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Treatments & Services

Spine patients present with a broad array of complaints demanding accurate diagnosis and appropriate management. At the Center for Spine Health, the conditions we treat include but are not limited to:

  • Chronic back pain
  • Degenerative back and neck disorders
  • Spondylolisthesis
  • Spinal stenosis
  • Disc herniation
  • Chiari malformation
  • Spinal fracture
  • Deformities, including scoliosis and kyphosis
  • Primary and metastatic spinal tumors

Find detailed information about our services and treatments:

From periodic monitoring to intensive surgical correction, we provide state-of-the-art management for back and spine problems. When you refer to the Center for Spine Health, you ensure your patient the benefits of skilled, experienced specialty and subspecialty care and access to the latest technologies. Among the many therapeutic options we offer are:

Spine Health surgeons have a high success rate for even the most complex procedures. Moreover, we are skilled in the latest minimally invasive surgical techniques. Although not indicated for all patients or conditions, these techniques may offer specific advantages for selected patients. Lumbar procedures are the most commonly performed surgeries, followed by cervical and thoracic procedures. The most common surgical conditions are degenerative spine conditions such as disc herniation and spinal stenosis followed by spinal deformity, such as scoliosis and kyphosis, fracture/trauma and spine tumor.

Corrective treatments range from minimally invasive decompression to spinal osteotomy, which is highly complex and is regularly performed at only a small number of spine centers in the United States.

From your first visit to Cleveland Clinic’s Center for Spine Health to your final follow-up, our specialists are ready to offer you the most appropriate and effective treatment for your problem from among a full range of available options.

Conservative Treatment

Whenever possible, your Center for Spine Health physician will explore nonsurgical treatments first. These treatments may include medication, pain management, manipulation, acupuncture, bracing or physical therapy. All of these medical services are available through experts at Cleveland Clinic’s Center for Spine Health.

Surgical Treatment

For some problems, surgery is the only possible solution. Although spinal surgery is often delicate and complex, Cleveland Clinic's Center for Spine Health surgeons have one of the highest success rates in the country for even the most complex procedures. They also are skilled in the latest minimally invasive techniques that are associated with less postoperative pain and a faster recovery. In the hands of a skilled, experienced surgeon, the benefits of surgical treatment usually far outweigh the risks. Whatever your diagnosis, our specialists are dedicated to restoring your function and relieving pain to the greatest degree possible by applying their knowledge and skill, combined with the latest techniques and advanced technology.

Stereotactic Radiosurgery
Novalis Suite

Metastasis to the spinal column in cancer patients is often associated with disabling pain, and may result in neurological dysfunction and paralysis related to direct compression of the spinal cord or nerve roots by tumor or instability of the spinal column. Cleveland Clinic’s Spine Radiosurgery (SRS) Program provides patients with specialized, integrated care for complex problems related to spine tumors.

This multidisciplinary program, the first and largest of its kind in Ohio, is led by the Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center in collaboration with additional specialists, including Center for Spine Health physicians. The clinical team uses the Novalis® Shaped Beam Surgery system to deliver a high dose of radiation to spinal metastases in a precise, conformal fashion, enveloping the tumor in three dimensions without significant scatter or spread beyond the target. SRS can be used as a stand-alone treatment or as an adjunct to other modalities. It can even serve as salvage therapy after conventional radiation for spine metastases has failed. This highly selective, precise radiation therapy is administered as an outpatient procedure, with minimal recovery time. It results in effective, rapid pain relief and exceptional tumor control.

Delaying Recurrences of Myxopapillary Ependymomas

The CSH is the largest center in the United States conducting adjuvant radiation therapy (ART) studies. A recent CSH study found the use of therapeutic radiation beneficial in delaying a second recurrence of myxopapillary ependymomas. Patients who did not receive ART had a median time to recurrence of 1.1 years, while those who received ART had a median time to recurrence of 9.6 years.

The Utility of Repeated Postoperative Radiographs

A CSH study indicates postoperative radiographs obtained at regular intervals in asymptomatic patients following single-level anterior cervical decompression fusion and plating do not appear to be warranted and do not alter the long-term treatment of the patient. Reducing the number of postoperative radiographs will reduce the amount of radiation to which patients are exposed.