Spine surgeons in North Texas provide comprehensive care for spinal disorders and injuries

The spine surgeons at Baylor Scott & White Spine & Scoliosis Center are dedicated to providing comprehensive care for spinal disorders and injuries. With a multidisciplinary team in Dallas, Frisco, Garland, Greenville, Rockwall and Waxahachie, including spinal surgeons, pain management physicians and physical therapists, treatment is tailored to the individual person's spine problems.

Our fellowship-trained surgeons specialize in spine surgery specifically to treat scoliosis, degenerative spine disorders and revision spinal surgery. Our team will work with you to create a plan so you can reclaim a pain-free life.

Ioannis Alexander Avramis, MD, head of the spine center at Baylor Scott & White Spine & Scoliosis Center, is dedicated to providing proven and innovative spine surgical techniques to care for spinal disorders.

Not accepting walk-ins

Baylor Scott & White Spine & Scoliosis Center - Frisco

4401 Coit Rd Ste 203, Frisco, TX, 75035

Not accepting walk-ins

Baylor Scott & White Spine & Scoliosis Center - Frisco at PGA Parkway

16050 Everwell Ln Professional Pavilion I, Ste 310, Frisco, TX, 75033

Not accepting walk-ins

Baylor Scott & White Spine & Scoliosis Center - Greenville

4400 Interstate 30 W Ste 300, Greenville, TX, 75402

Not accepting walk-ins

6705 Heritage Pkwy Ste 203, Rockwall, TX, 75087

Not accepting walk-ins

Baylor Scott & White Spine & Scoliosis Center - North Garland

7217 Telecom Pkwy Ste 325, Garland, TX, 75044

Not accepting walk-ins

Baylor Scott & White Spine & Scoliosis Center - Waxahachie

2360 N Interstate 35E Ste 320, Waxahachie, TX, 75165

Not accepting walk-ins

Baylor Scott & White Spine & Scoliosis Center at the Star

3800 Gaylord Pkwy Ste 830, Frisco, TX, 75034

Not accepting walk-ins

Our team of North Texas back doctors

The spine surgeons at Baylor Scott & White Spine & Scoliosis Center are dedicated to providing comprehensive care for spinal disorders and injuries. With a multidisciplinary team in Dallas, Frisco, Garland, Greenville, Rockwall and Waxahachie, including spinal surgeons, pain management physicians and physical therapists, treatment is tailored to the individual person's spine problems.

If you or a loved one have any of these back pain conditions, please do not hesitate to contact the Baylor Scott & White Spine & Scoliosis Center for evaluation and treatment. Our back doctors are excited to provide world class care to people in our community, the Dallas-Fort Worth Metroplex, Texas and beyond.

Group photo of Baylor Scott & White Spine & Scoliosis Center providers

Insurances accepted

Baylor Scott & White has established agreements with several types of insurance to ensure your health needs are covered.

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Spine and scoliosis conditions treated

The physicians at the Baylor Scott & White Spine & Scoliosis Center are experts at treating the following spinal conditions:

 

Cervical disc herniation

A disc herniation is the same in the cervical region as it is in the remainder of the spine, but surgical treatment is very different. Initially, treatment starts with medications—usually anti-inflammatories and muscle relaxants—and physical therapy. The next tier of treatment is advanced imaging—usually a MRI—and pain management injections. Finally, the last level of treatment is surgery, which is usually an anterior cervical discectomy and fusion (ACDF). This differs from a lumbar disc herniation in two major ways. One, in the lumbar spine, the incision is made in the back, but in the cervical region, it is made in the front. Secondly, there are no implants with a lumbar disc herniation surgery, but in the cervical region there is. The implants for the cervical disc herniation occur because the herniation is removed from the front requiring the disc to be completely removed. The implants are used to fill this space created by removing the entire disc. The entire disc must be removed to reach the herniation in the back and it is extremely risky to remove the herniation from the back because to do so you would push the spinal out of the way and that can cause a spinal cord injury and paralysis. The ACDF technique has been performed for decades, and research shows it is one of the most successful surgeries.

Surgical techniques that we perform

Typically, a spine surgery will incorporate a combination of techniques to achieve the goals of surgery from the back doctors.

Posterior spinal fusion

Posterior spinal fusion is a technique back and spine doctors in Dallas use to treat spinal instability, degeneration and malalignment. In its simplest form, it is getting two bones to grow together to for one bone, taking away the motion between the two bones and making them stable. To do this a Dallas spine surgeon will remove the facet joints, at least partially if not completely, rough up parts of the spine bones and place bone graft in between the two spine bones. This bone graft acts a scaffolding for the body to grow new, living bone between the two spine bones, connecting and fusing them together. Over time, the bone graft is replaced with the patient’s own living bone that will hold those two spine bones together. To give the new bone growth the best chance to succeed metal implants are placed to hold the spine still without motion. By stopping the motion with the spinal implants this gives the best environment for bone to grow; if there is too much motion, the bone will not grow, scar tissue will form and there will be a nonunion.

Pay bill

Baylor Scott & White Health is pleased to offer you multiple options to pay your bill. View our guide to understand your Baylor Scott & White billing statement.

We offer two online payment options:

Other payment options: 

Financial assistance

At Baylor Scott & White Health, we want to be a resource for you and your family. Our team of customer service representatives and financial counselors are here to help you find financial solutions that can help cover your cost of care. We encourage you to speak to a team member before, during or after care is received.

View financial assistance options

Patient forms

To ensure that your visit to our office is as convenient and efficient as possible, we are pleased to offer our registration forms online. The patient registration form may be completed electronically and printed for better legibility or completed manually.

Post-operative care for back surgery in Dallas

This information consists of generalizations and is appropriate for the vast majority of back patients, but each patient will have an individualized plan that the patient will create with his or her spine surgeon. The following is general information for all spine surgeries, followed by information for specific surgeries.

For the first few weeks after spine surgery, the sharp cutting pain from back surgery will subside, but most people will feel sore and have decreased endurance beyond that for a while longer. Over the first few weeks it is expected that back pain patients will wean off any narcotic (pain) medication. We will only be able to refill pain medications in the clinic, so it is important for spine patients to plan accordingly. We cannot refill pain medications or other medications over the phone after hours or on the weekend. If you need a refill or back pain medicine, it is recommended that you call the clinic for an appointment at least three business days before you would run out.

Patients should resume their normal diet once at home but should also add fiber, either through fiber supplements or food, like prune juice, to prevent constipation. Also, taking over-the-counter stool softeners, and laxatives if needed, is recommended after a spine surgery. It is much better and easier to prevent constipation than to treat it; the medications for constipation are over the counter, and a prescription is not required. The local pharmacist can provide guidance for these medications after a spine surgery in Dallas.

Patients should shower daily once at home, unless instructed differently from their spine surgeon. For cervical surgeries, remove your collar and shower normally. Typically, you will shower with your bandage on, and then have someone remove your bandage after showering, dry the area well and gently and place a new bandage. The bandages for lumbar surgeries, both front and back, are more of a cushion or pad to prevent pants from rubbing the incision. Rubbing the surgery incision will cause irritation, and that could lead to infection. The bandage does not need to look like what was used in the hospital—oftentimes gauze and tape is just fine.

Follow-up appointments are usually three weeks, two months and six months after surgery. Fusion surgeries are usually seen at the year anniversary of the spine surgery, and large spinal reconstructions are generally followed yearly for a few years. Obviously, if there are issues or questions that arise, patients are asked to contact the clinic to arrange follow up sooner.

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