition, our division is committed to reducing surgical infections. We study various factors that influence infection rates, including patient characteristics, surgical methods, and perioperative (around the time of surgery) management strategies, to develop ways to minimize these risks. Our tradition of surgical innovation is inspired by the late Dr. Kristaps J. Keggi, who was the first surgeon in the United States to use the Direct Anterior Approach (DAA) for hip reconstruction at Yale in the 1970s. This minimally invasive technique has transformed patient care and remains the gold standard in hip surgery today.

Hip injuries are common in the young athletic population, and conditions such as femoroacetabular impingement (FAI), labral tears, and microinstability are underdiagnosed. Traditional surgical techniques for treatment involved open surgery, but recent advances have allowed for minimally invasive, arthroscopic treatment for many of these conditions. Patients undergoing these arthroscopic hip procedures are able to recover faster and can be managed on an outpatient basis. To find out more about this program, please fill out a brief survey . The Sports Medicine and Hip Preservation Surgeons at Yale are experts in hip arthroscopy for the treatment of common nonarthritic hip conditions, such as femoroacetabular impingement (FAI) and labral tears. Our surgeons are specifically trained in hip preservation and are using cutting-edge arthroscopic techniques, including treatment of cam/pincer impingement, labral repair, labral augmentation, and labral reconstruction surgery. In addition, they are actively involved in advancing the field of hip preservation by conducting nationally and internationally presented research. All hip preservation patients will be evaluated with the latest diagnostic modalities, including high resolution MRI and 3D CT scans to ensure accurate diagnoses and optimized treatment plans. In addition, the latest nonoperative biologic treatments are available, including ultrasound-guided bone marrow aspirate concentrate (BMAC) and platelet rich plasma (PRP) injections. If surgery is necessary, the new state-of-the-art facilities at the McGivney Advanced Surgery Center in New Haven allow our surgeons to provide the highest level of surgical care to our patients. Our surgeons are able to view intraoperative 3D models to execute precise and patient-specific care to provide the best outcomes. Postoperatively, our hip preservation team surgical team works closely with physical therapists on validated and tailored regiments. This collaboration allows for individualized treatment plans to optimize recovery and return to function. The main purpose of the dynamic and multidisciplinary hip preservation team is to help our patients achieve their goals.

Spondyloarthritis is a group of inflammatory diseases affecting the spine and joints that affects about 2.7 million Americans, or nearly one in every 100 individuals. Disorders in this group include ankylosing spondylitis (also known as axial spondyloarthritis, or axSpA), psoriatic arthritis, arthritis related to Crohn's disease and ulcerative colitis, and reactive arthritis. The most common symptom is chronic low back pain; patients can also have pain and swelling of joints, tendonitis, heel pain, psoriasis, and inflammatory disease of eye called iritis, or uveitis. The Yale Spondyloarthritis Program was established in February 2019 to provide comprehensive care to patients with spondyloarthritis and to conduct research aimed at finding treatment strategies and discovering biomarkers for early and accurate diagnosis and management. Our program provides coordinated care in a wide range of specialties related to Spondyloarthritis. Our team of experts includes rheumatologists, a physical therapist, rehab medicine specialist, spine surgeon, pain specialist (for musculoskeletal disease), as well as dermatologists, a gastroenterologist, ophthalmologist, psychologist, nutritionist, and cardiologist. In addition to providing clinical care, our program emphasizes patient education, support, and involvement. We provide beginner- and advanced-level patient education and offer a patient support group. Our patients are also able to participate in clinical trials. Our team is committed to improving early diagnosis of axial spondyloarthritis—despite the availability of effective medications, patients experience back pain, disability, and poor quality of life due to delayed diagnosis and lack of timely referrals. In fact, the average delay in diagnosis of axSpA is 8 to 11 years. We seek to improve awareness and early diagnosis through education campaigns that include lectures, group discussions, and social media directed at non-rheumatology physicians.

The orthopaedic surgery team is dedicated to improving function in patients of all ages who have been injured, developed a problem such as arthritis, or who were born with a bone or joint problem. Although there are standard ways of treating some of these problems, our team can more precisely address many orthopaedic issues with the use of 3-D modeling and virtual surgical planning using 3-D printed, patient-specific surgical guides. To find out more about this program, please fill out a brief survey . We have orthopaedic surgical specialists who are currently using 3-D technology to correct spinal deformity, post-traumatic mal-unions of long bones, congenital upper and lower limb deformities, complex joint replacement surgery (for hips, knees, shoulders, and elbows) and mal-alignment of joints and bones. We work closely with engineers, radiologists, and cutting-edge medical companies who assist in deploying this technology for our patients. Patients that have complex orthopaedic problems are evaluated by our specialists. If the problem is amenable to treatment with custom 3-D surgical correction techniques, a specialized high-resolution CT or MRI scan is obtained focusing on just the injured side (if only bone models are needed) or of the injured and non-injured analogous body part if virtual surgical planning and intra-operative patient specific guides are necessary. Using the data in the CT or MRI scan, a unique 3-D model is built on the computer using specialized image processing software. The 3-D models are then used to study the deformity/injury in detail prior to the actual surgery. The planning is completed with the surgeon and biomedical engineer working together to manipulate the images on a computer to plan the necessary cuts or bone excision to correct the deformity. Surgeons are able to make certain that the bones are corrected and straight, joints can bend and extend, and muscles and nerves are properly positioned. Patient specific guides are then printed in 3-D for use in the operating room during surgery, so that the virtual model can be replicated in the surgery for precise correction of each patient’s problem. These techniques have been shown to decrease surgical time and blood loss, as well as provide a more precise correction of the problem.

