Comprehensive Spine Care, P.A. Comprehensive Spine Care, P.A. was established in 1996 and is one of the most skilled spine practices in Bergen County and the greater New York area.
Suite 400 Westwood
New Jersey , New Jersey, NJ 07675 New Jersey
Comprehensive Spine Care, P.A.
He is a wonderful surgeon I recommend him to anyone I know for surgery. His bedside manor is the best I have come across. Dr. Ashraf and staff exceeded our expectations. The staff was courteous, efficient and very helpful. Dr. Ashraf’s explanations were informative and easy to understand. His recommendations were exactly the approach we were hoping for. Great bedside manner! He is the best doc, i had 2 back surgery before i meet him, he gave me my life back, from not moving at all to 100 puch up every morning, 10 miles bike ride up and down stairs on the 10 th floor. recommend him and the staff is the best too. love them all. thank you so much. The most wonderful experience anyone in pain can have! This doctor is patient and understanding and above all very careful with his patients. I would trust him with my family and friends! I feel Dr. Ashraf displayed a genuine and heartfelt concern for my health. His diagnosis of my injury, and explanation of necessary corective procedures were presented in a manner that was easy to comprehend. Dr. Ashraf answered any and any questions I, or my loved ones had. He also asked many questions before and after surgery to help him help me in my recovery. In retrospect, I was at ease thinking my health was in very capable hands. Thankfully I was able to get an appointment on short notice as a result of a cancellation. I was seen promptly, no wait. Dr. Levin quickly diagnosed the problem, treated me and prescribed action I should take re:rehab. I highly recommend Dr. Levin! Dr. Ashraf is an amazing doctor and spine surgeon. He listens attentively, and takes time to understand your concerns and complaints very professional with sincere empathy. confident in his diagnosis and treatment. staff always courteous and professional as well. Dr. Ashraf is a very caring Dr. who did a very good job with my neck surgery I would highly recommend him. He is a wonderful doctor. Dr. Ashraf was very reassuring. He went through the MRI and explained the areas that were problematic. He took his time, answered all my questions, addressed any concerns I had, and reassured me that my situation was not an emergency. He suggested alternatives to surgery, and see how that goes for a month. Dr. Ashraf has showed to have an excellent fund of knowledge and willingness to make sure that, I understand everything with precise details. Excellent Dr. he has great bed side manners knows how to speak to his patient ,makes you feel very secure and overall he is the best. Dr. levin and the whole practice are professional and friendly. Wait time was very short. All my questions have been answered in a clear manner. i highly recommend Dr. Levin!! Outstanding. I had leg pain going down both legs for years. The surgery worked out great. Looking forward to recovery as the pain in both hamstrings are now gone. Same day procedure. I could not be more happy to have dr. levin. Your care would be in great hands no worries. Thanks . I am a registered nurse Dr. Ashraf and his staff are courteous and gracious. They treat you with respect. They care about you and most importantly return your phone calls! I went to several doctors. No one provided a good treatment plan and I could not find relief. The pain was affecting my life and my work. I was miserable. Then I was lucky to find Dr. Ashraf. He absolutely saved my life. First impressions are made on theat first phone call to the office and the reception staff could not be more courteous and helpful. Visits were quick and productive without a 30 minute wait in the waiting room. Dr. Levin and his nurse are compassionate and understanding and i was able to set my own timeline for returning for to within the time allowed for my particular procedure. Thank god for Dr. Ashraf! He turned a bad situation into something good. He explained everything well and showed us things like our MRI which is something our other doctor didnt do. Him and his team are highly recommended by us!!! He is an outstanding doctor with good side manners. I have enjoyed the experience with the office staff as well, the staff has been kind and curtious. He explained everything in detail, I was able to comprehend everything the doctor said in such an easy manner. The doctor was very helpful. explained every step of the way also answered all of my questions. Very friendly and showed that he cared about my health. i was very comfortable knowing i was in great hands. I think dr. Ashraf is amazing and has such a caring and warm bedside manner. He takes the time to explain the problem and the remedy. He takes the time to listen to the patient and makes the patient feel important. Excellent experience. Answered all my questions. And I am able to walk again. Gave me back my life. I was fortunate to have Dr. Levin treat my low back injury, first conservatively, and ultimately with successful minimally invasive spine surgery. I am significantly improved functionally, and my pain level is dramatically reduced thanks to Dr. Levin. I cannot recommend him highly enough. to any one who is considering back surgery,you should be very careful who you choose , you future depend on selecting the right doctor. an I am thank God that I came across Dr.Nomaan Ashraf. one day after surgery I was already feeling 90 percent better, Now I know and confirms that Dr. Ashraf is the best on spine surgery, and easy to get to his clifton office which makes it convinient to get to. always do your homework, I did mine and I do not regret it. Thank you Dr. Ashraf.
Rating: 5 / 5 stars


