Dr. Noel Perin

Director of the Center For Minimally Invasive Spine and Neurosurgery

Primary Specialty: Neurosurgery
Sub. Specialty:
Spinal surgery

Minimally Invasive and Thoracoscopic surgery / Surgery for tumors in the Spine & Spinal cord / Peripheral Nerve Surgery / Complex spinal surgery for deformity and spinal fusion / Sympathectomy for Hyperhidrosis.

Dr. Perin has a vast experience in the treatment of all disorders of the spine, spinal cord and peripheral nerves.

AREAS OF EXPERTISE

  • Spinal endoscopy – Thoracic disc, Sympathectomy for Hyperhidrosis

  • Minimally invasive spinal surgery – Cervical Foraminotomy, Lumbar disc, Lumbar stenosis, Lumbar Fusion

  • Spinal cord tumors-Ependymomas & Astrocytomas

  • Spine Tumors – metastatic tumors, Meningiomas, Schwannomas, Neurofibromas

  • Fractures

  • Deformities

  • Cervical, thoracic and lumbar disc herniations & stenosis

  • Spinal instrumentation

 

Publications (click to view and download pdfs of these articles)

Diagnosis and treatment of spinal cord herniation: a combined experience (pdf)

Intraoperative Neurophysiology and Methodologies Used to Monitor the Functional Integrity of the Motor System (pdf)

Occipitocervical fusion after resection of craniovertebral junction tumors (pdf)

Surgical Management of Chordomas of the Cervical Spine (pdf)

Thoracoscopic Spine Surgery (pdf)

Presentations

  • Intramedullary spinal-cord tumors
    University of Cincinnati, Department of Neurosurgery, Grand Rounds, Cincinnati, OH, February 1991

  • Cervical spine trauma
    University of Cincinnati, Department of Neurosurgery, Grand Rounds, Cincinnati, OH, July 1991

  • Instrumentation of the upper cervical spine
    Hilton-Head Neurosurgical Symposium, organized by the Mayfield Neurological Institute and the University of Cincinnati, Department of Neurosurgery, Hilton-Head, NC, August 1991

  • Surgical treatment of intra-medullary tumors
    Hilton-Head Neurosurgical Symposium, organized by the Mayfield Neurological Institute and the University of Cincinnati, Department of Neurosurgery, Hilton-Head, NC, August 1991

  • New concepts in lumbar disc surgery
    Hilton-Head Neurosurgical symposium, organized by the Mayfield Neurological Institute and the University of Cincinnati, Department of Neurosurgery, Hilton-Head, NC, August 1991
  • Spinal trauma
    University of Cincinnati Department of Neurosurgery, Grand Rounds, Cincinnati, OH, September 1991

  • Pitfalls in cervical spine surgery
    Congress of Neurological Surgeons Annual Meeting, Orlando, FL, October 1991

  • Cervical spine trauma
    University of Cincinnati, emergency medicine Grand Rounds, Cincinnati, OH, March 1992

  • Basics of fusion in the cervical spine
    American Association of Neurological Surgeons, a sponsored, hands-on course, University of Cincinnati, OH, May 1992

  • Surgical techniques in spinal stabilization
    Good-Samaritan Hospital, seminar on spinal cord injury sponsored by the University of Cincinnati, OH, July1992

  • Faculty consultants' corner: Spine
    Congress of Neurological Surgeons Annual Meeting, Washington DC, October 1992

  • Basics of fusion: Cervical spine
    American Association of Neurological Surgeons Annual Meeting, hands-on course, Los Angeles CA, November 1992

  • Surgical stabilization of the upper cervical spine
    Spine workshop sponsored by the University of Florida, Salt Lake City, UT, January 1993

  • Indications and methods of lumbar spine stabilization
    Neurosurgical Symposium, organized by the Mayfield Neurological Institute and the University of Cincinnati, Snowmass Village, CO, March 1993

  • Metastatic disease of the spine
    Neurosurgical symposium, organized by the Mayfield Neurological Institute and the University of Cincinnati, Snowmass Village, CO, March 1993

  • Treatment of metastatic disease of the spine
    The Jewish Hospital, general surgical Grand Rounds, Cincinnati, OH, May 1993

