Dr. Georgiy Brusovanik
Now seeing patients in New York City
Dr. Georgiy “Gosha” Brusovanik built his reputation as a surgeon who prioritizes disc replacement over fusion whenever appropriate and who welcomes even the most complex revision cases after failed spine surgeries. To make this level of care accessible to more patients, Dr. Brusovanik is now seeing patients in New York City at his Park Avenue offices.
The idea of spinal surgery can be daunting, but the limitations of chronic pain are far worse. Dr. Brusovanik and his dedicated, highly skilled team are committed to helping patients break free from persistent pain and return to an active, productive life.
Dr. Brusovanik, born in Moscow and trained in spinal surgery at Duke University, focuses on minimally invasive, motion-preserving solutions whenever possible. He strives to exhaust non-surgical options first; however, when surgery becomes necessary, he uses the techniques that minimize pain and support the fastest possible recovery.
Athletes and professionals who rely on their physical performance often seek out Dr. Brusovanik when pain becomes chronic or returns after unsuccessful surgery. Regardless of the cause of your symptoms, a consultation with Dr. Brusovanik can provide clarity, direction, and renewed optimism.
Patients can now schedule consultations at the 1111 Park Avenue, New York office, as well as through virtual telemedicine appointments for those located outside the region or internationally.
The Park Avenue New York office focuses on:
• Cervical disc replacement instead of multilevel fusions
• Lumbar disc replacement for selected patients
• Revisions of failed neck and back surgeries
• Second opinions for patients who have been told they “need a fusion”
• Advanced imaging review and personalized surgical planning
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The Park Avenue New York Office
New York City is a global hub for medical care, yet:
• New York has some of the highest rates of spinal fusion surgery in the country.
• Many patients are never informed that disc replacement may be a safer, motion-preserving alternative.
• A significant number of New York patients had already been flying to Miami specifically to see Dr. Brusovanik for second opinions and revision care.
Opening a 1111 Park Avenue, New York location allows patients to:
• Receive expert spine evaluation locally, without leaving New York.
• Minimize travel while accessing a surgeon known for motion-preserving solutions.
• Obtain unbiased second opinions before committing to a major fusion or irreversible procedure.
CONDITIONS TREATED
Accurate diagnosis is essential when evaluating neck or back pain. The spine is a complex structure made up of bones, joints, discs, ligaments, muscles, and nerves—any of which can be a source of pain. A thorough medical history and physical examination are critical, and advanced imaging is often required. MRI studies are frequently ordered to clearly visualize disc health, bone anatomy, and available space for the spinal cord and nerve roots.
Most patients improve with conservative, non-operative care such as physical therapy or injections. When pain persists despite these treatments, further intervention may be appropriate. Symptoms such as pain radiating into the arms or legs, numbness, weakness, or balance issues suggest nerve compression and require prompt evaluation. Loss of sensation in both arms or difficulty with balance is considered urgent.
You may benefit from a consultation in the New York office if you have:
Neck / Cervical:
• Neck pain with arm pain or numbness
• Herniated cervical disc
• Cervical stenosis
• History of neck fusion with ongoing pain
• Difficulty turning your head after prior surgery
Back / Lumbar:
• Low back pain with leg pain or sciatica
• Herniated lumbar disc
• Lumbar stenosis
• Persistent pain after lumbar surgery or fusion
• “Flat back” feeling after prior operations
Cervical Disc Replacement (Neck)
Cervical disc replacement is a motion-preserving surgical option designed to relieve neck pain and nerve compression without limiting natural movement of the spine. Neck pain is commonly associated with headaches, shoulder or shoulder blade pain, and arm pain caused by nerve compression. When medications, therapy, and injections fail to provide relief, surgery may be indicated.
Total cervical disc replacement decompresses the affected nerve while preserving motion at the treated level, reducing stress on adjacent spinal segments. This technology has been in use for over 15–20 years and is supported by extensive long-term research, particularly for patients without end-stage degeneration. Research has shown that fusion procedures can lead to adjacent-level disease, with reoperation rates reported as high as 25% every 10 years.
Lumbar Disc Replacement (Lower Back)
Lumbar disc replacement is an alternative to fusion surgery for patients whose primary source of pain is disc degeneration rather than spinal instability or deformity. In these cases, fusion can be overly aggressive. Disc replacement allows for motion preservation while removing the primary pain generator.
Patients commonly present with lower back pain that worsens with sitting or standing, often accompanied by pain radiating into the hips, thighs, legs, or feet. Disc damage at levels such as L4-5 or L5-S1 may cause nerve pain following the path of the affected nerve root. In more advanced cases, numbness, weakness, or difficulty walking may develop.
