Spine and Orthopedic Surgeons in Balmville, NY

Comprehensive care for spine surgery, scoliosis treatment, back pain treatment & physical therapy.

Our Office Serving Balmville, New York

If you are seeking the highest quality spine care in the greater New York area including in Balmville, NY then New York Spine Institute is for you. Our physicians with decades of experience will give you expert care. The quality care you will receive is part of our physicians’ mission to improve your health and quality of life.

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Spine Surgery & Care In Balmville, Ny

Fractures. Herniated or diseased discs. Infection. Injury. These are only some of the wide variety of spine disorders. Although these disorders are different, they all result in the same experience: back or neck pain. If you experience this pain and don’t know where to start to find the cause of it, not to fret. At New York Spine Institute in Balmville, we can help take the mystery out of your back pain using modern diagnostics. Following that we offer advanced, effective treatments to help you get the relief you need.*

Only after conservative treatment has failed do we believe spine surgery, including back or cervical (neck) surgery, is appropriate and this only includes a small number of patients. The majority of individuals who receive surgery have constant pain pinched nerves or loss of function due to spinal cord compression or mechanical instability of the spine and our surgeons work to correct their pain.

Types of Spinal Surgeries we offer our Balmville patients:

When you visit New York Spine Institute, your medical care will be directed by board-certiﬁed orthopedic surgeons with specializations in spine surgery and with advanced training in the bone and neurological disorders of the spine. You can know you are receiving top quality care because thousands of patients in Balmville and Greater New York City have trusted our back and neck surgeons to help treat their pain and get them back to their normal lives. What we think is the most important is that our back specialists and staff give you respect, patience and understanding by taking the time to understand your individual situation, to explain your condition and your treatment in terms you can understand, and to address all your questions.*

The Founder of NYSI Alexandre B. de Moura, MD, FAAOS

Dr. Alexandre de Moura

Trusted by Patients and Peers

Patients know him for his empathy and confidence. Physicians refer to him for his judgment and results. Dr. de Moura has built his reputation on trust, precision, and outcomes that truly change lives.

Early Inspiration

Dr. de Moura's path began with his father—a pioneering orthopedic surgeon whose legacy deeply shaped his passion for spinal care. From a young age, he witnessed how expert hands and compassionate care could transform lives, setting the foundation for a lifelong mission.

World-Class Training

Dr. de Moura received elite surgical training at some of the nation's top institutions, gaining the technical skill and clinical insight needed to treat the most complex spinal conditions. His background combines academic excellence with hands-on expertise.

Founding NYSI

In 2000, Dr. de Moura founded New York Spine Institute to bring comprehensive, multi-specialty care under one roof. His vision was clear: make world-class spine care accessible, coordinated, and deeply patient-focused.

20+ Years of Experience

With over two decades of specialized practice, Dr. de Moura has performed thousands of procedures and guided countless patients through recovery. His deep experience allows him to deliver not just treatment—but true transformation.

Specialist in Complex Spine Conditions

From scoliosis to spinal deformities and degenerative disorders, Dr. de Moura is known for handling the cases others refer out. He's not just a surgeon—he's a problem solver, often sought out when options feel limited.

Premier scoliosis Treatment Center of Balmville

Whether you have scoliosis with common idiopathic and degenerative causes or less common congenital and iatrogenic ones or anything in between, New York Spine Institute can help treat you. Since we are one of the premier centers for scoliosis treatment in the nation, both adult and pediatric patients in Balmville, NY can benefit from our comprehensive care for scoliosis conditions. Our approach is multidisciplinary and comprehensive allowing expedited diagnosis and treatment at a single location for these complex spinal deformities.*

Not all scoliosis conditions will require surgery, but Balmville scoliosis patients that would benefit from surgery can rest assured they are taken care of by world-renowned and experienced spine surgeons who commonly perform these procedures at a nationally ranked institution, NYU Hospital for Joint Diseases.* Lectures have been given by our back surgeons throughout the world and they have authored multiple publications about scoliosis and its treatment.

