Advanced Orthopedic & Spine Care Close to Home

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Independent and Patient-Focused

At New York Spine Institute's Wayne office, patients have access to the highest level of spine care in a private, patient-first setting. As an independent, physician-owned practice, we operate free from hospital system bureaucracy or corporate healthcare networks. Every care decision is made solely with your best interest in mind. From your first consultation through recovery, our independence allows us to deliver timely, efficient, and highly personalized care with compassion and expertise—right here in New Jersey.

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Comprehensive Spine, Orthopedic, & Neurological Care

Spinal and orthopedic conditions often require multiple areas of expertise. That's why NYSI Wayne brings together orthopedic spine surgeons, neurosurgeons, pain management doctors, and physical therapists to collaborate directly on your care. Our multi-specialty team works closely to develop fully customized treatment plans for each patient, whether you need non-surgical care, advanced neurosurgery in Wayne, or complex spine surgery in Wayne. Everything you need is available under one roof, eliminating the frustration of coordinating care across different providers.

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Experts in Complex Spine Surgery

Spine surgery demands years of specialized training, technical precision, and clinical judgment. At NYSI Wayne, our spine surgeons in Wayne have successfully performed thousands of procedures, including complex revision spine surgery, deformity correction, and minimally invasive spinal surgery. Patients across New Jersey trust us as some of the best spine surgeons in Wayne, known for consistently delivering safe, effective outcomes even in the most challenging cases.

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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.

Expertise. Precision. Lasting Relief. Award-Winning Spine Surgery in Wayne

At New York Spine Institute's Wayne office, we deliver world-class care provided by some of the best spine surgeons in Wayne. Every patient receives a fully personalized care plan that reflects their specific condition, medical history, and goals for recovery. From your first appointment through surgery, rehabilitation, and long-term follow-up, our team supports you every step of the way with clear communication, expert guidance, and compassionate care.

Dr. Roberts

Orthopedic Spinal Surgeon

Read Dr. Roberts’s Bio

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Restoring Quality of Life for New Jersey Patients

At NYSI Wayne, we serve patients throughout northern New Jersey who are living with spinal, orthopedic, and neurological conditions that limit their mobility and quality of life. Many of our patients have dealt with years of back or neck pain, nerve symptoms, or unsuccessful previous treatments before finding solutions with our team. Others are facing complex surgical decisions for the first time. No matter your situation, our experienced team provides expert evaluations, advanced diagnostics, and highly customized care plans that deliver real, lasting solutions.

Whether you're seeking neurosurgery in Wayne, spine surgery in Wayne, or non-surgical treatment options, NYSI Wayne offers fully integrated care delivered in one convenient location. Our collaborative approach allows us to move quickly, coordinate every aspect of care, and help patients return to active, pain-free living.

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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 conditions may cause neck pain, radiating arm pain, numbness, or weakness. Our cervical spine surgeons in Wayne offer advanced diagnostics and customized treatment plans—both non-surgical and surgical—to relieve these symptoms and restore mobility.

  • Occipital Neuralgia
  • Cervical Spinal Myelopathy

Upper Back

PUpper back pain often results from posture issues, muscular strain, degenerative changes, or nerve compression. Our Wayne specialists carefully evaluate your condition and design care plans focused on relieving discomfort and restoring long-term function.

  • Whiplash
  • Neck Pain
  • Muscle Strain

Hand / Wrist

Hand and wrist pain can limit daily tasks and quality of life. Our team in Wayne provides expert diagnosis and treatment for repetitive strain injuries, nerve compression, and trauma—helping patients regain comfort and hand function.

  • Arthritis
  • Carpal Tunnel
  • Wrist Injuries

Elbow

Elbow and shoulder pain may develop from tendonitis, overuse injuries, or nerve irritation. At NYSI Wayne, we develop customized care plans to relieve pain, restore strength, and return patients to their normal daily activities.

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

Lower Back

Lower back pain is one of the most common conditions we manage. Herniated discs, spinal stenosis, and degenerative disc disease are frequent causes. Our Wayne team offers both conservative care and advanced lumbar spine surgery in Wayne to relieve pain and restore mobility.

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

Hip

Hip pain can arise from joint degeneration, labral tears, arthritis, or traumatic injury. Our orthopedic team in Wayne develops highly individualized treatment plans, combining non-surgical therapies with surgery when necessary to restore function.

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

Knee

Knee injuries, overuse, or joint degeneration may limit mobility and daily comfort. Our Wayne specialists offer comprehensive knee evaluations and targeted treatment plans designed to reduce pain and help patients regain stability.

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

Foot / Ankle

Foot and ankle pain may stem from injury, overuse, or chronic joint disorders. Our Wayne team provides expert diagnosis and customized treatment plans that restore mobility 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 Wayne location, we deliver advanced care for a full spectrum of spinal disorders. Our team treats herniated discs, spinal stenosis, scoliosis, degenerative disc disease, spinal deformities, fractures, traumatic injuries, and complex revision surgeries for previously failed procedures. 

Many patients arrive at NYSI Wayne after years of living with chronic pain or limited function. With advanced diagnostics, cutting-edge surgical techniques, and comprehensive rehabilitation support, our collaborative multi-specialty team develops highly customized care plans to meet each patient's needs. Whether simple or highly complex, our spine surgeons and neurosurgeons in Wayne provide expert care designed to restore mobility, relieve pain, and improve 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

Your care at NYSI Wayne begins with a thorough evaluation by one of our experienced specialists, who will carefully review your symptoms, medical history, and treatment goals.

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Building Your Personalized Treatment Plan

After diagnostics and team collaboration, we'll develop a comprehensive plan tailored to your condition, whether surgical, non-surgical, or a combination of both.

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Expert Treatment From a Multi-Specialty Team

At NYSI Wayne, you'll receive coordinated care from orthopedic spine surgeons, neurosurgeons, pain management specialists, and physical therapists—all collaborating to deliver seamless care.

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Recovery Backed by Long-Term Support

Our team stays actively involved throughout your recovery, offering rehabilitation, post-operative care, and long-term monitoring to help you achieve lasting, sustained results.

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Additional Resources

In the News

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FAQ

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The Best Spine Surgery in Wayne When You Need It Most

If you're living with chronic back or neck pain, nerve issues, or a complex spinal condition, New York Spine Institute in Wayne is here to help. Whether you require spine surgery in Wayne, advanced neurosurgery in Wayne, or conservative care, our experienced team delivers compassionate, trusted care with long-term results. Since 2000, NYSI has earned its reputation for excellence across New Jersey and the greater New York area. Trust your care to the best spine surgeons in Wayne and take the first step toward lasting relief today.

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