Orthopaedic Surgery; Spine Surgery
As an orthopaedic surgeon, my clinical practice focuses on orthopaedic spine conditions as well as general orthopaedics. I currently see patients in Orchard Park and Warsaw, New York. In addition, I take spine trauma call at Erie County Medical Center (ECMC), and general orthopaedic call at both Mercy Hospital of Buffalo and the Wyoming County Community Health System. Whether treating spine conditions or ankle fractures, my first goal is to educate my patients. Together, my patients and I decide on the best treatment plan for them. I spend a lot of time with patients helping them understand their health conditions and treatment options. I show them their radiographs, MRIs and CT scans, and I explain the results of this testing. We then work through the best course of action. I always prefer to prescribe less invasive treatments before recommending surgery. If I think my patients can improve their symptoms with physical therapy, chiropractic adjustments or injections, that is the course of treatment I recommend. If I can improve their symptoms with less invasive treatments, I consider that a "win." If none of those treatment modalities help, then I discuss surgery with my patients. I feel it is my obligation to determine if surgery is going to make my patients better, and I am very upfront with them. If I do not think they will get better with surgery, I will not offer that as an option. I also work as a faculty member in the Department of Orthopaedics, teaching the next generation of orthopaedic residents. This is extremely rewarding, as I feel I am giving back to the community I was raised in. It is amazing to watch undergraduate students develop into medical students and then graduate to the level of medical residents. I enjoy teaching trainees knowing that I have contributed to their development and, ultimately, to the ways they will care for their future patients.
Orthopaedic Surgery; Spine Surgery
I’m a clinical associate professor with Department of Orthopaedic Surgery and director of Spine Services. My area of specialty training and interest is in Spinal Deformity surgery involving scoliosis, kyphosis and flatback deformities in children and adults. I am a member of the Scoliosis Research Society where I have sat on the Prevalence & Natural History Committee and the Worldwide Course Committee. I have memberships with the North American spine Society, Western New York Orthopaedic Society and American Medical Association and have had the pleasure of giving lectures on diagnosis, treatments and surgery for a wide variety of spine conditions. I work as the co-director of Spine Services at Buffalo General Hospital where I oversee clinical, teaching, research and administrative tasks related to spine care. I am actively involved with teaching medical students, orthopaedic residents and fellows in both orthopaedics and neurosurgery. I have been actively involved in an Adult Deformity study group with a grant given by the North American Spine Society. The emphasis has been on improving outcomes for surgical patients based on patient reported outcomes.
As director of the spine center at Erie County Medical Center, the areas of my clinical practice focus on spinal conditions from the upper cervical spine to the sacrum. I treat patients of all ages, shapes and sizes. I have special interests in cervical, thoracic and lumbar disc herniation, stenosis, radiculopathy, myelopathy, and deformity. My areas of interest and expertise include trauma, spinal cord injury, post-traumatic conditions, arthritic and degenerative conditions, as well as tumors, infections and revision neck and back surgery. I also maintain a busy elective clinical practice and also coordinate and participate the Spine and Orthopaedic Trauma services at ECMC. My experience includes traditional procedures including micro discectomy, laminectomy, anterior and posterior spinal fusions, anterior cervical discectomy and fusion. I also perform other minimally invasive procedures including percutaneous instrumentation and kyphoplasty/vetebroplasty augmentation. I have extensive experience in complex spinal reconstruction and instrumentation for deformities such as scoliosis, kyphosis, flat-back deformity and failed-back syndromes. As a resident, fellow and attending physician I have presented at local, regional and national peer attended meetings. These include- American Academy of Orthopaedic Surgeons, North American Spine Society, Cervical Spine Research Society, and WNY Orthopaedic Trauma Society. I have performed research and published these findings in the area of Orthopaedic Surgery and Spine surgery. I am involved with daily teaching rounds at ECMC, with resident physicians, interns, and medical students. I have not only allowed high school and undergraduate students to shadow my practice, but I mentor and instruct Physician Assistant students and Doctors of Chiropractic as well. In 1999 I joined UBMD Orthopaedics & Sports Medicine, and became a full time faculty member at the University of Buffalo. I am fortunate to practice my skills in the town where I grew up, in the presence of my family, friends, and colleagues.