Orthopedic Care

Some of the world’s leading orthopedic surgeons are partnering with the New York Spine Institute to make sure every patient is taken care of with the highest quality possible. Our doctors are expertly trained in orthopedic surgery and orthopedic sports medicine so any Balmville, NY patient can recover from an injury or infection in the musculoskeletal parts of their body.

Some of the Orthopedic surgeries we can perform:

ACL Reconstruction
Ankle Repair
Carpal Tunnel
Debridement
Hip Surgery
Knee Arthroscopy
Microsurgery
Revision
Rotator Cuff Repair
Shoulder Arthroscopy and Decompression
Shoulder Surgery
Soft Tissue Repair
Trigger Release

Through the work our team implements in our medical offices, any planned or emergent surgeries can be performed at multiple NY Spine locations and any affiliate hospitals. We have a great pain management plan for all of our Balmville clients that can be used to recover from any of the above procedures. We work to adapt to any situation our patients need, and work to make each individual feel as comfortable as possible. We personalize our orthopedic care for our patients in order to improve your quality of life. NY Spine works to provide exercises to use day-to-day at home, not just in our offices, so you can reclaim your life after our orthopedic treatments.

Diagnosis Of Your Back Pain

You are advised to visit the New York Spine Institute serving Balmville when your back or neck pain becomes chronic, intense, or interferes with your normal, daily activities. While other doctors may try to provide you with an accurate diagnosis and appropriate treatment plans, only someone trained in the intricacies of the spine can diagnose and treat you properly. Only when we have fully evaluated your problem and know a definitive diagnosis, we offer our patient’s treatment options ranging from non-operative to surgical.

As there is a wide variety of spine disorders, they affect individuals differently and each must be managed differently especially with the variety of treatment options. In fact, two patients with the same spine disorder will be managed differently because of differences in the severity of symptoms and other medical factors that are unique to each individual.

When you see the spine doctors at New York Spine Institute, you are thoroughly analyzed to find the exact cause of your pain. We carefully listen to your situation and test completely before we diagnose and recommend any sort of back or neck pain treatment for your unique disorder. Although our practice is considered surgical, we don’t always opt for surgery as the first option. Many times, our patients benefit from conservative, non-surgical options which are often our first choice.

Pain management

Advanced pain management in Balmville from a fellowship-trained neck and back specialist. Most American adults will eventually experience some form of pain. If this includes you, you’ll want to know how to treat it. Treatments we offer in Balmville, NY include:

Injection therapies
Radiofrequency procedures
Spinal cord stimulation
Intrathecal device implementation
State-of-the-art fluoroscopy and endoscopy for great accuracy and precision
Ketamine infusion therapy for the treatment of neuropathic pain syndromes such as CRPS

Each of our specialists has expertise in the latest diagnostics, medical treatments and advanced technologies in nearly every pain-related condition.*

What Our Patients Have To Say Real Patient Testimonials

Dr. Roberts is the BEST and that’s my personal opinion. He is very hands on, compassion and understanding. I highly recommend his services.

—Anna Thomas

I worked with Dr. Macagnau and he was amazing! Extremely friendly and funny to match his knowledge and guidance with my injury. The rest of the staff was no different, I would high...

—Juan Rolon

Dr. Passias is a very knowledgeable modern spine surgeon.
not only is he the brightest in his field, he’s the future for this kind of surgery Made me feel comfortable that I ch...

—Mohamed Haridy

“If I can help one person and say you’ll make it through this, go to them, they will help you. I would help you to let you see what it is like on the other side of the fence when s...

—Annette

“I was having severe chronic back pain daily. This went on for almost fifteen years. As soon as I met Dr. Macagno I said, “that’s the guy.” I eventually had a spinal fusion L4/5 an...

—Gregg

“My reason for writing to you is to express my appreciation for the concern and encouragement you gave me following my surgery. Your visits to me early in the morning and your care...

—L.B.

“Please accept my sincere gratitude for helping me overcome a very serious back problem that I’d had for many years. You were highly recommended to me, and you certainly lived up t...

—J.B.

“I want to thank you from my heart for all you’ve done for me at such a difficult time in my life. You gave me your time and your confident recommendation, and you even offered to ...

—K.F.

