Spine and Orthopedic Surgeons in Little Britain, NY

Comprehensive care for spine surgery, scoliosis treatment, back pain treatment & physical therapy.

OUR OFFICE SERVING LITTLE BRITAIN, NEW YORK

New York Spine Institute offers patients from all over New York, including those here in Little Britain, expert care from physicians and staff with years of experience. Your treatment and recovery will be led by top professionals in the field, assuring you health and success during your time here.

SPINE SURGERY & CARE FOR LITTLE BRITAIN, NY PATIENTS

With such a wide range in spine disorders, including injury, infections, fractures, and herniated or diseased discs, we understand the specifics of each one and can properly diagnose your neck or back pain here at New York Spine Institute. Our back and neck doctors and staff members use modern diagnostics to pinpoint the cause of your pain and figure out the next steps to get you healthy again.*

Spine surgery is reserved for patients who have undergone all other traditional treatment options and still experience continuous neck or back pain. Our surgeons can perform surgery on the spine, back, and cervical (neck) to relieve pain from pinched nerves, or to regain function after spinal cord compression or mechanical instability of the spine.

Types of Spinal Surgeries we offer our Little Britain patients:

Here at New York Spine Institute in Little Britain a board-certifed orthopedic surgeon specialized in spine surgery with training in the bone and neurological spine disorders will lead up your medical treatment. It is easy to find positive testaments from previous patients throughout New York who received treatment here at NYSI. Our entire medical staff from back specialists to back surgeons sole priority is getting you back to a healthy pain-free lifestyle. Let our qualified staff answer any questions you have and get started on your treatment today.*

The Founder of NYSI 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.

PREMIER SCOLIOSIS TREATMENT CENTER SERVING LITTLE BRITAIN

For those suffering from mild to chronic pain from scoliosis find relief at New York Spine Institute. With innovative treatment for all types of scoliosis; from common idiopathic and degenerative to less common congenital and iatrogenic NYSI is a top choice in the Little Britain area for comprehensive scoliosis treatment for patients of all ages. By using a detailed approach to treat these deformities we can diagnose and begin to correct your scoliosis at one location.*

In severe cases, scoliosis can progress over time which may prompt your doctor to suggest surgery. If you find yourself in this position, take comfort knowing your surgery will be performed by only the best surgeons. Our spine surgeons regularly execute these spinal procedures at the NYU Hospital for Joint Diseases.* With years of experience, countless published articles, and leading multiple lectures our spine surgeons are undoubtedly experts when it comes to scoliosis treatment and surgery.* For more in-depth information on scoliosis please visit our Spine 101 page.

ORTHOPEDIC CARE

Here at the New York Spine Institute we work to give our Little Britain patients access to the most exceptional orthopedic care possible.

The New York Spine Institute wants our Little Britain patients to know that our spine specialists are committed to providing the best level of patient care, which covers all aspects of orthopedic and spinal medicine.

Some of the Orthopedic surgeries we can perform:

ACL Reconstruction
Ankle Repair
Carpal Tunnel
Debridement
Hip Surgery
Knee Arthroscopy
Microsurgery
Revision
Rotator Cuff Repair
Shoulder Arthroscopy and Decompression
Shoulder Surgery
Soft Tissue Repair
Trigger Release

Our newly added orthopedic division allows our center serving Little Britain to provide a shared team approach to all planned surgeries and acute, same-day medical needs at our multitude of locations and affiliate hospitals. Our well-known pain management program is able to provide Little Britain patients with the highest possible care for a complete range of injuries and diseases of the musculoskeletal system.

The New York Spine Institute’s orthopedic surgeons serving Little Britain are open and understanding. Our providers will work with you and figure out which plan of care is best for you. Your specific needs and lifestyle will be taken into consideration during this journey. We believe the best orthopedic care comes from taking a patient-centered approach. Through the use of advanced treatments and expert knowledge, we will help Little Britain patients on their journey to improved health.

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DIAGNOSIS OF YOUR BACK PAIN

When your back pain or neck pain becomes so unbearable that it interrupts your daily routine or becomes chronic, it is necessary to visit New York Spine Institute serving patients all over the Little Britain region. Let a medical professional with years of experience dealing with the spine give you a proper exam and diagnose the root and reason behind your intense pain. After we analyze your case we can present you with a proper treatment plan to begin your recovery. Our doctors and surgeons are highly qualified to deal with a wide realm of severity when dealing with back pain. Whether you need physical therapy to remedy your pain, or should undergo surgery, have confidence that your physicians will be with you every step of the way.

In order to successfully manage spinal issues our trained staff will customize treatment plans based off each individual patient.

No two cases are treated exactly the same since no two patients are exactly the same, they differ based off of their medical history and stage of their symptoms. To properly diagnose and assist in spinal care we offer our patients with different treatment options in order to find one appropriate for them.