  • Basics of fusion, cervical spine
    American Association of Neurological Surgeons, hands-on course, Toronto, Canada, June 1993

  • Posterior cervical stabilization
    American Association of Neurological Surgeons, hands-on course, Toronto, Canada, June 1993

  • Baclofen pump in spinal cord injury
    Good-Samaritan Hospital, spinal cord injury seminar, sponsored by the University of Cincinnati, OH, June 1993

  • Lumbar-sacral orthoses, bone healing, grafts and stimulators
    American Association of Neurological Surgeons, hands-on course, Mayo-Clinic, Rochester, MN, July 1993

  • Faculty consultants' corner: Spine
    Congress of Neurological Surgeons Annual Meeting, Vancouver, Canada, October, 1993

  • Spinal cord injury diagnosis and treatment
    Northern Kentucky Rehabilitation Center, Grand Rounds, Kentucky, TN, November 1993

  • Surgical stabilization of the upper cervical spine
    University of Florida spine workshop, Snowbird, Salt Lake City, UT, January 1994

  • Anterior cervical instrumentation
    Sofamor-Danek Annual Sales Meeting, Memphis, Tennesse, TN, January 1994

  • Occipitocervical stabilization
    Mount Sinai Medical Center, Department of Neurosurgery, weekly Grand Rounds, New York, NY, January 1994

  • Spinal endoscopy
    Annual Meeting of the American Association of Neurological Surgeons, plenary session, San Diego, CA, April 199

  • Posterior instrumentation of the lower cervical spine
    American Association of Neurological Surgeons, continuing medical education course, New Orleans, LA, May 1994

  • Spinal endoscopy
    Neurosurgical Symposium, University of Florida, Tampa, FL, September 1994

  • Atlanto-axial screw fixation
    Congress of Neurological Surgeons Annual Meeting, craniocervical stabilization, hands-on course, Chicago, IL, October 1994

  • Lumbar spinal endoscopy
    Congress of Neurological Surgeons Annual Meeting, neuroendoscopy, hands-on course, Chicago, IL, October 1994

  • Pathophysiology of rheumatoid disease of the spine and cranio-cervical area and management strategies
    American Association of Neurological Surgeons Annual Meeting, breakfast seminar, Orlando, FL, October 1995

  • Spinal endoscopy
    American Association of Neurological Surgeons Annual Meeting, breakfast seminar, Orlando, FL, October 1995.

  • Basic endoscopy: minimally invasive techniques
    University of Florida, hands-on, lumbar instrumentation course, Orlando, FL, September 1995

  • Thoracoscopic spinal surgery - minimally invasive surgery in the lumbar spine
    University of Florida, hands-on, lumbar instrumentation course, Orlando, FL, September 1995

  • Orthoses and biology of bone healing
    American Association of Neurological Surgeons, thoraco-lumbar, professional development, hands-on course, New Orleans, LA, September 1995

  • Spinal endoscopy
    American Association of Neurological Surgeons, thoraco-lumbar, hands-on course, New Orleans, LA, September 1995

  • Thoracoscopic disc herniation
    University of Arizona and Barrow Neurological Institute, thoracoscopic-spine surgery, hands-on course, January 1996

  • Posterior stabilization of the upper cervical spine
    Congress of Neurological Surgeons Annual Meeting, luncheon seminar, San Francisco, CA, October 1995

  • Orthoses and biology of bone healing
    American Association of Neurological Surgeons, thoraco-lumbar spinal surgery professional development course, New Orleans, LA, March 1996

  • Spinal endoscopy
    American Association of Neurological Surgeons, thoraco-lumbar spinal surgery professional development course, New Orleans, LA, March 1996

  • Management of rheumatoid arthritis
    American Association of Neurological Surgeons, cranio-cervical junction practical course, organized, Minneapolis, MN, April 1996

  • Surgical management of rheumatoid arthritis of the upper cervical spine
    American Association of Neurological Surgeons, breakfast seminar, Minneapolis, MN, April 1996

  • Biology of bone healing
    American Association of Neurological Surgeons, thoraco-lumbar spinal surgery professional development course, Chicago, IL, October 1996

