Typically, Back Surgery New Jersey is considered the last resort, performed only after conservative treatments like physical therapy, pain medication, and lifestyle changes have been tried and failed to relieve back pain or neurological symptoms reasonably. Causes for back surgery usually arise when there are significant levels of pain and disabilities impacting quality of life and inability to perform daily activities. The imaging studies like MRI or CT scan are important in determining structural abnormalities like herniated discs, spinal stenosis, or spondylolisthesis that might be causing these problems and may require surgical solutions.