Our Office Serving Castle Point, New York

Patients in the Greater New York area, Castle Point can trust New York Spine Institute with high-quality care. Our experienced back and neck specialists will give you the expert care you expect. All of our physicians and staff want to improve your health.

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Spine Surgery & Care In Castle Point, NY

There are various types of potential spine disorders including fractures, herniated or diseased discs, infection, and injury. Most people who experience any of these disorders complain of neck and back pain. When our Castle Point patients come to New York Spine Institute, we can help you medically pinpoint the cause of your discomfort. Then, we only use advanced and proven back and neck pain treatments so you can get back to your normal life.*

Back and cervical (neck) surgery is only needed for a small number of our patients including individuals who have tried conservative treatment and did not find it benefited them. In the majority of cases, the operations our spine surgeons perform is to relieve the merciless pain caused by pinched nerves or loss of function from spinal cord compression or mechanical instability of the spine.

Types of Spinal Surgeries we offer our Castle Point patients:

At New York Spine Institute, our Castle Point patients will receive medical care from board-certified orthopedic surgeons with a specialization in spine surgery and with advanced training in the bone and neurological disorders of the spine. Our experienced surgeons have helped many patients throughout the Greater New York City area defeat their back pain with effective back pain treatment to return to their normal level of function and get back to their lives.

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

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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.

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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.

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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.

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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.

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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.

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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 Serving Castle Point

There are different types of scoliosis, ranging from common idiopathic and degenerative causes to less common congenital and iatrogenic ones, and the experts at New York Spine Institute treat them all. We offer complete neck and back pain treatment for pediatric and adult scoliosis conditions affecting patients in Castle Point, NY, which makes us one of the premier centers for scoliosis treatment in the country. Our multidisciplinary approach for these complicated spinal deformities allows them to be diagnosed and treated at the same location.*

Surgery may not be required for every patient with scoliosis, but if it is our Castle Point patients can rest assured they will be treated by world-renowned and experienced spine surgeons who consistently perform these procedures at a nationally ranked institution, NYU Hospital for Joint Diseases.* Our expert neck and back surgeons have given lectures across the world and written multiple publications on scoliosis and its treatment. You can find more information about scoliosis in our Spine 101 section.

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Orthopedic Care

Castle Point patients deserve access to the best possible orthopedic care. That is why we, at the New York Spine Institute have teamed up with exceptional orthopedic surgeons who are successful in the fields of orthopedic surgery and orthopedic sports medicine.

Our New York Spine Institute spine specialists are here to ensure that Castle Point patients receive the highest quality care, which spans from all aspects of orthopedic and spinal medicine.

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

The addition of an orthopedic division has allowed our center to provide a shared team approach. This approach is utilized for all planned surgeries and emergent, same day medical needs at our various locations and affiliate hospitals. Our shared perspective is what allows our renowned pain management program to provide such exceptional levels of care to our Castle Point patients. We are ready to provide care for a wide range of injuries and diseases of the musculoskeletal system.

Our orthopedic surgeons serving Castle Point are understanding and kind professionals. We understand every patient is unique. We are here to listen to your questions on concerns. Our professionals can tailor consultations and treatments to meet the needs of our patients. Exceptional orthopedic care, where patients feel comfortable is of the utmost importance. Our top of the line treatments and expansive knowledge will help Castle Point patients take back their health.

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Diagnosis Of Your Back Pain

Our Castle Point patients are urged to visit New York Spine Institute when their back or neck pain becomes chronic, intense, or interferes with your normal, daily activities. As there are many complex spine disorders, only a person trained to treat the intricacies of the spine can accurately diagnose your individual spine problem as well as recommend a treatment plan customized for your needs. Only once our experts have taken the appropriate measures and time to get a definitive diagnosis will they offer you all the appropriate treatment options for your situation.

We understand all of our patients are individually different and so we customize treatment to better help them manage their spinal problems. With a wide range of spinal disorders, there is also a wide range of treatment options as well.

We don’t believe one size fits all here at NYSI, so two people 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 person.

The first step will be our experienced physicians performing a complete evaluation to find the exact cause of your neck or back discomfort. We aim to listen to you and test carefully to ensure we diagnosis you correctly and offer the appropriate treatment plan. We want our patients to receive the treatment that will benefit their unique disorder and surgery is not always the best option for every situation. Many patients often benefit from no surgical treatments. Our first choice, whenever possible, is to offer you a non-surgical option to relieve your pain.

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Pain Management

Advanced pain management in Castle Point from a fellowship-trained back and neck specialist. The majority of Americans will experience some form of pain during their lives. When you do, you will want to understand the treatment available.

Treatments we offer in Castle Point, 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...

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 highly recommend them to anyone with back issues.

—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...

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 choose the right doctor. I Went to see Dr. Passias with 5 herniated discs, pain in neck, shoulder, arm and tangles fingers.
Dr. Passias gave me the time to explain and tell him all what I feel about my pain and he was lesson to all off it he makes me feel friendly
He is the doctor I can trust
He take the pain away from me
GOD BLESS Him

—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...