  • Spinal endoscopy
    American Association of Neurological Surgeons, thoraco-lumbar spinal surgery professional development course, Chicago, IL, October 1996

  • C1- C2 fixation
    New York University Medical Center, New York City Neurosurgery symposium, New York, NY, December 1996

  • Surgical management of rheumatoid arthritis of the upper cervical spine
    American Association of Neurological Surgeons, cranio-cervical junction practical course San Frisco, April 1997

  • Microdiskectomy to Endoscopy
    Congress of Neurological Surgeons, luncheon seminar, New Orleans, LA, September 1997

  • Bone grafts and substitutes in spinal fusion
    Annual Congress of Neurological Surgeons, luncheon seminar, Seattle, WA, October 1998

  • Avoidance and treatment of complications in spinal surgery
    Congress of Neurological Surgeons, luncheon seminar, Seattle, WA, October 1998

  • Advances in spinal endoscopy
    Nassau Surgical Society Clinic Day, neurosurgical symposium, Long Island, NY, December 1998

  • Thoracoscopic surgery equipment and OR set-up; Endoscopic and video-monitored, minimally invasive surgery of the spine; Approaches for treatment of thoracic and lumbar-spinal pathology
    Albany Medical Center, Albany, NY, April 1999

  • Thoracoscopic discectomy; Endoscopic and video-monitored minimally invasive surgery of the spine; Approaches for treatment of thoracic and lumbar spinal pathology
    Albany Medical Center, Albany, NY, April 1999

  • Thoracoscopic spinal surgery
    Symposium on Orthopedic Spinal Surgery, Jeddah, Saudi Arabia, May 1999

  • Occipito-cervical instability: Presentation, diagnosis and management
    Symposium on Orthopedic Surgery, Jeddah, Saudi Arabia, May 1999

  • Laparoscopic lumbar interbody fusion with bone dowels/cages
    Symposium on Orthopedic Surgery, Jeddah, Saudi Arabia, May 1999

  • Endoscopic spinal surgery: Early experience and results
    Mount Sinai Medical Center, Neurosurgery Research Day, New York, NY, June, 1999

  • Management of instability in the upper cervical spine
    Mount Sinai Medical Center, neurosurgery Grand Rounds, New York, NY, July 1999

  • Management of head and spinal trauma
    Mount Sinai Medical Center, Department of Neurology, Grand Rounds, New York, NY, August 1999

  • Posterior stabilization of the sub-axial cervical spine
    Annual Congress of Neurological Surgeons, luncheon seminar, Boston, MA, October 1999

  • Thoracoscopic biopsy techniques
    Practical Course in Thoracoscopic Spinal Surgery, Boston, MA, October, 1999

  • Thoracoscopic spine surgery indications, contraindications and cost effectiveness
    Annual Congress of Neurological Surgeons Meeting, selected papers spine section, Boston, MA, October 1999

  • Cervical spine instrumentation practical course (teaching faculty)
    University of Cincinnati and the Mayfield Neurological Institute, Hilton-Head Island Neurosurgical Symposium, hands-on courses, Hilton-Head Island, NC, August 1991

  • Disorders of the spine, a contemporary update
    University of Florida (Tampa), spine workshop, Salt Lake City, UT, January 1992

  • Cervical spine instrumentation course
    American Association of Neurological Surgeons, continuing medical education course, University of Cincinnati, Cincinnati, OH, May 1992

  • Posterior cervical spine instrumentation symposium
    American Association of Neurological Surgeons, continuing medical education course, Oklahoma City, OK, October 1992

  • Posterior cervical spine instrumentation symposium
    American Association of Neurological Surgeons, continuing medical education course, Portland, OR, October 1992

  • Cervical spine instrumentation course
    American Association of Neurological Surgeons, continuing medical education course,
    Los Angeles, CA, November 1992

  • Disorders of the spine: A contemporary update
    University of Florida, Tampa, spine workshop, Salt Lake City, UT, February 1993

  • Spine stabilization course
    University of Cincinnati and the Mayfield Neurological Institute, neurosurgical symposium, Snowmass, CO, March 1993

  • Cevical spine instrumentation course
    American Association of Neurological Surgeons, continuing medical education course,
    University of Toronto, Canada, June 1993