Modern disc replacement devices—constructed from advanced medical plastics and metal alloys—maintain normal spinal motion and reduce stress on adjacent levels. Compared to fusion, disc replacement is associated with earlier return to work, faster recovery, and higher patient satisfaction in appropriately selected patients, including many younger individuals with minimal arthritis.
Using minimally invasive techniques, patients often experience immediate relief of their preoperative pain, require little to no postoperative physical therapy, and return to daily activities quickly. Driving may resume within days, gym activity within weeks, and return to work typically occurs within three to four weeks. As with all surgery, risks exist and should be reviewed in detail with the surgeon.
PROCEDURES OFFERED
At the New York office, Dr. Georgiy Brusovanik evaluates patients for both surgical and non-surgical options. When surgery is indicated, his approach prioritizes motion preservation, minimal tissue disruption, and faster recovery. Each treatment plan is tailored based on advanced imaging, precise diagnosis, and a deep understanding of spinal biomechanics.
Procedures Offered
• Cervical Disc Replacement (ADR)
○ Often a safer, motion-preserving alternative to ACDF (fusion)
• Lumbar Disc Replacement (ADR)
○ Performed for carefully selected patients based on spinal motion, stability, and alignment
• Revision Surgery for Failed Fusions & Decompressions
○ Expertise in both cervical and lumbar revision cases
• Decompression Procedures
○ Effective for stenosis causing arm or leg symptoms
• Second Opinion Consultations
○ Ideal for patients who have been advised elsewhere to undergo a fusion
Imaging review (MRI, CT, X-rays) can be completed before you travel for surgery.
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Awards & Recognitions
+ Awarded the Key to Miami/Dade County
+ “Best Minimally Invasive Spine Surgeon”, as seen on CNN Latino
+ Official physician for the United States Kick Boxing Association
+ As seen on US News and World Report
+ Robotic and Computer Assisted Spine Surgery
+ Mayor Hernandez & Councilman Gonzalez dedicate Feb 24th, as the Dr. Brusovanik day
PATIENT JOURNEY IN NEW YORK
What to Expect as a New York Patient
Your care experience is structured, clear, and personal. Whether you begin with an in-person visit on Park Avenue or through telemedicine, every step is designed to ensure you understand your diagnosis and the safest, most effective path forward.
1. Initial Contact
○ Call, WhatsApp, or submit an online form describing your symptoms and any prior imaging or treatments.
2. Imaging Review
○ You may upload your MRI, CT, and X-rays in advance, or bring them to your appointment.
○ Dr. Brusovanik personally reviews all imaging to ensure accuracy before making recommendations.
3. Consultation on Park Avenue or via Telemedicine
○ A detailed discussion of your condition, treatment options, and the recommended plan tailored specifically for you.
4. Surgery Planning
○ If surgery is appropriate, it may be performed in New York or Miami, depending on logistics, surgical equipment, and hospital availability.
○ Patients receive individualized guidance on timing, preparation, and expectations.
5. Recovery & Follow-Up
○ Clear rehabilitation instructions and consistent communication with the care team.
○ Long-term follow-up to monitor progress and ensure a durable outcome.
Frequently Asked Questions
Q: Do I have to travel to Miami for surgery?
A: Not always. Certain procedures can be performed in New York, depending on hospital access, equipment, and case complexity. For more advanced or specialized surgeries, Miami may remain the primary surgical center. However, your evaluation, workup, and many follow-up visits can be completed at the Park Avenue office.
Q: Do you only perform disc replacement?
A: No. While disc replacement is preferred when it is safe and appropriate, every spine is unique. Some patients benefit more from fusion, decompression, or revision procedures. The advantage of working with Dr. Brusovanik is that he offers a full range of surgical options and recommends the least invasive, most motion-preserving solution for each individual case.
Q: Do you see patients for second opinions only?
A: Yes. Many New York patients come specifically for a second or even third opinion after being told they need a fusion. A fresh review of imaging and clinical symptoms often reveals alternative approaches or clarifies whether a proposed surgery is truly necessary.
Q: Can I send my MRI before flying in?
A: Yes. We encourage it. Our team can review your MRI, CT, and X-rays in advance to determine whether a visit or potential surgery with Dr. Brusovanik is appropriate, saving you unnecessary travel.
OTHER INFORMATION
- Dr. Brusovanik has authored over 30 publications on issues related to spine surgery.
- As seen on CNN Espanol and Us News and World Report
- Dr. Brusovanik is the Spine Consultant for the Miami Dolphins and the Sony Open Tennis Miami
- Dr. Brusovanik is fluent in both Spanish & Russian
- Dr. Brusovanik supports the following charities; PETA, Center For Biological Diversity, National Resource Defense Council, Human Rights Campaign, and the Sierra Club.
