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Dr. Justin N. Virojanapa, DO

(Dr. Justin Virojanapa, DO)

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Specializes in: Neurosurgery

Touro University College of Osteopathic Medicine

Professional interests include: vascular malformations, lumbar stenosis, spondylosis (degenerative spine disease), and more.

7700 University Drive
West Chester, OH 45069

(513) 298-3000

Dr. Justin N. Virojanapa, DO is a neurosurgeon in Cincinnati, OH specializing in neurosurgery. He graduated from Touro University College of Osteopathic Medicine. Dr. Justin N. Virojanapa, DO is affiliated with UC Health, University of Cincinnati College of Medicine and UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC.

Office Locations

UC Health

3113 Bellevue Avenue Suite 2400
Cincinnati, OH 45219

(513) 418-2225

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UC Health

7675 Wellness Way Suite 300
West Chester, OH 45069

(513) 475-8990

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UC Health

7700 University Drive
West Chester, OH 45069

(513) 298-3000

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Some issues Dr. Justin N. Virojanapa, DO can help you with:

Spinal Cord Injury

Spinal cord injury medicine is a branch of medicine that treats damage to the spinal cord from an injury or a nontraumatic myelopathy, which is any disorder that affects the spinal area. The spinal cord is a section of nerve tissue protected by the vertebrae (spinal bones). Trauma to the spinal cord, typically caused by compression or bent vertebrae, prevents the body and brain from communicating. This can result in pain, loss of sensation, and impaired physical function and movement. Acute spinal cord injuries (SCIs) are a leading cause of permanent disability. Spinal cord injuries may develop from accidents or myelopathies, disorders that provoke spinal compression. Traumatic incidents such as falls, sports injuries, vehicle accidents, and bullet or stab wounds can cause an acute spinal cord injury.

Spinal cord injury medicine seeks to stabilize the spine and to alleviate the symptoms of spine damage. Practitioners of spinal cord injury medicine are called spinal cord injury specialists. Spinal cord injury medicine is an interdisciplinary field, meaning physicians of various specialties may be trained to treat spinal cord injuries.

Damage to the spinal cord may initially be diagnosed through X-ray, MRI, or CT scans. Patients can also undergo spinal exams to evaluate their sensory ability and strength. Injuries to the spinal cord can be complete (no feeling or sensation) or incomplete (some feeling or sensation remains). Conditions spinal cord injury medicine specialists may treat include:

Paralysis, such as paraplegia (loss of function in the legs), or quadriplegia (loss of function from the neck down)
Spine fracture or trauma, which can lead to impairment and/or significant pain
Spinal infections
Myelopathies, such as herniated disks, spinal tumors, and rheumatoid arthritis
Inflammatory diseases such as ankylosing spondylosis, and degenerative conditions like Lou Gehrig's disease (ALS)

Treatment for spinal cord injuries often involves surgery, either directly after an injury occurs or at a later date. Surgery for spine injuries is intended to ease spinal compression and stabilize the spine. Surgical procedures can involve shifting vertebrae, removing bone, or altering spinal placement with implantable devices. Patients with significant spinal trauma may require urgent surgical intervention.

Surgical treatments can be complemented by rehabilitative physical therapy to improve mobility. Spinal cord injury specialists also treat complications arising from a spinal injury, such as respiratory or bladder conditions. Some patients with spinal cord injuries may require lifelong treatment. Spinal cord injury specialists aim to help these patients successfully adjust and lead an improved quality of life. An emerging treatment for spinal cord injuries is neural prosthetics, which replicate patients' lost nerve function. Neural prostheses may be used as artificial body parts or assistive devices that patients may cognitively control. Other assistive devices include wheelchairs and scooters.

Spinal cord injury specialists may collaborate with physical therapists, radiologists, neurologists, urologists, and orthopedists.

Spinal Fusion

Spinal fusion is a surgical procedure to permanently join together two or more vertebrae, the bones in the spine. Certain spinal disorders can lead to instability and pain, and the idea behind spinal fusion is that fusing vertebrae together can both make them stronger and reduce motion, which can sometimes reduce pain.

There are several different types of spinal fusion surgery available, mostly depending on where a patient's pain is located and whether his or her surgeon will perform the procedure through the back, front, or side. In general, a fusion is performed by packing the vertebrae to be fused with grafted bone. This bone may be taken from the patient's hip, may be donated from a cadaver, or it may be a manufactured synthetic material. The bone is placed along the vertebrae, and sometimes, the disc that lies in between the vertebrae is removed and replaced with grafted bone. The bone material will grow and cement the two vertebrae together. After the bone graft is placed, the vertebrae are sometimes held in place with rods, screws, plates, or cages, depending on the weakness of the spine and needs of the graft.