  • Lumbar spine instrumentation course
    American Association of Neurological Surgeons, continuing medical education course, Mayo Clinic, Rochester, MN, July 1993

  • Upper cervical spine stabilization
    American Association of Neurological Surgeons Annual Meeting, hands-on course, Vancouver, Canada, October 1993

  • Disorders of the spine: A contemporary update
    University of Florida (Tampa), spine workshop, Salt Lake City, UT, February 1994

  • Anterior cervical spine stabilization
    Spine Section of the American Association of Neurological Surgeons Annual Meeting, hands-on course, Fort Lauderdale, FL, February 1994

  • Posterior cervical spine stabilization course
    American Association of Neurological Surgeons Spine Section Annual Meeting, hands-on course, Fort Lauderdale, February 1994

  • Stabilization of the upper cervical spine
    American Association of Neurological Surgeons Annual Meeting, San Diego, CA, April 1994

  • Spinal endoscopy
    American Association of Neurological Surgeons Annual Meeting, San Diego, CA, April 1994

  • Surgery of the cervical spine
    American Association of Neurological Surgeons, continuing medical education course, New Orleans, LA, May 1994

  • Craniocervical junction stabilization
    Congress of Neurological Surgeons Annual Meeting, practical course, Chicago, IL, October 1994

  • Neuroendoscopy course
    Congress of Neurological Surgeons Annual Meeting, practical course, Chicago, IL, October 1994

  • Consultants' corner: Spine
    Congress of Neurological Surgeons Annual Meeting, Chicago, IL, October 1994

  • Spinal endoscopy course (co-director)
    American Association of Neurological Surgeons, Joint Spine Section
    meeting, Phoenix, AZ, February 1995

  • Thoraco-lumbar instrumentation course
    American Association of Neurological Surgeons Annual Meeting of the Spine Section, Phoenix, AZ, February 1995

  • Thoracoscopic spinal surgery workshop
    Co-director at Ehicon – Endo. Surgery, Cincinnati, OH, March 1995

  • Cranio-cervical course faculty
    American Association of Neurological Surgeons Annual Meeting, Orlando, FL, April 1995

  • Endoscopy, percutaneous lumbar techniques
    American Association of Neurological Surgeons Annual Meeting, Orlando, FL, April 1995

  • Thoraco-lumbar instrumentation course
    American Association of Neurological Surgeons, continuing medical education course, Chicago, IL, September 1995

  • Minimally invasive techniques, lumbar instrumentation course
    University of Florida (Gainsville), Orlando, FL, September 1995

  • Thoracoscopic spinal surgery
    Barrow Neurological Institute (sponsored by the University of Arizona), Phoenix, AZ, January 1996

  • Thoracoscopic spinal surgery (director, practical course)
    American Association of Neurological Surgeons Annual Meeting of the Spine Section, Orlando FL, March 1996

  • Percutaneous spinal techniques (course director)
    Congress of Neurological Surgeons Annual Meeting, San Francisco, CA, October 1995

  • Thoracoscopic spinal surgery
    Barrow Neurological Institute (sponsored by the University of Arizona), Phoenix, AZ, January 1996

  • Minimally invasive spinal surgery (course director)
    Congress of Neurological Surgeons, Montreal, Canada, September 1996

  • Advanced thoracic and lumbar spine management
    American Association of Neurological Surgeons, continuing medical education course, Chicago, IL, October 1996

  • Video workshop: Endoscopic spinal surgery (course director)
    New York University Medical Center, neurosurgery symposium, New York, NY, December 1996

  • The cranio-cervical junction practical course
    American Association of Neurological Surgeons, San Francisco, CA, April 1997

  • Minimally invasive spinal surgery (course director)
    Congress of Neurological Surgeons, hands-on course, New Orleans, LA, September 1997

  • Minimally invasive spinal surgery (course diretcor)
    Congress of Neurological Surgeons Annual Meeting, Seattle, WA, October 1998

  • Surgical exposure of the thoracic and lumbar spine (faculty)
    Congress of Neurological Surgeons Annual Meeting, Seattle WA, October 1998