Here at New York Spine Institute our notable back doctors will assess you and your symptoms completely to determine a precise cause of your back or neck pain. Our doctors are here to listen and understand how this pain is affecting your life, once we have a full examination we diagnose and recommend back or neck treatments when necessary. As a surgical institute some people may think our top recommendation is to undergo surgery, when in fact we typically suggest non-surgical methods of care as our first choice.

PAIN MANAGEMENT

Advanced pain management in Little Britain from a qualified fellowship-trained specialist.

Many adult Americans find themselves in some sort of bodily pain at some point in their lives, whether it's from injury, disease, or any other cause. If you find yourself in this situation you can take comfort knowing that we can help you understand your options of treatment.

Each of our specialists has expertise and knowledge in the latest diagnostics, medical treatments and advanced technologies in most pain-related condition.*

We offer Little Britain residents treatment options, which include:

Injection therapies
Radiofrequency procedures
Spinal cord stimulation
Intrathecal device implementation
State-of-the-art fluoroscopy and endoscopy for great accuracy and precision
Ketamine infusion therapy for treatment of neuropathic pain syndromes such as CRPS.

Each of our specialists has expertise in the latest diagnostics, medical treatments and advanced technologies in nearly every pain-related condition.*

Spinal Conditions we can help treat include:

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...

—Juan Rolon

“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...

—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...

—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...

—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...

—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 ...

—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...

—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...

—Chrissy

—Eleanor Morgan

PHYSICAL THERAPY

Receive top care for non-invasive rehabilitation here at New York Spine Institute, led by our licensed physical therapist, Michael Friar, D.P.T. After an accident, injury, or years of bodily strain, your physical therapist can help you regain your strength and get you moving again. Let us create a custom treatment plan for you based off of your pain and stress. Physical Therapy may be a vital aspect of your continued recovery and well-being.

Physical therapists help patients in all stages of healing, from diagnosis through restoring strength and preventing further injury. Through various methods, including but not limited to, active and passive stretching, engaging in an exercise program and manual therapy our patients can begin to get back to their day-to-day activities.* We teach our patients in the Little Britain area about the importance of proper posture and at-home exercise programs to let them continue their growth while out of the facility.

At New York Spine Institute in Little Britain, patients will be evaluated by a licensed physical therapist and have access to different weight machines and cardio devices for strength and endurance training. Their pain and mobility levels will be tested in order for a proper plan of care to be put into place. Michael Friar, D.P.T. will go over any treatment options based on the findings from your initial exam. Together with the patient we create your course of action and create both short and long term goals to help continue a positive course of care.

IMAGING SERVICES FOR LITTLE BRITAIN PATIENTS

Magnetic Resonance Imaging (MRI) is a noninvasive medical examination that doctors use to diagnose medical conditions. This safe and pain-free scan provides our patients with a comfortable way to further their diagnosis here at NYSI. With a digital radiology department our radiologists have the proper tools to analyze and read your images, providing you with unmatched care through renowned diagnostics. At New York Spine Institute you will find leading diagnostic imaging: a high field short bore 1.5T MRI system and Digital Radiography (DX) x-ray for our Little Britain patients. The high field short bore 1.5T MRI system supports a wide range of clinical applications including but not limited to MRI’s of the Spine, Brain, Abdomen, Pelvis, Shoulder, Knee, Hip, Elbow, Wrist, Hand, Ankle and Foot.*

New York Spine Institute’s leading edge GE 1.5T system provides our physicians with high quality, in-depth images of anatomy and pathology to help review multiple musculoskeletal disorders. Magnetic Resonance Imaging (MRI) is a non-invasive, and safe diagnostic method, which uses a strong magnetic field and radio waves to create detailed images of various parts of the body. The images from an MRI can help pinpoint where and why pain and diseases are occurring. In some cases an MRI scan picks up more than other imaging methods, like: ultrasounds, x-rays, or CT (Computed Tomography).*

We understand some patients may find themselves anxious before their visit, which is another reason that we work hard to create a calming environment. Our patients receive earplugs, a sleeping mask, and their choice of music to help ease any nerves. Our radiologists have access to digital images of bone and soft tissue anatomy in our digital radiology department, allowing them to properly analyze patients for a diagnosis. For those suffering from scoliosis, our Long Length Imaging (LLI) provides accurate information for back pain treatment and neck pain treatment.

*The effectiveness of diagnosis and treatment will vary by patient and condition. New York Spine Institute does not guarantee certain results.

PROVIDING OUR LITTLE BRITAIN PATIENTS THE CARE THEY NEED

With renowned neck specialists, spine doctors, and neck surgeons focused on neck, back, and spine pain, you can feel confident in your care here at New York Spine Institute in Little Britain. Let us relieve any bodily pain and get you back to a healthy life today by giving us a call and beginning your initial diagnosis. We take pride in being a trusted and respected institute with only the most elite medical staff and modern procedures.

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