Spine Care Institute

Bassett's Spine Care Institute offers a comprehensive, multidisciplinary approach to the diagnosis and treatment of a variety of musculoskeletal conditions, including back and neck pain, disc herniation, scoliosis and arthritis of the spine. Patients receive care from a team of specialists in orthopedic spinal surgery, neurosurgery, interventional pain management and physical therapy.

The spine care team works together to develop an individualized treatment plan for each patient. In some cases, surgery is required. A variety of other non-operative treatments is also available, including:

  • Spinal braces -- external devices that support the muscular and bony structures of the spine
  • Interventional pain management, or therapeutic injections, often used in conjunction with physical therapy
  • Osteopathic manipulative medicine -- involves movement of muscles and joints using stretching, gentle pressure and/or resistance to improve structure and function
  • Physical therapy -- helps the patient improve or maintain daily living activities.  Physical therapy includes building strength, flexibility and endurance, and learning proper posture for spine stability and injury prevention.


Mission: 
Bassett Spine Care Institute strives to provide compassionate, ethical, efficient and effective spine care to members of Bassett’s Healthcare Network and surrounding communities.

Vision: Shared principles of patient centered care will be a foundation for efforts related to ongoing education, research, and individual treatment options.  Members of the Bassett Spine Care Institute share a common goal and foresight, such that the Institute will be respected as a leader in comprehensive spine care for Central New York.

 

Locations where this service is available:
Center for Physical Medicine and Rehabilitation, Railroad Avenue, Cooperstown
Cobleskill Regional Hospital 178 Grandview Drive, Cobleskill
Hartwick Seminary Specialty Services, 4580 State Highway 28, Milford
Herkimer Health Center, 321 E. Albany St., Herkimer
Oneonta Specialty Services, One Associate Drive, Oneonta

To make an appointment:
Call (607) 547-7646 or 1-800-BASSETT (227-7388)


Conditions and disorders treated at the Center for Spine Care include:

Low back pain

Low back pain, often caused by sprains and strains, is one of the most common medical complaints treated by the spine are team. Injuries often result from excessive physical demands on the spine, such as lifting a heavy object or falling. Low back pain can usually be treated without surgery. In some case, the most effective treatments involve lifestyle changes such as diet, exercise and stopping smoking.

Degenerative discs of the lower back are a common condition in aging adults.  Degenerative discs may cause nerve impingement, inflammation and pain, and can be treated through a variety of non-operative or surgical treatments.

Other low back conditions include disc herniations, lumbar stenosis (a narrowing of the lower spinal canal) and sciatica (back and/or leg pain caused by pressure on the sciatic nerve that radiates below the knee.)

Neck pain
Neck pain is most commonly caused by strains and sprains. Most conditions are easily treated and do not require spine surgery. Neck pain can also be caused by degenerative discs of the neck, or cervical spine, disc herniations and cervical stenosis (a narrowing of the spinal canal in the neck area or upper part of the spine.)

Compression fractures
Compression fractures often result from loss of bone density or osteoporosis, and occur when the vertebrae of the spine collapse.

Scoliosis
Scoliosis is an abnormal curvature of the spine and can occur within any age group.  Scoliosis in adults is typically related to degeneration of lumbar discs. Adolescent idiopathic scoliosis, or curvature of the spine, can occur in children age 10 and older. The spine may curve to the left or right. Progression of the curve is related to the child's age and degree of curvature at presentation. Younger children with larger curves warrant more attention, bracing and, in some cases, surgery.

Spondylolisthesis
Spondylolisthesis is a spinal condition in which one vertebra slips forward over the vertebra below. While more common in the lumbar spine, it can occur elsewhere.  Degenerative spondylolisthesis is usually the result of age and "wear and tear" on the spine. This is a common condition in women between 45 and 55 years of age. Symptoms can include lower back pain and or leg pain. Isthmic spondylolisthesis is the most common form of this condition and is caused by a bony defect (or fracture) in an area of the vertebrae. This form of spondylolisthesis is often seen in athletically active adolescents. 

Kyphosis
Kyphosis involves pronounced forward curving of the thoracic spine. This condition is often postural, but may be associated with osteoporosis and degeneration in the elderly.  Adolescents can also develop kyphosis, but this is less common.

Spinal tumors
Spinal tumors or abnormal growths of new tissue, often requires the expertise of several specialists, including a spine surgeon, neuroradiologist, pathologist, oncologist and pain management specialist. Many patients require a combination of non-surgical and surgical treatments for spinal tumors.

Center for Spine Care Team

Reginald Knight, MD, MHA, Director Bassett Spine Care Institute, orthopedic spine surgeon
Bruce Harris, M.D., Neurosurgeon
Mark J. Hornyak, M.D., Neurosurgeon
Gregory Frevele, Physician Assistant, Neurosurgery
Karen Kelly, Physician Assistant, Neurosurgery 
Emily DeSantis, D.O., Interventional Pain Management
Yusuf Tatli, M.D., Interventional Pain Management
Brian White, D.O., Interventional Pain Management
Muthu Ramasamy, M.D., Interventional Pain Management
Frank Barber, P.A., Physician Assistant, Orthopedics
J.B. Huang, P.A., Physician Assistant, Orthopedics
Scott Grainger, R.N., Clinical Coordinator, Bassett Spine Care Institute