From consultations with parents-to-be, to follow-up appointments with young adult patients, our pediatric neurosurgery specialists offer the most advanced medical care available, along with compassionate understanding and support for patients with pediatric neurosurgical conditions. Our reputation for surgical excellence combined with our understanding of the special needs of children and families who live with neurological diseases rank us among the finest Pediatric Neurosurgery sections in the country. In addition, the Yale New Haven Children's Hospital is the only hospital in the state to have a dedicated Pediatric Intensive Care Unit (PICU), providing the highest level of care to children with neurological conditions. We provide comprehensive services to infants, toddlers, school-age children, adolescents, and young adults for common problems including: Hydrocephalus Brain and spinal cord tumors Spina bifida Craniofacial disorders (i.e., craniosynostosis) Brain or spine trauma Our pediatric neurosurgeons work closely with each other, as well as with an interdisciplinary team that includes orthopaedists, urologists, neurologists, radiation oncologists, neuropathologists, adult neurosurgeons, physical therapists, occupational therapists, and social workers. Our full-time pediatric advanced practice nurse participates in all aspects of the child’s care and carefully coordinates evaluation and treatment appointments to make the process as convenient and timely as possible. Our operating facilities are designed for children, and our nursing units are arranged by age. Often, a family’s first contact with us takes place when they learn their unborn baby has a congenital abnormality of the central nervous system such as hydrocephalus or spina bifida. We provide counseling for these parents to help them understand how these conditions might affect the lives of children and their family members. Yale pediatric neurosurgeons were pioneers in the use of endoscopes (tiny fiber optic cameras) to treat hydrocephalus surgically, making it possible to bypass the obstruction and restore normal fluid flow. The procedure, called endoscopic third ventriculostomy, is a safe and effective treatment option. Our pediatric neurosurgeons also team with plastic surgeons to treat craniosynostosis, which affects the shape of the head. We re-contour the bones of the skull and re-secure them in such a way that symmetrical growth can occur. For brain tumors, we offer such specialized treatments as stereotactic radiosurgery (Gamma Knife surgery). We also offer electrocorticography and cortical mapping. These are techniques to identify areas of the brain that are critical to movement, feeling, memory, and speech so surgeons can remove as much of the tumor as possible without disturbing critical areas of the brain.

Yale’s Department of Surgery is a premier center for adult and pediatric surgical treatment, providing comprehensive care for a full range of conditions and diseases. To ensure that our patients experience shorter hospital stays and less postoperative discomfort, we employ the latest technologies and surgical techniques, and perform minimally invasive surgery whenever possible. Our renowned surgeons and faculty continue to push the frontiers of surgical science through innovative treatment and leading-edge research, with the ability to offer treatment options that can be difficult to find elsewhere. More state-of-the-art surgical suites at Yale New Haven Hospital than in any other hospital in the region Collaboration with the Yale Department of Biomedical Engineering and with industry to develop 3-D bioprinting for the regeneration, repair, and replacement of human tissue and vessels Nationally recognized Center of Excellence and designated training center for transcatheter aortic valve replacement (TAVR) Yale’s Endocrine Neoplasia Laboratory is an internationally renowned multidisciplinary research group in which surgeons work with endocrine geneticists to decipher the molecular genetics of endocrine tumor disease First program in Connecticut to offer three different minimally invasive bariatric surgical techniques: Roux-en-Y gastric bypass, LAP-Band® surgery, and laparoscopic sleeve gastrectomy

At Yale Medicine Neurosurgery, we care for adults and children with neurological disorders of the central and peripheral nervous system. These types of conditions affect the brain, spinal cord, and nerves which send messages from brain to the rest of your body. Our team is comprised of highly trained surgeons, researchers, and clinicians who are all focused on delivering expert care for conditions related to the brain and spine. Each neurosurgeon on our team has extensive training in their respective areas of neurosurgery. Conditions we treat include: All types of primary brain tumors, including gliomas, glioblastomas, and meningiomas Brain and spine trauma Cerebrospinal fluid disorders (such as normal pressure hydrocephalus) Epilepsy Metastatic brain, spine, and spinal cord tumors Movement disorders (including Parkinson's disease and tremors) Neurovascular disease (aneurysms, arteriovenous malformations, ischemic and hemorrhagic stroke, and carotid artery stenosis) Pain disorders (such as trigeminal neuralgia) Pediatric and congenital disorders (including hydrocephalus, craniosynostosis, spina bifida, and congenital spine deformities Peripheral nerve syndromes (such as carpal tunnel syndrome) Pituitary tumors (adenomas) Spasticity (including multiple sclerosis) Spinal disorders (such as herniated disks, stenosis, and scoliosis)