Advanced Care at the Heart of Manhattan

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Independent and Patient-Focused

At New York Spine Institute's Newburgh office, patients have access to world-class spine care delivered by a team that prioritizes personal attention, transparency, and long-term results. As an independent, physician-owned practice, NYSI operates free from the influence of hospital systems or corporate bureaucracy. Every decision is made by your care team, based entirely on what's best for you. From your first consultation to your full recovery, you'll receive highly individualized care that reflects our deep commitment to patient-first treatment, without delays or unnecessary administrative obstacles.

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Comprehensive Spine, Orthopedic, & Neurological Care

Spine and orthopedic conditions often require more than one specialist's expertise to achieve the best outcome. That's why NYSI's Newburgh office features a fully integrated, multi-specialty team—bringing together orthopedic spine surgeons, neurosurgeons, pain management physicians, and physical therapists all under one roof. Our collaborative model ensures that every aspect of your care is seamlessly coordinated, whether you need conservative therapies, complex surgery, or long-term rehabilitation. Patients never need to coordinate care between multiple offices. Instead, they receive comprehensive care from a fully unified team.

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Specialists in Complex and Revision Spine Surgery

Complex spine surgery demands deep experience and highly specialized training. At NYSI Newburgh, our spine surgeons in Newburgh have performed thousands of advanced procedures, including scoliosis correction, revision spine surgery, and minimally invasive spine surgery. We are proud to be trusted as some of the best spine surgeons in Newburgh, offering exceptional outcomes for patients facing even the most complicated spinal challenges. With advanced techniques and a patient-first approach, we provide expert solutions where other options may have failed.

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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.

Experience. Expertise. Life-Changing Results. Award-Winning Spine Surgery in Newburgh

At New York Spine Institute's Newburgh location, our patients receive world-class care delivered by some of the best spine surgeons in Newburgh. We build fully individualized care plans that reflect each patient's specific condition, health status, and goals. From your first consultation to post-operative care and rehabilitation, we are with you every step of the way. Patients trust our team not only for surgical skill, but for our ongoing commitment to clear communication, compassionate support, and long-term care that puts their well-being first.

Dr. Macagno

Orthopedic Spinal Surgeon

Read Dr. Macagno’s Bio

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Restoring Lives Across Orange County

At NYSI's Newburgh office, patients from Orange County and surrounding communities come to us for treatment of a wide range of spinal, orthopedic, and neurological issues. Many arrive after years of living with chronic back or neck pain, while others face complex surgical decisions for the first time. Some have experienced prior surgeries that failed to resolve their symptoms. No matter where they are in their journey, we offer expert answers and real solutions.

Whether you need neurosurgery in Newburgh, spine surgery in Newburgh, or non-surgical pain management, NYSI's fully integrated team offers comprehensive care tailored to your unique needs. We are committed to restoring the quality of life for each patient, using the latest surgical advances and non-invasive therapies to help you return to your work, family, and daily activities with confidence.

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Spine

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

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Spine Surgery & & Orthopedic Care

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Neurologic & Spine Care

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Pain Relief & Management

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Rehabilitation & Physical Therapy

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Second–and Final–Opinions

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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.”

G.

“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.”

See Testimonial

Gregg Brockington Spine Surgery Patient

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

See Testimonial

Gregg Brockington Spine Surgery Patient

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

See Testimonial

Where does it hurt?

Cervical / Neck

Cervical spine disorders can cause neck pain, stiffness, numbness, tingling, or weakness that radiates into the shoulders, arms, or hands. Our cervical spine surgeons in Newburgh use advanced diagnostics and individualized treatment plans—whether non-surgical or surgical—to relieve symptoms and restore function.

  • Occipital Neuralgia
  • Cervical Spinal Myelopathy

Upper Back

Upper back pain may stem from posture problems, muscle strain, disc degeneration, or nerve issues. At NYSI Newburgh, our team carefully evaluates your condition and creates customized treatment plans designed to relieve pain and restore mobility long-term.

