Spondylosis, also known as spinal osteoporosis, is a degenerative disease that can affect any region of the spine. It is a common disease that although painful, it is typically not very serious.*
Spinal Osteoporosis is typically associated with getting older. However, a genetic predisposition and/or injury may increase a person’s risk of developing Spondylosis. Our spine doctors at New York Spine Institute have decades of experience treating patients suffering from Spondylosis . We provide the right treatment for your symptoms. We have offices located throughout Greater New York City, Long Island, White Plains and Newburgh, NY.
Why Choose New York Spine Institute
QUALITY CARE
At New York Spine Institute, our pain management specialists have special and extensive training while evaluating your mild and severe symptoms.
INDUSTRY LEADERS
Our leading pain management physicians are superior fellowship trained in interventional pain management procedures and spine, neck, and back pain.
MULTIPLE LANGUAGES
NYSI proudly serves our patients from various backgrounds. Our experienced staff speaks a mixture of languages including Spanish, Portuguese, French, Italian, German, and Russian.
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.
UNDERSTANDING THE CAUSES OF YOUR SPONDYLOSIS
Spondylosis is a condition involving changes to the bones, discs, and joints in the neck and back region. This is a degenerative disease caused by the normal wear and tear of aging. Spondylosis is very cause and effect. Aging impacts the rate of symptoms; however, the way you’re aging can lead to issues regarding the condition down the road.
Risk factors for Spondylosis include:
*genetics- you can be predisposed to this condition if members of your family have suffered from excessive joint and disc wear.
*smoking- cigarette smoking can decrease the amount of water between your discs, which can lead to an increased rate of degeneration.
*spinal injury- any traumatic injuries to parts of the spine can cause intervertebral discs to herniate.
Over 80% of people over the age of 40 have evidence of spondylosis, making it a very common condition for individuals typically seeing symptoms between the ages of 20 and 50 years old.
When you meet with one of the NYSI doctors, you will receive a physical examination to check your range of motion, any tender spots you may have, and note any abnormalities in the curvature of your spine. Bringing a medical history is beneficial in noting if it runs in your family and any previous spinal injuries you may have suffered from. A doctor will thoroughly evaluate pain and symptoms. There’s also various imaging services we offer to diagnose Spondylosis. Alexandra Inglima our head MRI technician will make you feel calm and comfortable during one of our services. Our imaging services include:
CT Scan: Our doctors are able to note any narrowing of the spinal canal and view the spine in greater detail.
MRI: Gives doctors a clearer view the vertebrae, joints, and nerves. This imaging service will be able to note any pinched nerves.
X-Ray: Note any bone spurs and narrowing of intervertebral disc spaces.
Being properly diagnosed is essential in improving one’s quality of life. Contact one of our NYSI doctors to receive proper diagnosis and appropriate proceedings heading forward.
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.
Since Spondylosis is a degenerative disease there is no cure. However, this condition is highly treatable and rarely requires any invasive surgeries. Treatment for Spondylosis falls under various categories such as medication, physical therapy, exercise, and depending on the severity, steroid injections or surgery. Some treatment options include:
Medication such as anti-inflammatories, pain medications, and muscle relaxers can highly benefit symptoms and offer relief to sufferers.
Physical Therapy is a great way to prevent uncomfortable flare ups and manage symptoms. This treatment option is used to encourage mobility and movement, decrease pain, restore function and prevent disability in patients with injuries or impairments.* Our head physical therapist Michael Friar, D.P.T. will work closely with you to develop treatment options, proper exercises you may complete at our location, and some you can implement into your daily routine.
Aside from surgery, an epidural steroid injection or a facet joint injection can help manage acute pain and a possible option aside from surgery. Once you have a consultation with your doctor, you can communicate the best possible option for your symptoms.
It’s important to note most sufferers of Spondylosis do not require surgery, and this is typically a last resort. In the case that treatment doesn’t respond well it’s important to note factors such as health and medical history are essential in determining if this is your best option. Check out our surgeries to read up on procedures we offer for Spondylosis such as a Laminectomy.
In response to your treatment, a NYSI will schedule a follow-up to monitor progress or possible other available treatment options. It’s important to understand Spondylosis is irreversible, these treatment options are available to relieve symptoms and improve patient’s quality of life.
Accessibility: If you are vision-impaired or have some other impairment covered by the Americans with Disabilities Act or a similar law, and you wish to discuss potential accommodations related to using this website, please contact our Accessibility Manager at 1-888-444-NYSI.