  • Endoscopic and video monitored minimally invasive surgery of the spine. Approaches for treatment of thoracic and lumbar spinal pathology (faculty)
    Albany Medical Center, Albany, NY, April 1999

  • Scientific symposium orthopedic surgery (faculty)
    Mount Sinai Delegation to Jeddah, Saudi Arabia, May 1999

  • Minimally invasive lumbar spine (director)
    Annual Congress of Neurological Surgeons, Boston, MA, October 1999

  • Thoracoscopic spinal surgery (faculty)
    Annual Congress of Neurological Surgeons, Boston, MA, October 1999

  • Thoracoscopic Sympathectomy
    Presented at the breakfast seminar of the AANS in April 2000 in San Francisco CA

  • Fundamental Principals and Techniques of Laparoscopic Lumbar Interbody fusion
    Presented at the hands-on course on "Anterior Endoscopic Approaches to the Thoracic and Lumbar Spine", Barrow Neurological Institute Workshop, in Phoenix, Arizona, September 11th and 12th, 2000

  • "Thoracoscopic Biopsy techniques"
    Presented at the hand-on course on Thoracoscopic Spinal surgery at the Annual meeting of the Congress of Neurological Surgeons, in San-Antonio, Texas, September 24th, 2000

  • "Laparoscopic Anterior Interbody Fsion techniques"
    Presented at the hands-on course on "Minimally Invasive Lumbar Spinal Surgery, at the Annual meeting of the Congress of Neurological Surgeons, in San-Antonio, Texas, September 24th, 2000

  • "Posterior Stabilization for Instability of the Sub-axial Cervical Spine"
    Presented during the Luncheon seminar at the Annual meeting ofthe Congress of Neurological Surgeons, in San-Antonio, Texas, September 27th, 2000

  • "A Novel Approach to the Treatment of Disorders in the spine"
    Presented at the annual meeting of the Sri-Lanka Medical Association, November 2000, NY, NY

Faculty workshops - Hands-on courses
Faculty hands-on course " Anterior Endoscopic Approaches to the Thoracic and Lumbar spine", Barrow Neurological Institute spine workshop, September 11-12, 2000

Director hands-on course on "Minimally Invasive Lumbar spine surgery" at the Annual meeting of the Congress of Neurological Surgeons in San-Antonio, Texas, September 24, 2000

Faculty hands-on course on "Thoracoscopic Spinal Surgery" at the Annual meeting of the Congress of Neurological Surgeons in San-Antonio, Texas, September 24, 2000

Publications
Perin, N. I., The effect of isovolaemic hemodilution and intra-venous glycerol on the sequele of middle cerebral artery occlusion in the rat, Journal of Neurology, Neurosurgery and Psych. 49:428-431, 1986

Oh, S-H; Perin, N.I.; Cooper, P.R., Quantitative three-dimensional anatomy of the subaxial cervical spine: Implication for anterior spinal surgery, Neurosurgery, 38:1139-1144, June 1996

Kokkino, A.; Lazio, B.; Perin, N.I., Vertical fractures of the odontoid process, Neurosurgery, pp. 102-104, January 1996

Arginteanu, M.; Perin, N.I. Paraspinal calcinosis associated with progressive systemic sclerosis, Journal of Neurosurgery, (87) 761-3, 1997

Arginteanu, M.; Perin, N.I.; Management of postlaminectomy instability, Contemporary Neurosurgery, 19 (7), April 1997

Shiau, J.C.; Arginteanu, M.; Perin, N.I., Arthritic and bone softening diseases of the craniocervical junction, Neurosurgery Quarterly, 8 (3); pp. 180-190, 1998

Deutsch H., Arginteanu M., Manhart K., Perin N.I., Camins M., Moore F., Steinberger A.A., Weisz D., Somatosensory evoked potential monitoring in Anterior Thoracic Vertebrectomy, Journal of Neurosurgery, Spine, Vol.92, No.2, April 2000

Chapters
Perin, N. I.; Ossification of the posterior longitudinal ligament, chapter in Degenerative diseases of the cervical spine, Neurosurgery topics, AANS publications, (Paul Cooper, editor) 12:151-158, 1993