“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 someone goes through so much injury and trauma and then in turn, feels like I do. If you can just meet one doctor, please meet Dr. de Moura.”

—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...

“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 and S1. This was a ten-hour procedure. I exceeded both Dr. Macagno and the hospital staff expectations. Instead of walking a few steps, I easily walked the full length of the hospital halls and climbed stairs almost immediately after surgery. I am so happy to have met Dr. Macagno. I sing his praises every day and I always post on social media about how amazing I am doing every year on the anniversary of my surgery.”

—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...

“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 careful supervision of my recovery were a strong indication of the genuine concern you have for me. During my later years, I’ve had numerous associations with doctors and a variety of experiences. I can honestly say that I could not have received better treatment than I received from you.”

—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...

“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 to your reputation. My friend was right: You’re very good at what you do. Thanks again, and although you’re a very nice man, I hope never to have to see you again.”

—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 ...

“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 be at my side if and when surgery becomes necessary. You are a fine physician giving to those in need.”

—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...

“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 clients was treated there (I am a personal injury attorney). He had a terrific recovery and I credit Dr. de Moura and his staff with that.”

—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...

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 Dr. V and the world for patients with pain would be a much better place. I haven’t had a Dr this great since Dr de Mourra who did my surgery In 2013. Thank you Dr de Mourra for referring me to a pain management dr who really cares for my needs as his patient. It has been a tough road . I can now honestly say the road I travel now as a pain patient is much smoother and manageable. Thank you Dr v and NYU.

—Chrissy

—Eleanor Morgan

Physical Therapy

If you have been searching for treatment for your injury, you may have heard the terms minimally invasive and non-surgical rehabilitation. At NYSI, these words are not just medical jargon, but the only option for recovery. Effective musculoskeletal and orthopedic fitness can be overlooked by those who have suffered a back injury or lead hectic lifestyles that put added strain on their back. Patients who wish to access world-renowned, expert care in Castle Point, NY can now come to New York Spine Institute’s licensed physical therapist – Michael Friar, D.P.T.

When patients have injuries or impairments, physical therapy is used to increase mobility and movement, decrease pain, restore function and prevent disability.* We help our Castle Point patients achieve this with modalities, active and passive stretching, engaging in an exercise program and manual therapy. Our patients are taught proper body mechanics, postural awareness and home exercise programs to maintain their current condition and to avoid making anything worse in the future.

New York Spine Institute has many weight machines to help improve strength, as well as cardio apparatuses for endurance training. Our patients in Castle Point are evaluated by a licensed physical therapist to establish their current level of function, pain intensity and restrictions with their activities of daily living. Michael Friar, D.P.T. will discuss your treatment options available with you based on the initial findings and set attainable goals in agreement with the patient to create a regiment that will yield the best results.

Imaging Services For Castle Point Patients

Magnetic Resonance Imaging (MRI) is useful for many kinds of diagnostics. It is safe and noninvasive and helps NYSI to keep its mission of treating patients with the utmost comfort. The digital radiology department allows our expert radiologist to evaluate images for bone and soft tissue anatomy. NYSI diagnostic imaging provides customized, individual care as well as world-renowned diagnostics.

New York Spine Institute offers up-to-date diagnostic imaging: a high field short bore 1.5T MRI system and Digital Radiography (DX) x-ray for our patients in Castle Point.

The high field short bore 1.5T MRI system supports many types 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.*

The brand new GE 1.5T system of New York Spine Institute provides our spine doctors with high quality, detailed pictures of anatomy and pathology to help evaluate many types of musculoskeletal disorders.

Magnetic Resonance Imaging (MRI) has proved to be very valuable for diagnosing a wide range of conditions. It is a safe, painless, non-invasive exam that uses magnetism and radio waves to produce detailed images used to evaluate various parts of the body and determine if certain diseases are present, those which may not be visible with other imaging methods such as x-ray, ultrasound or CT (Computed Tomography).*

We strive to treat each patient with care and comfort that makes each individual feel relaxed. We provide a relaxing and calming environment with your choice of music, earplugs and a sleeping mask to make you feel like you’re at home.

Our location also has a digital radiography department. Using digital radiography, the images are digitized so the radiologist can evaluate bone and some soft tissue anatomy, which can be used for diagnosis. We also provide Long Length Imaging (LLI) for proper scoliosis evaluation.

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

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Providing Our Castle Point Patients The Care They Need

Our best in class, Castle Point back pain & neck pain diagnosis & surgery practice, New York Spine Institute, is eager to provide our patients with individualized and complete neck and back care. Our patients trust and respect the neck and back doctors at our spine surgery practice in greater New York City. Feel free to contact the back & neck pain diagnosis and spine surgery specialist today to discuss your personal condition, whether it be back pain or neck pain, and get yourself back on your feet.

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