Spondylolisthesis occurs when one of the vertebra along the spine slips out of alignment with the other vertebrae in the spine.

Common symptoms of Spondylolisthesis can include:

  • Muscle Spasms in the lower back.
  • Moderate to Severe pain in the lower back, hamstrings, and buttocks.
  • Lumbar Radiculopathy or Sciatica. The symptoms from a nerve compressed because of lumbar stenosis or a pinched nerve in the back can include:
    • Pain
    • Burning feeling in the area
    • A numbness, or tingling sensation from the lower back into the buttocks, thighs, legs and feet.
  • Neurogenic Claudication
  • Weakness in the muscles along the legs and feet, resulting from an issue within the nerves.
  • Chronic pain, that is typically brought on by walking

IsthmicSpondylolisthesis (LyticSpondylolisthesis)
This type of spondylolisthesis is caused by a fracture of the “pars interarticularis” which is the bony bridge that connects the facet joints. It often occurs in patients that have participated in sports that involve repetitive stress to the lumbar vertebrae. The defect in the bone caused by the fracture is termed a spondylolysis. If separation or displacement of this fracture occurs, the anterior portion of the vertebra will disconnect from the facet joints. The resulting slippage of the vertebrae is known as a spondylolisthesis.

This type of spondylolisthesis is most often seen in older patients. Degenerative Spondylolisthesis is caused by arthritis of the facet joints in the back of the spine along with a loss of competency of the intervertebral disc. This may lead to instability of the spine with slippage of the vertebrae and further wear and tear on the intervertebral disc.

Symptoms of a Spondylolisthesis:

    • Muscle Spasm in the lower back
    • Moderate to Severe pain in the lower back and buttocks
    • Lumbar Radiculopathy (Sciatica). The symptoms from a nerve compressed by a disc herniation (pinched nerve) include pain, burning, numbness, or tingling from the lower back into the buttocks, thighs, legs and feet.


The majority of individuals with a spondylolisthesis do not require surgery. Common non-surgical treatment options include:

  • Anti-inflammatory medications
  • Epidural Injections

When pain symptoms are severe, if there is significant muscle weakness, or if your overall condition deteriorates surgery may be necessary. The surgeons at Comprehensive Spine Care will develop a treatment plan based on your symptoms, physical exam and MRI results.

Surgery for Lumbar Spondylolisthesis typically would consist of a Lumbar decompression (Laminectomy, Laminomtomy). Stabilization of the spine may also be necessary (Anterior Lumbar Interbody Fusion, Posterior Lumbar Fusion, Lateral Lumbar Fusion.)

Westwood Office
260 Old Hook Road
Suite 400 Westwood, NJ 07675
Mon-Fri: 9:00am - 5:00pm
Clifton Office
925 Clifton Ave., Suite 200
Clifton, NJ 07013
Mon-Fri: 9:00am - 5:00pm
Bridgewater Office
11 Monroe Street
Bridgewater, NJ 08807
Mon-Fri: 9:00am - 5:00pm
Brunswick Office 192 Summerhill Road
East Brunswick, NJ 08816
Mon-Fri: 9:00am - 5:00pm
Mailing Address: P.O. Box 631, Westwood, NJ 07675