New Jersey’s Leading Orthopedic Spine Specialists

One Expert Team. One Simple Plan.

Institution-Level Spine Care With a Personalized Approach

Independent and Patient-First Care

As a privately operated practice, NJSA is not bound by hospital systems or corporate oversight. This allows every decision—from diagnosis to treatment—to focus entirely on what is best for you. It is care that is tailored to your needs, without outside influence or unnecessary barriers.

Comprehensive Spine and Orthopedic Care

Spine conditions often require a coordinated approach across specialties. At NJSA, orthopedic surgeons, pain management specialists, and rehabilitation providers work together to guide your care. This integrated model ensures a streamlined experience from evaluation through recovery.

Advanced Expertise in Spine Surgery

Spine surgery demands precision, experience, and trust. At NJSA, our surgeons bring extensive training and a track record of successful outcomes across a wide range of procedures. Patients can feel confident knowing they are receiving care from specialists focused on safety and long-term results.

The Founder of NYSI & NJSA 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.

EXPERTISE. PRECISION. RESULTS. Award-Winning Spine Care from New Jersey’s Leading Specialists

Our team at New Jersey Spinal Associates, an affiliate of New York Spine Institute, delivers exceptional care with a focus on precision and patient outcomes. We work closely with your physicians to ensure that every treatment plan aligns with your medical history and needs. From conservative care to advanced surgical solutions, our collaborative approach is designed to support long-term results. From your initial consultation through recovery, you can trust your care is guided by experienced spine specialists.

Dr. de Moura

Orthopedic Spinal Surgeon

Read Dr. de Moura’s Bio

Dr. Desai

Orthopedic Spinal Surgeon

Read Dr. Desai’s Bio

Dr. Roberts

Orthopedic Spinal Surgeon

Read Dr. Roberts’s Bio

Meet All Medical Staff

An Introduction to NYSI

Multi-Specialty Care

Inside Surgical Spine Treatment

Alternatives to Surgery: Your Non-Invasive Options

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Our top priority? Your quality of life.

New Jersey Spinal Associates, an affiliate of New York Spine Institute, is a trusted resource for patients experiencing spine and orthopedic conditions in New Jersey. Our team brings extensive experience and a commitment to delivering care with precision and compassion. With a broad range of specialties, patients benefit from effective, long-term solutions tailored to their condition. Our approach ensures comprehensive care designed around each patient’s specific needs.

We provide orthopedic, neurosurgical, and spine care supported by advanced techniques and modern technology. Our team is focused on delivering thoughtful, evidence-based treatment options that prioritize long-term outcomes. From diagnosis through recovery, every step is guided by experienced specialists dedicated to improving your overall quality of life.

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Comprehensive Care, Seamlessly Delivered Everything you need in one, coordinated place

Spine Surgery & Orthopedic Care

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Neurologic & Spine Care

Pain Relief & Management

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Rehabilitation & Physical Therapy

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Second–and Final–Opinions

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How can we help you?

Suggestions

In Their Own Words

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

M.C.

“Please accept my sincere gratitude for helping me overcome a very serious back problem that I’d had for many years.”

J.B.

“I sing his praises everyday and I always post on social media about how amazing I am doing every year on the anniversary of my surgery.”

“I worked with Dr. Macagnau and he was amazing! Extremely friendly and funny to match his knowledge and guidance with my injury.”

J.R.

“I want to thank you from my heart for all you’ve done for me at such a difficult time in my life. You are a fine physician giving to those in need.”

K.F.

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Gregg Brockington Spine Surgery Patient

“The service I’ve seen through New York Spine Institute has been exemplary.”

Where does it hurt?

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Cervical / Neck

The cervical spine supports your head, enables movement, and plays a critical role in overall spinal function. This region allows for flexibility while maintaining stability, helping you turn, bend, and maintain proper posture throughout daily activities.

Nerves in the cervical spine extend into the shoulders, arms, and hands, meaning issues in this area can cause symptoms beyond the neck itself. Patients may experience radiating discomfort, numbness, or weakness. At New Jersey Spinal Associates, our specialists evaluate the full scope of your symptoms to provide targeted, effective care:

Occipital Neuralgia
Cervical Spinal Myelopathy

Spine Division Pain Management Neurosurgery

Upper Back

The upper back is supported by a complex network of muscles, ligaments, and nerves that contribute to posture and mobility. Strain in this area can develop from repetitive motion, poor posture, or prolonged stress on the spine throughout daily routines.

While many upper back conditions can be treated conservatively, certain cases may require advanced intervention. At New Jersey Spinal Associates, we focus on restoring comfort and function through a range of non-surgical and minimally invasive solutions tailored to your condition:

Whiplash
Neck Pain
Muscle Strain

Pain Management Spine Division

Hand / Wrist

The hands and wrists are intricate structures made up of joints, tendons, and nerves that allow for precision and strength in everyday movements. Because of their constant use, they are particularly vulnerable to strain, injury, and chronic conditions.