Spinal fusion is a significant surgery and can take three to four hours or more. Recovery is typically two to four days in the hospital. After surgery, it is important to remember that the fusion takes time to grow from the bone graft. So, the actual fusion is not complete for several months. Patients will probably feel somewhat better right away, but it may take a while to feel the full effects of the fusion as the bone grows into place. In the meantime, doctors might have patients wear a brace to protect their spine and keep it properly aligned.

Spinal fusion is not used for all kinds of back pain. Changing the way the spine moves can lead to strain on the other joints in the back, and fusion is only performed when the benefits outweigh the risks. Some spine disorders that are treated with fusion include:

Curvature disorders, such as scoliosis and kyphosis
Degenerative disc disease
Spondylolisthesis, a disorder that causes vertebrae to slip over each other
Significant spinal fractures that cause instability
Weakened spine due to infection or tumor
Some cases of spinal stenosis, a narrowing of the spinal column
Chronic lower back pain (although the use of fusion to treat this is controversial)

Regardless of the diagnosis, there is always a possibility of 'failure' with spinal fusion, or of the surgery not fully solving the pain. This is more likely when fusion is used primarily to treat pain instead of structural problems. Patients can improve their chances of a successful outcome by stopping smoking, maintaining a healthy weight, moving their body every day, and following their doctor's instructions for any physical therapy that they are prescribed.

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Justin N. Virojanapa, DO treated as a neurosurgeon in Cincinnati, OH during 2016 were hospital care and inpatient care.

Volume of procedures performed by Dr. Justin N. Virojanapa, DO for Medicare patients.

hospital care	15
inpatient care	15

Conditions of Medicare patients treated by Dr. Justin N. Virojanapa, DO in 2016

The most common conditions of Medicare patients that Dr. Justin N. Virojanapa, DO treated during 2016 were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	75
High Cholesterol	68
Stroke	0
Ischemic Heart Disease	0
Depression	55
Chronic Kidney Disease	55
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	0
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Justin N. Virojanapa, DO treated as a neurosurgeon in Cincinnati, OH during 2017 were hospital care and inpatient care.

Volume of procedures performed by Dr. Justin N. Virojanapa, DO for Medicare patients.

doctor visit	37
hospital care	28
inpatient care	28

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Justin N. Virojanapa, DO.

**Gender**
Male	37
Female	35

**Ethnicity**
Non-Hispanic White	55
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	20
From 75 to 84	26
85 and over	14
Less than 65	12

Conditions of Medicare patients treated by Dr. Justin N. Virojanapa, DO in 2017

The most common conditions of Medicare patients that Dr. Justin N. Virojanapa, DO treated during 2017 were hypertension, high cholesterol, depression and ischemic heart disease.

Hypertension	75
High Cholesterol	58
Stroke	26
Ischemic Heart Disease	44
Depression	44
Chronic Kidney Disease	40
Asthma	18
Osteoperosis	19
Atrial Fibrilation	18
Heart Failure	32
Chronic Obstructive Pulmonary Disease	0
Diabetes	39
Dementia	28
Cancer	0

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Justin N. Virojanapa, DO treated as a neurosurgeon in Cincinnati, OH during 2018 were hospital care, inpatient care and spinal procedures.

Volume of procedures performed by Dr. Justin N. Virojanapa, DO for Medicare patients.

doctor visit	106
hospital care	71
inpatient care	71
spinal procedures	12

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Justin N. Virojanapa, DO.

**Gender**
Male	58
Female	91

**Ethnicity**
Non-Hispanic White	99
Black	19
Hispanic	0
Asian	17
Other	0
Native American	0

**Age**
From 65 to 74	40
From 75 to 84	50
85 and over	39
Less than 65	20

Conditions of Medicare patients treated by Dr. Justin N. Virojanapa, DO in 2018

The most common conditions of Medicare patients that Dr. Justin N. Virojanapa, DO treated during 2018 were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	75
High Cholesterol	70
Stroke	26
Ischemic Heart Disease	52
Depression	41
Chronic Kidney Disease	40
Asthma	11
Osteoperosis	11
Atrial Fibrilation	19
Heart Failure	28
Chronic Obstructive Pulmonary Disease	21
Diabetes	46
Dementia	34
Cancer	16

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Justin N. Virojanapa, DO treated as a neurosurgeon in Cincinnati, OH during 2019 were hospital care and inpatient care.

