Do you have neck or back pain? Is it interfering with your day-to-day life and making things difficult? We can help you. New York Spine Institute in Vails Gate, NY has some of the best spine and neck specialists in the Northeastern United States. Not only are they experts in their field, but they are also kind, patient, and caring. Every single one is ready to listen to your concerns and help you with any of your spine needs.
SPINE SURGERY & CARE IN VAILS GATE, NY
Many people experience back and neck pain without knowing the direct cause of it. This pain may be caused by a variety of spine disorder including fractures, herniated or diseased discs, infection, and injury. When you come to New York Spine Institute, we can help you narrow down the exact cause of your pain by using modern diagnostics. Following this, we provide advanced, proven treatments to give you the relief you are looking for.*
Spine surgery is one of the treatment options we provide, but this is only appropriate for a small percentage of individuals. These individuals typically include those whose conservative treatment has failed that have constant pain from pinched nerves or loss of function due to spinal cord compression or mechanical instability of the spine.
Types of Spinal Surgeries we offer our Vails Gate patients:
Your medical care will only be directed by a board-certified orthopedic surgeon specialized in spine surgery and with advanced training in the bone and neurological disorders of the spine while you’re here at New York Spine Institute. Many patients throughout Vails Gate and Greater New York City have trusted our back surgeons to provide treatment to defeat their back pain so they can return to their normal level of function. Our back specialists and extended staff also give you the respect, patience, and understanding you expect by taking the time to get to know you, to explain your condition and treatment, and address any questions, and we consider this just as important.*
The Founder of NYSI Alexandre B. de Moura, MD, FAAOS
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 Serving Vails Gate
We treat a wide range of scoliosis patients and conditions. Whether your scoliosis is the common idiopathic or congenital and iatrogenic sort, we can treat it. We also even have pediatric as well as adult care. Regardless of your path, you can be sure that your doctor will offer you a multidisciplinary and comprehensive approach.
But if you do need spine surgery for your scoliosis, then New York Spine Institute in Vails Gate is the place to go. All of our spine surgeons are experts in their field. They have all lectured throughout the world and authored multiple scholarly publications regarding spine disorders. They also regularly perform surgeries at nationally-ranked hospitals like The NYU Hospital for Joint Diseases.
ORTHOPEDIC CARE
At the New York Spine Institute our team of dedicated spine specialists have partnered with world-class orthopedic surgeons who are known in the industry for their expertise in orthopedic surgery and orthopedic sports medicine. Working together, our team strives to provide the most comprehensive care for our Vails Gate patients.
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
We offer a unique approach to all our planned surgeries and take pride in providing same day medical services to patients at our many locations and our affiliate hospitals. We offer customized pain management programs for patients who may suffer from a musculoskeletal disease. Our premier pain management program is one that patients and families can trust.
We make sure to be understanding of every patient’s unique situation. Your consultation and treatment plans will be unique to your needs. We offer high quality orthopedic care through the use of renowned experts and the newest technology for Vails Gate patients in need.
Neck pain and back issues can be a major detriment to your life and cause you to feel hopeless. We know you want to have your pain fixed as soon as possible – medically and accurately. Only doctors like ours can understand the intricacies of the neck and spine and provide appropriate solutions. After you tell our neck and back surgeons about your symptoms, they will be able to diagnose you. Then, they will present you with customized treatment for your back or neck pain. That way, you can be on your way to recovery in no time.* We only use science, medicine, and best practices as our guide.
When you come to us, we’ll take all of your life factors into account before prescribing any condition. We know that everybody is different, what works for one person may not work for you.
You could even have people with identical disorders and symptoms that require two different treatment options.
Our back specialists in Vails Gate, NY are known for their expertise and kindness. They will always carefully review your medical history, symptoms, and experiences. They also will never make any diagnoses or recommendation without testing you thoroughly and completely. They want to make sure they get the full story. And while we are a surgical practice, we do not always favor neck or back surgery. Whenever we can, we will always recommend the non-surgical option first.
PAIN MANAGEMENT
Receive advanced pain management in Vails Gate from a fellowship-trained specialist. If you are one of the millions of American adults who suffer from chronic back pain, you probably want to know about your treatment options in helping you with your condition.
Treatments we offer in Vails Gate, 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.
Generally speaking, most people want a procedure that is both minimally invasive and non-surgical. Physical therapy in that case, is often a perfect choice. And thankfully, our patients in the Vails Gate area now have access to our world-class licensed physical therapist – Michael Friar D.P.T.. Physical therapy is designed to help decrease pain, restore function, and prevent disability.
If you have an injury or impairment, physical therapy also may aid in the recovery of it. Exercises are varied but typically are centered around stretching, modalities, and manual therapy. Patients also work on proper body mechanics and postural awareness. They even receive a home-based routine that they can practice on their own. Our patients have access to our weight machines when you’re at our offices.
The first step in our process is an evaluation by one of our licensed physical therapists. They will assess your current level of function and pain intensity. They will also consider your lifestyle and what treatments may be best suited for it. Then, our resident Michael Friar, D.P.T. will suggest treatment options available to the patient. When we prescribe treatment, we always strive to set realistic goals for your life.
IMAGING SERVICES FOR VAILS GATE PATIENTS
The Magnetic Resonance Imaging (MRI) machine was invented in 1977 and has since revolutionized medical practices everywhere. It is a useful, non-invasive, and safe way to help diagnose conditions. Our MRI machine gives our doctors the tools that they need to analyze your bones and soft tissue anatomy.
Our office in Vails Gate has state of the art and technologically advanced diagnostic tools. In addition to our 1.5 MRI system, we also have a Digital Radiography (DX) x-ray. Our high-field short bore 1.5 MRI system supports many clinical situations. We can do MRI scans of the spine, brain, abdomen, pelvis, shoulder, knee, hip, elbow, wrist, ankle, and even the foot! New York Spine Institute’s brand-new GE 1.5 system will also provide our physicians with their best images yet. With this system, our doctors will be able to see high-quality and detailed pictures of your condition. That way, they can try to more accurately diagnose and eventually treat your back pain.
Magnetic Resonance Imaging (MRI) uses magnetism and radio waves to produce detailed images of the body. It is extremely safe, non-invasive, and helpful to physicians. Many times, an MRI scan will pick up the presence of a certain disease when other tools such as x-rays cannot. We want you to feel comfortable and confident in our office. We know that doctor’s visits can be scary but we don’t think they should be. That is why we have made our office in Vails Gate as “homey” as possible. We have relaxing music, earplugs, and even sleeping masks. We care about our patients and want to make sure that they are comfortable.
New York Spine Institute of Vails Gate is even outfitted with its own digital radiology department. In this part of our practice, the images are digitized and radiologists can analyze bone and soft tissue. As part of this, we also offer 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.
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