  • Whiplash
  • Neck Pain
  • Muscle Strain

Hand / Wrist

Pain or numbness in the hand or wrist can result from repetitive use injuries, nerve compression, or trauma. Our Newburgh team provides expert diagnosis and targeted treatment plans that address the underlying cause and restore hand function.

  • Arthritis
  • Carpal Tunnel
  • Wrist Injuries

Elbow

Elbow pain is often caused by tendon inflammation, repetitive strain, or nerve irritation. Our specialists in Newburgh design individualized care plans that address these issues, relieve pain, and restore full function.

  • Soft tissue injuries
  • Fractures
  • Work injuries
  • Frozen shoulder

Lower Back

Lower back pain is one of the most common conditions we treat. Herniated discs, spinal stenosis, and degenerative disc disease are frequent causes. At NYSI Newburgh, we offer both conservative therapies and advanced lumbar spine surgery in Newburgh to provide long-term relief.

  • Herniated Discs
  • Lower back pain
  • Muscle strain
  • Sciatica

Hip

Hip pain may result from arthritis, labral tears, or injury. Our orthopedic team in Newburgh develops personalized treatment plans combining non-surgical therapies with surgical options as needed to relieve pain and restore full range of motion.

  • Hip fractures
  • Rheumatoid arthritis
  • Hip surgery
  • Muscle strains

Knee

Knee problems can interfere with daily movement and activity. Our Newburgh specialists offer comprehensive knee evaluations and treatments for injuries, overuse conditions, and degenerative joint disease, helping patients regain stability and comfort.

  • Torn meniscus
  • Sports injuries
  • Knee arthroscopies
  • Bursitis
  • Loose body removal

Foot / Ankle

Foot and ankle pain may arise from sports injuries, arthritis, or structural problems. Our team in Newburgh provides expert evaluation and personalized treatment plans designed to relieve pain, improve function, and prevent further complications.

  • Ligament injuries
  • Arthritis
  • Soft tissue injuries
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Expert Care for Common & Complex Conditions

Solutions for Every Spine

At New York Spine Institute's Newburgh location, we care for patients with both common and highly complex spinal conditions. We treat herniated discs, spinal stenosis, scoliosis, degenerative disc disease, traumatic spinal injuries, fractures, deformities, and revision spine surgeries for failed prior procedures. Many patients turn to NYSI after years of searching for answers and relief. 

With advanced diagnostics, cutting-edge surgical expertise, and comprehensive rehabilitation support, our collaborative multi-specialty team develops customized treatment plans to meet every patient's needs. Whether your condition is new or long-standing, our spine surgeons and neurosurgeons in Newburgh provide expert care that restores mobility, reduces pain, and improves long-term quality of life.

Watch & Learn Care Tailored to Your Condition

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Personalized Care, Every Step Your Journey with NYSI

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Start With a Specialist’s Perspective

At your first visit in Newburgh, you'll receive a thorough evaluation from one of our experienced specialists who will listen carefully to your symptoms, review your history, and understand your personal care goals.

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Building Your Personalized Treatment Plan

After diagnostic testing, imaging, and team consultation, we develop a comprehensive treatment plan tailored to your condition, whether surgical or non-surgical.

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Expert Treatment From a Multi-Specialty Team

At NYSI Newburgh, you'll receive fully coordinated care from orthopedic surgeons, neurosurgeons, pain management specialists, and physical therapists—working together to support your recovery.

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Recovery Backed by Long-Term Support

Our care continues well beyond your procedure. We offer rehabilitation, post-surgical monitoring, and long-term support to help you maintain your health and mobility far into the future.

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Additional Resources

In the News

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FAQ

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The Best Spine Surgery in Newburgh When You Need It Most

If you're living with chronic back or neck pain, nerve issues, or a complex spine condition, New York Spine Institute in Newburgh is here to help. Whether you need spine surgery in Newburgh, advanced neurosurgery in Newburgh, or conservative care, our team delivers compassionate, expert care designed for long-term results. Since 2000, patients throughout Orange County have trusted NYSI for leading-edge treatment delivered with personal attention. Trust your care to the best spine surgeons in Newburgh and take your first step toward lasting relief.

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