
Comprehensive spine and brain care with a focus on minimally invasive techniques. Dr. Noce performs TLIF, ACDF, spinal fusions, laminectomies, and lumbar decompression to relieve pain and restore function. Call us to discuss your symptoms and treatment options.


Board Certification: Neurosurgery
Fellowship & Societies: Fellow of the American Association of Neurological Surgeons (FAANS)
Education:
- Medical School: Albert Einstein School of Medicine
- Residency (Neurosurgery): Albert Einstein
- Fellowship (Spine Surgery): Montefiore Medical Center
Hospital Affiliations:
- Robert Wood Johnson Barnabus Health
- Atlantic Health System - Morristown - Chilton
Awards & Honors:
- Castle Connoly 2018-2025
- Jersey's Best 2019-2025
- NY Magazine Best Doctors 2021-2025
What is FBSS?
Failed Spine Surgery Syndrome refers to persistent or new pain following one or more spine procedures. Causes can include residual or recurrent stenosis or herniation, adjacent segment disease, scar tissue, implant issues, or an alternative pain generator.
Who is a candidate for revision or minimally invasive treatment?
Patients with continued leg or back pain, numbness, or weakness after surgery who have concordant findings on imaging and exam. A focused evaluation can identify targets for minimally invasive revision or nonoperative solutions.
What minimally invasive options are available?
Depending on the cause: targeted decompression, endoscopic or tubular revision, hardware revision, interbody fusion (e.g., TLIF), or motion-preserving strategies. Many are done through small incisions to reduce blood loss, pain, and recovery time.
Expected outcomes
When the pain generator is accurately identified and addressed, patients often experience meaningful pain relief, neurologic improvement, and faster return to activity. Individual results vary based on diagnosis and overall health.
Recovery and follow‑up
Most minimally invasive revisions use muscle‑sparing approaches, enabling early mobilization and a stepwise return to normal activity, with structured follow‑up to monitor healing and function.
When should I seek a second opinion?
If pain persists after adequate recovery time, new symptoms appear, or imaging suggests a treatable cause, a second opinion can clarify options. Book a consultation to review your prior surgery and imaging.