Volume of procedures performed by Dr. Justin N. Virojanapa, DO for Medicare patients.

doctor visit	129
hospital care	99
inpatient care	99

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Justin N. Virojanapa, DO.

**Gender**
Male	65
Female	104

**Ethnicity**
Non-Hispanic White	111
Black	21
Hispanic	12
Asian	12
Other	13
Native American	0

**Age**
From 65 to 74	44
From 75 to 84	59
85 and over	44
Less than 65	22

Conditions of Medicare patients treated by Dr. Justin N. Virojanapa, DO in 2019

The most common conditions of Medicare patients that Dr. Justin N. Virojanapa, DO treated during 2019 were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	75
High Cholesterol	67
Stroke	30
Ischemic Heart Disease	49
Depression	46
Chronic Kidney Disease	53
Asthma	9
Osteoperosis	14
Atrial Fibrilation	21
Heart Failure	36
Chronic Obstructive Pulmonary Disease	18
Diabetes	48
Dementia	43
Cancer	15

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Justin N. Virojanapa, DO treated as a neurosurgeon in Cincinnati, OH during 2020 were hospital care and inpatient care.

Volume of procedures performed by Dr. Justin N. Virojanapa, DO for Medicare patients.

doctor visit	84
hospital care	47
inpatient care	47

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Justin N. Virojanapa, DO.

**Gender**
Male	68
Female	67

**Ethnicity**
Non-Hispanic White	108
Black	16
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	49
From 75 to 84	31
85 and over	22
Less than 65	33

Conditions of Medicare patients treated by Dr. Justin N. Virojanapa, DO in 2020

The most common conditions of Medicare patients that Dr. Justin N. Virojanapa, DO treated during 2020 were hypertension, high cholesterol, depression and chronic kidney disease.

Hypertension	75
High Cholesterol	56
Stroke	22
Ischemic Heart Disease	39
Depression	45
Chronic Kidney Disease	43
Asthma	8
Osteoperosis	16
Atrial Fibrilation	12
Heart Failure	30
Chronic Obstructive Pulmonary Disease	19
Diabetes	33
Dementia	20
Cancer	11

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Justin N. Virojanapa, DO treated as a neurosurgeon in Cincinnati, OH during 2021 were hospital care and inpatient care.

Volume of procedures performed by Dr. Justin N. Virojanapa, DO for Medicare patients.

doctor visit	135
hospital care	41
inpatient care	41

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Justin N. Virojanapa, DO.

**Gender**
Male	75
Female	71

**Ethnicity**
Non-Hispanic White	117
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	57
From 75 to 84	31
85 and over	16
Less than 65	42

Conditions of Medicare patients treated by Dr. Justin N. Virojanapa, DO in 2021

The most common conditions of Medicare patients that Dr. Justin N. Virojanapa, DO treated during 2021 were hypertension, high cholesterol, chronic kidney disease and depression.

Hypertension	75
High Cholesterol	59
Stroke	12
Ischemic Heart Disease	34
Depression	37
Chronic Kidney Disease	40
Asthma	14
Osteoperosis	16
Atrial Fibrilation	14
Heart Failure	27
Chronic Obstructive Pulmonary Disease	17
Diabetes	34
Dementia	18
Cancer	8

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Justin N. Virojanapa, DO treated as a neurosurgeon in Cincinnati, OH during 2022 were hospital care and inpatient care.

Volume of procedures performed by Dr. Justin N. Virojanapa, DO for Medicare patients.

doctor visit	79
hospital care	35
inpatient care	35

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Justin N. Virojanapa, DO.

**Gender**
Male	49
Female	66

**Ethnicity**
Non-Hispanic White	90
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	40
From 75 to 84	28
85 and over	19
Less than 65	28

Conditions of Medicare patients treated by Dr. Justin N. Virojanapa, DO in 2022

The most common conditions of Medicare patients that Dr. Justin N. Virojanapa, DO treated during 2022 were hypertension, high cholesterol, depression and diabetes.

Hypertension	75
High Cholesterol	72
Stroke	23
Ischemic Heart Disease	35
Depression	50
Chronic Kidney Disease	31
Asthma	22
Osteoperosis	25
Atrial Fibrilation	20
Heart Failure	32
Chronic Obstructive Pulmonary Disease	28
Diabetes	37
Dementia	22
Cancer	13

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Justin N. Virojanapa, DO treated as a neurosurgeon in Cincinnati, OH during 2023 were hospital care and inpatient care.