Discomfort in the hands or wrists can impact both work and daily life. Our team takes a proactive approach to identifying the root cause of symptoms and developing treatment plans designed to restore function and reduce pain effectively:

Arthritis
Carpal Tunnel
Wrist Injuries

Orthopedic Division Pain Management

Elbow

The elbow is essential for movement and strength, supporting a wide range of daily activities. Repetitive motion, overuse, or strain can lead to inflammation and discomfort that may limit mobility and performance.

Pain in the elbow can sometimes extend into the shoulder or forearm, depending on the underlying condition. At New Jersey Spinal Associates, our specialists assess each case carefully to deliver targeted treatment options that promote recovery and long-term joint health:

Soft tissue injuries
Fractures
Work injuries
Frozen shoulder

Pain Management Spine Division

Lower Back

The lumbar spine provides critical support for your body’s weight and allows for movement, balance, and flexibility. This region is highly susceptible to stress over time, which can lead to degeneration, injury, and chronic discomfort.

Lower back pain can significantly affect your quality of life. Our team offers comprehensive evaluation and treatment options, focusing on both immediate relief and long-term spine health through personalized care plans:

Herniated Discs
Lower back pain
Muscle strain
Sciatica

Spine Division Pain Management

Hip

The hip joint plays a key role in stability and mobility, supporting a wide range of movements from walking to more strenuous physical activity. Over time, wear and tear or injury can lead to discomfort and reduced function.

Hip pain can stem from a variety of underlying causes, including joint degeneration or soft tissue strain. At New Jersey Spinal Associates, we focus on identifying the source of pain and developing individualized treatment strategies that support mobility and long-term joint health:

Hip fractures
Rheumatoid arthritis
Hip surgery
Muscle strains

Orthopedic Division Pain Management

Knee

The knee is one of the most active joints in the body, making it especially prone to injury and overuse. Pain in the knee can arise from trauma, underlying conditions, or repetitive strain over time.

Early evaluation and treatment can help prevent worsening symptoms and improve outcomes. Our specialists provide a range of treatment options designed to restore function, reduce discomfort, and support long-term joint performance:

Torn meniscus
Sports injuries
Knee arthroscopies
Bursitis
Loose body removal

Orthopedic Division Pain Management

Foot / Ankle

The foot and ankle provide the foundation for movement and balance, supporting your body through every step. Due to their complexity and constant use, they are susceptible to injury, strain, and chronic conditions.

Persistent foot or ankle pain should be evaluated to prevent further complications. At New Jersey Spinal Associates, we take a comprehensive approach to diagnosis and treatment, ensuring each patient receives care tailored to their specific condition and lifestyle needs:

Ligament injuries
Arthritis
Soft tissue injuries

Pain Management Spine Division

Expert Spine Care for Common and Complex Conditions

Solutions for Every Spine Condition

At New Jersey Spinal Associates, an affiliate of New York Spine Institute, we treat a broad range of spine and orthopedic conditions, from routine concerns to complex diagnoses. Our team uses advanced diagnostic tools and evidence-based treatments tailored to each patient’s specific needs. We commonly address conditions affecting the neck, back, arms, and legs, including herniated discs, scoliosis, spinal stenosis, and spinal deformities.

In addition to specialized spine care, we provide coordinated treatment for orthopedic injuries related to trauma, overuse, and degenerative conditions. Whether your symptoms are recent or longstanding, our goal is to deliver precise, personalized care that supports lasting relief and improved function.

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Conditions

Watch & Learn Care Tailored to Your Condition

Personalized Care, Every Step with New Jersey Spinal Associates

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Start With a Specialist’s Perspective

Your care begins with a comprehensive consultation led by an experienced spine specialist. We take time to evaluate your symptoms, medical history, and lifestyle factors to develop a clear understanding of your condition before recommending next steps.

Building Your Personalized Treatment Plan

After a detailed assessment, we design a customized treatment strategy based on imaging, diagnostics, and clinical expertise. Each plan is tailored to your specific needs and may include conservative care, minimally invasive options, or surgical solutions.

Expert Treatment From a Multi-Specialty Team

Your treatment is delivered by a collaborative team of specialists, including spine surgeons, pain management providers, and rehabilitation experts. This integrated approach ensures each aspect of your care is aligned for the best possible outcome.

Recovery Backed by Long-Term Support

We remain actively involved throughout your recovery process, providing guidance, follow-up care, and rehabilitation support. Our goal is to help you regain function, reduce discomfort, and maintain long-term spine health.

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Convenient Care, Close to Home Our Locations

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Additional Resources

In the News

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Telemedicine

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FAQ

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Exceptional Care When You Need it Most

Are you struggling with an orthopedic, spine or neurological issue that’s affecting your quality of life?

As trusted spine and orthopedic surgeons in NYC, we provide our patients with compassionate care and individualized solutions. Our physicians at New York Spine Institute are here to offer assistance and create an effective treatment plan for you. Since 2000, we’ve upheld a reputation for excellent service across the New York City area. When you join our patient network, you can trust our team to deliver outstanding care every time.