Perin, N.I., Posterior stabilization of the cervical spine using plates and screws, chapter in Surgery for spinal cord injuries, principles and techniques in spine surgery, (Steven Garfin, Bruce Northrup, editors), 12:113-122, 1993

Perin, N.I.; Stanley, M., Diagnosis and management of sacral fractures, Youmans neurological surgery, (W.B Saunders, Julian R. Youmans, editor-in-chief), fourth edition, chapter 90, volume 3, pp. 2097-2102, 1995

Perin, N.I., Thoracotomy and discectomy for thoracic disc herniation, chapter in Controversies in Neurosurgery, Thieme Medical Publishers, Inc., (Ossama Al-Mefty; editor) 25: pp. 240-242, 1996

Perin, N.I., Post-traumatic Syrinx diagnosis and treatment in spinal cord diseases; diagnosis treatment, Marcel Dekker Inc., (G. I. Engler; J. Cole; WL Merton, editors), chapter 8, pp. 199-209, 1998

Perin, N.I., Posterior atlantoaxial screw fixation, chapter in Techniques of spinal fusion and stabilization, Thieme Medical Publishing, (P. Hitchon, editor), 1995

Perin, N.I.; Cusick, Joseph F., Interspinous, laminar and facet cervical fusion, chapter for Spine surgery, techniques, complication avoidance and management, Churchill Livingstone, (Edward Benzel, editor)

Perin, N.I.; Baldwin, N.; Cooper, Paul R., High cervical and occipito-cervical plate, rod, wire, and bone, techniques, complication avoidance and management, (Edward Benzel, editor), (submitted)

Perin, N.I., Posterior transfacetal atlantoaxial screw fixation; Techniques in neurosurgery, volume 1, #2, pp. 102-104, 1996

Perin, N.I., Endocscopy and the lumbar spine, chapter in Techniques in neurosurgery, (Christopher Loftus and Hunt Batjer, editors; Russel Hardy, section editor), 1996

Perin, N.I., Endoscopic lumbar microdiscectomy for far lateral disc herniations, chapter in Techniques in neurosurgery, (Christopher Loftus and Hunt Batjer, editors; Curtis Dickman, section editor)

Perin, N.I., Biopsy of vertebral lesions, chapter in Microsurgical throcoscopic approaches to the spine (Perin, N.I.; Dickman, C.; Rosenthal, D., editors), April 1999

Perin, N.I.; Postoperative management, complication management and avoidance; chapter in Microsurgical thoracoscopic approaches to the spine (Perin, N.I.; Dickman, C.; Rosenthal, D., editors), April 1999

Perin, N.I., Diagnosis and management of sacral fractures, Youmans neurological surgery, (W.B. Saunders; Julian R. Youmans, editor-in-chief; Volkar Sontaag, section editor), fifth edition, chapter 90, volume 3, (submitted)

Jenkins A.; Perin N.I., Vertebral tumors of the cervico-thoracic junction, chapter in Atlas of Neurological Techniques, Thiema, (Fessler, Sekhar, editors)

Jenkins A.; Perin N.I.; Luque wire Stabilization, chapter in Atlas of Neurological techniques, Thiema, (Fessler, Sekhar, editors)

Perin N.I., "Complications of Endoscopic Spinal Surgery" Millenium Issue of Minimally Invasive Spine Surgery, in Neurosurgery (in press)

Books
Dickman, D.; Rosenthal, D.; Perin, N., Thoracoscopic Spine Surgery, Thiema, April 1999

Abstracts
Modified lateral extrapleural-extraperitoneal approach to the thoracolumbar spine allowing anterior instrumentation, AANS (Cushing) Meeting, San Diego, April 1994

(poster) Three dimensional anatomy of the lower cervical spine and its relationship to anterior spinal surgery, Congress of Neurological Surgeons, Chicago, IL, October 1994

(poster) Three dimensional anatomy of the lower cervical spine and its relationship to anterior spinal surgery, paper presentation, scientific session of the Cervical Spine Research Society Meeting, Santa Fe, NM, December 1995

Sub-laminar wiring in the sub-axial cervical spine, poster presentation, Montreal, Canada, September 1996

Spinal cord hernia, oral/poster presentation, Annual Congress of Neurological Surgeons Meeting Seattle, WA, October 1998

 
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