“Dr. Macagno is the Best doctor! Professional and compassionate. Honest and knowledgeable. Worth every star and about 10 more!!!”

—M.C.

“Dr. Alexandre de Moura and New York Spine Institute are absolutely wonderful! I have personally seen the level of personal care and dedication when one of my seriously injured cli...

—A.Z.

Dr.v is a great doctor !!! From day one he has accessed and managed my pain while acknowledging me not only as his patient but as a person as well. Every Dr office should have a...

—Chrissy

—Eleanor Morgan

Physical therapy

Minimally invasive and non-surgical rehabilitation is more than just word you hear now and then while searching for treatment for your injury. Those who have suffered a back injury or lead busy lifestyles that put a strain on their back may not realize the importance musculoskeletal and orthopedic fitness is to their recovery. Patients who are in need of world-class care in Balmville, NY can rest assured they are in the hands of New York Spine Institute’s licensed physical therapist – Michael Friar, D.P.T.

At NYSI, we use physical therapy to encourage mobility and movement, decrease pain, restore function and prevent disability in patients with injuries or impairments.* We help achieve this with the use of modalities, active and passive stretching, an exercise program, and manual therapy. Our experts teach patients proper body mechanics, postural awareness, and home exercise programs to maintain their current condition and to avoid making anything worse. New York Spine Institute has many weight machines to help patients improve strength.

We also have cardio apparatuses for endurance training. Our patients in Balmville will receive a complete evaluation from a licensed physical therapist to determine their current level of function, pain intensity and restrictions with their activities of daily living. Michael Friar, D.P.T. will discuss the treatment options available to you in terms you can understand based on the findings from the evaluation and come to an agreement with you about obtainable goals that will yield the best results for your recovery.

Imaging services For Balmville Patients

Magnetic Resonance Imaging (MRI) is used by many doctors for diagnosing a variety of conditions. Its benefits include that it is safe and noninvasive, and it helps NYSI to be dedicated to treating patients with comfort. Our digital radiologist can use this imaging to analyze for bone and soft tissue anatomy. When you receive diagnostic imaging at NYSI, we provide customized care with state-of-the-art diagnostics.

New York Spine Institute provides our patients in Balmville state-of-the-art diagnostic imaging: a high field short bore 1.5T MRI system and Digital Radiography (DX) x-ray.

The high field short bore 1.5T MRI system supports a wide range of clinical applications including but not limited to MRI’s of the Spine, Brain, Abdomen, Pelvis, Shoulder, Knee, Hip, Elbow, Wrist, Hand, Ankle and Foot.*

New York Spine Institute’s newest GE 1.5T system lets our back and neck doctors work with high quality, detailed pictures of anatomy and pathology to assist in evaluating a wide range of musculoskeletal disorders.

Magnetic Resonance Imaging (MRI) has become very valuable to physicians for diagnosing a wide variety of conditions. It is a safe, painless, non-invasive exam that utilizes magnetism and radio waves to create detailed images. These images are then used to evaluate various parts of the body and detect the presence of certain diseases which may not be visible with other imaging methods such as x-ray, ultrasound or CT (Computed Tomography).*

Our primary mission is to make sure each patient receives individualized care and comfort. We ensure your environment is relaxing and calming while you receive your choice of music, earplugs and a sleeping mask to make you feel at home.
Our location serving Balmville also has a digital radiography department. Using digital radiography, the images we acquire are then digitized so the radiologist can analyze bone and some soft tissue anatomy in order to diagnosis your specific disorder. We also provide Long Length Imaging (LLI) for proper scoliosis assessment.

*The effectiveness of diagnosis and treatment will vary by patient and condition. New York Spine Institute does not guarantee certain results.

Providing Our Balmville Patients They Care The Need

Our world-renowned back pain & neck pain diagnosis & surgery practice serving Balmville, New York Spine Institute, is privileged to offer you comprehensive care that is completely customized for each individual patient. We take pride in being a spine surgery practice in greater New York City patients can trust and respect. Contact the back & neck pain diagnosis and spine surgery specialist today to discuss your individual condition, whether it be back pain or neck pain, and get towards recovery.