Mar 9, 2023 Monmouth Medical Center Surgeons Reach 200 Case Milestone in Pioneering Robotic Spine Cases

Monmouth Medical Center spine surgeons Marc Menkowitz, MD (left), and Steve Paragioudakis, MD, with nurse practitioner Courtney Kroeze (left), and Certified Perioperative Nurse Jacqueline Passariello

CAPTION: Monmouth Medical Center spine surgeons Marc Menkowitz, MD (left), and Steve Paragioudakis, MD, with nurse practitioner Courtney Kroeze (left), and Certified Perioperative Nurse Jacqueline Passariello.

Long Branch, N.J. – Two Monmouth Medical Center (MMC) spine surgeons recently reached the milestone of 200 patient cases using cutting-edge GPS-based robotic technology for minimally invasive spine surgery.

MMC was the second hospital in New Jersey to introduce the robotic spine technology, and while dozens of surgeons use the system, few can match the experience and expertise of Marc Menkowitz, MD, and Steve Paragioudakis, MD. Since MMC introduced the technology in October 2019, the system has been used in more than 200 spine surgeries performed by Drs. Menkowitz and Paragioudakis, have performed more robotic spine surgeries then anyone in New Jersey.

They perform the majority of their cases together, using the robot to treat patients who suffer from debilitating conditions like degenerative disc disease and spinal stenosis, as well as damaged discs, scoliosis and other back problems.

The robotic spine system combines a robotic arm with computer-assisted navigation. CT scan and X-ray images of the spine are taken prior to a procedure. These images are used to create a surgical plan, which helps the physician guide the robotic arm to a specific area of the spine.

The surgeon is able to view the procedure on a monitor, which provides real-time feedback. With this technology, the procedure is more accurate and less invasive than traditional surgery, according to Dr. Menkowitz. “We can be precise to the millimeter,” he says. “Once we navigate to where we want to be in the spine, the system locks us into the surgical pathway.”

Patients benefit from this high-tech surgical system in several ways. Because the procedure is so precise and involves small incisions, there’s less blood loss, tissue damage and scar tissue. Patients recover more quickly and with less pain than with traditional spine surgery, says Dr. Paragioudakis. As a result, hospital stays tend to decrease by about a day, on average.

Another advantage: The patient is exposed to less radiation during the surgery because fewer X-rays need to be taken to guide the procedures.

For more information about MMC’s Spine Center or for a calendar of upcoming spine surgery information sessions, visit

Kathy Horan