Volume of procedures performed by Dr. Justin N. Virojanapa, DO for Medicare patients.

doctor visit	84
hospital care	22
inpatient care	22

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Justin N. Virojanapa, DO.

**Gender**
Male	48
Female	58

**Ethnicity**
Non-Hispanic White	89
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	40
From 75 to 84	26
85 and over	22
Less than 65	18

Conditions of Medicare patients treated by Dr. Justin N. Virojanapa, DO in 2023

The most common conditions of Medicare patients that Dr. Justin N. Virojanapa, DO treated during 2023 were hypertension, high cholesterol, depression and ischemic heart disease.

Hypertension	75
High Cholesterol	71
Stroke	22
Ischemic Heart Disease	41
Depression	45
Chronic Kidney Disease	23
Asthma	21
Osteoperosis	20
Atrial Fibrilation	21
Heart Failure	29
Chronic Obstructive Pulmonary Disease	19
Diabetes	29
Dementia	21
Cancer	13

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2016 - 2023

Volume of procedures performed by Dr. Justin N. Virojanapa, DO for Medicare patients.

The highest averages for the top procedures that Dr. Justin N. Virojanapa, DO treated as a neurosurgeon in Cincinnati, OH were hospital care, inpatient care and spinal procedures.

doctor visit	93
hospital care	44
inpatient care	44
spinal procedures	12

Average Medicare Patient Data From 2016 - 2023

Information about Medicare patients treated by Dr. Justin N. Virojanapa, DO.

**Gender**
Male	50
Female	61

**Ethnicity**
Black / African American	7
Asian / Pacific Islander	3
Non-Hispanic White	83
Native American / Alaskan Native	0
Hispanic	1
Other	1

**Age**
85 and over	22
75 to 84	31
Less than 65	21
65 to 74	36

Average of Total of Conditions of Medicare patients treated by Dr. Justin N. Virojanapa, DO From 2016 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Justin N. Virojanapa, DO treated were hypertension, high cholesterol, depression and chronic kidney disease.

Hypertension	75
High Cholesterol	65
Stroke	20
Ischemic Heart Disease	36
Depression	45
Chronic Kidney Disease	40
Asthma	12
Osteoporosis	15
Heart Failure	26
Chronic Obstructive Pulmonary Disease	15
Diabetes	33
Atrial Fibrillation	15
Dementia	23
Cancer	9

Education & Training

Dr. Justin N. Virojanapa, DO graduated from Touro University College of Osteopathic Medicine. He is certified by the American Osteopathic Board of Surgery (Neurological Surgery) 017 and has a state license in Connecticut.

Medical School: Touro University College of Osteopathic Medicine

Board Certification: American Osteopathic Board of Surgery (Neurological Surgery) 017 (2011)

Licensed In: Connecticut

Affiliations & Hospitals

Dr. Justin N. Virojanapa, DO is associated with these hospitals and organizations:

UC Health

University of Cincinnati College of Medicine

UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC

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General Payments

These charts describe general payments received by Dr. Justin N. Virojanapa, DO. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Medtronic USA, Inc.	$8,346 CD HORIZON $7,780	DIVERGENCE-L $200	PIVOX Oblique Lateral Spinal System $149	INTELLIS $120	O-ARM-Spine $97
Synthes GmbH	$2,495 $2,495
Choice Spine, LLC	$2,250 Blackhawk $2,250
K2M, Inc.	$527 General K2M Product Discussion $247	RAVINE Lateral Access System $182	MESA $59	Occipital $39
DePuy Synthes Sales Inc.	$443 EXPEDIUM $170	ACIS PROTI 360 HL $151	Fibergraft BG Morsels $97	MATRIXNEURO $26
Other	$611 General K2M Product Discussion $157	Mobi-C $149	Advanced Energy Hemostatic Device $130	Thoracolumbar - TL Therapies $112	Rampart Duo Interbody Fusion system $23	Other $39

**Types of Payments**
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$6,960
Food and Beverage	$2,562
Travel and Lodging	$2,361
Consulting Fee	$2,250
Education	$540

Research Payments

Dr. Justin N. Virojanapa, DO has received 3 research payments totaling $105,697.

Biography

Dr. Justin Virojanapa is a specialist in neurosurgery. Dr. Virojanapa's clinical interests include back injury, spinal instability, and spinal cancer. He is affiliated with UC Health and the University of Cincinnati College of Medicine. He is a graduate of Touro University College of Osteopathic Medicine.