UB Neurosurgery provides comprehensive and coordinated neurosurgical treatment in all areas of neurosurgery including minimally invasive endovascular neurosurgery, stroke prevention & treatment, movement disorders, back pain prevention & treatment, spinal disorders, neuro-oncology, and Gamma Knife radiosurgery.  Our services cover adult and pediatric neurosurgery at all Kaleida Health facilities, Roswell Park Comprehensive Cancer Center, Catholic Health, ECMC, and at several convenient locations throughout Western New York including our new Comprehensive Neuroscience Center in Williamsville, NY. We continue to look at new treatment and care management strategies.

Group Expertise

ENDOVASCULAR NEUROSURGERY: Endovascular neurosurgery approaches are used for definitive treatment, as an adjunct to open surgical excision or radiosurgery, for palliative or partial treatment of surgically inoperable lesions and for preventive therapy. Our highly skilled endovascular neurosurgery team is composed of world-class physicians who are specialty-trained in clinical neurosurgery and image-guided, minimally invasive cerebral and spinal vascular interventions, supported by a fellowship program that ranks as one of the finest in the country, along with expertly trained nurses and staff. Each member of our endovascular neurosurgery team is committed to providing the most effective medical care available today. When you refer your patients to our office, they will be examined by one of the members of our attending physician staff. Our team collaborates on a regular basis to discuss patient care and optimal treatment options. In many instances, we may provide treatment using new techniques to those who might not otherwise be candidates for traditional care.

BACK & NECK PAIN / MINIMALLY INVASIVE SPINE: It is important to understand that surgery should be considered a last resort. We are always pursuing a relentless course toward increasingly less-invasive procedures to relieve back and neck pain. We work closely with physiatrists, physiotherapists and chiropractors in the conservative management of spinal disorders, including the development of patient-specific back and neck conditioning and strengthening programs aimed at easing pain and preventing symptom recurrence. If surgery is appropriate, our expert spine surgeons focus on less invasive and minimally invasive procedures to significantly reduce the discomfort and down time associated with spine surgery. Not all patients are candidates for minimally invasive surgery; sometimes a more traditional approach is necessary. Because many procedures use microscope and microdissection techniques to minimize the disruption of normal tissue, surgery can result in immediate and dramatic pain relief, and can often be performed on an outpatient basis. After microsurgery, patients are usually able to return to their normal activities within days or weeks. For cases of significant spinal instability, a more extensive procedure may be required to reduce or eliminate the abnormal motion responsible for the patient’s pain.

MOVEMENT DISORDERS/PARKINSON’S DISEASE: Our program for diagnosis, treatment, and support for afflicted patients is available at our Comprehensive Movement Disorders Center. We offer your patients a highly-specialized team of specialists expertly trained to treat movement disorders with the most current medical and surgical treatments and procedures available. Deep brain stimulation (DBS), intrathecal baclofen pumps, and Botox injections are all available. We are the only group in Buffalo to offer DBS. Our multidisciplinary program specializes in the evaluation and treatment of Parkinson’s disease and other Parkinsonian syndromes, tremor, spasmodic torticollis and other focal or generalized dystonias, hemifacial spasm, blepharospasm and medically refractory spasticity secondary to multiple sclerosis, spinal cord injury, traumatic brain injury, and stroke.

BRAIN TUMOR/GAMMA KNIFE: The Gamma Knife is used to treat benign and malignant brain tumors and other brain and vascular disorders. Gamma Knife radiosurgery combines modern methods in neuroradiology, (MRI, CT, and cerebral angiography) with sophisticated computer technology to localize and target brain lesions with gamma rays. The precise targeting of Gamma Knife radiation in a single, large dose makes it as effective as conventional surgery for certain brain conditions but with potentially fewer serious risks. The Gamma Knife Center at Roswell Park Comprehensive Cancer Center is a major community-based resource for the application of state-of-the-art radiosurgery in Western New York. Brain tumor treatment is highly individualized. Although not appropriate for everyone, many patients benefit from having stereotactic radiosurgery as part of their overall treatment plan. ­­Our physicians are working actively on new treatments for brain tumors including exciting work in vaccine development.

PEDIATRIC NEUROSURGERY: Pediatric conditions treated by UBNS include but are not limited to, arteriovenous malformations & fistulas, brain tumors, congenital malformations, craniofacial anomalies, epilepsy, hydrocephalus, spasticity, laser ablation, rhizotomy, spinal dysraphism/spina bifida, brain & spine trauma, Chiari and syringomyelia. Treatment and diagnostic capabilities include endoscopic neurosurgery, stereotaxis, frameless stereotaxy, intraoperative functional mapping, laser ablation and a host of specialized treatment programs.

INTERVENTIONAL PAIN MANAGEMENT: Interventional pain management is a method of treatment which utilizes minimally invasive pain blocking techniques to help disrupt the pain cycle that makes day-to-day activities less difficult, and effectively restores quality of life for patients and help them return to normal activity. At our Comprehensive Neuroscience Center, we evaluate each patient to understand their underlying problem and create an individualized treatment plan that may involve surgery, nerve blocks, or implantable drug delivery systems as part of the treatment process. We offer a variety of interventional procedures and injections to help reduce or eliminate pain symptoms and reduce reliance or need for opioids. We also offer patients the convenience of on-site imaging and fluoroscopy-equipped rooms to conveniently perform these procedures.

CHIROPRACTIC CARE: UBNS believes that surgery is a treatment of last resort one that should be reserved for patients with severe, intractable conditions. For many of our patients, surgery is not a warranted or viable treatment option. In our commitment to providing all patients with comprehensive treatment options, UBNS now offers in-house chiropractic care. Chiropractic is a hands-on, non-surgical, non-pharmaceutical health care discipline used to treat disorders of the musculoskeletal and nervous systems as a means of improving overall health. Our chiropractors aim to identify and reduce joint dysfunction in the spine through the use of chiropractic spinal manipulative therapy

We also offer comprehensive and coordinated neurosurgical expertise in the following areas:

• Acute Stroke
• Aneurysms
• Arteriovenous Malformations and fistulas
• Carotid Artery Stenosis – Endarterectomy and Angioplasty with Stenting
• Cerebral Angiography
• Congenital Malformations
• Craniofacial Surgery
• Disk Disease
• Endoscopic Surgery
• Epilepsy Surgery
• Interventional Radiology
• Pallidotomy
• Peripheral Nerve Disease
• Pituitary Tumors
• Rhizotomy
• Skull Base Surgery
• Spinal Dysraphism
• Spine Stabilization and Reconstruction
• Surgical Pain Management
• Tic Douloureux/Trigeminal Neuralgia
• Trauma Care – Brain and Spine
• Tumors – Brain and Spine
• Vagus Nerve Stimulation

We look forward to providing your patients with the highest level of neurosurgical care anywhere in Western New York.  We invite your referrals for evaluation and treatment and will coordinate care with you to assure a smooth transition of patients back to your practice. Please call our office at 716.218.1000 for appointment scheduling or physician inquiries